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Universitas Diponegoro Semarang

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Kadar Merkuri pada Rambut Masyarakat di Sekitar Penambangan Emas Tanpa Ijin

MEDIA MEDIKA INDONESIANA 2011:MMI Volume 45 Issue 3 Year 2011
Publisher : MEDIA MEDIKA INDONESIANA

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ABSTRACTHair mercury concentration in community living sourrounding the illegal gold miningBackground: Higher mercury concentration in the hair surrounding of illegal gold mining communities occurred due to mercury exposed continuously in a long time. The purpose of this research was to identify the risk factors affecting the mercury concentration of the community hair living in the illegal gold mining activity.Methods: The study was a case control study. Subject were people living around the Mandor’s river consisting of 68 families (34 cases and 34 controls). Data collection was done through structured interviews, observation, depth interviews, and examination of the rate of mercury in the laboratory for hair samples. Data were analyzed by chi-square test and logistic regression.Results: There were significant relationship between length of stay when (p=0.003), house distance (p=0.002), employment(p=0.004), a water source (p=0.004), habit of bathing in river (p=0.015) and consumption of local fish (p=0.007) with mercury level in the hair. Variable local vegetable consumption and nutritional status do not have a significant influence on the rate of mercury in hair with (p=0.330) and (p=0.500). The risk for mercury level in the hair above the thresholds were the length of stay ≥15 years (OR=7.07; 95% CI=2.12-23.57) and consumption of local fish >3 times/weeks (OR=6.14; 95% CI=1.86-20.30), with a probability of 89.3%.Conclusion: Risk factors for the occurrence of mercury in the hair above the threshold is the length of stay ≥15 years andconsumption of local fish >3 times/weeks. Therefore it recommended to relocate house away from the river and decrease the consumption of Mandor’s river fish.Keywords: Illegal gold mining, length of stay, fish consumption, mercury concentrationABSTRAKLatar belakang: Aktivitas penambangan emas tanpa ijin (PETI) yang menggunakan merkuri untuk proses amalgamasi akanberakibat meningkatnya kadar merkuri pada perairan. Meningkatnya kadar merkuri pada rambut masyarakat di sekitar aktivitas PETI terjadi karena paparan merkuri yang berlangsung terus menerus dalam waktu yang lama. Penelitian ini bertujuan untuk memperoleh informasi tentang faktor risiko yang berpengaruh terhadap kadar merkuri pada rambut masyarakat yang tinggal di sekitar aktivitas PETI.Metoda: Penelitian ini merupakan penelitian observasional dengan rancangan case control. Sampel penelitian adalah masyarakat yang tinggal di sekitar aliran sungai Mandor dengan sampel 68 kepala keluarga (34 kasus dan 34 kontrol) di wilayah kecamatan Mandor. Pengumpulan data dilakukan dengan wawancara terstruktur, observasi, wawancara mendalam, dan pemeriksaan kadar merkuri di laboratorium untuk sampel rambut. Data dianalisis dengan uji chi-square dan regresi logistik.Hasil: Terdapat hubungan yang signifikan antara lama tinggal (p=0,003), jarak tempat tinggal (p=0,002), jenis pekerjaan(p=0,004), sumber air bersih (p=0,004), kebiasaan mandi (p=0,015) dan konsumsi ikan hasil setempat (p=0,007) dengan kadar merkuri pada rambut. Variabel konsumsi sayuran setempat dan status gizi tidak memiliki hubungan yang signifikan dengan kadar merkuri pada rambut masing-masing dengan (p=0,330) dan (p=0,500). Variabel yang berisiko terjadinya kadar merkuri pada rambut melebihi ambang batas adalah lama tinggal ≥15 tahun (OR=7,07; 95%CI=2,12–23,57) dan konsumsi ikan hasil setempat >3 kali per minggu (OR=6,14; 95% CI=1,86-20,30), dengan nilai probabilitas sebesar 89,3%.Simpulan: Berdasar hasil tersebut disimpulkan bahwa yangmerupakan faktor risiko terjadinya kadar merkuri pada rambut melebihi ambang batas adalah lama tinggal ≥15 tahun dan mengkonsumsi ikan hasil setempat >3 kali per minggu. Oleh karena ini disarankan untuk mengurangi konsumsi ikan yang berasal dari sungai Mandor dan merelokasi rumah jauh dari sungai Mandor

