Berbagai Faktor yang Berhubungan dengan Kejadian Gangguan Fungsi Paru dalam Ruang Kerja (Studi Kasus Pekerja Industri Rumahan Electroplating di Kecamatan Talang Kabupaten Tegal)

Background: electroplating home industry use chromium as the base material. Chromium is used in the form of hexavalent chromium, which has toxic effects on health. Electroplating workers exposed chromium through the air into the lungs through inhalation. Objective: Describe the various factors assosiated to the pulmonary dysfunction in a workplace at workers of electroplating home industry . Methods: This study was an observational study with cross sectional approach on 31 electroplating workers with total sampling of each industry. Vital Lung Capacity Measurements with a spirometer with SpyroAnalyzer type ST-75. Dust levels of Chromium with High Volume Sampler. Results: Results minimal amount of dust in the air of 0.0731 μg/m3, the maximum value of dust concentration in the air is 1.8433 μg/m3 μg/m3 with a mean of 0.774357. Multivariate analysis showed a variable duration of exposure to chromium is the most influential variable on the incidence of pulmonary dysfunction, (p = 0.010) with 95% CI (2.11 to 228.56), odds ratio (Exp B) = 21.97. Conclusion: The factor shown to be associated with pulmonary dysfunction in workers chromium electroplating is a duration of exposure to chromium more than 4 hours a day

Health Behavior Associated with Quality of Life among Elderly with Hypertension

Background: The quality of life of elderly people has become increasingly important with the demographic shift to greying population. Quality of life is defined by personal feelings, details, outlook, and day to day experiences, which include how happy and positive one feels, how comfortable and secure, how productive and desired, how healthy and free an individual considers themselves, etc. This study aimed to determine health behavior associated with quality of life among elderly with hypertension. Subjects and Method: This was a cross sectional study conducted at Puskesmas (community health center) Rowosari, Semarang, Central Java. A sample of 62 elderly with hypertension was selected for this study by simple random sampling. The dependent variable was quality of life. The independent variables were adherence to treatment, physical exercise, diet, and smoking. Quality of life was measured by Short Form-36. Dietary pattern was measured by food recall. The other data were collected by questionnaire. The data were analyzed by chi square with prevalence ratio (PR) as the measure of association. Results: Adherence to treatment (PR= 10.27; CI 95%= 2.85 to 36.94; p<0.001), physical exercise (PR= 12.00; CI 95%= 2.26 to 63.86; p= 0.001), good diet (PR= 1.80; CI 95%= 1.40 to 2.34; p= 0.001), and smoking abstinence (PR= 3.36; CI 95%= 1.04 to 10.90; p= 0.038) were associated with better quality of life in elderly with hypertension. Conclusion: Adherence to treatment, physical exercise, good diet, and smoking abstinence are associated with good quality of life in elderly with hypertension

Implementation of SIJAREMAS to Reduce Maternal Mortality at Pku Muhammadiyah, Grobogan, Central Java

Background: Maternal and Neonatal Referal Network Information System (Sistem Informasi Jejaring Rujukan Maternal dan Neonatal, SIJARIEMAS) is a program that seeks to strengthen the referral system of maternal and neonatal health in Indonesia by capitalizing the advancement of information technology. This strategy was developed to reduce maternal mortality rate in Indonesia. This study aimed to analyze the implementation of SIJARIEMAS at PKU Muhammadiyah Hospital in Grobogan District, Central Java. Subjects and Method: This was a mixed qualitative-quantitative study conducted at PKU Muhammadiyah Gubug Hospital, Grobogan, Central Java, from May to October, 2017. The key informants of the qualitative study included manager and head of hospital ward. The variables under study included Input (Man, Machine, Material, Method), SIJARIEMAS implementation, and Output (maternal mortality). Results: Standard Operating Procedure already existed with 20 indicators. Machine and Material: Service Room, PC Client/ Tablet, Internet Connection, Speaker, LED Monitor, Phone line, Mobile Phone, already existed. Man: 1 Information Technology technician who was concurrently also an administration personnel, super administration staff, 2 midwives, 1 nurse, 1 general practitioner, and 2 obstetric specialists. Implementation: 10 out of 20 indicators did not performed well. The lowest compliance was that of the referring midwife, who did not communicate well with the Emergency Officers along the way to the Referral Hospital (72.7%). The most common obstetric problem was premature rupture of membranes (40%). There was no maternal death of SIJARIEMAS referral during the study. Conclusion: SIJARIEMAS has been already implemented at PKU Mu­ham­madiyah Gubug Hospital, Grobogan, Central Java. However, its performance has yet to be improved. The implementation should conform with the standard operating procedure. Keywords: SIJARIEMAS, maternal mortality rat

