M. Sakundarno Adi
Bagian Epidemiologi FKM Undip

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Faktor-Faktor Ibu Balita Yang Berhubungan Dengan Kepatuhan Follow Up Penderita Pnemonia Balita Di Puskesmas Cisaga, Ciamis, Jawa Barat Mulyana, Agus; Prabamurti, Priyadi Nugraha; Adi, M. Sakundarno
JURNAL PROMOSI KESEHATAN INDONESIA Volume 1, No. 2, Agustus 2006
Publisher : Magister Promosi Kesehatan Undip

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Background: One of the important procedures in pneumonia treatment is to conduct a followup care. The follow-up care of pneumonia disease should be done at least two days after treatment or sometimes earlier when the patients have bad physical conditions. The cases of pneumonia children in Cisaga health centre have been increasing recently, and even have a higher percentage compare to the average national cases. However, the percentage of the follow-up care cases has only about 13.5% from the total cases. The objective of this study is to identify some factors associated with mother’s compliance to conduct a follow-up care oftheir children who suffered pneumonia at Cisaga health centre.Method : A cross sectional survey with 50 sample, which consists of 40 patients have done a follow-up care and 10 patients have never done a follow-up care, has been employed in this study. Chi-square test has been used to examine the associations between factors and mother’scompliance.Results : Chi-square test shows that there is an association between knowledge and mother’s compliance behaviour since p<0.05. However, mother’s education level, occupation, and family supports and income have no association with the mother’s compliance. The studysuggests that information, education and communication programs in terms of preventing and treating pneumonia disease in children under five including the causes, the treatment procedures, and the effects of the disease, have to be conducted intensively, particularly to mothers who have children suffering pneumonia.Keyword: Pneumonia, compliance behaviour, mother, follow-up care
Pajanan Debu Terhirup dan Gangguan Fungsi Paru Pada Pekerja Industri Batu Kapur (Studi Di Desa Mrisi Kecamatan Tanggungharjo Kabupaten Grobogan) Yulaekah, Siti; Adi, M. Sakundarno; Nurjazuli, Nurjazuli
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 6, No 1 (2007): Vol 6, No 1 (2007)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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ABSTRACT Background: Exposed to low concentration of inhaled dust for a long time can cause respiratory tract disorders such as restriction, obstruction or mixed. Generally, organic and non organic dust exposure will effect on obstruction of respiratory tract, which is indicated by decreasing of FEV1/FVC. Workers of limestone industries have a high risk from inhaled dust deposition on their respiratory tract. Absorption of inhaled dust particles in the lung is occurred by respiration mechanism. Method : This research purpose was to analyze association between inhaled dust exposure and lung function disorder on workers in limestone industry (Study at Village of Mrisi, Sub District of Tanggungharjo) in Grobogan Regency. This research was an observational study using cross sectional approach for 60 samples. Sample was carried out by using a systematic probability sampling. Data were analyzed by using Chi Square test after controlling for gender, age, working years, smoking habit, exercise, nutrient status, awareness in using Personal Protective Equipment and time of exposure. Multivariate analysis was carried out by Logistic Regression test with the method of backward stepwise. Result : The result of this research showed  that inhaled dust exposure significantly influences the occurrence of lung function disorder (p = 0.02 and Odds Ratio = 5.833 with 95%CI : 1.865 – 18.245). Probability of inhaled dust exposure factor toward lung function disorder whichw was assessed by Logistic Regression formula resulted in inhaled dust exposure over the Threshold Limit Value of  3 mg/m3 is 68.6 %. Most of respondents who were exposed to dust and have significant association with the occurrence of lung disorder have some characteristics namely female, normal nutrient status, and awareness in using Personal Protective Equipment. Conclusion : The recommendation of this research is expected to be an input for local government and Health Service in particular, in making guidelines of the programs related to harmful effects from the workplace to the workers health, as well as for the needs of workplace monitoring and occupational health surveillance. Therefore,  to make the programs succeed, it needs occupational promotion. Key Words : Inhaled Dust Exposure, Lung Function Disorder, Workers, Limestone Industry
