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The level of Escherichia coli contamination in foods and drinks sold at canteens campus Susanna, Dewi; Eryando, Tris; Indrawani, Yvonne M.
Medical Journal of Indonesia Vol 20, No 1 (2011): February
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.451 KB) | DOI: 10.13181/mji.v20i1.431

Abstract

Background: Bacterial contamination is a common phenomenon in foods served in campus canteens and my cause physical illness which will affect academic activity. The aim of this study was to rank the level of Escherichia coli contamination in food and drink in campus canteens.Methods: Forty nine (49) foods and 24 types of drink were examined using conventional agar broth method for calculation of most probable number (MPN). The steps of the mothod were presumptive test for coliforms, fecal coliforms and E. coli, confirmes test for coliforms, fecal coli and E. coli and then completed test for E. coli. An analysis for contamination by E. coli in meals, utensils, and on the hands of the server was also undertaken. The data analyzed in percentage and rank all type of foods and drinks, also rank based on the location.Results: Almost all type of meals was contaminated. Meals with chili sauce were the most risky from the contamination of E. coli (90.15 %), then followed by dry meals (38.89%), while the wet meals were the the most unrisky meals. In  drinks, the highest was lacy juice, followed by jambu (guava) juice, then Sirsak and Orange juices on the third rank, while the mango juice was the lowest contamination. Melon juice, cappucino and fruit-coctail did not have E. coli  contamination.Conclusion: The contamination in the top three rank of contamination could be from the utensils used and foodhandler. (Med J Indones 2011; 20:66-70)Keywords: campus, canteen, drink, Escherichia coli, food
HUBUNGAN PERAN DAN FUNGSI MANAJEMEN KEPALA RUANGAN DENGAN KEBERHASILAN PELAKSANAAN PROGRAM PENGENDALIAN INFEKSI NOSOKOMIAL Hanny Handiyani; Allenidekania Allenidekania; Tris Eryando
Jurnal Keperawatan Indonesia Vol 8 No 2 (2004): September
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v8i2.148

Abstract

AbstrakArtikel ini merupakan hasil penelitian yang bertujuan untuk membuktikan adanya hubungan peran dan fungsi manajemen kepala ruangan (karu) dengan faktor keberhasilan kegiatan pengendalian infeksi nosokomial (IN). Metoda yang digunakan adalah deskriptif analitik secara cross sectional. Responden penelitian adalah total populasi karu rawat inap (N=43) di suatu rumah sakit (RS). Hasil penelitian yang menggunakan force model menunjukkan adanya hubungan bermakna antara peran dan fungsi manajemen karu dengan faktor keberhasilan kegiatan pengendalian IN. Dari analisis multivariat tanpa force model didapatkan bahwa karu yang melakukan fungsi perencanaan yang baik berpeluang meningkatkan keberhasilan pengendalian IN 8,997 kali dibandingkan dengan karu yang melakukan fungsi perencanaan kurang baik setelah dikontrol oleh usia dan masa kerja sebagai karu. Karu yang melaksanakan fungsi pengarahan dengan baik berpeluang meningkatkan keberhasilan pengendalian IN 21,411 kali dibandingkan karu yang berfungsi pengarahan kurang baik setelah dikontrol oleh usia dan masa kerja sebagai karu. Rekomendasi untuk pihak manajer keperawatan RS agar meningkatkan peran dan fungsi karu sebagai manajer terdepan di ruang rawat melalui dukungan kebijakan dan fasilitas yang mendukung upaya tersebut. AbstractThis article are study aimed to find the correlation between the role and function of management of ward manager and the achievement of nosocomial infection control activities. The descriptive analytical method with cross sectional approach was used in this study. Total population of 43 ward managers of a hospital as the respondent. The findings with used force model showed that there was significant correlation between the role and function of management of ward manager and the achievement of nosocomial infection control activities. Multivariate analysis without force model showed that the ward manager who performed their planning function effectively could increase the achievement of nosocomial infection control 8,977 times more than the ward manager who did not perform their planning function effectively. Furthermore, the ward manager who performed their directing function effectively could increase the achievement of nosocomial infection control 21,411 times more than the ward manager who did not perform their directing function effectively. Based on the results, it is recommended that the ward manager as the front line of managers in the hospital to improve their role and function in controlling nosocomial infection.
Kinerja Perawat CMHN Berdasarkan Faktor Pengorganisasian Program CMHN Sulastri Sulastri; Budi Anna Keliat; Tris Eryando
Jurnal Keperawatan Indonesia Vol 12 No 3 (2008): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v12i3.214

