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Relation between Pesticide Exposure and Hypertension Incidence among Sprayers of Jasmine Farmers in Kaliprau Village, Ulujami District, Pemalang Ali Wafa; Sulistiyani Sulistiyani; Tri Joko
Journal of Public Health for Tropical and Coastal Region Vol 2, No 2 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (611.323 KB) | DOI: 10.14710/jphtcr.v2i2.6185

Abstract

Background: The use of pesticides in Kaliprau Village is not following the dosage required in the packaging label with the frequency of spraying 3-4 times per week. Spray farmers mix more than two types of pesticides and when spraying do not use personal protective equipment (PPE). The incidence of hypertension in Kaliprau Village in 2016 was 524 people and increased in 2017 to 843 people. The purpose of this study was to determine the relathionship between pesticide exposure and hypertension incidence among sprayers of jasmine farmer in Kaliprau Village, Ulujami District, Pemalang. Methods: This research is observational analytic using a survey method approach with cross-sectional design. The sample in this study was 102 respondents with data analysis using Chi-Square. Results: Data analysis shows that there is a relationship between years of work (p = 0,000). While the frequency of spraying (p = 0.574), spraying time (p = 0.739), length of work (p = 0.721), wind direction (p = 0.171), pesticide dose (p = 0.145), dilution method (p = 0.448), method storage (p = 0.648) not related to hypertension. Conclusions: there is a relationship between the length of service and the incidence of hypertension among sprayers of jasmine farmer in Kaliprau Village, Ulujami District, Pemalang District.
Iron level reduction effectivity at Water treatment instalation in Purworejo Heru Budianto; Tri Joko; Nikie Astorina Yunita Dewanti
Journal of Public Health for Tropical and Coastal Region Vol 3, No 2 (2020): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v3i2.9052

Abstract

The iron (Fe) content in drinking water is higher than the standard which can cause technical, physical and health problems. Initial inspection at the outlet of the Drinking Water Treatment Plant in Purworejo showed iron levels of 0.575 mg / lt, so it is necessary to investigate its effectiveness.This study aims to determine the effectiveness of iron reduction level (Fe) in the Drinking Water Treatment Plant (IPAM) in Purworejo. This study uses a descriptive observational method, where data is collected, compiled, interpreted and analyzed so that it provides a complete description of the existing problems and then compares them based on theory, literature review, literature, scientific articles and with applicable regulations..The results of measurements of iron (Fe) levels on an average of 0.976 mg / lt inlet, 0.470 mg / lt outlet and 51.76% effectiveness. Standard iron (Fe) content in Permenkes Number 492 / Menkes / Per / IV / 2010 is a maximum of 0.3 mg / lt. The standard of effectiveness according to the Ministry of Home Affairs Research and Development with a result of 40% - 59.99% is in the ineffective category. The effectiveness of Iron (Fe) reduction in the Drinking Water Treatment Plant in Purworejo is in the ineffective category..
EVALUATION OF SOLID MEDICAL WASTE MANAGEMENT SYSTEM OF PUSKESMAS IN CIANJUR DISTRICT Edo Muhammad; Tri Joko; Nurjazuli Nurjazuli
Journal of Public Health for Tropical and Coastal Region Vol 2, No 2 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (717.935 KB) | DOI: 10.14710/jphtcr.v2i2.6187

Abstract

Some of the waste produced by community health centers is hazardous waste and can pose a number of health and environmental risks if management is not in accordance with the requirements. This study aims to evaluate the conditions for managing solid medical waste in the Cianjur Regency community health center. This type of research is a qualitative descriptive study. The results of the study show that the public health center with the HR condition is quite 90% and less 10%. Public health center with budget conditions in good category 73.3%, and quite 26.7%. Community health center with a condition of facilities and infrastructure of less than 50% category, and quite 50%. Community health centers with SOP conditions in the category of both 90%, and less than 10%. Public health center with conditions for sorting and storing good categories of 46.7%, and enough of 53.3%. all community health centers have sufficient conditions for collecting medical waste. Community health center with conditions for transporting medical categories of waste both 60%, enough 26.7%, and less 13.3%. Community health center with temporary storage conditions medical waste is quite 83.3%, and less 16.7%. a public health center whose medical waste management officers had experienced an accident of 13.3%, whose officers had never had an accident of 86.7%. The conclusion of this study is that most public health center medical waste management is in accordance with the requirements, which are not yet appropriate are aspects of HR, facilities and infrastructure, sorting, use of PPE and Temporary Storage Places.
Nutrition Factors in Breeding Place Media and Larva Density of Aedes Aegypti Isye Dianti; Budiyono Budiyono; Tri Joko
Journal of Public Health for Tropical and Coastal Region Vol 2, No 2 (2019): Journal of Public Health for Tropical and Coastal Region
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.148 KB) | DOI: 10.14710/jphtcr.v2i2.6188

