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Hubungan antara Paparan Asap Rokok dan Pola Makan dengan Kejadian Penyakit Jantung Koroner pada Perempuan Usia Produktif Anggraini, Devit Dewi; Hidajah, Atik Choirul
Amerta Nutrition Vol 2, No 1 (2018): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (724.502 KB) | DOI: 10.20473/amnt.v2i1.2018.10-16

Abstract

Background: Non-communicable diseases that become the main problem of public health today is one of them is Coronary Heart Disease (CHD). Lifestyle and behavior of someone plays an important role in CHD. Passive smokers who are exposed to cigarette smoke continuously for a long time can have a negative effect on heart health. Eating fruits and vegetables is a protective factor. That is, the more eating fruits and vegetables it will provide benefits as a protective factor for the heart.Objective: This study aims to analyze the effect of exposure to cigarette smoke and eating patterns on the incidence of CHD in reproductive age females who received ambulatory care at RSUD Dr. M. Soewandhie Surabaya.Methods: This was a case-control study. Samples were taken by simple random sampling. Number of cases were 41 women who diagnosed as CHD. The ratio of case and control was 1:1. Data analysis used multiple logistic regression test.Results: exposure to cigarette smoke and diet associated with CHD events in women of reproductive age with p values of 0.03 and 0.00 respectively. Women who were exposed to cigarette smoke with weight category had an 11.78 times risk of developing CHD (OR=11.78), while those with less vegetable and fruit consumption had a risk of 5.03 times having CAD than the consumption of vegetables and fruits (OR= 5. 03).Conclusion: severe exposure to tobacco smoke and lack of consumption of vegetables and fruits affect the incidence of CHD in childbearing females in RSUD Dr. M. Soewandhie Surabaya. Based on that, optimalization of non-smoking area regulation is needed. And, the women in productive ages need consume lots of vegetables and fruits.ABSTRAKLatar Belakang: Penyakit tidak menular yang menjadi masalah utama kesehatan masyarakat saat ini salah satunya adalah Penyakit Jantung Koroner (PJK). Gaya hidup dan tingkah laku seseorang memegang peranan penting dalam PJK. Perokok pasif yang terpapar asap rokok secara terus-menerus dalam jangka waktu lama dapat memberi pengaruh negatif pada kesehatan jantung. Makan buah dan sayur merupakan faktor protektif. Artinya, semakin banyak mengonsumsi buah dan sayur maka akan memberikan manfaat sebagai faktor protektif bagi jantung.Tujuan: penelitian ini bertujuan untuk menganalisis hubungan antara paparan asap rokok dan pola makan dengan kejadian PJK pada perempuan usia produktif yang mendapatkan perawatan ambulatori di RSUD Dr. M. Soewandhie Surabaya.Metode: penelitian ini merupakan penelitian kasus kontrol. Sample diambil dengan simple random sampling. Jumlah kasus adalah 41 perempuan yang didiagnosa menderita PJK. Rasio kasus dan kontrol adalah 1 : 1. Analisis data menggunakan uji regresi logistik berganda.Hasil: paparan asap rokok serta konsumsi sayur dan buah berhubungan dengan kejadian PJK pada perempuan usia produktif dengan nilai p berturut-turut sebesar 0,03 dan 0,00. Perempuan yang terpapar asap rokok dengan kategori berat berisiko 11,78 kali untuk mengalami PJK (OR=11,78), sedangkan yang kurang konsumsi sayur dan buah memiliki risiko 5,03 kali mengalami PJK dibanding yang cukup konsumsi sayur dan buah (OR=5,03).Kesimpulan: paparan asap rokok yang berat serta kurang konsumsi sayur dan buah berhubungan dengan kejadian PJK pada perempuan usia produktif di RSUD Dr. M. Soewandhie Surabaya. Berdasarkan hal tersebut, optimalisasi regulasi area bebas rokok sangat dibutuhkan. Dan, perempuan usia produktif perlu banyak mengkonsumsi sayur dan buah.
Rancang Bangun Jaringan Ad Hoc Berbasis Radio Paket pada Kanal Frekuensi Tinggi untuk Layanan Data Telemedika Fahmi, Khoirul; Hidajah, Atik Choirul; Affandi, Achmad
Jurnal Teknik ITS Vol 1, No 1 (2012): Jurnal Teknik ITS (ISSN 2301-9271)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LPPM), ITS

