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INDONESIA
MEDIA KESEHATAN MASYARAKAT INDONESIA
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Articles 46 Documents
Selenium dan Vitamin C Sebagai Pengobatan Pencegahan Pada Keracunan Pestisida (Studi Eksperimen Pada Petani Penyemprot di Temanggung Jawa Tengah) Suwondo, Ari
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.782 KB) | DOI: 10.14710/mkmi.9.1.1-6

Abstract

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 : http://ejournal.undip.ac.id/index.php/mkmi/article/view/2792 
Perbandingan Kejadian Dismenore Pada Akseptor Pil KB Kombinasi Dengan Akseptor Suntik KB 1 Bulan DiWilayah Kerja Puskesmas Pasayangan Noor, Meitria Syahadatina; Yasmina, Alfi; Di Hanggarawati, Connyvera
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (88.743 KB) | DOI: 10.14710/mkmi.9.1.14-17

Abstract

More than 50% women who have menstruations will get dysmenorrheal occurrence. Dysmenorrhea is a typeof pain in the stomach that originates from uterine cramps in the menstrual period. Using the oralcontraceptive and monthly injected contraceptive can reduce dysmenorrhea occurrence. The aim of the studywas to find out the difference of dysmenorrheal occurrence between the oral contraceptive users and monthlyinjected contraceptive users in Pasayangan Public Health Center. It was an analytic observational study withcross-sectional design. Sample were chosen by purposive sampling technique. Subjects in this research were30 oral contraceptive users and 30 monthly injected contraceptive users in Pasayangan Public Health Center.The dysmenorrheal occurrence was assessed with questionnaire. The result of the research indicated thatdysmenorrheal occurrence were suffered more by oral contraceptive users (8 subjects), while only 1 bymonthly injected contraceptive users. Analysis with Fisher’s Exact Test gave p value of 0.026 (p < 0.05),hence it could be concluded that dysmenorrheal occurrence in monthly injected contraceptive users weresignificantly lower than those in oral contraceptive users.Keywords: dysmenorrhea, oral contraceptive, monthly injected contraceptivehttp://ejournal.undip.ac.id/index.php/mkmi/article/view/2818
Hubungan Antara Persepsi Kualitas Pelayanan Dengan Minat Kunjungan Ulang Pasien Rawat Jalan Okupasi Terapi RS Ortopedi dr. R. Soeharso Surakarta 2009 Yuliastuti, Tri; Arso, Septo Pawelas; Nugraha P, Priyadi
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.349 KB) | DOI: 10.14710/mkmi.9.1.7-13

Abstract

The number of therapist and patient visit of occupational therapy service of dr. Suharso Orthopedic Hospital(RSOS) is larger than other services in Surakarta. Visit number of existing patient is more than new patient,which it is mean that most of patients have willingness to revisit to get services. Quality of services in healthcare has important role in patient satisfaction and intention in repurchasing as customer. However, there arestill patient complaints toward the quality service of occupational therapy of RSOS. It’s need to evaluate theservice quality and patient intention of revisit. This research aim is to find out the correlation between patientperception of service quality and patient interest to go revisit occupational therapy room of RSOS. Thisresearch type was quantitative method with cross sectional approach. Population study was 205 patients, whowere visiting in January until April 2009. Data obtained by interview used questionnaire toward 34respondents by accidentally sampling method. Data analyzed use statistic test of pearson-product momentwith 95% confidence level. This research revealed that the most of patient perception of therapist servicesquality is good (64.7%), the most of perception of service equipment quality is good (64.7%) and the mostperception of therapy result is also good (61.8%). While 67.6% of patient revisit interest is . The statisticanalyzes showed that perception of service equipment quality (p=001) and perception of therapy result(p=0,036) have correlation with patient revisit interest. While therapist services quality (p=0,067) didn’t havecorrelation with patient revisit interest. It’s concluded that perception of service equipment quality andperception of therapy in RSOS are good and it’s influenced revisit patient.Keywords: Perception, Service Quality, Occupational Therapy.http://ejournal.undip.ac.id/index.php/mkmi/article/view/2839
Perbedaan Nilai Kesegaran Punggung Sebelum dan Sesudah Pemberian Stretching Mc. Kenzie Extension pada PekerjaWanita Pengepak Jamu PT. X Semarang Permana, Dinda Rizki; Wahyuni, Ida
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.627 KB) | DOI: 10.14710/mkmi.9.1.18-26