PENINGKATAN KADAR TIMBAL DARAH DAN MUNCULNYA PERILAKU ANTISOSIAL PENGRAJIN KUNINGAN

Jurnal Kesehatan Masyarakat Vol 11, No 1 (2015): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULI 2015
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Penelitian ini bertujuan mengkaji pengaruh peningkatan kadar timbal (Pb) darah terhadap munculnya perilaku antisosial pada pengrajin kuningan. Disain penelitian  observasional analitik dengan studi cross sectional. Sampel terdiri dari 55 orang pengrajin kuni ngan, dengan kriteria inklusi pria atau wanita, minimal 17 tahun, telah bekerja di industri kuningan minimal 2 tahun, pendidikan minimal pernah SD. Hasil penelitian menunjukkan telah terjadi kontaminasi Pb di lingkungan kerja industri kuningan. Kadar Pb darah pengrajin yang melebihi  nilai ambang batas40µg/dl mencapai 80%. Perilaku antisosial terukur masuk kategori sedang dan rendah. Terdapat hubungan linier antara kadar Pb darah dan perilaku antisosial dengan R2 0,353. Simpulan pajanan kronik Pb di lingku- ngan kerja industri kuningan menyebabkan peningkatan kadar Pb darah pengrajin dan berkontribusi memicu  munculnya perilaku antisosial. This study aimed to examine the effect of increased Blood Lead Levels (BLL) results of the emergence of antisocial behavior in brass craftsmen. The research designs used the analytic observational with cross sectional study. The sample consisted of 55 brass craftsmen, male or female a minimum of 17 years old, has worked in the brass industry at least for 2 years, and at least has a degree in the elementary school level. The results showed that there has been a lead contamination in the environment of brass industry. BLL that exceed the threshold value (40 μg/dl) reached 80%. The antisocial behavior measured was in the category of medium and low. There was a linear relationship between BLL and antisocial behavior with R2 0.353. In conclusion, chronic lead exposure to the brass industry environment led to an increase to blood lead levels BLL  in craftsmen contributed in the appearance of antisocial behavior.

Efektvitas Topikal Salep Ekstrak Binahong(AnrederaCordifolia (Tenore) Steenis)terhadap Proses Penyembuhan Luka Ulkus Diabetik pada Tikus Wistar (Rattus Novergicus)

Jurnal Ilmiah Kesehatan (JIK) Vol 9, No 2 (2016): Jurnal Ilmiah Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