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Abstract

Sistem layanan data telemedika konvensional di Indonesia selama ini masih dilakukan secara manual yaitu paper based document. Dengan adanya teknologi berbasis radio paket yang gratis ini dapat membantu tim medis puskesmas mengirim pesan ke pusat informasi (dinas kesehatan setempat) lalu dikirim ulang ke puskesmas lainnya secara cepat untuk kebutuhan pengiriman data berukuran kecil berupa teks. Untuk merealisasikan sistem  layanan  data  telemedika bagi  puskesmas di daerah terpencil, maka digunakan  sistem  komunikasi ad  hoc. Oleh karena itu dirancang protokol ad hoc yang sesuai karakteristik komunikasi paket radio beserta interface layanan data telemedika dalam bentuk program laporan rekam medis wabah mingguan. Dilakukan pengujian kanal HF Surabaya dan Lawang dengan mengirim sinyal carrier dengan daya 49,03 dBm sehingga level SNR audio yang diterima sebesar -4,293 dB. Dan juga dilakukan pengujian protokol mode point-to-point dan ad hoc pada kanal VHF di sekitar kampus ITS Surabaya berupa mekanisme route discovery, route cache, pengiriman data telemedika dan ACK/NAK serta pengiriman variasi jumlah karakter U. Dari pengujian kanal VHF tersebut diperoleh batas maksimal pengiriman pesan kontinyu setiap 3 detik dengan payload 140 karakter U untuk 3 node adalah 158 Byte tiap pengiriman pesan.
GAMBARAN KUALITAS SISTEM SURVEILANS TB DI DINAS KESEHATAN KABUPATEN GRESIK BERDASARKAN PENDEKATAN SISTEM DAN PENILAIAN ATRIBUT Ersanti, Arina Mufida; Nugroho, Agung; Hidajah, Atik Choirul
Jurnal Sistem Informasi Kesehatan Masyarakat Vol 1, No 2 (2016)
Publisher : Minat Sistem Informasi Manajemen Kesehatan Fakultas Kedokteran UGM

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Abstract

Latarbelakang : Program pengendalian TB yang efektif membutuhkan dukungan sistem surveilans yang baik. Tujuan dari penelitian ini adalah untuk menggambarkan kualitas sistem surveilans TB berdasarkan analisis komponen sistem dan penilaian atribut, untuk memberikan rekomendasi yang tepat.Metode Penelitian : Merupakan penelitian evaluasi pada sistem surveilans TB yang diimplementasikan di Dinas Kesehatan Kabupaten Gresik selama tahun 2014. Responden adalah Kepala seksi pemberantasan penyakit dan pengelola program TB di tingkat dinas kesehatan, serta petugas surveilans yang ada di 14 puskesmas terpilih. Penentuan lokasi puskesmas dilakukan dengan systematic cluster  pada 4 zona wilayah kerja Dinas Kesehatan Kabupaten Gresik. Pada setiap zona diambil semua puskesmas yang berstatus Puskesmas Rujukan Mikroskopis (PRM). Pada setiap PRM diambil secara acak 1 puskesmas yang berstatus Puskesmas Satelit (PS). Analisis data dilakukan dengan menggambarkan komponen sistem dan atribut sistem surveilans, serta membandingkan dengan buku pedoman pengendalian TB tahun 2014, Kepmenkes RI No.1116/SK/VIII/2003, dan Guidelines for Evaluation Public Health Surveillance System dari CDC. Informasi yang diperoleh disampaikan dalam bentuk tabel dan anrasi.Hasil: Pada tingkat puskesmas, petugas yang terlatih dalam program TB berkisar 76-81% (80,67% di PRM dan 76% di PS). Pemeriksaan laboratorium diperlukan untuk diagnosis dan hanya puskesmas dan beberapa rumah sakit yang terlibat dalam penemuan kasus TB. Implementasi sistem yang berubah menjadi SiTT membutuhkan peningkatan biaya, waktu, dan kualitas pekerja. Kesalahan SiTT dikeluhkan oleh 55% responden. Meskipun ketepatan waktu adalah 92,97% tapi masih ada kesalahan besar dalam diagnosis kasus.Kesimpulan : Penilaian menurut atribut sistem surveilans menunjukkan sistem tidak sederhana, tidak fleksibel, tidak akseptabel, tidak stabil, dengan kualitas data yang buruk, meskipun predictive positive value tinggi dan ketepatan waktu pengumpulan data sudah baik. 
FAKTOR RISIKO INFEKSI HAEMOPHILUS VAGINALIS PENGUNJUNG KLINIK KANKER DI SURABAYA Prajoga, Prajoga; Fathi, Fathi; Hidajah, Atik Choirul
Buletin Penelitian Sistem Kesehatan Vol 7, No 1 Jun (2004)
Publisher : Buletin Penelitian Sistem Kesehatan

