Arum Siwiendrayanti
Public Health Department, State University of Semarang

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Hubungan Riwayat Pajanan Pestisida Dengan Kejadian Gangguan Fungsi Hati (Studi pada Wanita Usia Subur di Kecamatan Kersana Kabupaten Brebes)

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 11, No 1 (2012)
Publisher : JURNAL KESEHATAN LINGKUNGAN INDONESIA

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Abstract

Background: Women in Kecamatan Kersana Kabupaten Brebes also involved in farming activities using pesticides. Long term of pesticides exposure was able to cause many kinds of health disorder, including liver disfunction. Liver disfunction on women in childbearing-age would make bad impacts not only to themselves but also to their fetus when they were pregnant. Former research indicated that liver disfunction came as a result of pesticides exposure. Health Profiles of Kabupaten Brebes in 2007 and 2008 recorded increasing rate of liver disfunction. The objective of this research was to analize the assossiation between pesticides exposure and liver disfunction on women in childbearing-age at Kecamatan Kersana Kabupaten Brebes. Method : This was an explanatory research with cross sectional approach. This research took sample of 86 women in childbearing-age from four villages which were chosen purposively. Questionare, tool of blood sampling and laboratory testing, and sheet of laboratory result were used as instruments in this research. Data were collected by laboratory testing to blood samples and interviewing childbearing-age women. Result : All childbearing-age women had normal cholinesterase enzyme level, but 50% of them had cholinesterase enzyme below mean level. Envolvement of childbearing-age women in farming activities was 74,4%. Based on cholinesterase enzyme level and envolvement in farming activities, it was concluded that 33 childbearing-age women (38,4%) had pesticides exposure. Occurence of childbearing-age women to have liver disfunction was 23,3%. There was no assossiation between pesticides exposure and liver disfunction on women in childbearing-age (p=0,538). Pesticides exposure, together with other risk factors, also indicated no assossiation to liver disfunction on women in childbearing-age at Kecamatan Kersana Kabupaten Brebes (p=0,651). Keywords : women in childbearing-age, pesticides exposure, liver disfunction

PERSEPSI ORANG DENGAN HIV DAN AIDS TERHADAP PERAN KELOMPOK DUKUNGAN SEBAYA

Jurnal Kesehatan Masyarakat Vol 6, No 1 (2010)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Penelitian ini dilakukan untuk mengetahui persepsi orang dengan HIV AIDS (ODHA) terhadap peran kelompok dukungan sebaya (KDS) dan implikasi dari persepsi tersebut pada pelaksanaan terapi Antiretroviral (ARV). Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus kepada ODHA anggota KDS Semarang Plus. Subyek ditentukan secara purposif dan didapatkan 15 buah (4 ibu rumah tangga, 1 waria, 1 anak, dan 9 pecandu yang telah atau pernah menjalani terapi ARV). Data dikumpulkan melalui wawancara. Hasil penelitian menunjukkan semua subyek memiliki persepsi positif terhadap peran KDS, dan KDS memiliki peranan bagi mereka untuk patuh melaksanakan terapi ARV. Sebagian besar subyek menyatakan bahwa keyakinan diri mereka, dan kerentanan atas penyakit menjadi faktor lain yang menentukan pelaksanaan terapi ARV. Implikasi dari persepsi subyek terhadap status terapi ARV adalah 13 subyek patuh melaksanakan terapi ARV dan 2 subyek yang telah putus terapi ARV, memiliki keinginan memulai lagi terapi ARV dan memiliki keyakinan untuk  patuh melaksanakannya. AbstractThe research was conducted to determine the perception of peoples with HIV AIDS (PLWHA) on the role of peer support group (KDS) and the implications of these perceptions on the implementation of antiretroviral therapy (ARV). This study used a qualitative approach with case study method to PLWHA members of KDS Semarang Plus. Determination of the subjects in a purposive way and obtained 15 subjects (4 housewife, a transvestite, a son, and 9 addict who has or had undergone antiretroviral therapy). Data were collected through in-depth interviews. The results showed all subjects had positive perceptions of the role of peer support groups, and peer support groups have a role for them to obediently carry out the ARV therapy. Most subjects stated that their self-confidence, and susceptibility of disease is another factor that determines the implementation of ARV therapy. The implications of the subject’s perception of the status of antiretroviral therapy were 13 subjects dutifully implement ARV therapy and 2 subjects who had broken up antiretroviral therapy, have a desire to resume antiretroviral therapy and have the confidence to carry it out obediently.Keywords: Perception; Peoples with HIV AIDS; Antiretroviral therapy