Abstract

Background: One of the stages of development to the growth of the Aedes aegypti is larvae stage. The larvae need nutrients to grow. A one of medium for breeding larvae is water in the container. Some of the important nutrients for growth are nitrate, phosphate, ammonia. This study aimed to analyze the relationship between nutrient levels in the water of the container density of Aedes aegypti larvae. Methods: Observational study with a cross-sectional with 119 houses as samples. Results:Test the relationship of nutritional factors with the density of Aedes aegypti larvae using the Pearson correlation test. The average distribution of nitrate was 0.787 mg / l, phosphate was 0.186 mg / l while ammonia was 0.603 mg / l and larval density was 66 tails. The study found that there was a correlation between the levels of nitrate, phosphate, ammonia and the density of Aedes aegypti larvae (p = 0.055 r = 0.022; p = 0.001, r = 0,929; p = 0.92, r = 0.975). Conclusion:The conclusions of this study were given the biggest contribution to the growth of Aedes aegypti larvae. A cooperative effort is needed to eliminate Aedes aegypti larvae.
Influence of amount of pesticide and amount of PPE to diastolic blood pressure of farmers in Bumen Village, Sumowono District, Semarang Regency Atka Kurnia Sari; Tri Joko; Nikie Astorina Yunita Dewanti
Journal of Public Health for Tropical and Coastal Region Vol 1, No 1 (2018): Journal of Public Health for Tropical and Coastal Region (JPHTCR)
Publisher : Public Health Faculty, Diponegoro University, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (681.164 KB) | DOI: 10.14710/jphtcr.v1i1.3552

Abstract

Background: Farmers in Bumen Village used pesticide from group of organophospat, carbamate, piretroid, and nicotinoid. The dose of pesticide that mix in one tank is not appropriate dosage. A preliminary survey found that farmers mixed more than          a two types of pesticides and 100% of farmers did not use the complete Personal Protective Equipment (PPE) when preparing pesticides to spray. Hypertension is more prevalent in males with an 18.8% prevalence in Sumowono District in 2015 and becomes the number one disease each month in 2017. The purpose of this study was to determine the influence of the amount of pesticide and the amount of PPE with diastolic blood pressure in farmers in Bumen Village, Sumowono District, Semarang Regency. Independent variables were amount of pesticide and amount of PPE. Dependent  variable was diastolic blood pressure.Methods: This study was observational with cross sectional design using purposive sampling. Samples were 35 respondents. The measurement methods were questionnaire and digital tensimeter. Data analysis used Rank Spearman.Results: The results showed that measurement of diastolic blood pressure has an average of 88.75 mmHg. The amount of pesticide (p=0,007; r=0,455) had an influence with diastolic blood pressure, positive correlation, the strenght of correlation was enough and the amount of PPE (p=0,034; r=-0,36) had an influence with diastolic blood pressure, negative correlation, the strenght of correlation was enoughConclusions: From this study can be concluded that the amount of pesticide and the amount of PPE affected the diastolic blood pressure in farmers in Bumen Village, Sumowono District, Semarang Regency.
Edukasi Pencengahan Penyakit Demam Berdarah Dengue Ghodiq Ufthoni; Bagoes Widjanarko; Apoina Kartini; Tri Joko; Mochamad Abdul Hakam; Hendrixus Eko Surani Putro
Jurnal Pengabdian Kesehatan Vol 5, No 2 (2022): Jurnal Pengabdian Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jpk.v5i2.221