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Abstract

Haemophilus vaginalis infection is a sexual transmitted disease in women. In the public health services, the proportional rate was 40% (Klein, 1994). Preliminary study in the one of the cancer clinic in Surabaya showed that 1.544 women (6.2%) infected by Haemophilus vaginalis. So, need a study to assess the risk factor of Haemophylus vaginalis infection.This was a case control study. The case was all of the women who had Paps smear examination in the one of cancer clinic in Surabaya at 2001 with Haemophillus vaginalis infection (47 women). Ratio case and control was 1:1. Control was conducted with matching in age and parity, used simple random sampling. Independent variables were woman characteristic (age, education level, income, job status, parity, and IUD client), level of knowledge and personal hygiene. Collecting data used intenview and tracer of the secondary data. To analyzed used OR with 95% CI.The risk factors of Haemophylus vaginalis infection were junior high school education level or lower (OR = 2.88), low income (OR = 17.32) and IUD client (OR = 4.29). The age above > 40 years old, job status, parity (> 3 children), the low level of knowledge and personal hygiene had no statistically significant.Knowledge about the risk factors can used to control the disease. Need the early detection in women with risk factors such as lower education level, low income and IUD Client. Key words: Risk factors, Haemophilus vaginalis infection
KOEFISIEN KESEPAKATAN PEMERIKSAAN SEDIAAN DAHAK PENDERITA TB PARU DI JAWA TIMUR, TAHUN 2004 Prajoga, Prajoga; Hidajah, Atik Choirul; Ratgono, A.; Kushandojo, Sri; Waras, Sri
Buletin Penelitian Sistem Kesehatan Vol 7, No 2 Des (2004)
Publisher : Buletin Penelitian Sistem Kesehatan

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Abstract

Pulmonary TB diagnosis in adult (> = 15 years old) used sputum examination to identify M. tuberculosis. The results of the examination depend on quality of the sputum and quality of the resources (microscope, reagents and the laborant). Quality control of the result of the sputum examination used cross check activity between the result of the sputum examination in Public Health Center (Puskesmas) or hospital and the referral laboratory. The alternative method to asses the quality of the result of the examination was assessment of the reability. The objective of the study was to asses the reability the result of the sputum examination in the pulmonary tuberculosis control program in East Java Province.This was a descriptive study with secondary data. The data was been taken from the crosscheck activity were been reported from referral laboratory in six district and one pulmonary tuberculosis hospital to East Java Provincial Health Office from January to April 2004. The numbers of the slides were 2.090. Assessments of the reability used inter observer agreement with Kappa Cohen coefficient (K).Total error rate was 2.39%. The smallest error was the result examination in Trenggalek district and the biggest was the Banyuwangi district inter observer agreement was very god (K=0.92). Inter observer agreement between laboratory of the pulmonary tuberculosis hospital and the referral laboratory was poor (K=0.46). But, inter observer agreement in Trenggalek district was very good (K=093). Key words: tuberculosis
HUBUNGAN FAKTOR PERILAKU PENCEGAHAN TERHADAP KEJADIAN MALARIA PADA IBU HAMIL Tino, Rensat Bastian; Martini, Santi; UW, Chatarina; Hidajah, Atik Choirul
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 7, No 4 (2016): Oktober 2016
Publisher : FORIKES

