Menguji Doktor

Menjadi Ketua Penguji Disertasi Tahap I (Tertutup) mahasiswa S3 Prodi Kesehatan Masyarakat atas nama I Ketut Suarjana, dr., M.PH

HUBUNGAN DUKUNGAN SOSIAL DENGAN NIAT IMUNISASI HUMAN PAPILLOMAVIRUS SEBAGAI PENCEGAHAN KANKER SERVIKS

Kasus kanker serviks menempati posisi kedua sebagai kasus kanker terbanyak di Indonesia. Semakin berkembangnya zaman, kanker serviks yang mulanya hanya menginfeksi perempuan usia dewasa kini juga dapat menginfeksi perempuan usia remaja. Imunisasi Human Papillomavirus (HPV) merupakan solusi efektif pencegahan kanker serviks. Untuk melakukan imunisasi HPV, tentunya dibutuhkan niat terlebih dahulu. Memunculkan niat diperlukan faktor pendorong. Faktor pendorong dapat datang dari mana saja seperti orangtua, teman, tenaga kesehatan. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan niat imunisasi HPV sebagai pencegahan dini kanker serviks pada mahasiswi Kesehatan Masyarakat Universitas Airlangga. Penelitian dilakukan pada Desember 2022 hingga April 2023. Penelitian ini menggunakan analitik observasional dengan desain studi cross sectional. Pengambilan data dilakukan melalui survei. Populasi dalam penelitian sebanyak 196 mahasiswi Kesehatan Masyarakat Angkatan 2019. Besar sampel diperoleh melalui simple random sampling dan didapatkan sebanyak 130 mahasiswi. Analisis data menggunakan univariat dan bivariat dengan uji chi-square. Berdasarkan analisis menggunakan chi-square bahwa dukungan keluarga mahasiswi Kesehatan Masyarakat Universitas Airlangga (p=0,040) memiliki hubungan yang signifikan dengan niat imunisasi mahasiswi Kesehatan Masyarakat Universitas Airlangga. Dukungan teman mahasiswi Kesehatan Masyarakat Universitas Airlangga (p=0,048) memiliki hubungan yang signifikan dengan niat imunisasi mahasiswi Kesehatan Masyarakat Universitas Airlangga.  Dukungan tenaga kesehatan (p=0,007) memiliki hubungan yang signifikan dengan niat imunisasi mahasiswi Kesehatan Masyarakat Universitas Airlangga. Ketiga variabel pada dukungan sosial yaitu dukungan keluarga, dukungan teman, dan dukungan kesehatan, ketiganya memiliki hubungan dengan niat imunisasi HPV pada mahasiswi Kesehatan Masyarakat Universitas Airlangga

Container Crane Operator Ergonomics Analysis PT. X Port Of Tanjung Perak, Surabaya

Container crane operator Jobs the majority was sitting, and bent over to look down. This is always done the operator because of the position of the operator's cabin is located at an altitude of 30-40 meters. The purpose of this research is to analyze the causes of musculoskeletal disorders container crane operator PT. X port of Tanjung Perak, Surabaya.This study reviewed data retrieval is the ways of quantitative research with cross sectional design research. The results showed that the analysis of Anthropometry and body posture with a method operator RULA shows that need further investigation against aspects of ergonomics and posture improvement work required with level 4 score in action. Most of the work stations used by the operator do not comply with Anthropometry operator. The entire container crane has the temperature of the working environment in compliance with threshold values (28-32 ° C). Whole body vibration is still below the threshold. Measurement of hand and arm vibration indicates that exposure to the vibrations of the hands and arms are still below the threshold limit value (TLV). The majority of container crane operator PT. X port of Tanjung Perak Surabaya has complaints of Musculoskeletal Disorders (MSDs) are. The objective of this study was to analyze the relationship between work stations, Anthropometry and Musculoskeletal complaints Disorders cause operator container crane in PT. X port of Tanjung Perak, Surabaya. This type of research is research used descriptive with cross sectional design research. The research was carried out in PT. X port of Tanjung Perak Surabaya, took place in January 2015. The results of the cross-tabulations showed that an operator who has aged less than 40 years, the work of less than 5 and 5-10 years, have a habit of smoking and having a bad work stations have more complaints of Musculoskeletal Disorders (MSDs). Keywords: Container cranes, work stations, RULA, Musculoskeletal Disorders

