HUBUNGAN STUNTING TERHADAP MASALAH MENTAL DAN EMOSIONAL PADA REMAJA

Latar Belakang Stunting merupakan keadaan tubuh yang pendek dan sangat pendek hingga melampaui defisit -2 SD di bawah median panjang atau tinggi badan. Riset Kesehatan Dasar 2013 mencatat bahwa angka kejadian Stunting di daerah Brebes lebih tinggi dari daerah sekitarnya yaitu 48,7 % dibandingkan kabupaten Pemalang dan Kota Tegal dengan persentase pendek masing-masing 40,3%, serta 40,5%, Tujuan Mengetahui hubungan antara stunting dan non stunting terhadap masalah mental dan emosional pada remaja di SMPN 1 Bulakamba Brebes Metode Penelitian ini dilakukan di SMPN 1 Bulakamba Brebes, sampel yang di teliti sebanyak 128 remaja dengan status stunting dan non stunting, penelitian ini menggunakan desain cross sectional. Data kemudian diolah menggunakan uji regresi logistik Hasil Remaja dengan status stunting sebanyak 39,1 % dan remaja dengan non stunting sebanyak 60,9 %. Tidak didapatkan hubungan yang bermakna antara stunting dan non stunting dengan total skor kesulitan dengan nilai p=0,147; dan tidak didapatkan hasil yang bermakna antara hubungan stunting dan non stunting dengan skor kekuatan ( p=0,572). Tidak ditemukan pula hubungan yang bermakna antara stunting dan non stunting dengan masalah mental dan emosional dengan nilai p=0,601 pada gangguan emosional, gangguan perilaku dengan nilai p=0,770; nilai p=0,299 pada gangguan hiperaktifitas, serta gangguan dengan teman sebaya didapatkan hasil yang tidak bermakna dengan nilai p=0,197 . Simpulan Tidak terdapat hubungan antara stunting dan non stunting terhadap masalah mental dan emosional pada remaja di SMPN 1 Bulakamba Brebes Kata Kunci Stunting, Non Stunting, SDQ, Gangguan Mental dan Emosional, WHO Anthroplu

PENGARUH STIMULASI BERBASIS MEDIA INTERAKTIF TERHADAP PERKEMBANGAN KOGNITIF ANAK USIA 2-3 TAHUN

Background: Cognitive development is one of the important aspect in child’s growth and development. Media and technology stimulation could affect cognitive development, whether positively or negatively. Interactive media is one that could give good effect in child’s development. Objective: To know the difference of cognitive development in child aged 2 to 3 years old between a group that was given interactive media stimulation and a group that wasn’t. Method: The quasi experimental study was conducted in April-May 2016 with children aged 2 to 3 years old in 3 PAUD in Semarang city as a subject. Subject was chosen with purposive sampling method, 60 children was divided into 2 groups, 30 children as control group and the other 30 as intervention group. The cognitive development before and after stimulation’s score was taken with Capute Scales. Stimulation was given to the intervention group for 30 minutes, 2 times a week for 3 weeks Data was analyzed with paired t test, wilcoxon test and mann-whitney test. Result : Both control and intervention group’s CAT score before and after stimulation was increased significantly (p=0,002 and p=0,000). Yet after stimulation’s score for the intervention group was significantly higher than the control group’s score (p=0,000). The difference between before and after stimulation’s score for intervention group was also significantly higher (p=0,001) Conclusion : there is a difference in child’s cognitive development between the one who was given interactive media stimulation and the one that wasn’t. Keywords : interactive media, cognitive development, stimulation

Pembuatan Karya Seni Paper Quilling Bermuatan Cerita Bergambar pada Kelas V SDN 092 Bengkulu Utara

This study aimed to describe the process of making and the results of paper quilling artworks containing illustrated stories in learning of Cultural Arts and Crafts class V SD Negeri 092 Bengkulu Utara. This type of research is a qualitative descriptive study, with participant observation techniques. The subjects of this study were all students of class V SD Negeri 092 Bengkulu Utara, totally 14 students, 9 female and 5 male. The research instrument used was the human instrument, by using interview, observation, and documentation guidelines. Data collection techniques in the form of observation, interviews, and documentation. The data analysis techniques used are data collection, data condensation, data display, and conclusions drawing. The validity of the data used triangulation techniques. The results of the research are (1) the process of making paper quilling artwork by using tools and materials such as glue, scissors, quilling paper rolls, quilling paper, and picture paper. Followed by rolling the quilling paper, applying glue to the rolled paper, forming the roll as desired, attaching the paper quilling roll to the picture paper, making a picture story and finally delivering the story. (2) the work of paper quilling made by students contains the principles of art, namely the principles of unity, rhythm, balance, proportion, emphasis, and harmony