Paparan Debu Kayu Dan Gangguan Fungsi Paru Pada Pekerja Mebel (Studi di PT Alis Jaya Ciptatama) Triatmo, Wenang; Adi, M. Sakundarno; Hanani D., Yusniar
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 5, No 2 (2006): Vol 5, No 2 (2006)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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ABSTRACT Background : Wood dust generated from processes of sawing, planning and sanding can disperse in the workplace air and harm to the workers. Exposed to low concentration of wood dust for a long time can cause respiratory tract disorders  such as restriction, obstruction or mixed. Generally, organic dust exposure will effect on obstruction of respiratory tract which is indicated by decreasing of % FEV – 1 / FVC. Workers of wood industries have a high risk from wood dust deposition on their respiratory tract. Absorption of wood dust particles in the lung occurred by respiration mechanism. Methods : This research purpose was to analyze the exposure of wood dust and lung function disorder on furniture workers (Study  at  PT Alis Jaya Ciptatama ) in Jepara Regency. This research was an observational study with a cross Sectional approach with 55 samples. Sampling was carried out by using a Probability Systematic Sampling. Data of respirable wood dust concentration  was measured by a using Personal Dust Sampler. Whereas data of lung function was resulted from Sprirometry test  using a spirometer. Other data was collected from interview with the workers with age limitation is up to 40 years old. Data analyze by Chi Square Test was used to   identity the wood dust exposure, age, gender, time of exposure, working years, smoking habit, excercise habit, nutrient status and awareness in using of Personal Protective Equipment, in the correlation of occuring the lung function disorder.Multivariat analysis was carried out by regression test with the method of backward stepwise. Results: The result of this research was wood dust exposure significantly influence and correlate to the occuring of the lung function disorder on furniture workers ( Study at PT Alis Jaya Ciptatama ), using appliance Personal Dust Sampler, highest result wood dust exposure 1,848 mg/m³ and the low result wood dust exposure 0,833 mg/m³, with the result : for wood dust exposure  p = 0,001 and odss ratio  = 13,720 with 95% CI (3,034 – 62,040). Probability of wood dust exposure factor toward lung function disorder which was assessed by logistic regression formula resulted in, wood dust exposure over the Theshold Limit Value of 1 mg/m³ is 78,4% another 21,6% is because of other factor beyond the study of the researcher. Conclusion: The recomendation  of this research is expected to be an input for the local government and  Health Service in particular, in making guidelines of the programs related to harmful effects from the workplace to the workers health, as well as for the needs of workplace monitoring and occupational health surveillance. Therefore to make the programs succeed , it needs occupational health promotion  and application of controle measures on reducing wood dust concentration at the workplace. Keywords : Wood Dust Exposure, Lung Function Disorder, Workers, Furniture.
Studi Risiko Penggunaan Kayu Bakar Terhadap Kejadian Bayi Berat Lahir Rendah Widaryana, I Dewa Made; Setiani, Onny; Adi, M. Sakundarno
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 2, No 1 (2003): Vol 2, no 1 (2003)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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ABSRACT Background : Low birth weight incidence in Central Java is still high (1.2 %) compare to birth life. Faktor that may cause low birth weight intrinsic factors (i.e. mothers nutrition, anemia, etc.), and extrinsic factors i.e. physical factor, chemist, and social economic. One of chemical  factor was carbon monoxide exposure from wood smoke. Fire wood consumption in Central Java is still high ( Rp.3.093, - per capita)  compare to  gasoline consumption  (Rp.1.093/per capita) and Liquid Petroleum Gas (Rp.43, - per capita). The main objective  of this research is to  measure the  risk of the using of  fire wood to low birth weight incidence. Methods :This research a case control study, that used 84 low birth weight infant for case, compare to 84 non low birth weight infant  for control and infant mothers as respondents. Results :The research  show that the using of