Pengaruh Pengetahuan, Kontrol Diri terhadap Perilaku Seksual Pranikah di Kalangan Remaja SMK di Surabaya

The premarital sexual behavior adolescent has become a social problem in the community. Free sexual behavior are various ranging from feeling of attraction to the opposite sex, dating, kissing, holding partsof the body that are sensitive until sexual intercourse. Two factors that can infl uence sexual behavior are knowledge and self control. Adolescent who have high knowledge and self control tend to not perform sexual behavior. The purpose of this study was to analyze the effect of knowledge and premarital sexual behavior self control in adolescent of SMK in Surabaya. This study was performed using cross sectional study design. The study population was students of class XI SMK in Surabaya. Subjects were selected by proportional stratified random sampling. Sample was 83 students. Data analysis was performed using chi square test (α = 0.05). The results of this study were self-control influenced knowledge (p = 0.000; PR = 11.000), knowledge infl uenced premarital sexual behavior (p = 0.000; PR = 10.607) and self-control infl uenced premarital sexual behavior (p = 0.000; PR = 46.970). The conclusion of this research is variables knowledge and self-control infl uence premarital sexual behavior SMK in Surabaya increasing increase knowledge of adolescent in relation to premarital sexual behavior before marriage through counseling in Generation Program Plan (GENRE). Genre was can be a alternative solution to decrease premarital sexual behavior

Pengaruh Aktivitas Seksual Pranikah, Ketaatan Beragama dan Sosial Ekonomi terhadap Kehamilan Remaja di Kecamatan Saptosari Gunungkidul

Teenage pregnancies still prevalent in rural areas with a low levels of family income. Teenage pregnancy may cause maternal mortality and infant mortality. This study was conducted to analyze the risk factors of teenage pregnancy in the District Saptosari Gunungkidul. This research used analytical observational study with case control design. Data was collected by interview with 46 teenagers, consisted of 23 pregnant teenagers and 23 nonpregnant teenagers in Saptosari Gunungkidul. The samples were taken by simple random sampling method and interviews were conducted with respondents to get the information about the variables studied. The independent variable were premarital sexual activity, religious obedience and social economic. Dependen variable in this study was teenage pregnancy. Data was analyzed using binary logistic regression ( α 0.05 ). The result showed that there was influence of religious obedience on teenage pregnancy. Teenage with low religious obedience had high risk to have teenage pregnancy than those with high level of religious obedience with OR 57,8. Teenage with low social economic had high risk to have teenage pregnancy than those with high social economic (OR: 63,9). The conclusion of this research is risk factors which infl uence the occurrent off teenage pregnancy are religious obedience and social economic

PERANCANGAN SISTEM INFORMASI PELAYANAN ANTENATAL TERPADU (SIPAT)

Hasil Survei Demografi Kesehatan Indonesia tahun 2012 AKI 359 per 100.000 kelahiran hidup naik dibandingkan tahun 2002 sebesar 307 per 100.000 kelahiran hidup. Angka tersebut berbanding terbalik dengan pencapaian cakupan pelayanan pada periode yang sama, yaitu angka pencapaian cakupan periksa kehamilan (92%-98%); persalinan oleh tenaga kesehatan (66%-83%); persalinan di fasilitas pelayanan kesehatan (40%-63%). Saat ini pencatatan hasil pemeriksaan antenatal masih sangat lemah, sehingga data tidak dapat dianalisa untuk peningkatan kualitas pelayanan antenatal. Penelitian bertujuan merancang prototype Sistem Informasi Pelayanan Antenatal Terpadu (SIPAT). Perancangan SIPAT dengan metode System Development Life Cycle (SDLC). Wawancara mendalam dan Focus Group Discussions (FGD) dilakukan untuk memperoleh data yang diperlukan. Prototipe SIPAT berbasis web dirancang dengan menggunakan PHP 5 dan Javascript, Firebird database, and Apache web server. Prototype SIPAT berbasis web dirancang bagi bidan dalam melakukan pencatatan ANC terpadu secara elektronik yang meliputi registrasi pasien; anamnesis dan pemeriksaan fisik; laboratium; penatalaksanaan kebidanan termasuk KIE; diagnosis dan saran tindak lanjut. Output berupa informasi kesehatan individual skor risiko kehamilan metode Poedji Rochjati dan grafik pertumbuhan BB bumil berdasarkan IMT sebelum hamil. Informasi kesehatan aggregat berupa Kohort Ibu dan laporan PWS ANC. Kesimpulan penelitian SIPAT menghasilkan informasi kesehatan bumil individual dan agregat yang diperlukan bidan dalam manajemen ANC terpadu