KETERLIBATAN DALAM AKTIVITAS PERTANIAN DAN KELUHAN KESEHATAN WANITA USIA SUBUR

Jurnal Kesehatan Masyarakat Vol 7, No 1 (2011)
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

Masalah penelitian adalah bagaimana hubungan praktek keterlibatan dalam aktivitas pertanian dan keluhan kesehatan pada wanita usia subur. Tujuan penelitian ini adalah mendiskripsikan dan menganalisis praktek keterlibatan dalam aktivitas pertanian dan keluhan kesehatan pada wanita usia subur (WUS) di daerah pertanian Kecamatan Kersana Kabupaten Brebes. Metode penelitian adalah explanatory dengan desain belah lintang dan pendekatan deskriptif. Jumlah sampel 86 orang diambil dari empat desa yang dipilih secara purposif. Instrumen yang digunakan adalah peralatan pengambilan dan pemeriksaan sampel darah, mikrotoa, timbangan berat badan, serta kuesioner. Data dikumpulkan dengan wawancara, pengukuran, dan pemeriksaan sampel darah. Hasil penelitian menunjukkan bahwa dari praktek keterlibatan dalam aktivitas pertanian, WUS di daerah tergolong rentan terhadap pajanan pestisida. Simpulan penelitian, dilihat dari keluhan kesehatan secara subyektif dan pemeriksaan kondisi kesehatan secara umum, belum ada gangguan kesehatan/penyakit serius yang dialami oleh WUS secara subyektif, namun telah ditemukan 20 WUS yang mengalami kejadian gangguan fungsi hati.Research problem was how associate the practice of engaging in agricultural activity and health complaints in productive childbearing age women. Purpose of this study was to describe and analyze the practice of engaging in agricultural activity and health complaints in childbearing age women in agricultural areas Kersana District of Brebes regency. The method was explanatory research design with cross sectional and descriptive approach. The number of samples taken 86 people from four villages were selected purposively. The instrument were a collection equipment and examination of blood samples, mikrotoa, weight scales, and questionnaires. Data were collected by interviews, measurements, and examination of blood samples. Results showed that the practice of engaging in agricultural activity, women in the region were vulnerable to pesticide exposure. The conclusion, there aren’t health problems or serious illnesses experienced by women subjectively, however it has been found 20 women with liver dysfunction.

IPTEK BAGI MASYARAKAT (IBM) DUSUN LEBARI DAN DUSUN KRAJAN UNTUK PENGELOLAAN AIR BUANGAN RUMAH TANGGA

Rekayasa Vol 13, No 1 (2015): Juli 2015
Publisher : Unnes Journal. Research and Community Service Institute, Semarang State University

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Abstract

Domestic wastewater of Lebari Sub-village and Krajan Sub-village was disposed so unproperly that it overflowed onto surroundings. When the met garbage and livestock manure, it would attract flies and mice; and also contaminate the surrounding water. Pawenang (2010) riset showed that the spring water which flowed into Jaro River and Sronto River did not meet the bacteriological qualification because it had 1.100/100ml and >2.400/100ml total coliform number, whereas the limit was 10/100ml. Public Health Centre data showed that diarea always on the top three. Both non-physical and physical efforts were needed. The physical effort was done by building a comunal wastewater treatment. The non-physical efford was done with education about wastewater management and wastewater treatment maintenace. The public education increased knowladge rate of 83.3% mothers participants and 90% fathers participants. It had been already built 2 units of domestic wastewater treatment which covered 60 houses. It had been formed a wastewater superintendent forum which was well observed be properly able to manage and to maintain the wastewater treatment units.