fire wood has OR=1.493  95%CI= 0.801-2.783, period time wood fuel before pregnant (in year) result OR=1.118;95%CI = 0.581-2.151, exposure duration  before pregnant (hours/day) has OR=1.402 ;95% CI= 0.761-2.582, exposure duration in pregnant (in trimester) has OR=1.538;95%CI=  0.837 – 2.826, exposure duration in pregnant (hours/day) result OR=1.471 ;95% CI=0.799-2.708. Conclusion : There is no significant influence of the using of fire wood to low birth weight in Semarang District. Supposed for another researchers, to research in stage II (ambient) and stage III (biomarker), because this research is only in stage I (sources) and stage IV (impact). Key Words : Fire woodl, Low Birth Weight, Semarang  District, 2002
HUBUNGAN PERILAKU HIDUP BERSIH DAN SANITASI LINGKUNGAN TERHADAP KECACINGAN PADA PEMULUNG Ikawati, Kartika; Rahadi, Wahyu; Ariani, Luky; Adi, M. Sakundarno
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 5, No 1 (2016): Edisi Maret 2016
Publisher : STIKES Cendekia Utama Kudus

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Kecacingan merupakan penyakit yang masih sering terjadi di masyarakat. Infeksi cacing pada manusia dipengaruhi oleh perilaku dan lingkungan. Penelitian ini bertujuan untuk mengetahui prevalensi dan faktor risiko kecacingan pada pemulung di TPA Jatibarang, Mijen, Semarang. Penelitian bersifat survay analitik dengan desain case control. Populasi dalam penelitian ini adalah pemulung TPA Jatibarang Semarang. Sampel adalah seluruh anggota populasi sebanyak 120 pemulung. Pengumpulan data melalui kuesioner, observasi dan pemeriksaan di laboratorium. Hasil penelitian mendapatkan ; prevalensi kecacingan 47,5 %, prevalensitertinggi Ascariasis  52,6 %. Variabel yang menjadi faktor resiko kecacingan ;  buang air besar di jamban (OR : 3.748, 95%  CI : 1.372-10.234, P : 0.001),  cuci tangan pakai sabun yang mengandung antiseptik sebelum makan (OR : 3.684, 95  % CI : 1.516-8.965, P : 0.004) dan cuci tangan pakai sabun yang mengandung antiseptik setelah BAB (OR 2.132, CI: 1.661-6.877, P : 0.025). Variabel yang terbukti tidak menjadi faktor risiko, yaitu; memakai alas kaki di sekitar rumah, kecukupan air  bersih, memakai sarung tangan, memotong kuku, dan  memakai sepatu boot ( P>0.05). Disarankan kepada pemulung untuk buang air besar di jamban dan cuci tangan pakai sabun yang mengandung antiseptik.Kata Kunci : Soil transmitted helminth, Perilaku, Sanitasi Lingkungan, Pemulung TPA
Faktor Risiko dan Potensi Penularan Tuberkulosis Paru di Kabupaten Kendal , Jawa Tengah Wulandari, Agustina Ayu; Nurjazuli, Nurjazuli; Adi, M. Sakundarno
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 14, No 1 (2015): April 2015
Publisher : Program Studi Magister Kesehatan Lingkungan

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Background:Pulmonary tuberculosis (pulmonary TB) is an infectious disease that continues to increase and was a global problem, the number of new cases findings in Kendal showed a rising trend. The prevalence of TB has fluctuated and is likely to increaseby 124 per100,000 populationin 2013. Environmental and behavioral risk factors were factors closely associated with pulmonary TB transmission. One patient with pulmonary TB BTA(+) has the potential to infect other people. This study aimed to know risk factors and the potential forpulmonary tuberculosis transmission to family members. Methods: It was an observational using case control and cross-sectional desing. The subjects ofthis study was 130 people consisted of 65 cases and 65 controls. Data analysis using chi square test and binary logistic regression. Results: Results of sputum examination in contactracing as many as 65 people were successfully retrieved from 44 cases of research, the results showed that there are 3 smear positive(4.6%) and 62 negative smear (95.4%). Risk factors that affect the incidence of lung tuberculosis is residential densityp=0.002, OR=7.841, CI=2.126 to 28.920, room temperature p=0.001, OR=8.048, CI=2.279 to 28.424, p=0.018 indoor humidity, OR=4.705, CI=1.310 to 16.894, the type of house floorp=0.016, OR=5.266, CI=1.356 to 20.446, a habit of throwing sputumany placep=0.016, OR=4.402, CI=1.322 to 14.660, habit cough / sneeze without closing them out hp =<0.001, OR=9.137, CI=2.694 to 30.992. Conclusions: This study concluded that residential density, room temperature, indoor humidity, the type of floor of the house, the habit of throwing sputum any place, habit cough / sneeze without covering them out hare risk factor sincidence of pulmonary tuberculosis in district Kendal. Keywords :Risk factors, pulmonary tuberculosis, transmission.