ANALISIS MANAJEMEN PELAKSANAAN PROGRAM PENANGGULANGAN TUBERKULOSIS DI PUSKESMAS KOTA SEMARANG

Latar Belakang Tuberkulosis masih menjadi masalah utama di Indonesia. Hal ini dibuktikan dari angka penemuan kasus di 28 Provinsi di Indonesia yang belum mencapai target, salah satunya adalah Provinsi Jawa Tengah khususnya Kota Semarang. Strategi DOTS yang dilaksanakan di Puskesmas menjadi pilar utama pemberantasan TB di masyarakat. Namun demikian Puskesmas memiliki sumberdaya terbatas sehingga membutuhkan kemampuan manajemen yang memadai dalam pelaksanaannya. Adanya perbedaan yang cukup signifikan pada output (CNR) di Puskesmas Miroto dan Pudakpayung mengindikasikan adanya masalah manajerial di Puskesmas tersebut. Tujuan Mengetahui kondisi sumberdaya, perencanaan program, pelaksanaan, evaluasi dan pengendalian di Puskesmas Miroto dan Pudakpayung dalam pelaksanaan program penanggulangan TB Metode Penelitian menggunakan metode kualitatif dengan indepth interview. Pengumpulan data kualitatif dengan wawancara mendalam dan observasi. Hasil Tidak ada perbedaan kondisi yang signifikan antara kedua Puskesmas, baik dari aspek input/sumberdaya (Man, Money, Machine and Material, Method) maupun prosesnya (perencanaan, pelaksanaan/pengorganisasian dan evaluasi P2TB). Masalah yang dihadapi antara lain kurangnya kualitas dan kuantitas SDM, beban kerja belum ideal, belum ada pelatihan khusus terkait program dari Dinas Kesehatan. Meskipun demikian, untuk mengatasinya kedua Puskesmas memiliki beberapa strategi antara lain pelibatan mahasiswa magang, pertemuan koordinasi rutin dengan Dinas Kesehatan, kemitraan dengan yayasan Aisyiyah dan Global Foundation, pembentukan forum komunikasi antar pemegang P2TB Puskesmas. Kesimpulan Tidak ada perbedaan signifikan dalam manajemen P2TB di kedua Puskesmas namun demikian terdapat perbedaan signifikan pada capaian program TB di kedua Puskesmas dimana Puskesmas Pudakpayung paling rendah capaiannya karena lokasi Puskesmas yang kurang strategis berdampak pada kunjungan masyarakat yang rendah. Kata Kunci manajemen P2TB Puskesmas, DOTS T

Association between Refractive Error and Decreasing Visus in Pregnant Women

Background: Refractive error is a problem with focusing light accurately onto the retina due to the shape of the eye. The most common types of refractive error are near-sightedness, far-sightedness, astigmatism, and presbyopia. Visual impairment from uncorrected refractive errors can have immediate and long-term consequences in children and adults, such as lost educational and employment opportunities, lost economic gain for individuals, families and societies, and impaired quality of life. This study aimed to estimate the association between refractive error and decreasing visus in pregnant women. Subjects and Method: This was a cross-sectional study conducted at Puskesmas (community health center) Gunung Pati, Semarang, Central Java. A sample of 76 pregnant women was selected for this study by simple random sampling. The dependent variable was visus (visual acuity). The independent variable was refractive error. The diagnosis of a refractive error is usually confirmed by an eye care professional during an eye examination using a large number of lenses of different optical powers, and often a retino scope. Visus was measured by Snellen optotype. The data were analyzed by chi square with prevalence ratio (PR) as the measure of association. Results: Refractive error was associated with decreasing visus in pregnant women (PR= 15.00; CI 95%= 4.33 to 52.02; p< 0.001). Conclusion: Refractive error is associated with decreasing visus in pregnant women. Keywords: refractive error, visus, pregnant wome

Occupational Health Profiles among Informal Sector Workers in Jepara, Central Java