IPTEK BAGI MASYARAKAT (IBM) DUSUN LEBARI DAN DUSUN KRAJAN UNTUK PENGELOLAAN AIR BUANGAN RUMAH TANGGA

Rekayasa Vol 13, No 1 (2015): Juli 2015
Publisher : Unnes Journal. Research and Community Service Institute, Semarang State University

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Abstract

Domestic wastewater of Lebari Sub-village and Krajan Sub-village was disposed so unproperly that it overflowed onto surroundings. When the met garbage and livestock manure, it would attract flies and mice; and also contaminate the surrounding water. Pawenang (2010) riset showed that the spring water which flowed into Jaro River and Sronto River did not meet the bacteriological qualification because it had 1.100/100ml and >2.400/100ml total coliform number, whereas the limit was 10/100ml. Public Health Centre data showed that diarea always on the top three. Both non-physical and physical efforts were needed. The physical effort was done by building a comunal wastewater treatment. The non-physical efford was done with education about wastewater management and wastewater treatment maintenace. The public education increased knowladge rate of 83.3% mothers participants and 90% fathers participants. It had been already built 2 units of domestic wastewater treatment which covered 60 houses. It had been formed a wastewater superintendent forum which was well observed be properly able to manage and to maintain the wastewater treatment units.

EFISIENSI CONSTRUCTION WETLAND TYPHA SP. SEBAGAI PENGOLAH AIR LIMPASAN JALAN RAYA SECARA ALAMI

Sainteknol : Jurnal Sains dan Teknologi Vol 9, No 2 (2011): December 2011
Publisher : Unnes Journal

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Abstract

Penelitian ini bersifat desain eksperimental pada skala laboratorium untuk mengetahui kemampuan Typha latifolia. sebagai tanaman wetland dalam mereduksi BOD dan COD yang berasal polutan air limpasan jalan raya sebagai bagian dari sistem drainase yang berkelanjutan. Sampel dalam penelitian ini adalah air limpasan jalan yang berasal dari air hujan yang kemudian masuk ke saluran pengumpul (drainase) jalan. Habitat wetland disimulasikan menggunakan kolom dengan tabung yang memiliki volume kosong 20 liter. Susunan tabung adalah sebagai berikut; tanaman wetland, air, pasir dan batu kerikil. Satu tabung lagi akan berlaku sebagai kontrol dengan susunan yang sama tanpa tanaman wetland. Desain tabung memiliki spesifikasi sebagai berikut bahan acrylic dengan ukuran diameter 9,7 cm, tinggi 40 cm, volume 20 liter, media pasir setinggi 10 cm, kerikil 15 cm, kemudian diisi air setinggi 15 cm dari batas kerikil. Nilai BOD dari sampel kontrol setelah hari ke-3 menjadi 87 mg/l dari nilai semula 104 mg/l sedangkan nilai BOD dari sampel uji setelah hari ke-3 menjadi 44 mg/l dari nilai semula 104 mg/l. Hasil ini menunjukkan tanaman tersebut mampu menghilangkan nilai BOD sebesar 65% atau BOD removal sebesar 65%. Nilai COD dari sampel kontrol setelah hari ke-3 menjadi 309 mg/l dari nilai semula 210 mg/l sedangkan nilai COD dari sampel uji setelah hari ke-3 menjadi 87 mg/l dari nilai semula 210 mg/l. Hasil ini menunjukkan tanaman Typha latifolia mampu menghilangkan nilai COD sebesar 58,6% atau COD removal sebesar 58,6%. Kedua parameter tersebut telah sesuai dengan baku mutu Kepmen LH no 112 tahun 2003 dan Kepmen LH no 51 tahun 1999.

The Community Diagnosis of Filariasis Endemic Villages in Pekalongan City

Jurnal Kesehatan Masyarakat Vol 12, No 1 (2016): JURNAL KESEHATAN MASYARAKAT (KEMAS) JULY 2016
Publisher : Jurusan Ilmu Kesehatan Masyarakat Fakultas Ilmu Keolahragaan