Abstract

Every work has the potential on giving risk to health; one of them is caused by unnatural workingposition. As an example, for work that require their worker to do the work in sitting position potentiallygive a health risk such as complaint on musculoskeletal. Sitting work position that being done by theherbal medicine packager at PT.X Semarang for 8 working hours allows the occurrence of the unnaturalgesture. From short interview to 6 workers, there were 5 of them that complaint about the feeling of lesscomfortable/stiff on area around back and neck after work. Some studies said that by giving stretchingmovement can reduce this muscular complaint. Stretching Mc.Kenzie Extension is one of stretchingmethod that intended to strengthen the back. Back fitness value will show how well the back of a workerto work on a sitting position is. The goal of this study is to know the difference between back fitness valuebefore and after treatment of Stretching Mc.Kenzie Extension to PT.X Semarang herbal medicinepackager workwoman.This research is Quasi Experiment using One Group Time Series Design with amount of sample is 10peoples. The result tested with statistical paired T-test (α = 0,05) preceded with data normality test usingSaphiro Wilk test.The result showed tahat there was a difference between back fitness value before and after treatment ofStretching Mc.Kenzie Extension. Therefore, it is advised for the company to give knowledge to workerabout sitting position that meet ergonomic norm. Furthermore by doing design improvement on workfacilities such as work table and chair.Keywords: back fitness value, stretching Mc.Kenziehttp://ejournal.undip.ac.id/index.php/mkmi/article/view/2892 
Analisis Potensi Bahaya dan Upaya Pengendalian Risiko Bahaya Pada Pekerja Pemecah Batu Setyaningsih, Yuliani; Wahyuni, Ida; Jayanti, Siswi
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.903 KB) | DOI: 10.14710/mkmi.9.1.27-32

Abstract

Risk Assessment is an activity that analyze a risk by determining the likelihood/ probability and severity ofconsequence / Consequences of a risk. This study is aimed to describe and assess the risk level in terms ofworker characteristics, equipment, materials, work processes and working environment of stone breakersworkers and making recommendations on hazard control efforts of workers.This was a descriptive qualitative research by conducting interviews on the workers and make observations onthe environment and work processes, and measuring the work environment. The study population was allworkers in the village of stone breaker Rowosari, Tembalang, Semarang with a sample of 41 people taken bysimple random sampling. Qualitative data analysis with content analysis using the form Hazard Identificationand Risk Assessment (HIRA).Results from this study is the level of risk of accidents at stone-breaking workers of each variable: thecharacteristics of workers with medium category, such as basket work tools, hammers, ganco and chairs with themedium category, with categories of stone material from the medium, such as the work process collecting,splitting, collecting and collating the stone with the medium category, and work environment with the mediumcategory. Workers are expected to wear the working tools such as carts and wearing personal protectiveequipment such as masks and gloves in order to reduce the risk of hazards during work.Keywords: risk assessment , stone breaking employees. Hazard Identification and Risk Assessment (HIRA)http://ejournal.undip.ac.id/index.php/mkmi/article/view/2906 
Analisis Karakteristik Lingkungan Pada Kejadian Leptospirosis di Kabupaten Demak Jawa Tengah Tahun 2009 Ikawati, Bina; Nurjazuli, Nurjazuli
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 9, No 1 (2010): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.56 KB) | DOI: 10.14710/mkmi.9.1.33-40