Background: Every industry presents various kinds of safety hazards to its employees. The spectrum of possible occupational safety risks ranges from severe and immediate physical dangers to milder hazards. Occupational accidents directly impact the company’s bottom line. An injured employee easily means countless lost man hours and quickly adds up to not only billion rupiahs in company’s expenses. This study aimed to describe occupational health profiles among informal sector workers in Jepara, Central Java. Subjects and Method: This was a cross-sectional study conducted in Plajan village, Jepara, Central Java. A total of 58 informal sector workers were selected for this study. The dependent variable was occupational health. The independent variables were personal protective equipment (PPE), PPE use, occupational disease, work accident, availability of occupational safety and health regulations, smoking prohibition, availability of health workers, availability of the national health insurance (NHI)/BPJS personnel, availability of first aid box, water supply and toilet. The data were collected by questionnaire and described in percent. Results: Out of 58 informal workers under study, 41 (70.68 %) worked in the wood craft industry. PPE was available in 25 (43.1%) locations. PPE use was 2 (3.4%). Occupational accidents and illness occurred in 52 locations. Occupational illnesses included cough (10.3%), eye irritation (27.2%), and hand irritation (10.3%). Causes of occupational accidents included sharp equipment or machine (89.6%) and fire (3.4%). Occupational health and safety regulation was available at 3 (6.8%) locations. Smoking prohibition, health workers, and the NHI personnel, were absent. First aid boxes were available in 31% locations. Water supply and toilet were available at all locations. Conclusion: Occupational health and safety remain sub-optimal among informal sector workers, which require close attention from the management. Keywords: occupational health, safety, accident, informal sector workers

Perbedaan status gizi, kesegaran jasmani, dan kualitas hidup anak sekolah di pedesaan dan perkotaan The comparison of nutritional status, physical fi tness and quality of life of urban and rural school children

Background: The differences in geographic, sosioeconomic and lifestyle between children in rural and urban areas infl uence their nutritional status. The urban children tended to be less active. The evidence suggested that physical activity improves cardiorespiratory fi tness and mental health in young people but study that compare those indicators among rural and urban children was scarce. Objective: To compare the nutritional status, physical fi tness, and quality of life between elementary school children in rural and urban areas. Methods: A cross-sectional study was conducted at Semarang (urban) and Mlonggo (rural) Central Java in 2009. Inclusion criteria was school children aged 9-11 years and had no physical disability. Body composition was measured by Bioelectrical Impedance Analysis, physical activity by Global Physical Activity Questionnaire (GPAQ), physical fi tness by 20-m shuttle run test and quality of life by Pediatrics Quality of Life Questionnaire (PedQoL 4.0). The differences between nutritional status and physical activity were assessed by Chi Square test, while the differences between physical fi tness and quality of life were tested by independent t test (

Perbedaan status gizi, kesegaran jasmani, dan kualitas hidup anak sekolah di pedesaan dan perkotaan

Background: The differences in geographic, sosioeconomic and lifestyle between children in rural and urban areas infl uence their nutritional status. The urban children tended to be less active. The evidence suggested that physical activity improves cardiorespiratory fi tness and mental health in young people but study that compare those indicators among rural and urban children was scarce.Objective: To compare the nutritional status, physical fi tness, and quality of life between elementary school children in rural and urban areas.Method: A cross-sectional study was conducted at Semarang (urban) and Mlonggo (rural) Central Java in 2009. Inclusion criteria was school children aged 9-11 years and had no physical disability. Body composition was measured by Bioelectrical Impedance Analysis, physical activity by Global Physical Activity Questionnaire (GPAQ), physical fi tness by 20-m shuttle run test and quality of life by Pediatrics Quality of Life Questionnaire (PedQoL 4.0). The differences between nutritional status and physical activity were assessed by Chi Square test, while the differences between physical fi tness and quality of life were tested by independent t test (p<0.05).Result: One hundred sixty-two subjects were enrolled in the study (Semarang 82 students; 36 boys, 46 girls and Mlonggo 80 students; 40 boys, 40 girls). Body mass index (18.97 vs 15.16 kg/m2) and body fat (26.03% vs 18.03%) of urban children were higher than that of the rural’s (p<0.001). Children in rural area were signifi cantly more active, have higher physical fi tness level (VO2 max 28.54±1.79 ml/kg/min vs 21.57+1.79 ml/kg/min) (p<0.01), and have higher score in quality of life (2243 + 295,8) compared to the children from urban area (2133 + 369.4) (p<0.05). Conclusion: Rural school children have lower nutritional status than urban children, but they are more active and have higher physical fi tness level. They also have better quality of life