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Abstract

The percentages of referrals for the first level health facilities visits are coming from Filariasis cases have increased to 11,699 until 2008. In Pekalongan City, there are 117 infected people in 2011. This study aims at investigating social determinants of filariasis endemic communities in several villages. Surveys using a cross-sectional study design, Population studies that tested positive for finger blood survey (FBS) in 2011-2013. Samples were collected by convenience sampling method sequentially through questionnaires and observation. There were 402 people participating in this study. The result shows that the presence of bushes, puddle, Sewerage are in unfavorable conditions and people do not use mosquito net during sleep and hang clothes. The best prevention practice in Padukuhan Kraton Village is by regularly use mosquito repellent and do not go out at night, Padukuhan Kraton endemic filariasis with mf-rate of 3.7%. Filariasis Elimination Program Year 2011-2015 is carried out properly and in accordance with the regulations of filariasis filariasis Mass Drug Administration (MDA) program. FBS is implemented before MDA (Mass Drug Administration) and handling of cases of chronic filariasis. Respondents have a good knowledge of prevention of transmission of filariasis. Hoewever, the practice of taking the MDA medication is still less. Suggestions for the community are to improve environmental sanitation, improvement of MDA medication and the prevention of transmission of filariasis.

PERSEPSI ORANG DENGAN HIV DAN AIDS TERHADAP PERAN KELOMPOK DUKUNGAN SEBAYA

KEMAS: Jurnal Kesehatan Masyarakat Vol 6, No 1 (2010)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

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Abstract

Penelitian ini dilakukan untuk mengetahui persepsi orang dengan HIV AIDS (ODHA) terhadap peran kelompok dukungan sebaya (KDS) dan implikasi dari persepsi tersebut pada pelaksanaan terapi Antiretroviral (ARV). Penelitian ini menggunakan pendekatan kualitatif dengan metode studi kasus kepada ODHA anggota KDS Semarang Plus. Subyek ditentukan secara purposif dan didapatkan 15 buah (4 ibu rumah tangga, 1 waria, 1 anak, dan 9 pecandu yang telah atau pernah menjalani terapi ARV). Data dikumpulkan melalui wawancara. Hasil penelitian menunjukkan semua subyek memiliki persepsi positif terhadap peran KDS, dan KDS memiliki peranan bagi mereka untuk patuh melaksanakan terapi ARV. Sebagian besar subyek menyatakan bahwa keyakinan diri mereka, dan kerentanan atas penyakit menjadi faktor lain yang menentukan pelaksanaan terapi ARV. Implikasi dari persepsi subyek terhadap status terapi ARV adalah 13 subyek patuh melaksanakan terapi ARV dan 2 subyek yang telah putus terapi ARV, memiliki keinginan memulai lagi terapi ARV dan memiliki keyakinan untuk  patuh melaksanakannya. AbstractThe research was conducted to determine the perception of peoples with HIV AIDS (PLWHA) on the role of peer support group (KDS) and the implications of these perceptions on the implementation of antiretroviral therapy (ARV). This study used a qualitative approach with case study method to PLWHA members of KDS Semarang Plus. Determination of the subjects in a purposive way and obtained 15 subjects (4 housewife, a transvestite, a son, and 9 addict who has or had undergone antiretroviral therapy). Data were collected through in-depth interviews. The results showed all subjects had positive perceptions of the role of peer support groups, and peer support groups have a role for them to obediently carry out the ARV therapy. Most subjects stated that their self-confidence, and susceptibility of disease is another factor that determines the implementation of ARV therapy. The implications of the subject’s perception of the status of antiretroviral therapy were 13 subjects dutifully implement ARV therapy and 2 subjects who had broken up antiretroviral therapy, have a desire to resume antiretroviral therapy and have the confidence to carry it out obediently.Keywords: Perception; Peoples with HIV AIDS; Antiretroviral therapy

Penerapan Lampu Ultraviolet pada Alat Perangkap Lalat Terhadap Jumlah Lalat Rumah Terperangkap

HIGEIA (Journal of Public Health Research and Development) Vol 1 No 3 (2017): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat Universitas Negeri Semarang

