M. Sakundarno Adi
Bagian Epidemiologi FKM Undip

Published : 21 Documents
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Journal : JURNAL KESEHATAN LINGKUNGAN INDONESIA

Pajanan Debu Terhirup dan Gangguan Fungsi Paru Pada Pekerja Industri Batu Kapur (Studi Di Desa Mrisi Kecamatan Tanggungharjo Kabupaten Grobogan)

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 6, No 1 (2007): Vol 6, No 1 (2007)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

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)

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 5, No 2 (2006): Vol 5, No 2 (2006)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

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

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 2, No 1 (2003): Vol 2, no 1 (2003)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

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

Faktor Risiko dan Potensi Penularan Tuberkulosis Paru di Kabupaten Kendal , Jawa Tengah

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 14, No 1 (2015): April 2015
Publisher : Program Studi Magister Kesehatan Lingkungan

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Abstract

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

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 14, No 1 (2015): April 2015
Publisher : Program Studi Magister Kesehatan Lingkungan

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Abstract

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

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 14, No 2 (2015): Oktober 2015
Publisher : Program Studi Magister Kesehatan Lingkungan

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Abstract

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.