Indicators of Husband's Role in Pregnancy and Maternity Care

The maternal mortality rate (MMR) in developing countries is still a major health problem, including in Indonesia. Antenatal Care (ANC), delivery with skilled birth attendance (SBA) at the time of delivery and delivery in institutional are universally considered important for reducing maternal mortality. Husbands can play a crucial role in pregnancy and childbirth. Therefore, the aim of this study was analyze the indicators of husband's role in pregnancy and maternity care which were suspected as one of the determinants of   ANC and SBA use in Polewali Mandar Regency. The population of this prospective cohort study was all married and pregnant woman, before using contraceptives and contraceptive failure or not using contraception and pregnancy is planned, unplanned pregnancy or mistimed pregnancy in Polewali Mandar 2015 (Size of sample = 100). Samples were randomly selected from participants of screening in 12 sub-districts in Polewali Mandar. Data about husband's role in pregnancy and maternity care was obtained through interviews using a structured questionnaire data processing by using SMART-PLS.  The result of data analysis suggested that the coefficient value that has been standardized from each indicator were as follows: accessibility = 0.944 and engagement = 0.954, dan responsibility = 0.968. Indicators of organizational support in implementing Maternal and Child Health Information System at Polewali Mandar Regency, respectively from the most important are: responsibility, engagement, and accessibility

Health risks associated with high waist circumference: a systematic review

Obesity is a health disorder characterized by an increase in body weight, measured by waist circumference. High waist circumference is linked to potential development of non-communicable diseases. A systematic review study was used to explore health risks of high waist circumference through Google Scholar, Science Direct, Pubmed, and Proquest. Findings show that high waist circumference increased the risks of developing hypertension, type 2 diabetes mellitus, hypercholesterolemia, joint pain, low back pain, and hyperuricemia. It is recommended that government increase their role in raising public awareness to maintain healthy lifestyle

Survival Analysis of Hemodialysis Patients

Survival analysis as a collection of statistical procedures for analyzing the data that its outcome variable was the time to occurrence of an event. Kaplan-Meier method is a type of survival analysis technique, this method is often called the Product Limit Method. Chronic Kidney Disease (CKD) became one of the public health problem throughout the world, including Indonesia. The number of hemodialysis patients has increased every year and have an impact on increasing the number of death in General Hospital Ibnu Sina Gresik. This study was determine the survival of hemodialysis patients using Kaplan-Meier analysis techniques. Non-reactive research with a retrospective cohort using the calculations right censoring. 155 population were taken randomly and sample size of 111. Data were collected using a checklist. The estimated survival time of female, adult age, further education, patients work, patients without insurance, patients with normal nutritional status, patients with a history of disease, patient with hypertention and patient with diabetic had a better survival time. The insurance status, nutritional status, hypertension, and diabetes mellitus were significant difference to the survival time (p-value <0.05). It was necessary special treatment for CKD patients through giving information, education to families and patients to maintain healthy lifestyle

Analisis Hubungan Kunjungan Neonatal, Asfiksia dan BBLR dengan Kematian Neonatal

Infant mortality rate in Bojonegoro increases in 2013 from 10,8 per 1000 live births to 11,89 per 1000 live births. Most infant deaths are in the neonatal period. Neonatal deaths are caused by many factors, one of them is access to health services. Neonatal visit was conducted to determine the earliest possible problems on newborn. The risk of neonatal death may increase if does not meet the neonatal visit. Most infant death are caused by asphixia and low birth weight. This research aimed to analyze the relationship among neonatal visits, asphixia and low birth weight with the incidence of neonatal mortality in Kecamatan Kanor Kabupaten Bojonegoro. This research was observational with case control design. Case population was 13 infant death ≤ 28 and control population was 52 baby alive >28 days in Kecamatan Kanor Kabupaten Bojonegoro. The sampling technique used in this research was simple random sampling. The independent variables of this research were neonatal visit, asphixia and low birth weight.Chi square testshowed there were relationship between neonatal visit( p = 0.00, OR = 280,5), asphixia (p = 0,000), low birth weight (p = 0,000) with neonatal deaths. In conclusion, there was relationship between neonatal visit, asphixia and low birth weight with neonatal mortality in Kecamatan Kanor Kabupaten Bojonegoro