Effect of Child Growth and Development Training on The Knowledge and Attitude among Community Health Workers in Semarang, Central Java

Background: Measuring and monitoring a child’s growth is important to judge the adequacy of diets or supplementary food being given. Monitoring child's development is critical to find out if a child's development is on track. It is important to act early if there are signs of potential development delay because early treatment is so important for improving a child's skills and abilities. This study aimed to determine effect of child growth and development training on the know¬ledge and attitude among community health workers in Semarang, Central Java. Subjects and Method: This study was a quasi-experimental with pretest and posttest with no control design conducted at Rowosari Puskesmas (community health center), Semarang, Central Java. The study subjects involved 62 community health workers (CHWs). The dependent variables were knowledge and attitude about child growth and development. The independent variable was training on how to measure and monitor child growth and development. The data were collected by questionnaire, and analyzed by Wilcoxon test. Results:Knowledge was higher after training (Mean= 77; SD= 9.8) than before (Mean= 68; SD= 11.2), and it was statistically significant (p= 0.001). Attitude was higher after training (Mean= 80; SD= 12.8) than before (Mean= 70; SD= 10.1), and it was statistically significant (p= 0.001). Conclusion: Training is effective in improving knowledge and attitude about child growth and development monitoring among CHWs. Keywords: knowledge, attitude, growth,development, monitoring, children, community health workers

Determinan yang Berhubungan dengan Kejadian Malaria di Indonesia Tahun 2016

Malaria merupakan penyakit infeksi penyebab kematian global. Annual Malaria Incidence (AMI) secara nasional 2,9 %. Annual Parasite Incidence (API) tahun 2007 hingga 2009 sangat tinggi, masing-masing sebesar 32‰,28‰,31‰, sedangkan rata-rata API Nasional (&lt;5‰). Banyak faktor yang berkorelasi dengan kejadian Malaria, diantaranya sosial ekonomi dan kesehatan lingkungan. Penelitian ini bertujuan untuk mengidentifikasi determinan yang berhubungan dengan kejadian malaria. Jenis penelitian adalah studi ekologi. Populasi dan unit analisis adalah semua Provinsi yang ada di Indonesia tahun 2016 sebanyak 34 Provinsi, menggunakan sumber data Profil Kesehatan Indonesia dan Laporan Badan Pusat Statistik tahun 2016. Analisis univariate dilakukan terhadap distribusi faktor risiko Malaria dan Analisis bivariate dengan korelasi spearman pada tingkat kepercayaan 95%, juga dilakukan analisis trend kejadian Malaria (API) selama sepuluh tahun di Indonesia. Hasil penelitian diketahui ada hubungan proporsi penduduk ber-pendidikan rendah (r=0,42), penduduk miskin (r=0,47), rumah tangga kumuh (r=0,57), proporsi desa ber-sanitasi total berbasis masyarakat (r=-0,41) dan proporsi akses sanitasi layak (r=-42) dengan kejadian Malaria. Tidak ada korelasi antara luas lahan kebun sawit, jumlah Perusahaan tambang dan jumlah petani karet dengan kejadian Malaria. Diperlukan upaya-upaya peningkatan ekonomi kerakyatan agar sosial ekonomi masyarakat meningkat serta edukasi tentang sanitasi dan kesehatan lingkungan untuk menekan kejadian malaria

The Influence of Interactional Teaching Style on the Independence Characters of Elementary School Students

This study is motivated by teachers' existence in elementary schools (ES), especially in grades IV, V, and VI, because there are still many who use traditional teaching styles. This makes it difficult for students to understand the learning material, and students are less independent in the learning process. A significant influence between teacher teaching styles that are interactional on the independent character of elementary school students. This research uses quantitative methods with data analysis; validity test, reliability test, normality test, simple linear regression test. In contrast, the sample in this study was selected randomly, namely students in grades IV, V, and VI at ES at SDN Ketapanrame 1 Trawas. The data analysis results showed a significant influence between the interactional teaching style of the teacher on the independent character of elementary school students as evidenced by the t-test results of 5.386 with a significant level of .000. The interactional teaching style affected the independent character of students