Faktor Risiko Penyakit Ginjal Kronik : Studi Kasus Kontrol Di Empat Rumah Sakit Di Jakarta Tahun 2014

A case control study was conducted in four government hospitals in Jakarta according to KidneyDisease Improving Global Outcome (KDIGO) 2012 criteria, in the last 10 years. Control subjectswere diagnosed as not CKD based on estimating glomerulus filtration rate (e-GFR) of ≥60ml /minute/1.73m2 and normal urinalysis test. Data were collected by interviewing with subjects usingstructured questionnaires. Laboratory test results were extracted from the medical records orretested laboratory results of serum creatinine, HbA1c, and urinalysis at screening and enrollmenttime. A total of 429 eligible subjects in each group were analysed by logistic regression. Age, familyhistory of CKD, plain water consumption ≤2000ml/day, carbonated drink consumption, energy drinkconsumption, history of kidney diseases, kidney stone, hypertension, and diabetes mellitus increasedrisk of CKD with adjusted odds ratio range from 1.8 to 25.8. Consumption of coffee, tea, chocolate,alcohol drinks, non-steroid anti-inflammatory drug (NSAID), traditional herbal for musculoskeletaldisorder or obesity, smoking, and less quality of drinking water were not significantly associatedwith CKD. It concluded that risk factors of CKD were everyday consumption of carbonated drinkand energy drink

Praktek Pencegahan Penyakit Menular dan Faktor yang Berperan pada Pekerja Laboratorium Puskesmas di Tiga Provinsi di Indonesia, Tahun 2012

Laboratorium merupakan salah satu lokasi kerja di pelayanan kesehatan yang memberikan risiko lebih tinggi untuk terpapar kuman TB lebih tinggi dibandingkan ruang kerja lainnya. Kewaspadaan dan perilaku pencegahan penyakit menular terutama TB pada pekerja laboratorium sangat perlu diperhatikan. Penelitian ini bertujuan mengidentifikasi praktek pencegahan penyakit menular dan faktor yang berperan pada pekerja laboratorium di tiga provinsi di Indonesia. Penelitian dilakukan secara potong lintang, pada 60 pekerja laboratorium yang bertugas di 50 Puskesmas (Puskesmas rujukan mikroskopis/PRM dan Puskesmas pelaksana mandiri/PPM) di Provinsi Banten, Provinsi Gorontalo, dan Provinsi Kalimantan Selatan. Data dikumpulkan melalui wawancara dengan menggunakan kuesioner terstruktur dan observasi, pada tahun 2012. Praktek pencegahan penyakit menular ditentukan berdasarkan 14 pertanyaan. Hanya 40% dari 60 pekerja laboratorium yang baik dalam praktek pencegahan penyakit menular saat bekerja di laboratorium. Pekerja dari Puskesmas di Provinsi Banten berpeluang 4,2 kali lebih banyak untuk baik dalam praktek pencegahan penyakit menular dibandingkan dengan pekerjadari Puskesmas di Provinsi Kalimantan Selatan (p=0,03 OR 4,21; 95%CI 1,14-15,47). Pekerja dari Puskesmas di Provinsi Gorontalo tidak berbeda dengan pekerja dari Puskesmas di Provinsi Kalimantan Selatan dalam praktek pencegahan penyakit menular (p=0,08 OR 5,51; 95%CI 0,83-36,73). Faktor lama kerja dan jenis Puskesmas merupakan faktor perancu terhadap hubungan antara lokasi provinsi pekerja laboratorium dengan praktek pencegahan penyakit menular (p>0,05). Lokasi provinsi dimana Puskesmas berada merupakan faktor yang berhubungan secara signifikan terhadap praktek pencegahan penyakit menular.Kata Kunci : pekerja laboratorium, Puskesmas, pencegahan penyakit menular AbstractLaboratory is one of the health care locations with higher risk for tuberculose infection (TB) than other workplaces. Awareness and infectious disease prevention practice of the laboratory workers should be encouraged. This study aimed to identify the infectious disease prevention practice and related factors of laboratory workers, in three provinces in Indonesia. A cross sectional study was conducted in Banten Province, Gorontalo Province, and South Kalimantan Province in 2012. Data were collected by interviewing 60 laboratory workers from 50 Primary Health Centers (PHC) using structuredquestionnaires and observation. The infectious disease prevention practice was assessed by scoring 14 questions. Only 40% of the 60 laboratory workers were good in practising infectious disease prevention while working in the laboratory. Laboratory workers from PHC in Banten Province were 4.2 times higher in good infectious disease prevention practice than workers from PHC in South Kalimantan Province (p=0.03 OR 4.21; 95%CI 1.14-15.47). Laboratory workers from PHC in Gorontalo Province were not significantly different in good infectious disease prevention practice than workers from PHC in SouthKalimantan Province (p=0.08 OR 5.51; 95%CI 0.83-36.73). The length of work and type of PHC were not significantly associated with infectious disease prevention practice (p> 0.05) but became confounders to the association of province location with infectious disease prevention practice. Infectious disease prevention practice was associated with the province where PHC located.Keywords: laboratory worker, primary health center, infectious disease preventio