Studi Epidemiologi Kejadian Tuberkulosis Paru pada Pasien Hiv di Kabupaten Wonosobo Tahun 2014 Hardiko, Hardiko; Wahyuningsih, Nur Endah; Adi, M. Sakundarno
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 14, No 1 (2015): April 2015
Publisher : Program Studi Magister Kesehatan Lingkungan

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Background: TB-HIV case in Wonosobo district from 1 case happened in 2013 to 14 new cases and the increasing of 3 death cases of TB-HIV in 2014. Furthermore, there are the absence of a figure of person, place and time against opportunistic infections of tuberculosis with HIV in Wonosobo regency that makes it difficult for decision-making. This study aims to provide an overview of the epidemiology of pulmonary tuberculosis in people with HIV in Wonosobo. Methods: This study is a descriptive study with cross sectional design, with the primary data (a new case of HIV in 2014) is 48 respondents, and secondary data (a new cases of BTA in 2014) is 308. Results: In this study, HIV prevalence is 6.18 per 100.000 population, or 29.7% of HIV patients are people with TB-HIV, TB-HIV prevalence is 1.41 per 100.000 people, or 3.7% of TB patients are HIV-TB patients. From 48 respondents with HIV, 22.9% of them suffer from TB-HIV (11), 90.9% aged 15-50 years, 66.6% are women, 90.9% were married, 63.6% are high school graduation, 63.6% are IRT, 90.9% are heterosexual, 81.8% are kinfolk contact with TB patients, 81.8% had no contact in the workplace with TB patients, 54.5% live in urban areas, as well as all respondents live in homes that qualifies sanity including population density, ventilation, lighting, humidity, and temperature. Conclusion: HIV patients who have a history of kinfolk contact with a TB patient has a greater possibility of suffering from TB-HIV, as well as the need for further research to determine the factors that cause why the cases of HIV and TB-HIV in Wonosobodistrict in 2014 is more common suffered in housewives and urban areas. Keywords: TB-HIV, Home Environment, Wonosobo district.
Hubungan Antara Perilaku Ibu dan Lingkungan Fisik Rumah dengan Kejadian Tuberkulosis Paru Anak di Kota Pekalongan Mudiyono, Mudiyono; Wahyuningsih, Nur Endah; Adi, M. Sakundarno
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 14, No 2 (2015): Oktober 2015
Publisher : Program Studi Magister Kesehatan Lingkungan

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Background: Children’s Tuberculosis (TB) in Indonesia at 2013 was fourth ranks in the world. The cases of children’s pulmonary tuberculosis in Pekalongan at 2013 be amounted 88 (32%) of the total cases of TB (271), greater than 8% of national cases. Children’s pulmonary tuberculosis is a disease that can be cured and are not duly claimed the lives of children. The purpose of this study is analyze the relationship between the mothers behavior and physical environment house of children with the incidence of children’s pulmonary tuberculosis in Pekalongan City. Methods: The study was observational with case control design. The cases are pulmonary tuberculosis patients and control are child is not a child’s pulmonary tuberculosis. The subjects were 50 cases and 50 controls. Results: The results of the bivariate analysis are associated with incidence population density with children’s pulmonary tuberculosis (p = <0.001), ventilation (p = 0.004), temperature of room (p = 0.036), density occupancy (p = <0.001) and natural lighting (p = 0.016). The results of multivariate analysis are risk factor for the incidence of children’s pulmonary tuberculosis with mother’s knowledge (p = 0.049; OR = 2.918; 95% CI = 1.005 to 8.472), density occupancy (p = 0.020; OR = 3.379; 95% CI = 1.212 to 9.417), humidity (p = 0.025; OR = 3.236; 95% CI = 1.156 to 9.058) and ventilation (p = 0.022; OR = 3.224; 95% CI = 1.182 to 8.797). Conclusion: The density occupancy, humidity, ventilation, mother’s knowledge are a risk factor pulmonary TB incidence of children in Pekalongan City. Keywords: Behavior Mother, the physical environment house, children’s pulmonary tuberculosis, Pekalongan City.