PENGEMBANGAN SISTEM INFORMASI SURVEILANS EPIDEMIOLOGI DEMAM BERDARAH DENGUE UNTUK KEWASPADAAN DINI DENGAN SISTEM INFORMASI GEOGRAFIS DI WILAYAH DINAS KESEHATAN KABUPATEN JEPARA (STUDI KASUS DI PUSKESMAS MLONGGO I)

Penyakit demam berdarah dengue (DBD) merupakan salah satu penyakit menular yang sering menimbulkan kejadian luar biasa (KLB) di Indonesia. Penyakit ini mempunyai perjalanan penyakit yang cepat, mudah menyebar dan dapat menyebabkan kematian dalam waktu singkat. Prediksi kejadian demam berdarah dengue di suatu wilayah, selama ini dilakukan berdasarkan stratifikasi endemisitas, pola maksimal−minimal dan siklus 3−5 tahun sesuai dari data Surveilans epidemiologi. Cara prediksi ini terdapat kelemahan karena berubahnya data menjelang musim penularan DBD dan belum adanya data faktor risiko terkini, sehingga prediksi sering tidak tepat. Data faktor risiko DBD dapat digunakan untuk menentukan jenis intervensi, sehingga kejadian DBD dapat dicegah sesuai konsep kewaspadaan dini. Data surveilans epidemiologi yang dihasilkan, sebagian masih diolah secara manual dan semi otomatis dengan penyajian masih terbatas dalam bentuk tabel dan grafik, sedangkan penyajian dalam bentuk peta belum dilakukan. Berdasarkan kenyataan tersebut, dikembangkan sistem surveilans epidemiologi DBD untuk kewaspadaan dini berbasis Sistem Informasi Geografis (SIG). Pada sistem ini, dilakukan pendataan faktor risiko DBD melalui Rapid Survey pada saat menjelang musim penularan untuk mendapatkan data terbaru untuk menentukan jenis intervensi. Dengan SIG, dapat dihasilkan peta faktor risiko, peta kasus dan peta kegiatan lain, dan dengan teknik overlayer dapat dilakukan perencanaan maupun evaluasi program pemberantasan DBD. Kata kunci : DBD, Rapid Survey, SIG Kepustakaan : 30, 1990 – 200

PENGETAHUAN DAN PRAKTEK BIDAN PUSKESMAS DENGAN TEMPAT TIDUR DALAM MENANGANI KASUS GAWAT OBSTETRI

Departemen kesehatansampai saat ini telah telah banyak membangun Puskesmas dengan tempat tidur dan menyebarluaskan pendayagunaan bidan ke seluruh wilayah. Meskipun demikian angka kematian maternal di Indonesia masih tetap tinggi. Untuk itu maka kami, tim peneliti berkeinginan untuk mengetahui pengetahuan dan praktek bidan puskesmas dengan tempat tidur dalam penanganan kasus gawat obstetri. Penelitian deskriptif ini memakai sampel bidan Puskesmas dengan tempat tidur di Kabupaten Kendal, Jepara dan Kotamadya Semarang. Pada bidan tersebut akan dilakukan wawancara mendalam dengan panduan kuesioner yang sifatnya semi struktur. Hasil studi menyatakan sebagai berikut : 1. Pengetahuan Bidan terhadap faktor penyebab kehamilan Resiko tinggi kurang. 2. Pengetahuan Bidan terhadap kekawatan Obtetri baik. 3. Praktek Bidan terhadap kegawatan Obstetri kurang. Health Department of Indonesia had built the health center with bed and disseminate the midwifes efficiently. But the maternal mortality is still high. Because of that we want to know about knowledge and practice midwifes of the health center with bed in handling the obstetric criticalness. The discriptive survey use the midwifes of the health center with bed in Kabupaten Kendal, Kabupaten Jepara and Kotamadya Semarang as a sample. We use the semi structure quesioner to interview them. The result of studi is : 1. Knowledge of the midwifes for the pregnant risk factor is low. 2. Knowledge good. of the midwifes for the obstetric criticalness is 3. Practice low. of the midwifes for the obstetric criticalness i