M. Sakundarno Adi
Bagian Epidemiologi FKM Undip

Published : 21 Documents
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Journal : Jurnal Kesehatan Masyarakat

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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Abstract

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.
GAMBARAN PERILAKU SELF CARE MANAGEMENT PADA PENDERITA DIABETES MELITUS TIPE 2 (Studi di Wilayah Kerja Puskesmas Rowosari Kota Semaran Tahun 2018) Istiyawanti, Hari; Udiyono, Ari; Ginandjar, Praba; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Diabetes mellitus (DM) type 2 is a chronic disease characterized by an increase in glucose in the blood and can cause various complications. Complications of type 2 diabetes can be minimized through management efforts called diabetes self-care management. The purpose of this study was to describe the behavior of self-care management of diabetes in type 2 DM patients. This type of research was observational analytic research with a cross sectional research design. The results of this study indicate the average score of self-care management of respondents in this study was 52.13 with a range of scores from 0 to 119. On average respondents made dietary arrangements of 3.1 days in the last seven days. The average respondent did 3.5 days of physical exercise in the last seven days. The average respondent carries out 2.0 days of foot care in the last seven days. The average respondent did 5.3 days of treatment in the last seven days. The average respondent monitors blood glucose levels as much as 1.2 days in the last seven days. Based on the results of these studies indicate that the behavior of self care management in patients with type 2 DM has not been done optimally. Patients with type 2 DM are advised to apply diabetes self care management behavior routinely in their daily lives. Diabetes self-care management behavior that is routinely carried out can control the patient's blood glucose levels so that it can minimize the risk of complications due to type 2 diabetes.
GAMBARAN KEJADIAN DERMATITIS PADA TENAGA KERJA INDONESIA DI TEMPAT PENAMPUNGAN SEMENTARA DI KABUPATEN NUNUKAN Arman, Arman; Udiyono, Ari; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Dermatitis is inflammation of the skin as a response against the influence of exogenous or endogenous factors that cause clinical disorders such asefloresensi polymorphic and complaints of itching. Data from Tarakan KKP working area Nunukan in 2015, the prevalence of dermatitis 53.2% of cases.This study aims to describe the incidence of dermatitis on migrant workers at the polling station in Nunukan. This type of research is descriptive with cross sectional design. The population in this study are all workers who are in the polling stations outpatient treatment Polyclinic Tarakan KKP working area Nunukan in september 2016 total 105 people with simple random sampling method sampling.Analysis of the data used areunivariate in the form distribution frequency table accompanied by narration.The results of this study found depiction of the incidence of dermatitis on migrant workers (64.8%) and, not dermatitis (35.2%). The incidence of dermatitis is dominated by age group ≥30 years (60.7%). The majority are those with history of skin diseases (84.2%) and had poor water quality (84.5%). The intensity of the shower bath is dominated by less than 2 times a day (85.3%), baths use rainwater (83.0%) and those who did not shower after work or sports (78.6%). the cleanliness of the clothes dominated by the change of clothes for less than 2 times a day (78.3%), did not iron clothes before use (65.4%), soak the clothes mixed with clothes friends (80.4%) and washes the clothes in a public toilet using rain water (65.3%)all of that included in the category of bad. It is expected to health workers to conduct socialization ofhygiene and health behaviorsin order to overcome the incidence of dermatitis andto the migrant workers, to always maintain personal hygiene and the cleanliness of clothes,as well as increasing proper bathing habits.