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Gangren merupkan komplikasi yang di ditimbulkan akibat infeksi atau suatu proses peradangan luka pada tahap lanjut yang disebabkan karena perubahan degeneratif atau perawatan yang kurang intensif yang dikaitkan dengan penyakit diabetes melitus. Apabila tidak segera mendapatkan perawatan dan pengobatan yang tepat akan  beresiko di lakukan tindakan amputasi. Binahong tanaman yang mengandung senyawa flavanoid, alkaloid, terpenoid, vitamin C, protein dan saponin.Tujua penelitian ini untuk mengetahui efektvitas ekstrak binahong (Anredera Cordifolia (Tenore) steenis) terhadap proses penyembuhan luka diabetik pada tikus wistar (rattus novergicus). Jenis penelitian ini adalah True Experimental Design, dengan rancangan retest – Posttest Control Group Design. Subjek penelitian yaitu 27 ekor tikus galur wistar (rattus novergicus) jantan galur wistar yang terbagi menjadi tiga kelompok yaitu Kontrol (Nacl 0,9%), kelompok  salepbinahongdosis 40% , kelompok salepbinahongdosis 50% , selama 21 hari dilakuakanpengamatan dan pengukuran. Analisis data dilakukan dengan One Way ANOVA dan Post Hoc. Parmeter untuk pengamatan menggunakan Bates Jansen Wound Assesment Toolsdan nilai leukosit dan makrofag. Hasil penelitian menunjukkan pada uji Post Hock menunjukan antara kontrol dan salep ektrak binahong dosis 50%  Pada ke-7, hari ke-14 dan hari ke-21 memiliki p< 0,05. Pada  dosis salep ektrak binahong dosis 40% dan salep ektrak binahong dosis 50% pengamatan hari ke-7, hari ke-14 memiliki p= 0,000 atau signifikan. namun tetapi pada hari ke 21 memiliki nilai p=0,155 atau tidak signifikan. Walaupun tidak ada perberbedaan pad hari ke-21, jika di lihat perbedaan rata rata dari ke dua kelompok tersebut yaitu nilai rata rata salepbinahong dosis 50% yaitu 15,67 dan salep ekstrak binahong 40% yaitu 17,11 yang mempunyai makna bahwa salep ekstrak binahong dosis 50% lebih efektif memperceat penyembuhan luka dari pada  salep ekstrak binahong dosis 40%. Hasil pengamatan mikroskopik menunjukan nilai leukosit dan nilai mkrofag pada salep ekstrak binahong dosis 50% lebih sedikit dibadingkan pada kontrol NaCl 0,9% dan salep ekstrak binahong 40%.  Perlakuan dengan dosis 50% lebih efektive dalam mempercepat penyembuhan luka diabetik selama 21 hari dibandingkan dengan kontrol NaCl 0,9% dan salep ekstrak binahong dosis 40%. Kata kunci : Binahong (anredera cordifolia (tenore) steenis), Ulkus diabetik, Tikus wistar (rattus novergicus). The effectiveness Topically Ointment Binahong (AnrederaCordifolia (Tenore) Steenis) Extract to the Healing Wound Process in Diabetic Ulcer Mice Galur Wistar (Rattus Novergicus) Abstract. Gangrene is a complication caused by an infection or an inflammatory process in the advanced stages of wound caused by degenertive changes or less intensive treatmen is associated with diabetes melitus. If it does not receive proper care and treatment will be at risk in doing amputation. Binahong plant containing compound flavanoid, alkaloid, terpenoid, vitamin C, protein dan saponin. Objective: To examine the effectiveness topically ointment binahong extrct to the healing wound process in diabetic ulcer mice galur wistar (Rattus Novergicus)The kind of research this is true experimental design , to the research pretest  - posttest control group design. The subject of study that is 27 the tail of a mouse galur wistar (Rattus Novergicus) given galur wistar that is divided into three groups that is control (NaCl 0,9%), ointmen binahong ekstract dose 40 percent and ointmen binahong ekstract dose 40 percent. Parameter for observation using Bates Jansen Wound Assesment Tools, the value of leukocytes and makrophages value.Results: on the Post Hock test showed betwen the control NaCl 0,9% and ointment binahong extrct dose 50%  on day 7, 14 and 21 to have p = 0,000. Reviewed ointnment binahong extract dose 40% and ointnment binahong extract dose 50% have p=0,155 or significant. However, on day 21 had value insignificant. Although there was no difference on day 21, when seen from the average difference ointment binahong ekstract dose 50% that is 15,67 and  ointment binahong ekstract dose 40%  that is 17,11  that has meaning that ointment binahong ekstract dose 50% more effectively accelerte wound heling than ointment binahong ekstract dose 40%.Microscopic observatns showed the value of leukocytes and macrophages in the value binahong 50% less than in control NaCl 0,9% and ointment  binahong extrct dose 40%.Conclusions : Treatment atointment  binahong extrct dose 50% more effective in accelerting the healing of   wound diabetic ulcer for 21days within comparison control NaCl 0,9% and ointment  binahong extrct dose 40%. Keywords : Ointment  binahong extrct, Diabetic ulcer, Mice galur wistar (rattus novergicus)

