M. Arie Wuryanto
Bagian Epidemiologi dan Penyakit Tropik FKM UNDIP

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PERBEDAAN BATUK EFEKTIF METODE PURSED LIP BREATHING TERHADAP KUALITAS SPUTUM -, Haryanto; Ginanjar, Praba; Wuryanto, M. Arie
JURNAL KESEHATAN MASYARAKAT INDONESIA Vol 2, No 2 (2005): JURNAL KESEHATAN MASYARAKAT INDONESIA
Publisher : JURNAL KESEHATAN MASYARAKAT INDONESIA

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Latarbelakang: Tuberkulosis paru (TB paru) adalah penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis atau disebut basil tahan asam (BTA). Diagnosis TB paru ditegakkan dengan menemukan BTA dalam pemeriksaan sputum. Husil pemeriksaan sputum sangat ditentukan oleh kualitas sputum. Sputum yang dihasilkan dapat berkualitas baik jika penderita melakukan batuk yang efektif, antara lain dengan metode pursed lip breathing.Tajuan: Penelitian ini bertujuan untuk mengetahui perbedaan cara batuk efektif menggunakan metode pursed lip breathing dengan kualitas sputum. Metode penelitian yang digunakan adalah eksperimen kuasi dengan post test only with control group design. Subyek penelitian adalah suspek TB paru yang dipilih dengan teknik consecutive sampling. Suspek TB paru dibagi menjadi dua kelompok yaitu kelompok perlakuan yang diberi perlakuan cara batuk efektif menggunakan metode pursed lip breathing dan kelompok kontrol. Jumlah suspek TB paru seluruhnya 120 orang, dibagi 60 orang pada masing-masing kelompok. Hasil penelitian menunjuklcan terdapat 11,7% kasus BTA positif dari 120 suspek yang diperiksa. Proporsi sputum berkualitas baik pada kelompok kontrol (41,7%) jauh lebih rendah dari kelompok perlakuan (83,3%). Analisis dengan chi-square membuktikan ada perbedaan antara carabatuk efekttf metode pursed lip breathing terhadap kualitas sputum yang dihasilkan (p<0,0001). Pada kelompok kontrol tidak ada kasus BTA positif yang berhasil ditemukan pada pemeriksaan sputum pertama (0,00%,).Sebaliknya, seluruh kasus dengan BTA positif pada kelompok perlakuan (100,0%) dapat ditemukan pada pemeriksaan sputum pertama. Simpulan: cara batuk efektif menggunakan metode pursed lip breathittg berhubungan erat dengan kualitas sputum yang dihasilkan pada pemeriksaan sputum sewaktu I. Disarankan agur metode tersebutdigunakan untuk meningkatkan efektivitas pemeriksaan sputum suspek TB paru.Kata kunci: tuberkulosis, batuk, sputunt
Tingkat Kepatuhan Penderita Malaria Vivax Dalam Minum Obat Serta Faktor Yang Mempengaruhinya Studi Pada Penderita Malaria Vivax Di Kabupaten Banjarnegara Tahun 2005 Wuryanto, M. Arie
JURNAL PROMOSI KESEHATAN INDONESIA Volume 3, No. 1, Januari 2008
Publisher : Magister Promosi Kesehatan Undip

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Background : Since 2003 until March 2004 malaria cases in Banjarnegara was still high.The proportion of plasmodium vivax more higher ( 60%) than falciparum (40%). It’s mean reflecting incompliance of malaria drug treatment. The study was intended to know level of compliance and identified same factors that related with compliance of malaria drug treatment.Method : This research was used Cross sectional design. Cases were patients of malaria vivax where detected since October 2004 until March 2005. Respondent more than 15 years age, and was used 14 days treatment method. This study was take 120 respondents of malariavivax cases.Result: Malaria vivax cases who incompliance were 64%, it’s mean that level of compliance were 36%. Reason for stopping treatment was caused by feeling healthy of patients after 3 or 5 days of malaria drug treatment. The result of chi-square test showed a significant associationbetween the level of patient knowledge and level compliance of malaria drug treatment (p-value = 0.002, ratio prevalent = 4,8 ( 95% CI: 1,7 - 13,7)). Level compliance of malaria drug treatment was depended on level of patient knowledge. Patient with poor knowledge had 4,8 times to become incompliance of malaria drug treatment.Keyword: Compliance, malaria drug treatment, malaria vivax
LARVAE DENSITY OF DENGUE HEMORRHAGIC FEVER (DHF) VECTOR Aedes sp. IN ENDEMIC, SPORADIC AND POTENTIAL AREA IN SEMARANG CITY, CENTRAL JAVA PROVINCE Lestari, Eva; J. Sianturi, Corry Laura; Hestiningsih, Retno; Wuryanto, M. Arie
Balaba Vol 10, No 2 Des (2014)
Publisher : Prima Offset