FACTORS RELATED TO PREEKLAMPISA CASE ON PREGNANT MOTHER IN PUBLIC HEALTH CENTER MADIUN CITY Puryani, Dwi; Saraswati, Lintang Dian; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 1 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Preclampsia is blood pressure increasing of at least 140/90, proteinuria, and edema. The incidence of preeclampsia continues increasing in worldwide, and cause the death of around 50,000 per year worldwide. In Indonesia, preeclampsia occurs less over 5%, while in Madiun in 2014 (5%) is less 10% than the previous year.The purpose of this study was to determine the factors associated with preeclampsia. Type of this research is analytic observational with cross sectional design. Subjects in this study  are 100 respondents of pregnant women trimester II and III. This research will look at the factors of maternal age, age of pregnancy, parity, physical activity, consumption of sodium, fat consumption, economic status, level of knowledge as a risk factor preeclampsia. Univariate analysis shows 57% and 43% of pre-eclampsia no preeclampsia. Bivariate analysis using Chi Square with a significance level of 5%, shows that the parity ( p = 0.032), the level of knowledge (p = 0.000) so that there is a relationship which significantly related with the incidence of preeclampsia. There should be counseling to all midwives and pregnant women to reduce the incidence preeclampsia.
Hubungan Hiperbilirubinemia dan Kematian Pasien yang Dirawat di NICU RSUP Dr Kariadi Semarang Kosim, M. Sholeh; Garina, Lisa Adhia; Chandra, Tony; Adi, M. Sakundarno
Sari Pediatri Vol 9, No 4 (2007)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

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Latar belakang. Hiperbilirubinemia merupakan salah satu masalah kegawatan pada bayi baru lahir.Peningkatan unconjugated bilirubin serum sampai dengan kadar 20 mg/dl sering menyebabkan ”kern ikterus”,sehingga fungsi otak terganggu dan mengakibatkan kecacatan sepanjang hidup atau kematian. Sebagianbesar pasien hiperbilirubinemia yang dirawat di NICU mempunyai prognosis yang kurang menggembirakan.Tujuan. Mengetahui hubungan hiperbilirubinemia dan kejadian kematian pasien yang dirawat di NICURSUP Dr. Kariadi Semarang periode Januari 2005 – November 2006Metode. Studi observasional retrospektif pada pasien di bangsal NICU RSUP Dr. Kariadi Semarang,Januari 2005 – November 2006. Variabel yang diteliti ialah karakteristik umum (masa gestasi, berat badanlahir, cara persalinan, kejadian sepsis) yang merupakan faktor risiko hiperbilirubinemia dan hubunganhiperbilirubinemia terhadap hasil keluaran (hidup atau mati). Kadar bilirubin diperiksa pertama kali padasaat ditemukan ikterus. Analisis statistik menggunakan program SPSS versi 11.5 for Windows.Hasil. Dari 90 pasien dengan ikterus neonatorum, 71 (78,9%) pasien mempunyai kadar bilirubin =10 mg/dL.Limapuluh tiga (58,9%) pasien BBLR, 50 (55,6%) preterm dan 54 (60%) lahir spontan. Limapuluh tujuh bayi(69,5%) pasien dengan sepsis awitan dini, 33 bayi ( 30.5 %) awitan lambat. Angka kematian 80% dan sebagianbesar 65 (90,3%) disebabkan oleh sepsis. Tidak didapatkan hubungan antara hiperbilirubinemia dan hasil keluaran.Sepsis awitan lambat merupakan faktor risiko terjadinya hiperbilirubinemia OR 32,3 (95% CI 7,8 - 125) danpartus dengan tindakan juga merupakan faktor risiko terjadinya hiperbilirubinemia OR 4,5 (95% CI 1,5 – 13,3).Kesimpulan. Sepsis awitan lambat dan partus dengan tindakan merupakan faktor risiko terjadinyahiperbilirubinemia pada pasien yang dirawat di NICU. (