Efek Hipnosis terhadap Perubahan Tekanan Darah Ibu Hamil Preeklampsia

Jurnal Ilmiah Kesehatan (JIK) Vol 9, No 2 (2016): Jurnal Ilmiah Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

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Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Salah satu penyebab AKI adalah Preeklampsia. Pada ibu preeklampsia terjadi peningkatan tekanan darah dan peningkatan kadar leukosit. Upaya penanganan preeklampsia saat ini masih bersifat medikamentosa, belum mengarah pada kompelemntary terapi seperti hipnosis. Hipnosis adalah suatu kondisi relaksasi dan komunikasi bawah sadar. Hipnosis telah terbukti bermanfaat secara psikologis maupun medis. Tujuan penelitian ini adalah untuk menganalisis pengaruh hipnosis terhadap perubahan tekanan darah ibu hamil preeklampsia di Wilayah Kerja Dinas Kesehatan Kabupaten Pekalongan. Metode: jenis penelitian ini adalah Quasi Experiment dengan desain penelitian pretest-posttest control group. Subjek penelitian ini yaitu 32 ibu hamil preeklampsia yang terbagi dalam 2 kelompok yaitu kelompok kontrol dan kelompok perlakuan perawatan kehamilan standar. Hipnosis dilakukan sebanyak 3x terapi.Hasil: ada perbedaan tekanan darah sebelum dan setelah hipnosis dengan p vlaue sistolik 0,025 dan p value diastolik 0,002. Ada perbedaan tekanan darah kelompok kontrol dan kelompok perlakuan setelah dilakukan hipnosis dengan p value sistolik 0,002 dan p value diastolik 0,013. Penurunan tekanan darah setelah hipnosis mencapai 20mmHg (sistole) dan 7,5mmHg (diastole). Simpulan: hipnosis berpengaruh terhadap penurunan tekanan darah pada ibu preeklampsia Kata kunci: tekanan darah, hipnosis. The Effect of Hypnosis Blood Pressure Change towards Pregnancy Women with Preeclampsia in Pekalongan Regional Primary Health Centre Abstract: Mortality rate in Indonesia is still hight today. The most of causes preeclampsia is preeclampsia. In mother with preeclampsia have a hight blood pressure and leucocyte. Preeclapmsia just treat based on convensional medicamentosa, not yet complement by complementary therapy such as hypnosis. Hypnosis is a rilex condition and terapis communication which is done in subconscious mind. The benefit of hypnosis can increase physic and psychis health. Objektif of this researh is to analyze the effect of hypnosis on blood pressure in pregnancy women with preeclampsia in Pekalongan Regional Primary Health Centre. Methode: this study is Quasi Experiment with pretest-posttest control group design. The subject of this study are 32 pregnant women with preeclampsia which is divided into 2 groups: control and experiment group. Result: there is the difference of blood pressure before and after hypnosis with p vlaue  for sistole is 0,025 and p vlaue for diastole is 0,002. There is the difference of blood pressure between control and experiment group with p value of sitole is 0,002 and p value for diastole is 0,013. The decrease of sistole up to 20mmHg and the decrease of diastole up to 7,5mmHg. Conclusion: hypnosis effective on decrease blood pressure in pregnant women with preeclampsia. Keyword: blood pressure, hypnosis

EFEK HIPNOSIS TEHADAP PERUBAHAN TEKANAN DARAH IBU HAMIL PREEKLAMPSIA

Siklus : Journal Research Midwifery Politeknik Tegal Vol 6, No 2 (2017)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