HUBUNGAN ANTARA KEBIASAAN OLAHRAGA DENGAN KADAR GULA DARAH PENDERITA DIABETES MELLITUS TIPE 2 (Studi di Puskesmas Rowosari Kota Semarang Tahun 2018) Mahdia, Fany Fanana; Susanto, Henry Setyawan; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 5 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Controlling bloods glucose levels is the most important thing for patients T2DM to reduce the risk of complications. It was found that uncontrolled blood glucose levels of T2DM patients was greater than controlled one. In addition, it was found that T2DM patients didn’t exercise. Even though, the recommendations for management of T2DM have been given. The aim of the study was to determine the relationship between exercise habits with blood glucose levels. This study used a cross-sectional with a sampling approach for case-control studies. The population was all of T2DM sufferer in Rowosari Health Center who examined blood glucose levels. The 80 research samples consist of 40 groups of controlled and 40 groups of uncontrolled. The sample was choosen based on consecutive sampling, that all subjects who came in sequence and met the criteria were entered until the amount was fulfilled. The collecting data was conducted through interviews using a questionnaire. Data was analyzed using pearson and rank-spearman test. Results refers that there was a relation of exercise frequency with blood glucose levels (p=0,001;r=-0,384), exercise type with blood glucose levels (p=0,002; r=-0,335), exercise duration with blood sugar levels (p=0,015 r=-0,271; r=-0,193). But, isn’t related of exercise intensity with blood glucose levels (p=0,087), time with blood glucose levels (p=0,074; r=-0,201). The conclusion is, there is a relationship between frequency, types, and duration of exercise. There is no relationship between intensity and time of exercise. It is expected that patients with T2DM are able to perform sports activities well, so that blood glucose levels remain controlled.
GAMBARAN TEKANAN DARAH DAN INDIKATOR OBESITAS WANITA USIA SUBUR DI WILAYAH KERJA PUSKESMAS TLOGOSARI WETAN KOTA SEMARANG Haryuti, Haryuti; Saraswati, Lintang Dian; Udiyono, Ari; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Women of childbearing age had high risk in cardiovascular disease like high blood pressure and obesity. Throughout a women’s life, health issues like pregnancy, and pregnancy prevention (birth control) could increase the risk of developing high blood pressure and obesity. The purpose of this research is to describe blood pressure and indicator of obesity in women of childbearing age at Public Health Center of Tlogosari Wetan, Semarang City. This research was a descriptive study with cross-sectional approach. The samples of this research included 82 women of chilbearing age which are taken by accidental sampling method and conducted the interview, filing questionnaires, and measurement waist circumference, height, weight and blood pressure. The average of waist circumference was 85,44 cm, sistolic blood pressure was 132,71 mmHg, diastolic blood pressure was 86,21 mmHg, BMI was 27,71 kg/m2. Majority of samples have central obesity (87,8%), hypertension grade I of sistolic blood pressure (32,9%), hypertension grade I of diastolic blood pressure (46,3%), have obese grade I (59,8%). Most of samples have high risk of cardiovascular disease especially because high blood pressure and obesity. Women of childbearing age sholud control blood pressure frequently, maintain healthy weight and avoid the risk factors to prevent cardiovascular disease.
GAMBARAN KARAKTERISTIK SUMUR WARGA DI WILAYAH KERJA PUSKESMAS KEDUNGMUNDU KOTA SEMARANG Nashiroh, Insani; Adi, M. Sakundarno; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Escherichia coli is the indicator for water pollution including in well water. Well water that is ineligible can be contaminated by Escherichia coli. This study aims to describe the characteristic of well in Kedungmundu Health Center. This study uses cross-sectional design. The sample for this study is 97 well that taken by simple random sampling technique. The most well is dug well (59,8%), lined well (61,9%), and covered well (81,4%); well within ≥10 meter in distance with latrine (61,9%) and septic tank (67%); well  within <10 meter in distance with sewage (67%); well with absence of  dumpsite (78,4%) and livestock pen (81,4%) within <10 meter in distance. This result shows that most of well is eligible according to Indonesia Health Ministry. It is recommended doing a laboratory test of well water to know the presence of bacteria.
