Ari Suwondo
Nursing Department, Polytechnic Health Ministry of Semarang

JURNAL KESEHATAN MASYARAKAT INDONESIA Vol 6, No 2 (2010): The Indonesian Journal of Public Health

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Background: The background of this research is the fact that workers in the textile industry largely does not use personal protective equipment, during working hours but they are always exposed to dyestuffs and color placard substances known that these substances can dissolve the fat under the skin surface so the skin becomes dry, cracked and could even occur vesicles. If the exposure occurred in a long time, the skin may occur thickening (lichenification) or substances can follow the path into the lymph vessels throughout the body and can cause disturbances in systim hormonal and genetic defects resulting in sterility. The purpose of this research is to obtain the relationship between age, years of working period and the use of PPE on the incidence of contact dermatitis in the textile industry in Jepara Troso. Method: It was an observational researchusing cross sectional design. The subjects were selected using purposivesampling. The collected data was analyzed using Spearman Rank test. Result: This research showed that there was highly significant relationship between the duration of work with contact dermatitis incidence (p = 0.038) and there is also a highly significant relationship between age of workers with contact dermatitis incidence (p = 0.025), whereas for longer exposure there was no significant correlation with the number of contact dermatitis incidence (p = 0.476).Conclusion: The duration of working likely had a strong association with the incidence of contact dermatitis. So, it was suggested to all workers for washing hands and feet carefully, especially in the folds of the hands and feet for the remaining dyes or substances, in other that contact dermatitis cases can be prevented.Keywords: dye, contact dermatitis, Troso textile industry.

Selenium dan Vitamin C Sebagai Pengobatan Pencegahan Pada Keracunan Pestisida (Studi Eksperimen Pada Petani Penyemprot di Temanggung Jawa Tengah)

Publisher : Fakultas Kesehatan Masyarakat

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Symptoms of organophosphate intoxication are a result of blocking the activity of blood cholinesteraseenzyme (ChEA). The ability of liver to do de toxification using pathway of O-Dealchylation onorganophosphate and cholinesterase bound and helped out by Glutathione peroxides enzyme (GPX) hasimportant role in returning the level of ChEA to the normal level. GPX is dependent on the presence ofselenium. The objective of this study is to obtain more understandable benefit of adding selenium andvitamin C towards the ChEA, GPX and hemoglobin level of farmers worked as pesticide sprayers.This is an experimental study using Pretest-posttest Control Group Design. Ninety nine respondents inPasuruan village, sub district of Bulu, Temanggung who fulfilled inclusion and exclusion criteria wereselected as study samples. Samples were divided into 3 groups of 33 people. First group received onlySelenium, second group received Selenium and Vitamin C and third group is a control group (nosupplementation given). Blood samples of all study samples were taken to identify the level of ChEA, GPXand hemoglobin before and after experimentLevel of ChEA in the first group compared with the third group was significantly different (p=0.05). Similarfinding was also found for the level of ChEA in second group compared with third group (p= 0.014).Supplementation of Selenium 200 μg for 7 days among pesticides sprayers farmers increase 1.85% level of ChEA and 2.66% level of hemoglobin.Keywords: Selenium, vit C, level of GPX, ChEA and Hemoglobin.permalink : 

Perbedaan Tekanan Darah Pada Pekerja Yang Terpapar Panas Di Industri Sale Pisang Suka Senang Kabupaten Ciamis

Publisher : Magister Promosi Kesehatan Undip

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Background: Heat stress is one of the physical factors in work environment which become additional risk for labors. The influence of heat stress in peripheral venous dilatation will disturb the balance of blood circulation. Labors that always under heat exposed during workingrequires enough of drinking water and it is better consumed in a little but more frequent. This research purpose is to know difference of blood pressure at worker which heat exposed with difference pattern of drinking water consumption.Method: This research type is Quasi-Experimental, by using One Group Pre and Post Test Design. Amount of samples are 21. Research has done in frying department of traditional banana cake in District of Ciamis . The data analyzed by using paired t-Test.Result: The result of this research indicates that, there is a significant different of blood pressure between workers using drinking pattern I and II (p = 0.0001). As a suggestion for this industry are enlarge the ventilation volume at the roof of building, installing fan with adjustable design, providing comfortable rest room, enough drinking water at the nearest places that can be easily reached by labors.Keywords: Heat Stress, blood pressure, drinking water.