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Abstract

Infeksi malaria pada kehamilan merugikan ibu dan janin yang dikandungnya karena dapat meningkatkan morbiditas dan mortalitas ibu maupun janin. Data kematian ibu di Kabupaten Timor Tengah Selatan Tahun 2014, menunjukkan bahwa kematian ibu berdasarkan penyebab malaria berada pada urutan ke tiga. Tujuan penelitian untuk menganalisis pengaruh faktor perilaku pencegahan (pemakaian kelambu, pemasangan kawat kasa, penggunaan obat anti nyamuk dan kebiasaan berada di luar rumah pada malam hari) terhadap kejadian malaria pada ibu hamil di Kabupaten TTS. Penelitian dilakukan menggunakan rancangan penelitian case control. Teknik pengambilan sampel menggunakan Multi Stage Sampling dengan besar sampel sebanyak 90 orang. Analisis data menggunakan analisis bivariabel. Hasil penelitian menunjukkan ibu hamil yang tidak menggunakan kelambu dan atau memiliki kebiasaan berada di luar rumah pada malam hari memiliki risiko yang lebih besar untuk terinfeksi malaria di Kabupaten TTS p=0,000 (OR 8,389, 95% CI : 3,152-22,292) dan p : 0,010 (OR : 3,143, 95% CI : 1,300-7,599). Dengan demikian maka perlu adanya pemerataan, monitoring pemanfaatan dan pemeliharaan kelambu berinsektisida dan perlu mengidentifikasi potensi-potensi lokal yang dapat dijadikan sebagai media pengusir nyamuk dan dapat juga memanfaatkan tanaman-tanaman pengusir nyamuk, seperti zodia, selasih, geranium, suren, lavender, serai dan mimba. Kata Kunci: Malaria, Ibu Hamil, Perilaku, Pencegahan
HUBUNGAN PENDIDIKAN, KEBIASAAN OLAHRAGA, DAN POLA MAKAN DENGAN KUALITAS HIDUP LANSIA DI PUSKESMAS WONOKROMO SURABAYA Lara, Aviana Gita; Hidajah, Atik Choirul
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol 4, No 1 (2016): JURNAL PROMKES
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.003 KB) | DOI: 10.20473/jpk.V4.I1.2016.59-69

Abstract

Diabetes mellitus (DM) type 2 is one of the Non Comunicable Disease (NCDs) whoseprevalence continue to increase. Riskesdas 2013 indicate an increasing in the prevalence of type 2diabetes in the elderly, namely from the year 2007 increased by 3,7% to 4,8% in 2013. SUSENAS 2014showed morbidity rate in the elderly in 2014 reached 25,05%. The increasing age of elderly make elderlysuff ered a setback in many ways, which aff ects the quality of life of the elderly. Type 2 diabetes in theelderly if not keep glucose levels either by exercise will cause complications. One of the complications oftype 2 diabetes mellitus is a microvascular complications. This study aimed to analyze the relationshipbetween exercise habits and symptoms of microvascular complications with quality of life of elderlypatients with type 2 DM in Puskesmas Wonokromo. This type of research is observational analytic studywith sample of elderly patients with DM 2 who was treated at the Puskesmas Wonokromo as many as96 samples. The technique sampling was Simple Random Sampling. The data analysis used Chi SquareTest. The results showed no corrrelations between education and diet with quality of life, theres was acorrrelations exercise habits and quality of life (p = 0.005). Expected that elderly patients with type 2diabetes were can improve the quality of life with regular exercise.Keywords: T2 Diabetes mellitus, Quality of life, Elderly
Description of Hand Hygiene’s Compliance on Nurse of Hemodialysis at Haji Hospital Surabaya Nurani, Rr Rizqi Saphira; Hidajah, Atik Choirul
Jurnal Berkala Epidemiologi Vol 5, No 2 (2017): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.239 KB) | DOI: 10.20473/jbe.V5I22017.240-252