Abstract

Virus dengue merupakan mikroorganisme yang sangat kecil hanya dapat dilihat dengan mikroskop elektron. Demi kelangsungan hidup, virus bersaing dengan sel manusia yang ditempati untuk kebutuhan protein. Penyakit demam berdarah dengue mengenai seseorang melalui gigitan nyamuk Aedes aegypti lebih tepatnya nyamuk betina dewasa, sebagian besar penderita sembuh dengan sendirinya, karena penyakit virus bersifat self limiting disease. Kenapa harus tetap diobati? Sebenarnya yang diobati adalah gejala yang timbul sebagai ‘akibat ulah’ virus seperti demam, syok, maupun perdarahan, oleh karena itu sampai sekarang belum ada obat yang dapat membunuh virus dengue. Tujuan dari edukasi kesehatan ini untuk memberikan pemahaman dan pengetahuan terkait demam berdarah dengue pada kader dan ibu-ibu meningkatkan PSN.Pelaksanaan kegiatan pada hari Jumat, 25 Februari 2022 di Balai RW 1 Kelurahan Pudakpayung, Kota Semarang. Metode yang digunakan adalah penyuluhan tatap muka, ceramah, tanya jawab, dan diskusi mengenai penyakit demam berdarah dengue. Kegiatan dapat berjalan baik dan lancar dan tanggapan kader serta warga sangat baik. Masyarakat merasa bahwa sebagai warga masyarakat dapat mengetahui atau memahami tentang pencengahan penyakit demam berdarah dengue.
KONDISI PENGELOLAAN LIMBAH B3 INDUSTRI DI INDONESIA DAN POTENSI DAMPAKNYA: STUDI LITERATUR Aisya Nursabrina; Tri Joko; Onny Septiani
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 13 No 1 (2021): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.446 KB) | DOI: 10.34011/juriskesbdg.v13i1.1841

Abstract

Industrialisasi adalah model pembangunan alternatif yang diperlukan oleh suatu negara untuk memacu proses ekonomi. Selain menyebabkan percepatan ekonomi, pembangunan industrialisasi juga memberikan dampak yang perlu diwaspadai salah satunya keberadaan limbah B3 hasil industri. Limbah B3 industri merupakan salah satu sumber pencemaran lingkungan yang potensial. Limbah B3 industri berpotensi menimbulkan risiko terhadap lingkungan dan dampak kesehatan bagi manusia. Pengelolaan limbah B3 industri sangat erat kaitannya dengan aspek kesehatan dan lingkungan. Menyadari banyaknya permasalahan terkait pengelolaan limbah B3 dari kegiatan industrialisasi, perlu dilakukannya pembaharuan konsep-konsep pengelolaan limbah B3 yang bersifat menyeluruh, terpadu dan berkelanjutan, serta pembuatan program yang cermat dan praktis oleh pemangku kepentingan untuk mengurangi potensi dampak paparan limbah B3 ke manusia dan lingkungan. Penelitian ini merupakan kajian literatur yang membahas kondisi pengelolaan limbah B3 industri yang terjadi saat ini serta potensi dampak limbah B3 industri bagi kesehatan dan lingkungan.
PEMERIKSAAN KUALITAS UDARA RUANG YANG BERHUBUNGAN DENGAN ANGKA KUMAN DI RUANG OPERASI RUMAH SAKIT SUMBER HIDUP DI KOTA AMBON 2020 Linda Yanti Julian Noya; Nur Endah Wahyuningsih; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 5 (2020): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (404.607 KB) | DOI: 10.14710/jkm.v8i5.27927

Abstract

:  Rumah sakit merupakan tempat dengan kontaminasi yang cukup tinggi. Kamar Operasi sebagai tempat pembedahan membutuhkan kondisi steril. Tujuan penelitian untuk menganalisis faktor yang berkaitan dengan jumlah kuman udara di ruang operasi di RS Sumber Hidup di Kota Ambon. Penelitian ini merupakan penelitian observasional menggunakan desain cross sectional.Jumlah ruang operasi yang diperoleh ada 2 ruangan. Berdasarkan Permenkes 07 Tahun 2019 Tentang Kesehatan Lingkungan Rumah Sakit batas maksimum angka kuman udara pada ruang operasi adalah 10 CFU / m3.Suhu maksimum sebelum operasi 27,7 0 C pada suhu minimum 23 0 C, untuk suhu tidak sesuai sesuai dengan baku mutunya yaitu 22 0C - 27 0 C. Kelembaban maksimum sebelum operasi 59.2% RH, kelembaban minimum 51% RH, untuk kelembaban memenuhi syarat sesuai dengan baku mutunya 40% RH- 60% RH. Pencahayaan maksimum sebelum operasi 397.8 Lux, pencahayaan minimum 303 lux RH untuk pencahayaan persyaratan yang sesuai dengan baku mutunya 40% RH- 60% RH. Lama operasi di ruangan operasi yaitu lama operasi waktu maksimum 210 menit dan waktu minimum 75 menit. Desinfeksi Permukaan Operasi Tidak Memenuhi Persyaratan sebanyak 24 (66,7%) sampel, dan memenuhi Persyaratan sebanyak 12 (33,3%).Hasil uji statistik menunjukkan tidak ada hubungan signifikan antara suhu (p = 0.32), kelembaban (p = 0.91), cahaya (p = 0.67) dan lama operasi (p = 0.83) dengan angka kuman sementara didapati ada hubungan yang signifikan antara desinfeksi dengan angka kuman (p = 0,000).
PERBEDAAN FAKTOR-FAKTOR KEJADIAN DIARE PADA BALITA DI DESA ODF (OPEN DEFECATION FREE) DAN NON ODF DI WILAYAH KERJA PUSKESMAS SAPE KABUPATEN BIMA M Muhlisan Muhlisan; Tri Joko; Nikie Astorina Yunita Dewanti
Jurnal Kesehatan Masyarakat (Undip) Vol 9, No 2 (2021): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (121.818 KB) | DOI: 10.14710/jkm.v9i2.28714