Perbedaan Pengetahuan, Sikap, Dan Praktek Keselamatan Dan Kesehatan Kerja Pada Dua Kelompok Tenaga Kerja Wanita Pemecah Batu Di Kota Semarang

Publisher : Magister Promosi Kesehatan Undip

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Background : Seventy to eighty percent of workers are working in informal sectors and are not yet covered by the occupational health and safety program. In Central Java, most of the stone breakers are female, who are not insured by the safety program. The general purpose of this research was to know the difference in knowledge, attitude, and behavior oftwo groups of female stone breakers. One of was guided and supervised by public health centers officers, while the other was not.Method : This research uses analytical descriptive survey method by cross sectional design to describe how the respondents implemented occupational health and savety program. For some facotors needed, the data were quantitatively and qualitatively collected. The data were collected through the results of structured interviews with the respondents. Female stone breakers residing in Kecamatan Rowosari Kota Semarang.Thirty female stone breakers of the population were taken as a sample of stone breakers guided and supervised by the public health center officers, while the control group consists of 30 female stone breakers who were not guided and supervised “Independent t test” and “logistic regression” were used to analyze and statistically test the data.Result : The results of the research indicate the difference in knowledge, attitude, and behavior between the two groups of female stone breakers. From the statistical independent t test, there was a significant difference in knowledge, attitude, and behavior between the two groups (p=0,00<0,05). The results of statistical bivariat logistic regression show the influence of age, education, and wages to guidance of K3 programs. And the multivariate statistical logistic regression show that wages were the most influence.Keywords : knowledge, attitude, behavior, accupational health & safety, female workers.

The Effect of Rekattidiri Ovitrap towards Aedes aegypti Larval Density

International Journal of Public Health Science (IJPHS) Vol 6, No 1: March 2017
Publisher : Institute of Advanced Engineering and Science

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Dengue Hemorrhagic Fever (DHF) is a health problem in Indonesia. The entire region of Indonesia at risk of contracting dengue disease. The study aims to prove the effect of modifications ovitrap rekattidiri on the density of larvae (HI: House Index, CI: Container Index and BI: Breteu Index) as well as comparing the differences between the mean larvae trapped between ovitrap Rekattidiri with standard ovitrap. Using a quasi experimental design, time series experimental design with Control group. Population subjects were Aedes aegypti at the endemic sites in Pontianak, West Borneo. The results showed larval density index in the intervention area decreased each ie HI from 26% to 3%, CI of 6.95% to 2.19 %, and BI from 29% to 13%. The number of larvae trapped in ovitrap rekattidiri ie 70% (12,770 larvae) more than the standard ovitrap in the control and intervention, namely: 17% (3,057 larvae) and 13% (2,334 larvae). It is concluded that there are significant modifications Rekattidiri ovitrap against larval density index (HI p-value: 0.025, CI p-value: 0.052, BI value of p: 0.04) and there are differences between the mean larvae trapped in ovitrap Rekattidiri and standard ovitrap with p value: 0.001.

Hubungan Kadar Debu Terhirup (Respirable) Dengan Kapasitas Vital Paksa Paru Pada Pekerja Mebel Kayu di Kota Jayapura

Publisher : Program Studi Magister Kesehatan Lingkungan

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Background: Furniture workers is one of the informal workers. Workers in this group are have not receivedoccupational health services as expected. Pulmonary function disorders due to work which the most commonespecially in the wood processing industry.Methods: Research purpose was to analyze the relationship among factors of respirable dust level, age, working years, nutrition status, smoking habit, exercise habit, duration of exposure, and use of the PPE with the lung forced vital capacity on wood furniture workers in Jayapura. This study was an observational research with cross sectional approach and a sample of 40 man taken by purposive sampling. Respirable dust levels were measured using the Personal Sample Pump, tested for dust analysis using the Gravimetric method, while in the lung forced vital capacity was measured with Spirometry, and other data obtained by interviews. Data analysis using the Kendall’s Tau and Mann Whitney tests (± = 0,05).Results: The results showed levels of respirable dust in excess of TLV (> 1 mg/m3) for 3 respondents (7,5 %), thehighest dust levels are 1.220 mg/m3 and the lowest at 0,020 mg/m3, the average value of 0,222 and SD 0,282 while for lung forced vital capacity by 23 respondents (42,5 %) had disorders lung function (restriction), 5 respondents (12,5%) had moderate restriction of 18 respondents (45%) had mild restriction with the highest value is 183 % FVC and lowest at 51 %, the average value of 84,40 % and SD 25,289. Statistical tests showed association (p = 0,05) between the levels of respirable dust (p-value = 0,050) with lung forced vital capacity, and that show no association (p > 0,05) is age (p-value = 0,916), working years (p-value = 0,991), BMI (p-value < 0,084), smoking habit (p-value = 0,158), exercise habit (p-value = 0,663), duration of exposure (p-value = 0,718), and use of the PPE (p-value = 0,658).Conclusion: The factors that affect the lung forced vital capacity in wood furniture workers in Jayapura is respirabledust levels.Keywords : Respirable Dust Levels, Lung Forced Vital Capacity, Wood Furniture Workers