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Abstract

Lalat rumah (Musca domestica) adalah vektor mekanis beberapa penyakit. Terkait dengan pengendalian lalat rumah, telah dikembangkan perangkap lalat menggunakan lampu ultraviolet berkaitan dengan sifat fototrofiknya, yaitu kencenderungan lalat terhadap cahaya. Penelitian ini bertujuan untuk mengetahui bagaimana penerapan lampu ultraviolet pada alat perangkap lalat meliputi apakah tipe perangkap, jarak penempatan perangkap, dan lokasi perangkapan mempengaruhi jumlah lalat rumah yang terperangkap. Metode yang digunakan dalam penelitian ini adalah eksperimen semu dengan desain post only with control group. Tidak terdapat perbedaan signifikan antara tipe perangkap (p=0,161), jarak penempatan perangkap (p=0,05), namun median tipe perangkap tertutup lebih tinggi daripada tipe perangkap terbuka, dan median jarak penempatan perangkap <1 m lebih tinggi daripada jarak >1 m dari target. Terdapat perbedaan signifikan antara lokasi trapping (p=0,003) dengan median lokasi trapping di dalam ruangan lebih tinggi dibandingkan lokasi trapping di luar ruangan. Perbedaan kondisi lingkungan seperti suhu, kelembaban, pencahayaan, dan vegetasi diikuti oleh perbedaan jumlah lalat rumah yang terperangkap. Perangkap dengan lampu UV lebih banyak memerangkap lalat rumah dibandingkan perangkap tanpa lampu UV dan tipe perangkap terbuka, jarak penempatan perangkap <1 m dari target, serta lokasi trapping di dalam ruangan lebih banyak memerangkap lalat rumah.

Perbandingan Modifikasi Ovitrap Tempurung Kelapa dan Ovitrap Standar dalam Memerangkap Telur Aedes sp.

HIGEIA (Journal of Public Health Research and Development) Vol 2 No 1 (2018): HIGEIA
Publisher : Jurusan Ilmu Kesehatan Masyarakat, Fakultas Ilmu Keolahragaan, Universitas Negeri Semarang, Indonesia

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Abstract

Abstrak ___________________________________________________________________ Nyamuk Aedes sp merupakan vector DBD di Indonesia. Incidence Rate (IR) DBD di Indonesia tahun 2015 sebesar 47,9/100.000 penduduk, IR DBD Kota Semarang tahun 2015 sebesar 98,61/100.000 penduduk. Salah satu pengendalian DBD yaitu dengan penggunaan ovitrap. Ovitrap tempurung kelapa dan ovitrap standar terbukti mampu memerangkap telur nyamuk Aedes sp. Penelitian ini bertujuan untuk mengetahui perbedaan modifikasi ovitrap tempurung kelapa dan ovitrap standar (gelas plastik) terhadap jumlah telur Aedes sp yang terperangkap. Jenis penelitiannya yaitu quasi eksperimen, dengan rancangan after only with control desing. Sampelnya terdiri dari 90 modifikasi ovitrap tempurung kelapa dan 90 modifikasi ovitrap standar, diletakkan di 45 rumah pada 3 kelurahan. Hasil penelitian menunjukkan bahwa jumlah telur nyamuk Aedes sp yang terperangkap sebanyak 7.395 butir. Hasil uji statistik Mann-Whitney diperoleh nilai signifikansi adalah 0,0001 (p<0,05), dengan perbandingan 1:2,3. Simpulan penelitian ini adalah modifikasi ovitrap standar 2,3 kali lebih efektif memerangkap telur nyamuk Aedes sp dibandingkan modifikasi ovitrap tempurung kelapa.   Abstract ___________________________________________________________________ Aedes sp was a dengue vector in Indonesia. Incidence Rate (IR) DHF in Indonesia in 2015 was 47.9/100.000 population, IR DHF Semarang City in 2015 of 98.61/100.000 population. One of controlling dengue with the used of ovitrap. Ovitrap coconut shell and standard ovitrap proved able to trap the eggs of Aedes sp. The purpose of the study was to find out the differences of modification of ovitrap coconut shell and standard ovitrap (plastic cup) to trapped eggs Aedes sp. The type of research was quasi experiment, with after only with control desing. The samples were 90 modifications of coconut shell ovitrap and 90 standard ovitrap modifications, placed in 45 houses in 3 urban villages. The results showed of Aedes sp mosquitoes trapped as many as 7,395 eggs. The result of Mann-Whitney test obtained significance value is 0.0001 (p <0,05), with ratio 1: 2,3. The conclusion was a standard ovitrap modification of 2.3 times more effective in trapping Aedes sp eggs than modified coconut shell ovitrap.