Sarana Sanitasi Dasar dengan Kejadian Diare pada Balita

  Penyakit diare merupakan masalah kesehatan masyarakat yang perlu di perhatikan karena penyumbang utama ketiga angka kesakitan dan kematian anak. Tahun 2015 angka kejadian diare tertinggi terjadi di wilayah kerja Puskesmas Pauh Padang dengan persentase 8,41% yang  tertinggi terdapat di wilayah Limau Manis Selatan. Jenis penelitian adalah deskriptif analitik dengan rancangan Cross Sectional. Penelitian Bulan Februari – Agustus  2016. Populasi adalah seluruh KK yang memiliki Balita di Kelurahan Limau Manis Selatan Kecamatan Pauh Padang. Pengambilan sampel secara proporsional sampling sebesar 73 orang. Data dianalisis secara distribusi frekuensi dengan uji statistik chi square. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara kondisi sarana: penyediaan air bersih, jamban keluarga, pembuangan air limbah dan pembuangan sampah keluarga dengan kejadian diare pada Balita. Melalui Pimpinan Puskesmas  disarankan untuk  selalu mengaktifkan progam kesehatan lingkungan mengadakan penyuluhan tentang pentingnya menjaga sanitasi lingkungan rumah tangga yang meliputi penyediaan air bersih, jamban, mengelola air limbah dan mengelola sampah.    Kata kunci : Diare, Air Bersih, Kotoran Manusia, Sampah, Air Limba

Peran Latihan Tangan Dalam Pencegahan Carpal Tunnel Syndrome Pada Perempuan Pekerja Garmen

Carpal tunnel syndrome (CTS) is one of the commonest cumulative traumatic disorder causedby medianus nerve entrapment in carpal tunnel at the wrist. Carpal tunnel syndrome is related to repetitivebiomechanical movement in hand at work. To prevent CTS, workers can do the job conditioning, performstretching exercises, and take frequent rest breaks. Objectives: to evaluate the role of hand exercise to thesymptom of CTS among female garment workers. Methods: A quasi-experimental study was conducted at3 garment factories in Jakarta 2004, in 10 months period. Respondents were female workers aged 17 to 40,divided into intervention group and control group. The intervention group was trained to do hand exercise,4 times in 4 months. After training, the respondent should practice it regularly, twice a day, and 3 times aweek in the workplace. The hand exercise practice was evaluated by questionnaire and self control card.The symptoms of CTS were assessed using The NIOSH (The National Institute for Occupational Safetyand Health) criteria for CTS. Results: Amount of subject 201 workers were in the intervention group and126 workers were in the control group. After the intervention, the symptom of CTS such as paresthesia andweakness significantly decreased in the intervention group (p=0,0001 and p=0,01), but the symptom ofCTS such as numbness and pain did not significantly decrease (p>0,05). After the intervention, all of theCTS symptom did not decrease in control group (p>0,05) .Conclusions: Doing the hand exercise regularlycan prevent the symptoms of CTS. The employer should support their workers to do the hand exercise inthe workplace