PREVALENSI DAN GAMBARAN KARAKTERISTIK OBESITAS SENTRAL PADA ANAK SEKOLAH DASAR DI KECAMATAN BANYUMANIK KOTA SEMARANG 2018 Rahmani, Nabila Yasminuljannah; Udiyono, Ari; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 5 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

In Banyumanik District, Semarang City, there was not central obesity prevalence at the age of elementary school children. In fact, central obesity at this age is known to have a risk of developing disease due to the risk of metabolic syndrome. The purpose of this study was to determine the prevalence of central obesity at school age and its potrayed based on age, sex and nutritional status based on the standard of child growth by WHO. Body weight, height and waist circumference were measured in 1686 elementary school children in Banyumanik Subdistrict, Semarang City (male as many as 871 children). WHO AnthroCalc Plus is used to determine the nutritional status of children based on the z-score Body Mass Index. Central obesity is defined by waist-to-height-ratio ≥ 0.5. Univariate analysis was used to determine the distribution of respondents based on age, gender, nutritional status and central obesity status. The cross tabulation table was used to determine the proportion of central obesity in the variables of age, sex and nutritional status. The results of the study showed that the central obesity prevalence in public elementary school children in Banyumanik District was 20.70%. Men have a higher prevalence (22.0%) than women (19.3%). Central obesity was found in children with thin, normal, overweight and obese nutritional status with a proportion of 1.6%, 2.2%, 39.5% and 89.2%. The conclusions of this study are that central obesity occurs in primary school-aged children in Banyumanik Subdistrict, Semarang City. The prevalence of central obesity in boys is higher than females. Researchers recommend measuring central obesity in children to be able to control and prevent risk factors for developing metabolic syndrome.
JENIS UPAYA, SARANA PRASARANA, DAN KETERLIBATAN INSTANSI DALAM PENGENDALIAN FAKTOR RISIKO LEPTOSPIROSIS DI KOTA SEMARANG Setyowati, Maknunah; Adi, M. Sakundarno; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Leptospirosis caused by infection leptospira bacteria, attacking animals and human. Leptospirosis disease is influenced by three main factors: host, agent, and an environment. Leptospirosis cases may rise during heavy rainfall and the environment that many puddles, like the city of Semarang. The purpose of this study to describe the prevention of risk factors leptospirosis in the city of Semarang. This type of research is descriptive qualitative with interview method. The research sample as many as 37 Primary Health Care and 1 Health Department, using total sampling technique. The results showed that all surveillance officer in Primary Health Care implement prevention risk factors for leptospirosis is counseling. Most of the Primary Health Care in Semarang City has a diagnostic tool is RDT and tools to catch rats is live trap. All surveillance officers in Semarang City collaboration with stakeholder region and health organization when there are cases of leptospirosis. It is advisable to health Department in order to distribute tool catching mice and RDT to all Primary Health Care.
SYSTEMATIC REVIEW METODE INTERVENSI PENGETAHUAN MASYARAKAT DALAM PENGENDALIAN KASUS LEPTOSPIROSIS DI WILAYAH KOTA SEMARANG Ningsih, Sri Wahyu; Adi, M. Sakundarno; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Knowledge interventions in the Semarang were carried out by many health institutions but from the results of these intervention activities, there was no systematic review of the methods of intervention of community knowledge in the control of leptospirosis cases. This review aims to identify articles about the intervention method of knowledge and effectiveness in increasing public knowledge in controlling leptospirosis in the Semarang City. Searching for research articles in several databases using certain keywords in the period 2010-2018 and gray literature. Search results obtained 47 articles and only 3 articles that met the inclusion criteria. Researchers assessed articles using the Critical Appraisal Skills Program (CASP) for A Systematic Review. The results of the Systematic Review show that the intervention of community knowledge varies in terms of methods. The knowledge intervention method consists of poster methods, lectures, lectures-simulations and lectures-demonstrations. Statistical analysis shows that all of these methods can improve people's knowledge about Leptospirosis and its control significantly. The results of changes in knowledge scores with the lecture method were 26.53, the poster method was 36.54, the lecture-simulation method was 46.11 and the lecture-demonstration method was 44.27 from the initial knowledge. The highest change in scores for public knowledge about leptospirosis is lecture-simulation method. Knowledge intervention methods that can be recommended to be applied by extension workers and leptospirosis control program holders are lecture-simulation methods because they have the advantage of being able to increase public knowledge and provide the experience needed by the community to prevent and control leptospirosis.