Abstract

Leptospirosis is a zoonosis disease caused by Leptospira bacteria and transmitted to human by contact withcontaminated animal urin or contaminated environment. Leptospirosis cases in Demak district increased for4 year later. Until April 15th 2008, there ware 62 leptospirosis cases with Case Fatality Rate =9,67%. The aimof this research was to determine environmental characteristic related to leptospirosis case in Demak district.It was an observational research using a case control design with 44 cases and 44 controls. Cases wereleptospirosis diagnosed by leptotek dri dot in Demak Health District Agency. Controls were neighbour ofleptospirosis cases who didn’t have clinically symptom of leptospirosis, with age and sex at inclusion criteria.Laboratory diagnosis with leptotek dri dot had done for controls who agreed to sign inform consent. Datawere analyzed using chi square test at α=5%. Variable with p value<0,25 would be continued with multivariattest using Regressi Logistic - Backward Likehood Ratio method.The result of this research showed that there ware 10 controls with no clinical diagnosis but positive atleptotek dri dot diagnosis. At statistical analysis 10 cases and 10 controls dropped. Univariat analysis showedcontrols and cases have environmental risk factor and knowledge, attitude, practice about leptospirosissimilarly. Bivariat analysis showed there was no relationship between environmental characteristic andknowledge, attitude, practice with leptospirosis. Test of water sample had been done at 8 location. One ofthem of creek showed positif contain Leptospira sp. Rat trapped had been done at four location, showed trapsucces about 8,7%-29,8%. Eventhough environment factor and knowledge, attitude, practice showed therewere no relationship with leptospirosis statistically but water from creek that positif Leptospira sp, watersuffused and highly of trap succes at rat trapped were very conducive for leptospirosis transmission.Keywords : environment, leptospirosis, Demakpermalink: http://ejournal.undip.ac.id/index.php/mkmi/article/view/2912 
Dermatosis (Kelainan Kulit) Ditinjau Dari Aspek Keselamatan Dan Kesehatan Kerja Pada Pemulung Di Tpa Terjun Medan Marelan Lestari Mahyuni, Eka
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 2 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (225.393 KB) | DOI: 10.14710/mkmi.11.2.101-109

Abstract

Pemulung merupakan pekerjaan yang cukup berbahaya bagi kesehatan ataupun keselamatan kerja karena selalu berinteraksi dengan sampah sebagai sumber berkumpulnya kuman penyakit dan sarana yang baik bagi berkembangbiaknya vector penyakit. Tujuan dari penelitian ini adalah untuk mengetahui dermatosis (kelainan kulit) yang dialami pemulung ditinjau dari aspek keselamatan dan kesehatan kerja. Populasi berjumlah 450 orang dan tersebar dalam 3 strata kelompok umur yaitu 6-14 tahun, 15-50 tahun dan > 50 tahun. Sampel berjumlah 82 orang yang diambil dengan cara proportional stratified random sampling. Hasil penelitian menunjukkan pemulung terbanyak adalah perempuan dengan masa kerja berkisar 1-17 tahun, bekerja selama 8-11 jam sehari. Dari 46 orang yang mengalami gangguan kulit, 4 orang (9 %) mengalami dermatitis kontak. Gangguan kulit lain yang tersebar di antara pemulung adalah scabies, tinea korporis, tinea falvalis,tinea versikolor, candidiasis, karbonkel, folikulitis, dan miliria rubra yang disebabkan karena jamur, parasit dan aktivitas keringat yang berlebih. Gangguan kulit ini terjadi karena pakaian yang berlapis dan cuaca panas serta kebersihan diri yang kurang dari pola kerja pemulung. Kata Kunci : Pemulung, Gangguan Kulit, APD
Analisis Kinerja Penanggung Jawab Program Tb Puskesmas Dalam Penemuan Kasus Baru Tb Bta Positif Di Puskesmas Kabupaten Bangka Tengah Provinsi Kepulauan Bangka Belitung Sutinbuk, Dedek; Mawarni, Atik; Kartika Wulan, Lucia Ratna
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 2 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.61 KB) | DOI: 10.14710/mkmi.11.2.142-150