Perbedaan Efektifitas Desinfektan Amonium Kuatener 1% Dengan Fenol 1% Dalam Penurunan Angka Kuman Lantai Ruang Perawatan di RSU Kardinah Kota Tegal


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Background : Number of germs on the floor at the treatment room of Nusa Indah was 17 CFU/cm2 (standard of Health Minister Decree: 5-10 CFU/cm2). The room of Nusa Indah is devoted to the care of patients suffering from infectious diseases. Floor disinfectant at Kardinah Public Hospital uses phenol in accordance with the Standard Operating Procedure. The objective of this research was to analyze the effectiveness differences between quaternary ammonium and phenol disinfectants in decreasing number of germs on the floor in the treatment room at Kardinah Public Hospital in Tegal. Methode : This research used Control Time Series Design. Independent variables were quaternary ammonium 1%, phenol 1%, and contact time (minutes) during 10, 720, 1440, 2160, 2880, and 3600. Meanwhile, a dependent variable was number of germs. Study population was treatment rooms at Kardinah Public Hospital. Samples were taken by using purposive sampling. Correlation test was used to analyze the relationship between number of germs after providing either quaternary ammonium 1% and contact time or phenol 1% and contact time. On the other hand, independent T test was used to analyze differences of number of germs in the first measurement after providing quaternary ammonium 1% and phenol 1%. Result : The results ofthis research revealed that number of germs after providing quaternary ammonium 1% in the 10th minute was equal to 3 CFU/cm2, and then it rose gradually in the next minutes. In contrast, number of germs after providing phenol 1% in the 10th minute was equal to 10 CFU/cm2, and then it also gradually increased in the next minutes. Furthermore, there were any significant differences in terms of the number of germs after providing quaternary ammonium 1% and phenol 1% (p value = 0.001). Conclusion : As a conclusion, disinfectants of phenol 1% and quaternary ammonium 1% are effective to reduce number of germs in the 10th minute. The treatment room needs to use quaternary ammonium 1% because it has a greater exponential value of concentration than phenol 1%. Amonium kuatener has the smell of fresh lemon. Moreover, it is more effective to kill viruses and fungi Key Words: Quaternary Ammonium, Phenol, Floor Disinfectant, Number of Germs

Beberapa Faktor Risiko Lingkungan yang Berhubungan dengan Kejadian Malaria di Kecamatan Nanga Ella Hilir Kabupaten Melawi Provinsi Kalimantan Barat.