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Demam Berdarah Dengue (DBD) adalah penyakit menular yang disebabkan oleh virus Dengue dan ditularkan oleh nyamukAedes aegypti. Kota Semarang merupakan daerah endemis DBD dengan jumlah kasus sebanyak 5.538 kasus,IR 36,75/10.000 penduduk dan CFR 0,8% (tahun 2010). Data kepadatan vektor dapat digunakan untuk menentukan tindakanpengendalian vektor yang tepat. Tujuan dari penelitian ini adalah untuk menghitung HI, CI, BI, DF, dan Angka Bebas Jentik(ABJ) Aedes sp. di daerah endemis, sporadis dan potensial DBD. Jenis penelitian deskriptif dengan pendekatan crosssectional. Metode pelaksanaan survei jentik dengan single larva. Populasi adalah seluruh rumah di KelurahanSendangmulyo, Terboyo Wetan, dan Pesantren. Pengambilan sampel penelitian menggunakan metode purposif. Hasilpenelitian menunjukkan bahwa angka HI (53,75%), CI (30,77%), BI (75%), dan DF (7) tertinggi di Kelurahan TerboyoWetan (sporadis). Angka ABJ di semua lokasi penelitian < 95%. Kepadatan jentik daerah sporadis lebih tinggi dibandingdaerah endemis DBD. Kepadatan jentik tidak berkorelasi dengan stratifikasi endemisitas wilayah DBD.Kata kunci: kepadatan jentik, endemis, sporadis, potensial, DBD
PERBEDAAN BATUK EFEKTIF METODE PURSED LIP BREATHING TERHADAP KUALITAS SPUTUM -, Haryanto; Ginanjar, Praba; Wuryanto, M. Arie
JURNAL KESEHATAN MASYARAKAT INDONESIA Volume 2. No. 2. Tahun 2005
Publisher : JURNAL KESEHATAN MASYARAKAT INDONESIA

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Latarbelakang: Tuberkulosis paru (TB paru) adalah penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis atau disebut basil tahan asam (BTA). Diagnosis TB paru ditegakkan dengan menemukan BTA dalam pemeriksaan sputum. Husil pemeriksaan sputum sangat ditentukan oleh kualitas sputum. Sputum yang dihasilkan dapat berkualitas baik jika penderita melakukan batuk yang efektif, antara lain dengan metode pursed lip breathing.Tajuan: Penelitian ini bertujuan untuk mengetahui perbedaan cara batuk efektif menggunakan metode pursed lip breathing dengan kualitas sputum. Metode penelitian yang digunakan adalah eksperimen kuasi dengan post test only with control group design. Subyek penelitian adalah suspek TB paru yang dipilih dengan teknik consecutive sampling. Suspek TB paru dibagi menjadi dua kelompok yaitu kelompok perlakuan yang diberi perlakuan cara batuk efektif menggunakan metode pursed lip breathing dan kelompok kontrol. Jumlah suspek TB paru seluruhnya 120 orang, dibagi 60 orang pada masing-masing kelompok. Hasil penelitian menunjuklcan terdapat 11,7% kasus BTA positif dari 120 suspek yang diperiksa. Proporsi sputum berkualitas baik pada kelompok kontrol (41,7%) jauh lebih rendah dari kelompok perlakuan (83,3%). Analisis dengan chi-square membuktikan ada perbedaan antara carabatuk efekttf metode pursed lip breathing terhadap kualitas sputum yang dihasilkan (p<0,0001). Pada kelompok kontrol tidak ada kasus BTA positif yang berhasil ditemukan pada pemeriksaan sputum pertama (0,00%,).Sebaliknya, seluruh kasus dengan BTA positif pada kelompok perlakuan (100,0%) dapat ditemukan pada pemeriksaan sputum pertama. Simpulan: cara batuk efektif menggunakan metode pursed lip breathittg berhubungan erat dengan kualitas sputum yang dihasilkan pada pemeriksaan sputum sewaktu I. Disarankan agur metode tersebutdigunakan untuk meningkatkan efektivitas pemeriksaan sputum suspek TB paru.Kata kunci: tuberkulosis, batuk, sputunt
HUBUNGAN KARAKTERISTIK INDIVIDU DAN PERILAKU PADA PETUGAS MANAJEMEN TERPADU BALITA SAKIT (MTBS) DENGAN CAKUPAN PENEMUAN PNEUMONIA DI PUSKESMAS KABUPATEN KEBUMEN Silviana, Patria; Hestiningsih, Retno; Wuryanto, M. Arie
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Pneumonia is an acute infection of the lung tissue (alveoli). The purpose of research is to know relation of individual characteristics and behavior in integrated management of childhood illness (IMCI) official to the coverage detection of pneumonia in Public Health Center in Kebumen Regency. Type of research is analytic observational with cross sectional approach. The population of research are all IMCI official in 35 Public Health Center in Kebumen Regency total number of 556 IMCI official and the number of samples is 93 samples use to the sampling technical is accidental sampling. Univariat