Abstract

Pencapaian target penemuan kasus baru TB BTA positif di Kabupaten Bangka Tengah tahun 2009-2011 menunjukkan angka dibawah 70%. Peran penanggungjawab program TB sangat penting dalam pencapaian target. Tujuan penelitian ini adalah menjelaskan bagaimana kinerja penanggung jawab program TB dalam penemuan kasus baru TB BTA positif. Penelitian ini merupakan penelitian deskriptif kualitatif dengan pendekatan cross sectional. Informan penelitian adalah 4 orang penanggung jawab program TB dari Puskesmas terpilih. Data dikumpulkan dengan wawancara mendalam dan dianalisis menggunakan metode analisis isi (content analysis ). Hasil penelitian menunjukkan bahwa kinerja penanggung jawab program TB dalam penemuan kasus baru belum baik karena sebagian besar hanya melakukan penyuluhan di Posyandu, menjaring suspek dari pasien yang berkunjung di Puskesmas, persepsi kurang puas terhadap imbalan yang diterima dan persepsi terhadap beban kerja yang dirasakan cukup berat. Kata Kunci : Penemuan Kasus Baru TB, Penanggungjawab program TB, Kinerja
Kepuasan Ibu Hamil Dan Persepsi Kualitas Pelayanan Antenatal Care Di Puskesmas Tanjung Kabupaten Sampang Madura Faradisy Mursyida, Rikhly; Mawarni, Atik; Agushybana, Farid
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 2 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (188.346 KB) | DOI: 10.14710/mkmi.11.2.174-181

Abstract

Angka Kematian Ibu di Puskesmas Tanjung tahun 2011 (559/100.000 KH) yang masih jauh dari target penurunan tahun 2014 (118/100.000 KH), adanya trend penurunan cakupan K1 dan K4 selama 3 tahun terakhir, serta pelayanan Antenatal Care yang belum sesuai harapan, mendorong terselenggaranya penelitian ini untuk mengetahui pengaruh persepsi kualitas pelayanan antenatal care terhadap kepuasan ibu hamil. Jenis penelitian adalah observasional dengan pendekatan cross sectional, sampel sebesar 89 orang dengan teknik pengambilan secara konsekutif sampling dan analisis data menggunakan chi-square dan regresi logistik. Hasil penelitian menunjukkan persepsi tidak baik pada kualitas pelayanan dimensi reliability 43.8%, responsiveness 60.7%, assurance 51.7%, empathy 57.3% dan tangibles 43.8% dan persepsi ibu hamil yang tidak puas sebesar 49.4%. Hasil analisis menunjukkan ada hubungan antara persepsi reliability, responsiveness, assurance, empathy dan tangibles dengan kepuasan ibu hamil. Secara bersamaan variabel yang berpengaruh adalah empathy (p = 0.0001, OR=111.507), reliability (p = 0.008, OR=22.466) dan responsiveness (p = 0.008, OR=15.074). Perbaikan kualitas empathy, reliability dan responsiveness pada pelayanan ANC diperlukan dalam peningkatan kepuasan ibu hamil. Kata Kunci : Kualitas Pelayanan Antenatal Care (ANC), Kepuasan Pelayanan
Faktor Risiko Kejadian Tuberkulosis Paru di Kecamatan Baturetno Kabupaten Wonogiri Setia Kurniasari, Ryana Ayu; suhartono, suhartono; Cahyo, Kusyogo
MEDIA KESEHATAN MASYARAKAT INDONESIA Vol 11, No 2 (2012): MKMI
Publisher : Fakultas Kesehatan Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.035 KB) | DOI: 10.14710/mkmi.11.2.198-204

Abstract

Tuberkulosis paru merupakan suatu jenis penyakit menular yang disebabkan oleh bakteri Mycobacterium tuberkulosis. Ada berbagai macam faktor yang dapat mempengaruhi terjadinya tuberkulosis. Di Kabupaten Wonogiri, penderita tuberkulosis paru terbanyak selama 3 tahun terakhir berasal dari Kecamatan Baturetno sebanyak 79 kasus pada tahun 2011. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan kejadian tuberkulosis paru di Kecamatan Baturetno. Jenis penelitian ini adalah studi observasional analitik dengan menggunakan metode case control research. Sampel penelitian ini sebanyak 68, terdiri dari 34 kasus dan 34 kontrol. Analisis data dilakukan dengan menggunakan uji chi square untuk mengetahui deskripsi dan hubungan faktor risiko dengan kejadian tuberkulosis paru. Hasil analisis bivariat yang terbukti berhubungan dengan kejadian tuberkulosis paru adalah; pencahayaan ruangan (p = 0,025) dan luas ventilasi (p = 0,005). Dari keseluruhan hasil penelitian dapat disimpulkan bahwa faktor risiko yang berhubungan dengan kejadian tuberkulosis paru adalah pencahayaan ruangan dan luas ventilasi. Kata kunci : faktor risiko, tuberkulosis paru