Pengaruh Bermain Pohon Hitung terhadap Kemampuan Konsep Bilangan pada Anak Usia 5-6 Tahun di Kelompok Bermain Sabrina Kid's 2 Kecamatan Senapelan Kota Pekanbaru

The aim of this study was to know the effect of tree games count towards the introduction of the concept of number of children aged 5-6 years in preschool Sabrina Kid's.2 Senapelan District Pekanbaru .. The population in this study were children aged 5-6 years which consists of class A amounted to 15 people and consists of 7 men and 8 women, the sampling technique used is saturated samples. Data analysis techniques used in this research is the analysis of the t-test, to see the effect of tree games count towards the ability to know the concept of numbers before and after treatment . Data collection techniques in this study using observations. Data analysis techniques used in this research is the analysis of the t-test, to see the effect of tree games count towards kemampuanmengenal concept of numbers before and after treatment using SPSS forwindows Ver.17. based on the results of hypothesis testing is done, the result that the media tree count has a significant impact on the improvement of the ability to know the concept of numbers in children aged 5-6 years in kelompokbermain Sabrina kid's 2 Kecamata Senapelan, Pekanbaru. It can be seen from the results of tests of significance of this difference with the t statistic obtained t = 32.470, df = 14, and the error level of 5% = 2,145, then there is a table t in standard error (32.470> 2.145). Based on the test N-Gain, administration methods Calculate Trees big influence on the ability concept Numbers In children age 5-6 years in early childhood Sabrina kid's 2 Senapelan District, with a value of 76.60% Gain Score

Persepsi Siswa Tentang Variasi Gaya Mengajar Guru Sosiolog di SMA Islamiyah Pontianak

This research goals to determine the perceptions of studens about the variety of teaching styles sociology teacher in class XII IPS SMA Islamiyah. The research form is qualitative with descriptive method. The technique used is observation, interview, and documentary study, while the instruments are observation guide, interview guide, and documentary.The result showed that variety of teaching styles employed by the sicilogical subjects in general is still less than maximum.at the sound variations there are some aspects still less can be carried out with maximum teacher,in the overall emphasis variations (Focusing) have been able to exute with maximum teacher,at the time variations (Pausing) of generally lacking can be carried out with maximum teacher,furthermore,the variations of eye contact with the teacher has done well in one aspect,but the other aspect is still lass than maximum,in the variation of movement of limbs (Gesturing) have not been able to execute with maximum teacher and in the last variation of the variation of moving the position can be implemented with good teachers and a maximum

Penerapan Strategi Directed Reading Activity (Dra) untuk Meningatkan Kemampuan Siswa dalam Membaca Pemahaman Kelas V Sdn 003 Pagaran Tapah Darussalam Kabupaten Rokan Hulu

The background of this study is the low literacy pehaman students, it nini caused by: (1) the ability of students to understand the content of the discourse is still low, it can be seen that only a fraction of the number of students who were able to mention the basic ideas and explanatory discourse; (2) the difficulty of students to identify the views or mandate contained in a discourse, it is seen when asked to mention the views or mandate in the discourse of only one to two students who are able to mention properly; (3) the ability of students to infer the contents of a student discourse is still struggling, it is seen when asked to infer the content of a discourse is also only one or two students to infer the contents of a discourse well; and (4). The difficulty students find important sentences in a discourse, it is seen when given the task of daily tests, most students is difficult to answer. To overcome the lack of ability of the students' reading comprehension strategies writers apply DRA (Directed Reading Activity). This research is a class act who performed two cycles each cycle performed in two meetings. The research was conducted in SDN003 Pagaran Tapah Darussalam, the research subjects were students of class V with the number of 20 students. This study was conducted with four stages, namely: (1) planning; (2) the implementation of the action; (3) observation; and (4) reflection. Based on the survey results revealed that students' reading comprehension before action classical gained an average of 49.80, in the first cycle increased to 63.50, while the second cycle increased by an average of 86.00 with a classical high category