Yusniar Hanani Darundiati
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Faktor-Faktor Lingkungan Fisik Rumah Yang Berhubungan Dengan Kejadian Pneumonia Pada Balita Di Wilayah Kerja Puskesmas Pangandaran Kabupaten Ciamis Yulianti, Lina; Setiani, Onny; Darundiati, Yusniar Hanani
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 2 (2012): Oktober 2012
Publisher : Program Studi Magister Kesehatan Lingkungan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.654 KB) | DOI: 10.14710/jkli.11.2.187 - 193

Abstract

Background : Based on the Profile of Ciamis District Health Department in 2010, pneumococcal disease is asequence of infectious disease in children is quite hight, still in the top ten of outpatient clinicmost diseases,whereas in the working area of Pangandaran health center in 2011 there were 61 cases of pneumococcal disease(1.56%). The case is suspected to the condition of the physical environment of the house where children live.Therefore, the research was done in order to analyze factors of house physical environment on pneumoniaoccurrence in children under 5 years.Methods : This study was an observational research with a case control design. The research subjects consistedof case groups and control groups, with each sample of 46 people. Research variables consisted of wall type, floortype, ventilation condition of the house, ventilation condition of the bedrooms, house occupancy density, theseparation of a toddler’s bedroom, bedroom occupancy density, the location of the kitchen, the lighting conditionsin the house, temperature, humidity kind of, cooking fuel, the dangers rank of smoking, the practice of using ofmosquito coils. Data were collected through interviews and observation. The research data were analyzed byunivariate, bivariate and multivariate logistic regression.Result : Bivariate analysis results obtained information that there were three variables that have an associationwith the occurrence of pneumonia in toddlers, but according to a multivariate analysis known that there was adominant variable that was lighting conditions in the house with Odds Rasio 21,875; 95% CI 4,353 to109,933.Conclusion : . This study concluded that the physical condition of the house still needs improvements, especiallyto achieve that required condition needs, ventilation improvement both in house and in the bedroom.Key words : Pneumonia, toddler, house’s physical environment, Ciamis.
Faktor Lingkungan dan Perilaku Masyarakat yang Berhubungan dengan Kejadian Filariasis di Kabupaten Sambas Ardias, Ardias; Setiani, Onny; Darundiati, Yusniar Hanani
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 2 (2012): Oktober 2012
Publisher : Program Studi Magister Kesehatan Lingkungan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.889 KB) | DOI: 10.14710/jkli.11.2.199 - 207

Abstract

Background : Filariasis is an endemic disease in Indonesia. Sambas district is declared endemic filariasis with Mfrate> 1%. The number of cases at this time amounted to 63 peoples, the highest cases in sub district Sejangkung with 24 cases and 14 cases in Sebawi district. Based on the preliminary survey conducted in May 2011, there were several factors that play a role in transmission of filariasis cases, among other environmental factors and behavior of people in the Sambas district. The research aimed to identify environmental factor and behavioral associated with the incidence of filariasis in Sambas district.Methods : This research was an observational research using a case control design, with 32 sample cases dan 32sample control. Sampling of the population of cases and controls performed by matching the age and sex and statusof microfilaria. Data collected through observation and interviews. Data were analyzed by using biavariate analyzes with chi-square and with multivariate logistic regression. Statistical analysis showed that of 8 (eight) variables were analyzed, there are 6 (six) variables are shown to be associated to the incidence of filariasis in Sambas district.Results : That is breeding place of mosquitoes (p-value:0,002, OR:38,031, 95%CI :3,737-387,045), the resting place of mosquitoes (p-value:0,006, OR:4,840; 95%CI :1,682-13,930), the use of wire netting (p-value: 0,013, OR: 27.201 95% CI: 2.026-365-1996), a habit out of the house (p-value: 0,009 OR : 39.054 ; 95% CI: 2.534-601.793), the use ofinsect repellent, (p-value: 0,007, OR: 27.213 95% CI: 2.520-293.853), the use of bed nets (p-value: 0,023, OR: 3, 735; 95% CI: 1,314–10,618).Conclusion of this study is environmental factors and poor people’s behavior was very influently to the incidence offilariasis, while the type of work and level of knowledge respondents did not affect with the incidence of filariasis inSambas district.Key words : Filariasis, Environmental Factor, Behaviour.
Analisis Faktor-Faktor Risiko Malaria Di Daerah Endemis Dengan Pendekatan Spasial Di Kabupaten Purworejo Darundiati, Yusniar Hanani
JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 2, No 2 (2003): Vol 2, no 2 (2003)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