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Latar Belakang : Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Salah satu penyebab AKI adalah Preeklampsia. Pada ibu preeklampsia terjadi peningkatan tekanan darah dan peningkatan kadar leukosit. Upaya penanganan preeklampsia saat ini masih bersifat medikamentosa, belum mengarah pada kompelemntary terapi seperti hipnosis. Hipnosis adalah suatu kondisi relaksasi dan komunikasi bawah sadar. Hipnosis telah terbukti bermanfaat secara psikologis maupun medis. Tujuan penelitian ini adalah untuk menganalisis pengaruh hipnosis terhadap perubahan tekanan darah ibu hamil preeklampsia di Wilayah Kerja Dinas Kesehatan Kabupaten Pekalongan.Metode: jenis penelitian ini adalah Quasi Experiment dengan desain penelitian pretest-posttest control group. Subjek penelitian ini yaitu 32 ibu hamil preeklampsia yang terbagi dalam 2 kelompok yaitu kelompok kontrol dan kelompok perlakuan perawatan kehamilan standar. Hipnosis dilakukan sebanyak 3x terapi.Hasil: ada perbedaan tekanan darah sebelum dan setelah hipnosis dengan p vlaue sistolik 0,025 dan p value diastolik 0,002. Ada perbedaan tekanan darah kelompok kontrol dan kelompok perlakuan setelah dilakukan hipnosis dengan p value sistolik 0,002 dan p value diastolik 0,013. Penurunan tekanan darah setelah hipnosis mencapai 20mmHg (sistole) dan 7,5mmHg (diastole).Simpulan: hipnosis berpengaruh terhadap penurunan tekanan darah pada ibu preeklampsiaKata kunci: tekanan darah, hipnosis. 

HUBUNGAN PERTAMBAHAN BERAT BADAN SELAMA KEHAMILAN DENGAN BERAT LAHIR BAYI DI KECAMATAN SUKARAJA KABUPATEN BOGOR TAHUN 2001 - 2003

GIZI INDONESIA Vol 29, No 2 (2006): September 2006
Publisher : PERSATUAN AHLI GIZI INDONESIA

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THE RELATIONSHIP BETWEEN WEIGHT GAIN DURING PREGNANCY AND BIRTH WEIGHT IN SUKARAJA SUBDISTRICT, BOGOR IN 2001 - 2003Maternal body weight gain during pregnancy is important for women suffering from wasting when pregnancy started. Many studies in Indonesia show that low maternal weight gain during pregnancy (less than 10 kg) and high prevalence of pregnant women who had cronic energy deficiency (27.6%) are still problem. The objective of the study is to determine relationship between of maternal weight gain during pregnancy and low birth weight (2500-2999 gram) and its related factors. The study desain was cross-sectional, involving 270 pregnant women, at early stages (12 weeks) who delivered a normal body weight and full term babies (> 37 weeks). Data analysis was done using logistic regression. The result showed that the babies with low birth weight (2500-2999 gram)was 47.8 persen with the average weight of 3015 gram. The average of maternal weight gain during pregnancy was 9.098 kg and those who gained less than 9 kg during pregnancy was 48.9 persen. A significant relationship was found birth weight gain during pregnancy (p=0.000, OR 7.28, 95% CI; 4.25-12.46), and energy intake ((p=0.000, OR 5.15, 95% CI; 2.976-8.913). Multivariate analysis shows that the interaction between energy intake and weight gain during pregnancy is statistically significant (p=0.000, OR 5.8, 95% CI; 1.574-21.536). In conclusion, women who had gain weight at least 9 kg during pregnancy and energy intake more than 70 persen RDA might baby between with birth weight of less than 3000 gram. It is important especially to those who get pregnant suffering from wasting.Keywords: weight gain, pregnancy, birth weight

Karakteristik Ibu Hamil Preeklampsia

Jurnal Ilmiah Kesehatan (JIK) Vol 9, No 2 (2016): Jurnal Ilmiah Kesehatan
Publisher : Jurnal Ilmiah Kesehatan (JIK)