analysis is table of frecuency distribution and narrative. Bivariate analysis use the chi-square test and kendall’s tau b test correlation. The result of research shows that respondents aged over ≥36 years (55,9%), female (95,7%), background in DIII obstetrics education (80,6%), long years of work (53,8%), good knowledge (75,3%), good attitude (61,3%), poor practice (53,8%), good perception of public health leadership supervision (64,5%), good perception of motivation (55,9%). There is one variable that related is good perception of public health leadership supervision (p=0,002). In while, there are eight variables that not related are official ages (p=0,105), sex (p=0,569), education (p=0,112), years of work (p=0,371), knowledge (p=0,378), attitude (p=0,457), practice (p=0,597) and good perception of motivation (p=0,258). Recommended to the Department of Health increase on the job training and to the Public Health Center more intensive in the implementation of supervision. 
PENENTUAN KAPASITAS VEKTORIAL Anopheles spp. DI DESA REJEKI KECAMATAN PALOLO KABUPATEN SIGI SULAWESI TENGAH Srikandi, Yuyun; Wuryanto, M. Arie; Martini, Martini
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Malaria remains a public health problem public health problem in Sulawesi, especially in Rejeki Village, Palolo Subdistrict, Sigi District. Rejeki village was a high endemic area of malaria from 2009 until 2012. In 2013, there was no positive case malaria, but the environmental condision there were very approriate to malaria transmission. Recently, in Indonesia there was lack of data about vectorial status and host identification as Anopheles bloodmeal. This research aimed to determine the vectorial capacity value of Anopheles spp. This Study was descriptive obsevational analysis with cross sectional design. The sample was female Anopheles spp. that caught allnight from 06.00 pm up to 06.00 am, and the mosquitoes that caught at the rest time in early morning. The collection was held for 6 times start from April until September. The mosquitoes that collected in Rejeki village were An. barbirostris, An. nigerrimus, An. tesselatus, An. vagus, An. indifinitus, and An. umbrosus. The result showed the species which potency as malaria vector that An. barbirostris (0,001-0,003) and An. nigerrimus (0,001-0,058). The average age of An. barbirostris was 8,58-13,78 days and An. nigerrimus was 4,24-13,78 days. ELISA bloodmeals test resulted mosquitoes which consumed human bloodmeals are An. barbirostris and An. nigerrimus, include in anthropophilic and tend to endophagic. Integrated vector control method is recommended to be applied in effort to maintained low malaria endemicity. Cattle barrier was a good solution for the control of malaria.
STUDI LABORATORIUM UJI TOKSISITAS ISOLAT Bacillus thuringiensisisraelensis DALAM MEDIA AIR PERASAN SINGKONG TERHADAP LARVA NYAMUK Aedes aegypti Jati, Wulan Kusuma; Wuryanto, M. Arie; Sutiningsih, Dwi
Jurnal Kesehatan Masyarakat (e-Journal) Vol 3, No 1 (2015): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Bacillus thuringiensis israelensis is a toxic bacteria for Aedes aegypti. However, raw materials of media for biopesticide production still imported . So, we need an alternative grower media, one of them by using the juice of cassava.The purpose was to determine the toxicity of B. thuringiensis israelensis isolates were cultured in the cassava juice against larvae of Ae. aegypti. This type of research is experimental research with posttest - only control group design. The population in this study were all third instar larvae of Aedes aegypti. Parameters observed that the number of spores of Bacillus thuringiensis israelensis were grown on cassava juice and mortality LC50 and LC90 of Ae. aegypti with probit regression analysis . The concentration used in toxicity tests is 0,89 x10-3 ppm; 1,30 x10-3ppm; 1,49 x10-3ppm; 1.69 x10-3 ppm; x10-3 2,20 ppm ; 3,22 x10-3 ppm and 5,43 ppm x10-3. The results showed the number of spores that grow on the medium cassava juice of 1 % 230 x105 spores / ml . LC50 and LC90 concentration of B. thuringiensis  israelensis which 3,674 x10-3ppm and 14,254 x10-3 ppm. From this study it can be concluded that B. thuringiensis israelensis were cultured in the cassava juice toxic to the larvae Ae . aegypti.