ABSTRACK Background: Malaria remains serious public health problem in Indonesia. More than  half of the total population of Indonesia still live in area where are malaria transmission occurred.  The biggest number of prevalence in Central Java occurred in Purworejo District, i.e. 15,156 cases in 2001.  Malaria transmissions are influenced by several factors besides epidemiological factors : environmental factors, health services factors, the mobility of the population, socio-economic factors and behavior factors.  Malaria control programme should estimates the environmental condition and involves several epidemiological components which have much contribution in malaria control programme. Methods : This study is an observational research using cross-sectional approach.  The independent variables are outdoor and indoor environmental factors, behavior factors, health services factors, socio-economic factors and mobility of  population.  The dependent variable is malaria cases among family members.  Samples concist of 168 respondents from two MCI villages and two HCI villages of  Pituruh Sub district. Analysis were conducted by applying multiple logistic regression. Results : The bivariate analysis shows that there are significant associations between the environmental, behavior, health services factors and the malaria occurance among respondent’s family members.  The multivariate analysis concludes that distance between respondents’ house and the breeding places more than 2 km (OR = 0.263; 95% CI = 0.102 – 0.676), the absence of cattles in respondents’ house (OR = 0.395; 95 % CI = 0.160 – 0.676) and the absence of kapulaga/salak plants (OR = 0.209; 95% CI = 0.098 – 0.446) are the protective factors of malaria occurance among respondent’s family members. Conclusions : Repondents who live in houses where the distance is more than 2 km away from the breeding places have risk 0.263 times less than those who live in houses where the distance is less than 2 km.  Respondents who don’t have cattles  and kapulaga/salak plants around their houses have risk 0.395  and 0.209 times less than those who have cattles and kapulaga/salak plants around their houses.   Key words :  Malaria,  Risk Factors,  Endemic Area, Spatial Approach
STUDI IDENTIFIKASI KANDUNGAN FORMALIN PADA IKAN TERI NASI ASIN DI PASAR TRADISIONAL DAN PASAR MODERN KOTA SEMARANG Purba, Widya Kristiani Dory; Darundiati, Yusniar Hanani; Dewanti, Niki Astorina Yunita
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Salted anchovy  containing formaldehyde can be found in traditional markets and modern markets. Formaldehyde is a chemical which harmful to human health.In the long term formaldehyde can cause cancer and death to humans.The purpose of this study is to identify the content of formaldehyde in salted anchovy which sold in traditional markets and modern in Semarang city.This research is a descriptive study with qualitative examination of the formaldehyde content in  salted anchovy. The method used  is survey method. The population in this study is the salted anchovy seller in traditional markets and modern markets in Semarang city numbering 41 people. Samples using total sampling.The instrument used was a questionnaire used during open interviews. The result of this study is as much as 31 samples (88.57%) of the 35 samples examined were found to contain formaldehyde, one sample of which is a sample derived from modern market. All the traders (100%) disagree with the use of formalin in food . A total of 88.75 % (31 sellers) get salted anchovy in the city of Semarang. Sellers are replacing salted anchovy once a week as much as 31,43% (11 sellers). Sellers who lack the knowledge that is as much as 91,43 % formalin (32 sellers) do not know formaldehyde thus the necessity of socialization for both sellers and consumers regarding the symptoms of formaldehyde poisoning and danger to human health It is important for public health office to provide counseling for seller and consumers regarding symptoms of formaldehyde poisoning and danger to human health.
STUDI IDENTIFIKASI KEBERADAAN Escherichia coli PADA ES BATU YANG DIGUNAKAN OLEH PEDAGANG WARUNG MAKAN DI TEMBALANG Rifta, Rainy; Budiyono, Budiyono; Darundiati, Yusniar Hanani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 2 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Ice cubes are food products that already known by the public. However, ice can be a food product that carried pathogenic microorganisms such as Escherichia coli, if not handled properly. The existence of Escherichia coli in ice was estimated to occur during the production, distribution, including processing time where the hygiene practices of vendors worker or merchant involved. The purpose of this study was to identify the existence of Escherichia coli in ice cubes that were used by food vendors at Tembalang. This was the study identification with cross sectional approach type of research. 46 samples chosen by simple random sampling. The data were collected using questionnaires and laboratory tests and then analyzed using frequency distribution and cross table. The results showed that 100% of the samples containing coliform bacteria that were not eligible under the Regulation of the Minister of Health No. 492/Menkes/Per/IV/2010 (0 APM/100 ml). The results of the Escherichia coli existence identification showed that 23 (50.0%) ice cube samples positively contain Escherichia coli. The results were divided into two: 13 (56.5%) samples were factory-made and 10 (43.5%) samples were home-made. From the interviews, there were 40 (87.0%) food vendor’s merchant that still didn’t do the hygiene practice well. It could be concluded that the microbiological quality of ice cubes used by food vendors at Tembalang is not that good. Therefore, the food vendor should improve hygiene practices, especially in maintaining the cleanliness of the ice cube container to ensure the safety of products ice cubes are safe for consumption by the consumer.