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Background : Malaria is an infectious disease caused by a Plasmodium parasite. This disease is transmitted by biting of infected female Anopheles sp mosquitos. Inside human body, the parasite lives in a heart and infects red blood cells. Melawi District is an endemic area of Malaria. Annual Malaria Incidence (AMI) is an indicator to describe all occurrences of clinical Malaria at a region. At Sub district of Nanga Ella Hillir in District of Melawi, AMI in 2008 was 67.31 per 1000 citizens, in 2009 was 50.01 per 1000 citizens, and in 2010 was 73.99 per 1000 citizens. It means AMI increased from 2008 to 2010. The objective of this research was to analyze some environmental risk factors related to the occurrence of Malaria at Nanga Ella Hilir Sub District, Melawi District, Province of West Kalimantan. Methods : This was an observational research with a case control approach. Number of samples was 68 respondents for case group and 68 respondents for control group. Data were analyzed using the methods of univariate, bivariate (Chi-Square test and Odds Ratio), and multivariate (Logistic Regression test). Result : The result of bivariate analysis showed that the variables as risk factors to the occurrence of Malaria were: unvailability of wire netting at ventilation (p:0.001; OR: 10.5 (95% CI: 3.4 – 32.3)), availability of pond (p: 0.016; OR: 2.5 (95% CI : 1.3 – 4.9), availability of bush at surrounding a house (p: 0.026 ; OR: 5.4 (95% CI: 2.5-11.4)), availability of livestock (p:0.001; OR: 4.0 (95%CI: 2.0-8.3)), availability of stagnant water (p=0.009; OR: 2.7 (95% CI: 1.3-5.4)), habit of installing mosquito net (p: 0.017; OR: 2.6 (95%CI: 1.2-5.5)), and custom to go outdoors at night (p:0.001; OR: 5.2 (95%CI: 2.4 – 11.1)). In addition, multivariate analysis showed that probability of a person to suffer from Malaria at the conditions: no wire netting at ventilation, any pond around a house, any livestock, any stagnant water, no mosquito net, and any habit to go outdoors at night is approximately equal to 71%. Key Words : Malaria, Environmental Risk Factors, Nanga Ella Hilir, Melawi District

Faktor-Faktor Yang Berhubungan Dengan Kejadian Dermatitis Kontak Iritan Pada Pekerja Bagian Premix Di PT. X Cirebon

Jurnal Kesehatan Masyarakat (e-Journal) Vol 2, No 2 (2014): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Jurnal Kesehatan Masyarakat (e-Journal)

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Irritant contact dermatitis is a local non-immunologic inflammatory reaction of the skin caused by contact with exogenous or endogenous factors. This disease is characterized by inflammation of the polymorphic skin traits that have broad identification, such as: itching, redness, scaling, vesicles, and crusting papulovesikel. PT X is an industry which is engaged in the production of animal feed in Cirebon City. The production process is divided into several stages, weighing ingredients according to recipe, coarse crushing raw materials, mixing all the ingredients according to recipe, pellet forming and crumble establishment. Before mixing the main ingredient there was a process of weighing chemicals and feed supplement as prescribed in premix company section. The purpose of this research was to analyze the factors associated with the occurrence of irritant dermatitis contact in Premix workers in PT X Cirebon. The type of the research is an observational study with cross sectional approach. The subjects were 40 workers as part of Premix respondents. The results of the chi square test statistic obtained contact with the chemical (p value = 0.0001), years (p value = 1.000), duration of exposure (p value = 0.003), age (p value = 0.003), gender (p value = 0.017), knowledge (p value = 1.000), use of personal protective equipment (p value = 0.369), personal hygiene (p value = 0.689). The conclusion of this study is in contact with chemicals, long exposure, age and gender, associated with the incidence of irritant dermatitis contact. While working life, knowledge, use of personal protective equipment, and personal hygiene are not associated with the incidence of irritant contact dermatitis

Hubungan Pajanan Pestisida Dengan Kejadian Hipotiroid Pada Wanita Usia Subur di Daerah Pertanian Hortikultura Desa Gombong Kecamatan Belik Pemalang

JURNAL KESEHATAN LINGKUNGAN INDONESIA Vol 12, No 2 (2013): Vol 12, No 2 (2013)

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Background : Thousands of farmers and farm workers were poisoned by pesticides each year. Risk of exposure topesticides in agriculture as well as to women who are involved in agricultural activities, one of them washypothyroidism. Hypothyroidism in the group of women of childbearing age (WCA) can cause reproductivedisorders such as infertility, spontaneous abortion, fetal growth disorders, and premature birth. The researchobjective was to prove that exposure to pesticides is a risk factor for hypothyroidism on WCA in highlandagricultural area Gombong village, Belik subdistrict Pemalang regency.Methods : Cross-sectional study on 34 subjects research at highland agricultural Gombong District Pemalang Regency.Samples were taken by using a systematic Sampling method. Pesticide exposure was measured by asking WCA’s(17-35 years) involved in agricultural activities using structured questionnaire and by checking their level ofcholinesterase. Incidence of hypothyroidism measured using TSH (Thyroid Stimulating Hormone) rate parameter.Confounding variables were also measured. These variables were level of education, BMI, participation in hormonalcontraception, iodine intake, and exposure to cigarette smoke. Data would be analyzed using Chi-Square test at 0,05level of significancy.Result : The prevalence of hypothyroidism among WCA was 2.,4 %.. Pesticide exposure is a risk factor forhypothyroidism; PR 95 % CI = 4.278 ( 1.347-13.581) and p-value=0.015. The higher the degree of exposure, the greaterthe risk of having hypothyroidism. The results showed that there was no correlation between age, level of education,BMI, participation in hormonal contraception, iodine intake, and exposure to cigarette smoke with hypothyroidismon childbearing age woman in highland agricultural area Gombong village, Belik subdistrict Pemalang regency.Conclusion: Pesticide exposure is a risk factor for thyroid dysfunction among WCA in agricultural areas. Keywords: Pesticide exposure, thyroid dysfunction, hypothyroidism.