Abstract

Kejadian diare pada balita masih tergolong tinggi di Desa ODF dan non ODF di Kecamatan Sape. Dalam kurun waktu dua tahun terakhir mengalami peningkatan dari 47,87% menjadi 63,98%. Penelitian ini bertujuan untuk mengetahui perbedaan kondisi kejadian diare pada balita di Desa ODF dan non ODF. Penelitian ini menggunakan pendekatan cross sectional. Populasi dalam penelitian ini seluruh balita rentang usia 1-5 tahun yang ada selama tahun 2019, sampel dalam penelitian ini sebanyak 57 balita yang menderita diare 3 bulan terakhir di Desa ODF maupun di Desa non ODF. Hasil penelitian menunjukkan bahwa responden memiliki rata-rata usia 32 tahun, dengan mayoritas tamatan SMA 48,2%, dan 95,6% lainnya merupakan ibu rumah tangga. Hasil uji statistik menunjukkan bahwa terdapat perbedaan  antara jenis jamban leher angsa dan jamban cemplung dengan kejadian diare pada balita di Desa ODF dan non ODF (p= 0,038), praktek cuci tangan pakai sabun tidak ada perbedaan dengan kejadian diare pada balita (p=0,844), pengolahan air minum tidak memiliki perbedaan terhadap kejadian diare pada balita di desa ODF maupun Non ODF (p=0,239), hasil pemeriksaan bakteriologis  tidak memiliki perbedaan terhadap kejadian diare pada balita di desa ODF maupun Non ODF (p= 0,246), jenis sumber air tidak memiliki perbedaan  terjadinya diare pada balita di desa ODF maupun non ODF (p=0,236). Kesimpulan ada perbedaan kondisi di desa ODF dan Non ODFpada keluarga yang memiliki balita diare di wilayah Puskesmas Sape pada penggunaan jamban, sedangkan sumber air minum, pengolahan air minum, perilaku cuci tangan pakai sabun dan kualitas bakteriologis tidak ada perbedaan kondisi secara signifikan. 
ANALISIS FREKUENSI KONSUMSI MAKANAN LAUT DAN KANDUNGAN LOGAM BERAT Pb DALAM DARAH WANITA USIA SUBUR (WUS) DI WILAYAH KERJA PUSKESMAS BANDARHARJO Dini Kusumastuti; Onny Setiani; Tri Joko
Jurnal Kesehatan Masyarakat (Undip) Vol 8, No 5 (2020): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (427.299 KB) | DOI: 10.14710/jkm.v8i5.27988

Abstract

Bandarharjo is one of Semarang coastal area which has a surrounding industrial area, so it could potentially be a source of heavy metals Pb polluting waters. Through the process of bioaccumulation, Pb is absorbed by sea creatures such as fish, shellfish and shrimp. Continuous exposure to Pb over a long period of time can cause negative effects to health such as hypertension, regulating, the reproductive system and nervous system. The purpose of this study is to analyze the relationship between seafood consumption and blood levels of Pb in women of childbearing age in the working area of Bandarharjo Public Health Center, North Semarang District, Semarang City. This type of research is analytic descriptive by discussing cross sectional study. The sample in this study were 34 childbearing. Data collection was carried out through interviews, observations, and laboratory examinations of Pb levels in the blood. Data analysis using Chi-square test. The results of univariate analysis found 15 respondents (44,1%)  had a frequent category ≥ 4 times a week of seafood consumption and 19 respondents (59,9%) had Pb levels in their blood with excessive information based on examination results ranging from mean ≥ 77,02 µg/dL. The results of bivariate analysis is the frequency seafood consumption with blood levels of Pb (p-value = 0,012) with a Prevalence Ratio = 2,171 with 95% Confidence Interval 1,144 – 4,121. The conclusion of this study is that there is a significant relationship between the frequency seafood consumption with blood levels of Pb childbearing in the Bandarharjo Public Health Center.