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Angka Kematian Ibu (AKI) di Indonesia masih tinggi. Salah satu penyebab AKI adalah Preeklampsia. Ada beberapa karakteristik ibu hamil yang berhubungan resiko terjadinya preeklampsia. Tujuan penelitian ini adalah untuk menganalisis karakteristik ibu hamil dengan preeklampsia. Metode penelitian adalah descriptive analytic quantitative. Sample dalam penelitian ini adalah ibu hamil preeklampsia di wilayah kerja Dinas Kesehatan Kabupaten Pekalongan 2016 sejumlah 32 responden. Hasil penelitian menunjukkan bahwa 68,8% ibu hamil preeklampsia berusia 20-35 tahun, 50% ibu preklampsia multigravida, 62,5% ibu berpendidkan sekolah dasar (SD), 46,8% memiliki gizi cukup, 87,5% ibu hamil trimester III dan 50% ibu hamil bekerja sebagai buruh tekstil.Kata kunci : karakteristik, ibu hamil, preeklampsiaCharacteristics of Preeclampsia Pregnant Women Maternal Mortality Rate (MMR) in Indonesia is still high. One of the causes of MMR is Preeclampsia. There are several characteristics of pregnant women who are associated with the risk of preeclampsia. The purpose of this study was to analyze the characteristics of pregnant women with preeclampsia. The research method is descriptive analytic quantitative. Sample in this research is pregnant mother of preeclampsia in working area of Health Office of Regency of Pekalongan 2016 number of 32 respondents. The results showed that 68.8% of pregnant women with preeclampsia aged 20-35 years, 50% multigravida preeclampsia mothers, 62.5% of primary school elementary mothers, 46.8% had sufficient nutrition, 87.5% of trimester pregnant women III and 50% of pregnant women work as textile laborers.Keywords: characteristics, pregnant women, preeclampsia

Analisis Faktor Host terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh

Jurnal Vokasi Kesehatan Vol 4, No 1 (2018): Januari 2018
Publisher : Poltekkes Kemenkes Pontianak

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Abstract: An Analysis Of Host Factors Toward The Level Ii Leprosy Disability In Nagan Raya Regency, Aceh Province. The leprosy disabilities level II is often experiencing the limitations in function among societies. In Nagan Raya Regency, there are 41% endemic areas with the number of level II disability for 5%. This research aims to prove some host and environment factors that become the risk factors for disability for level II leprosy. Case-control methods and interview methods were chosen as the design of control case in this research. 84 respondents were involved in conducting case-control design, and 42 cases of leprosy disabilities level II and 42 control of leprosy without disabilities, selected with consecutive sampling by considering the criteria of inclusion and exclusion. The results of this research were analyzed with bivariate by using chi-square test and the multivariate data were analyzed by using logistic regression test. Four variables that had the risk towards leprosy level II disability were at the age of the diagnosis time > 15 p=0,039 and OR=8,4 (CI 95%; 1,1-63,3), level of education p=0,038 and OR=3.4 (CI 95%; 1,1-10,9), too late to do early diagnosed p=0,011 and OR=5,4 (CI 95%; 1,5-19,6), types of leprosy MB p=0,015 and OR=3,9, (CI 95%; 1,3-12,1). Some host factors were proven to have risk towards leprosy disability of level II are the age at the time of diagnosis > 15 years, too late to do early diagnosis and leprosy types MB with the probability of 99.96 %. It is expected for the team of Public Health Office to conduct prevention in a productive age population, early case detection to prevent disability, and socialized the patient about the dangers of leprosy.Abstrak: Analisis Faktor Host Terhadap Kecacatan Kusta Tingkat II Di Kabupaten Nagan Raya Provinsi Aceh. Kecacatan kusta tingkat II mengalami keterbatasan pada fungsinya dalam masyarakat. Kabupaten Nagan Raya terdapat 41% daerah endemis, dengan kecacatan tingkat II sebanyak 5%. Penelitian ini bertujuan untuk membuktikan beberapa faktor host merupakan faktor risiko kecacatan tingkat II. Penelitian ini menggunakan desain kasus kontrol terhadap 84 responden,  dari 42 kasus (cacat kusta tingkat II) dan 42 kontrol (kusta tanpa cacat),  yang dipilih secara consecutive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Pengumpulan data dilakukan dengan metode wawancara. Analisis data secara bivariat dengan uji Chi-Square dan multivariat dengan uji regresi logistik. Empat variabel merupakan faktor risiko terhadap kecacatan kusta tingkat II, yaitu umur saat diagnosis > 15 tahun p=0,039, OR=8,4 (CI 95%; 1,1-63,3), tingkat pendidikan p= 0,038, OR=3,4 (CI 95%; 1.1-10.9) diagnosis dini lambat p=0,011, OR=5,4 (CI 95%; 1,5-19,6), tipe kusta MB p=0,015, OR=3,9, (CI 95%; 1,3-12,1). Beberapa faktor host terbukti berisiko terhadap kecacatan kusta tingkat II adalah umur saat diagnosis > 15 tahun, tingkat pendidikan, diagnosis dini lambat, dan tipe kusta MB dengan probabilitas sebesar 99,96%. Diharapkan kepada dinas kesehatan melakukan pencegahan kelompok usia produktif, penemuan kasus secara dini untuk mencegah kecacatan dan memberikan pemahaman terhadap penderita tentang bahaya kusta