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Thousands patients around the world die every day because of infections when they get treatment. This is because the transmission of microbacteria from the hands of health workers. Hand hygiene is the most important aspect to prevent the transmission of microbacteria and preventing HAIs. Hand hygiene awareness of health workers is a fundamental behavior to prevent cross-infection. The purpose of this study was to evaluate the hand hygiene compliance of nurse in Unit Hemodialysis of Hajj General Hospital Surabaya. Type of this research is descriptive research and observations by using a qualitative approach. Data retrieval on the research is an interview with nurse and audit hand hygiene. Research instrument using a questionnaire of hand hygiene and BSI knowledge, and hand hygiene audit form made by WHO. The population in this research was all nurses in Hemodialysis Unit General Hospital Surabaya Hajj that add up to 11 people. The results of this research obtained that compliance with hand hygiene Unit Hemodialysis nurse is 35%. The compliance were still less and has not reached the standards established by the PPI Hajj General Hospital Surabaya that is 100% and still has not reach compliance standards of WHO that is 40%. Hand hygiene compliance was low caused by the low participation of PPI base training and the lack of availability of hand hygiene facility in the Hemodialysis Unit General Hospital Surabaya Hajj. Advice from research were conducting on job training about how to perform hand hygiene and improve hand hygiene facilities in Hemodialysis Units. Keywords: hand hygiene, compliance, nurse
TB HIV Control Program Problem Analysis in Gresik District Health Office Sholikah, Sholikah; Hidajah, Atik Choirul; Kartika, Bambang Wuryono
Health Notions Vol 2, No 10 (2018): October
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn.v2i10.348

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Introduction. Health problems in Gresik district were diverse. Ideally, all existing problems must be solved, but because of limited resources, not all problems can be resolved at once. The purpose of problem analysis was to determine the problem considered as the most priority and can be used as a basis for effective and efficient program planning and evaluation. Methods used in determining priority problem were Urgency, Seriuosness, and Growth (USG) and root cause analysis by fishbone diagram. Whereas to determine the root priority of the problem, the Rienke method was used. Health problem analysis activities at Gresik District Health Office was executed on January 3 to February 3, 2017. The data used for this analysis came from secondary data. Results shows that the low number of TB-HIV patients receiving ARVs was a priority issues in Gresik District Health Office. Based on the fishbone diagram, the patient's lack of understanding about the importance of ARVs causes low number of TB-HIV patients receiving ARVs. Conclusion. Utilizing peer support group as a medium for counseling and training was needed to increase understanding about ARVsimportance to TB-HIV patients. Keywords: TB-HIV, Urgency, Seriousness, Growth, TB-HIV
PERILAKU IBU DALAM IMUNISASI DASAR LENGKAP DI PUSKESMAS GAYAM KABUPATEN SUMENEP Hudhah, Miftahol Hudhah; Hidajah, Atik Choirul
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol 5, No 2 (2017): JURNAL PROMKES
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.884 KB) | DOI: 10.20473/jpk.V5.I2.2017.167-180

Abstract

Immunization is an effort to boost the immunity of someone actively against a disease, so when exposed to the disease will not get sick or only experience a mild ache. The main goal of immunization is to lower of pain, disability and death due to diseases that can be prevented by Immunization (PD3I). To achieve these objectives it must achieve coverage of the basic immunization of 91%. The achievement of basic immunization at the Gayam health center does not meet the target. One of the causes is not achieving the target because of the mother foctor in immunizated his son. This study was conducted to describe and analyze the relationship factors of mother in the achievement of basic immunization in region work of Gayam health center Sumenep regency. This study use cross sectional design. The subject were taken from a population by simple random sampling technique. The independent variables in this study were the age of mother, mother's level of education, occupation of mother, mother's level of knowledge, maternal attitudes and beliefs of mother. The results showed that the variables that associated in the achievement of basic immunization are mother's level of education (p = 0,020), mother's knowledge level (p = 0,000), beliefs of mother (p = 0.000) and the maternal attitudes (p = 0.000). While the variable age of mother and occupation of mother not associated in the achievement of basic immunization because the p value > 0.05. Conclusion of this study is factors of associated in the achievement of basic immunization are mother's level of education, mother's knowledge level, beliefs of mother and maternal attitudes. Therefore it is necessary for the addition of knowledge?s mother through the delivery of information, in addition health workers provides an explanation to the mother related to the incidence of post followup immunization so that mothers believe that immunizations have an impact well and the mother was able to behave better towards immunization.Keyword: basic immunization, beliefs of mother, maternal attitudes,     mother's knowledge level, mother's level of education