Co-Authors Abidah, Siska Nurul Aditia, Dita Selvia Agus Suwandono Ahmaniyah, Ahmaniyah Anies Anies Anuhgera, Diah Evawanna Anwar, M Choiroel Anwar, M. Choiroel Anwar, M.Choirul Apriyana Irjayanti Arum, Silfia Sekar Astuti, Anjar Baju Widjasena Bedjo Santoso, Bedjo Bina Kurniawan Chairul Anwar Nasution, Chairul Anwar Daru Lestantyo Dengo, Moh. Rivandi Deny Novani, Deny Desbriyani, Chyntia Dias Aji Bantarwati Diyah Fatmasari Djoko Trihadi, Djoko Donny Kristanto Mulyantoro Dwi Cahyanti, Dwi Ekawati Ekawati Eliagita, Choralina Eliagita, Choralisa Erlina Krisanti Estiyani, Arum Farah Yudhistira Putri, Farah Yudhistira Fatmasari, Dyah Febri Indra Pratama, Febri Indra Ferry Abidin, Ferry Freya Nazera Iskandar Hamdan, Yusuf Lensa Hamdiah Hamdiah Henry Setyawan, Henry Hidajati, Kamilah Hidayat, Syarief Taufik Hidayat, Syarief Thaufik Hidayat, Syarif Thaufik Ida Ariyanti, Ida Imam Djamaluddin Mashoedi Irvan Ade Indrawan Kun Aristiati Susiloretni, Kun Aristiati Kuncoro, Tjahjono Kusumadewi, Indriani Putri Kusworowulan, Suryati Laksana, Ni'matun Faizah Laska, Yulinda Lukmono, Djoko Tri Hadi M. Sakundarno Adi Maharani, Yennita Maisi, Sri Mardiyono Mardiyono Maria Ulfah Martha Irene Kartasurya Martini Martini Mashoedi, Imam D Mateus Sakundarno Adi, Mateus Sakundarno Melyana Nurul Widyawati Mirror Sabda Mahendra Amien, Mirror Sabda Mudihayati, Wiwik Muslih Muslih Mutika, Winnie Tunggal Nur Khafidhoh, Nur Nurjazuli Nurjazuli Oktaviarini, Eka Pradesi, Regina Pujiastuti, Sri Endang Ridwan Dwi Setiawan Habibie, Ridwan Dwi Setiawan Robby Aditya Saputra, Robby Aditya Runjati - Runjati Runjati, Runjati Saepudin, malik Sarwendah Dewi Astuti, Sarwendah Dewi Sinta Marlina, Sinta Siswi Jayanti Soeharyo Hadisaputro Soejoenoes, Ariawan Soejoenoes, Ariawan Sofro, Muchlis AU Sri Anureksi Sri Hardjanti, Triana Sri Rahayu Sri Sumarni Suhartono Suhartono Suharyo Hadisaputro Sulistiawati, Yuni Supriyana Supriyana, Supriyana Suroto Suroto Suryati Kumorowulan Suryono Suryono Susilaningtyas, Maulina Syuhada, Ambar Dani Tangwun, Runjati Theresia Ristadeli Tinuk Istiarti Titi Suherni Tjahjono Kuntjoro Tri Utami, Annisa Rachmah Triana Sri Hardjanti, Triana Sri Ulya, Fitria Hikmatul Wahyuningsih, Diyan Wiwoho, Fadjar Harry Yulaeka, Yulaeka Yuliani Setyaningsih Yuliati, Asif Yulisnawati Yulisnawati Yuniarti - Yusuf, Nuuva