Hubungan Karakteristik Demografi, Faktor Keselamatan Dan Kesehatan Kerja (K3) Dan Lingkungan Terhadap Kejadian Leptospirosis (Studi Pada Pekerja Sektor Informal di Kota Semarang Tahun 2013-2016)

Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Sekolah Pascasarjana Universitas Diponegoro Semarang

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Background: Leptospirosis is a disease caused by pathogenic bacteria called Leptospira, which is transmitted directly or indirectly. There were many of Leptospirosis study. However, the relation between demographic characteristic, occupational health and safety, and environmental factors foccusing on the workers of informal sectors was unclear. The objectives of study were to measure the association between demographic characteristics, Occupational, Health and Safety, and environmental factors with Leptospirosis in the workers of informal sectors.Methods: An observational study with case-control design. Popupation of the study were all of workers of the informal sectors in Semarang City, it is including, but not limited to farmers, cleaning worker, laborers (farming, construction, handyman) and traditional market worker. Sample of the study were 82 persons, consist of 41 cases and 41 controls. Sample were taking by consecutive sampling. Data analysis perform by univariant, bivariant, and multivariant.Results: The main risk factors were age (18–40 years old) p=0,017; aOR=42,22;95%CI=1,96- 906,55; Gender (male) p=0,017; aOR=37,01, 95%CI=1,9- 718,6; history of open wound during working p=0,042; aOR=10,85; 95%CI=1,08-108,24; home sanitation (poor, with score <60%) p=0,025; aOR=25,25; 95%CI=1,5-423,3; and history of contact with the source of infection p=0,003; aOR=56,98; 95%CI=3,8-849,2.Conclusion: Demographic characteristics, Occupational, Health and Safety, and environmental factors were associated with Leptospirosis.

Faktor Risiko yang Berpengaruh terhadap Kejadian HIV/AIDS pada Pengguna Napza Suntik (Studi Epidemiologi Di Kota Pontianak)

Jurnal Epidemiologi Kesehatan Komunitas Vol 2, No 1: Februari 2017
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

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Background: Injecting drug users (IDUs) are play role of high risk of HIV infection due to sexual behaviors that do not use condoms and use of unsterile needles. The high productive age group affected by HIV/AIDS and death, then the lower life expectancy, availability and productivity of the workforce. The purpose of the study proved that individual and environmental factors are risk factors for the incidence of HIV / AIDS among injecting drug users.Method: This observational analytic study, with the design of the case control study equipped with a qualitative approach of risk factors retrospectively. The target population of the study were IDUs in Pontianak with a sample of 96 people consisting of 48 cases of HIV/AIDS and 48 were IDUs not control HIV/AIDS. The sampling method is non-probability sampling study with consecutive sampling manner. Data analysis included univariate, bivariate using chi- square test and multivariate logistic regression test.Results: Multivariate analysis of four variables associated with the incidence of HIV/AIDSamong IDUs is married status (OR = 5,57), had sexual intercourse more than two people (OR =4,13), frequency of injecting drugs > 6 time / week yet (OR = 3,71), and not / do not work (OR= 3,28)Conclusion: Risk factors were shown to influence: the married status, had sexual intercourse more than ≥ 2 people, frequency of injecting drugs > 6 times / week and not/do not work yet.