HUBUNGAN IMT DAN TINGKAT AKTIVITAS FISIK DENGAN KEJADIAN KOMORBID TB-DM DI KOTA SEMARANG Rahmania, Mia; Saraswati, Lintang Dian; Wuryanto, M. Arie
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 2 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Tuberculosis in an infectious disease resulted in a high number of mortality in Indonesia. Diabetes melitus recognized as an important risk factors to tuberculosis. The aim of the study was to analyze relationship BMI and physical activity level with the incidence of comorbid TB-DM in Semarang city. This study is an analytical observational study with cross sectional study design. The study population was 286 positive smear TB patients who still TB treatment from April to August 2018. The sample size in the study was 100 TB patients who selected using proportional probability with sample size and simple random sampling technique. Primary data obtained directly through interviews with respondents using questionnaires, and measurement of blood sugar to diagnose DM. Bivariate analysis using chi-square with 95% significance. The results of measurements with fasting blood sugar levels found that 29% of respondents were diagnosed with DM. The majority of respondents were 46-55 years old (27%) with mean age 44.05 years and male sex (53%). The majority of TB-DM patients have overweight IMT (72.7%) and have moderate physical activity (43.3%).Bivariate analysis showed that BMI (p=0,000) and physical activity level ((p=0,081). It can be concluded there is a relationship between BMI with the incidence of comorbid TB-DM. DM patients are expected to control  increasing body weight and food intake.
ANALISIS ANALISIS HUBUNGAN ANTARA SEDENTARY LIFESTYLE DENGAN KEJADIAN OBESITAS PADA USIA SEKOLAH DASAR KELAS 4-6 (Studi di Kota Salatiga) Sandi Saputra, Yemema Victory; Setyawan, Henry; Wuryanto, M. Arie; Udiyono, Ari
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Background: Obesity is the form of abnormality or the accumulation of fat that can impact on health. For children and adolescent aged 5-18 years old, said to be obese if BMI (Body Mass Index) according to age more than 2 according to Z score. Obesity occurs if the intake of energy is greater than energy used. In Indonesia, the prevalence of obesity chilren aged 5-12 years old was 8,8%, 7,9% for Central Java, and 5,1% for Salatiga. Purpose: The purpose of this study was to analyze the risk factors that associated to obesity children in elementary school grade 4-6. Method: The method was quantitative method and the type of the research was observational analytical with  a cross sectional approach. The population of this study was the students of elementary school grade 4-6 in Salatiga. The reached population was the students of Marsudirini 77 Elementary School grade 4-6 then the sample was taken as many as 60 resopondents using random sampling system. Result: The result indicated that as many as 22 (36,7%) respondents suffered from obesity with 13 (59,1%) respondents were male and 9 (40,9%) respondents were female. Conclusion: For bivariate analytical used Chi-square correlation test showed a correlation between familial (p=0,038; POR=3,6) dan sedentary lifestyle (p=0,022; POR=4,6) with obesity children in elementary school grade 4-6 and there was no correlation between physical activity (p=0,543) and energy intake (p=0,436) with obesity children in elementary school grade 4-6.
UJI KERENTANAN NYAMUK Anopheles spp TERHADAP LAMBDACYHALOTRIN 0,05% DI DAERAH DATARAN TINGGI (Studi di Kecamatan Kaligesing, Kabupaten Purworejo) Intania, Shella; Wuryanto, M. Arie; Udiyono, Ari; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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The increase of chemical vector control can affect to mosquitoes’ susceptibility. In Purworejo, monitoring the susceptibility status of Anopheles spp to insecticides was not implemented. Because of that, the susceptibility status of mosquito vector malaria was still unknown. This research is assess the susceptibility of Anopheles spp to Lambdacyhalothrin 0,05% insectiside in Kaligesing sub district. This research conducted a quasy experiment with susceptibility test method. The number of samples was 150 mosquitoes, for 4 treatment and 2 control. This research use static group comparison design. The data was collected by laboratory experiment. The research was held on February due to November 2018. Result showed the average of knock down on 60 minutes exposure with four times repetition were 20 mosquitoes (80%). The death average in 24 hours post holding with the calculation of the Abbots Formula were 17,5 (70%). Due to 60 minutes exposure and 24 hours post holding no dead control mosquitoes were found (0%). Based on WHO’s provision, all of mosquitoes in Kaligesing sub district was resistant to Lambdacyhalothrin 0,05% with the death number was less from 80%. The government should implement the monitoring and evaluation periodically related to controls and rotation of pesticide use.