KEMAMPUAN TAWAS DAN SERBUK BIJI ASAM JAWA (Tamarindusindica) UNTUK MENURUNKAN KADAR COD (Chemical Oxygen Demand) PADA LIMBAH CAIR LAUNDRY Dewi, Galuh Candra; Joko, Tri; Darundiati, Yusniar Hanani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Laundry wastewater contains varying levels of suspended solids, salts, nutrients, organic matter and pathogens that arise from clothes, detergent and fabric softener.The content of organic matter (COD) caused decline amount ofoxygenin the waterand affected toaquaticbiota. One of waste water treatment that can be done is by coagulation flocculation. The purpose of this research was to know the ability of coagulant alum and tamarind seeds powder with a variety of doses to reduce levels of COD. This experiment was true experimental research by pretest posttest with control group design. Total sample as much as 36 samples i.e. 30 sample treatment and 6 control.The result of Two Way Anova test with a significant p-value < 0.05 indicated that variation dose (p = 0,036) gave the difference in levels of COD while the type of coagulant (p = 0,669) had no differencelevels ofCOD.The average of COD levelsbeforetreatmentwas292,95mg/l,529,18 mg/l and 460,52mg/l. The optimum dose coagulant on alum and tamarind seeds powder was 2.5 grams, respectively the levels of COD became 193,0 mg/l and 188,72 mg/l. Meanwhile, the average percentage of COD level reduction with the addition alum was 55,05% while tamarind seed powder was 54,21%. The ability of alum and tamarind seed powder was not effective yet to reduce COD levels because the result were still above the standard quality based on Perda Provinsi Jawa Tengah No. 5 Tahun 2012. Therefore, need advance treatment to handle waste water.Keywords: Laundry, Chemical Oxygen Demand (COD), Alum, Tamarind Seed Powder
HUBUNGAN HIGIENE SANITASI DENGAN KUALITAS BAKTERIOLOGIS PADA ALAT MAKAN PEDAGANG DI WILAYAH SEKITAR KAMPUS UNDIP TEMBALANG Fadhila, Mayvika Farah; Wahyunigsih, Nur Endah; Darundiati, Yusniar Hanani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 3 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Wilayah sekitar kampus Undip Tembalang meliputi 4 kelurahan yakni Ngesrep, Sumurboto, Tembalang dan Bulusan dengan jumlah penduduk 35.573 jiwa dan jumlah pedagang makanan sekitar 506 pedagang. Kebersihan peralatan makan merupakan salah satu aspek dalam higiene sanitasi makanan. Kepmenkes no.1908 tahun 2003 menyebutkan peralatan yang kontak langsung dengan makanan tidak boleh mengandung jumlah kuman >100 koloni/cm2 dan tidak boleh mengandung E.coli. Penelitian ini bertujuan mengetahui faktor – faktor yang berhubungan dengan jumlah koloni bakteri dan keberadaan E.coli pada alat makan pedagang makanan di wilayah Undip Tembalang.  Jenis penelitian adalah explanatory research dengan pendekatan cross sectional.Subjek penelitian 46 pedagang makanan di wilayah Undip Tembalang. Hasil penelitian karakteristik penjamah menunjukkan responden terbanyak adalah perempuan, dengan tingkat pendidikan ≤ SMP, dan mayoritas belum pernah mengikuti pelatihan hygiene sanitasi makanan. Kesimpulan penelitian adalahada hubungan teknik pengeringan peralatan dengan jumlah koloni bakteri pada peralatan makan (p=0,007), ada hubungan kondisi personal hygiene penjamah dengan jumlah koloni bakteri pada peralatan makan (p=0,002), tidak ada hubungan teknik pencucian dengan jumlah koloni bakteri pada peralatan makan (p=1,000), dan tidak ada hubungan kondisi penyimpanan peralatan dengan jumlah koloni bakteri pada peralatan makan (p=0,473). Dari semua sampel penelitian tidak ditemukan E.coli pada peralatan makan. Saran penelitian adalah perlu dilakukan sosialisasi dan perbaikan praktek higiene sanitasi makanan terhadap penjamah makanan serta.
GANGGUAN KESEIMBANGAN SEBELUM DAN SETELAH PEMBERIAN AIR KELAPA HIJAU (Cocos nucifera L) PADA PEKERJA PENGECATAN YANG TERPAPAR TIMBAL (Pb) DI INDUSTRI KAROSERI SEMARANG Santcawarti, Benedikta Familia; Setiani, Onni; Darundiati, Yusniar Hanani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Painting process in the industry carrosserie at Semarang caused of workers exposed to lead. The impact of lead exposure is continuously on of which is the destruction of the myelin sheath of axons that cause postural muscle responses that can not work synergistically to maintain body balance. The purpose of this study was to determine the difference in balance disorders before and after green coconut water (Cocos nucifera L) supplementation to the painting workers exposed to lead in industrial carroserrie at Semarang. This study was a quasi experiment with experiment design. The population in this study was all painting workers in carrosserie factory at Semarang who were included in inclusion criteria. Collecting data used tool such as questioner. Lead examination in the blood was measured by AAS (Atomic Absorption Spectrophotometer), and for body balance disorders were measured by Romberg test. A total of 14 workers (43,8%) had impaired balance before supplementation the green coconut water (Cocos nucifera L). Then after supplementation of green coconut water (Cocos nucifera L) workers who experienced impaired balance as much as 8 workers (25%). The result of wilcoxon test showed that there was a difference between before and after giving of green coconut water (Cocos nucifera L) with body balance disorders to painting workers in carrosserie factory (p value = 0.014). In conclusion, there was a difference between before and after giving of green coconut water (Cocos nucifera L) with body balance disorders.
ANALISIS RISIKO KESEHATAN PAJANAN TIMBAL (Pb) PADA PEKERJA KAROSERI BUS ‘X’ di KOTA SEMARANG Selviastuti, Raisha; Darundiati, Yusniar Hanani; Setiani, Onny
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

Carrosserie bus industry is the automotive industry engaged in the making of the chassis. During the production process, there is a health risk due to the use of hazardous materials during the work. The purpose of this study was to estimate the existence of occupational health risks occurs in the process of repainting due to exposure to lead in paint pigments. Place of carroserie buses this research is the “X” in the city of Semarang. The measurement of the concentration of lead in the air in five rooms painting process. Types of observational research with an environmental health risk analysis. Measurement of characteristics of anthropometry against 33 workers, which include weight loss, long exposure, frequency and duration of exposure. Health risks of noncancer Risk represented by Quotient (RQ) is obtained by dividing the average daily intake of noncancer throughout his life with the reference concentration (RfC), while the risk of cancer stated Excess Cancer Risk (ECR) obtained from estimates of between the daily intake of lifelong cancer with the cancer slope factor (CSF) lead. The results obtained lead concentrations that average concentration on space epoxy interior, epoxy primer (oven), epoxy components, stripping, and oven clear sequentially is 0,0008 mg/m3; 0,0008 mg/m3 ;0,0004 mg/m3 ;0,0077 mg/m3; dan 0,0003 mg/m3. With the concentration of lead and anthropometry as well as the characteristics of intake rate during the life time for workers “X” bus carrosserie obtained that the existence of the health risks they stripping noncancer (RQ >1) and cancer (ECR > 1 x 10-4). The conclusion of this study is a comparison of the value of health risk (RQ and ECR) on each part has the same tendency include the risk on the part of stripping > epoxy interior > epoxy primer (oven) > epoxy components > oven clear.
HUBUNGAN MASA KERJA DAN LAMA KERJA DENGAN KADAR TIMBAL (Pb) DALAM DARAH PADA BAGIAN PENGECATAN, INDUSTRI KAROSERI SEMARANG Pusparini, Diah Ayu; Setiani, Onny; Darundiati, Yusniar Hanani
Jurnal Kesehatan Masyarakat (e-Journal) Vol 4, No 3 (2016): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Abstract

 Lead (Pb) is a toxic material, it can be accumulated in the body and it caused several health problems. The used of lead is widely used in industrial processes one of them in carooserie industry. Which wasin the painting body of a car industry, because The paint that used contains Pb. Long time duration of exposure a person is exposed to lead at work can increase the lead levels in blood so that it can reduce productivity in the work and caused high risk accident. This study aimed to analyze the association between long period of work and working timeof employment with high levels of lead (Pb)  level in the blood of workers repainting parts body of car in carroserie industrial Semarang. Design of the researched was cross sectional with analytic observational research. the number of samples in this study was taken by purpossive random sampling. Data were collected through observation, interviews and laboratorytests. The level of lead in the blood of 34 respondents and measurement of air Pb. Univariate analysis, bivariate analysis was using Chi Square test. The results of the statistical test  Chi Square showed the association of work period with Pb levels in the blood (p-value = 0.106) with 95 % CI (0,525- 1,110) and PR 0,764 and a long working association with Pb levels in the blood (p-value = 0,125) with 95 % CI (0,033– 0,284) and PR 0,097.It can be concluded that there was no significant association betweenwork period with lead levels of blood, and there was no association between working time of employment with lead levels in the blood on the worker of painting section, industrial carroserie Semarang