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AbstrakPenelitian dengan metode kuantitatif dan kualitatif ini bertujuan mengetahui kinerja 55 perawat CMHN, faktor-faktor yang berhubungan dengan kinerja, dan persepsi perawat terhadap hubungan antara pelatihan dengan kinerja perawat CMHN di Pidie, NAD. Hasil analisis bivariat dengan uji chi-square menunjukkan bahwa jenis kelamin (p= 0,047, α= 0,05), pendidikan (p= 0,001, α= 0,05), proses rekrutmen (p= 0,006, α= 0,05), proses pelatihan (p= 0,0001, α= 0,05), supervisi (p= 0,022, α= 0,05), dan dukungan organisasi (p= 0,006, α= 0,05) berhubungan dengan kinerja perawat CMHN. Hasil analisis kualitatif dengan teknik content analysis terhadap lima partisipan diketahui bahwa perawat CMHN memperoleh pengetahuan, keterampilan, pengalaman, dan peningkatan produktivitas melalui pelatihan sehingga dapat menampilkan kinerja yang baik sebagai perawat CMHN. Program CMHN disarankan dapat diterapkan baik pada tingkat provinsi maupun kabupaten/ kota untuk meningkatkan kualitas pelayanan kesehatan jiwa masyarakat. AbstractThis quantitative and qualitative research was aimed to identify the performance of 55 CMHN nurses, the influencing factors of their work performance, and nurse’s perception toward dominant factors of the performance. The chi-square identified that gender (p= 0,047, α= 0,05), education (p= 0,001, α= 0,05), recruitment process (p= 0,006, α= 0,05), training (p= 0,0001, α= 0,05), supervision (p= 0,022, α= 0,05), management support factor (p= 0,006, α= 0,05) were significantly related to the CMHN nurse’s work performance. For the approach of qualitative analysis conducted with the technique of content analysis. The qualitative content analysis from the in-depth interview result showed CMHN nurses gained knowledge, skill, experience, and productivity improvement through CMHN training. CMHN program was suggested to be applied at level of province, district/ town to increase the quality of community mental health nursing service.
Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) di Kecamatan Babakan Madang, Kabupaten Bogor Tahun 2019 Dion Zein Nuridzin; Martya Rahmaniati; Tris Eryando; Rico Kurniawan; Retnowati Retnowati
Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Vol 15, No 1 (2020)
Publisher : STIKes Surya Global Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (673.521 KB) | DOI: 10.32504/sm.v15i1.378

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Background of Study: Currently, Indonesia has not succeeded in achieving a “Healthy Indonesia” as desired in the National Long-Term Development Plan. Realizing this problem, the government created Healthy Indonesia Program with a Family Approach (Program Indonesia Sehat-Pendekatan Keluarga or PIS-PK). This study aims to determine the coverage of 12 PIS-PK indicators and the category of healthy family index (HFI). Methods: This study used a cross-sectional study. The data source comes from the 2019 Demographic Health Surveillance System in Babakan Madang subdistrict, Bogor Regency which was collected by health cadres. Data analysis was carried out on 19,330 families using SPSS and mapping using Arcview. Results: Indicators of PIS-PK with high coverage are children under five receiving growth monitoring (96.9%), families having access to clean water facilities (88.9%), and families having access to or using healthy latrines (87.8%). A total of 10.3% were healthy families, 64.7% were “pra-sehat” families, and 25.0% were unhealthy families. All villages in Babakan Madang Subdistrict are categorized as unhealthy villages (HFI
Commuting Patterns and Health Problems of Commuters in Regional Tourist Destination (Case Study in Denpasar Greater Area) Milla Herdayati; Tris Eryando
Media Kesehatan Masyarakat Indonesia Vol. 16 No. 3: SEPTEMBER 2020
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (644.81 KB) | DOI: 10.30597/mkmi.v16i3.9764

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Commuting has become a global phenomenon in various metropolitan cities in the world, including Denpasar. Denpasar is the center of tourist destinations for Indonesian and foreign tourists. This condition makes Denpasar a business and economic center for residents in the surrounding area. Conditions have encouraged an increasing number of commuter workers in Denpasar from sub-urban areas. The people are facing several problems such as traffic, air, noise, thermal pollution, and long duration of commuting. This study aims to analyze the relationship between commuting patterns and health problems among workers in Denpasar metropolitan areas in Indonesia. This study analyzed by using secondary data of the Sarbagita (Denpasar, Badung, Gianyar, and Tabanan) Commuter Survey 2015 from CBS Indonesia. Sample study: commuter workers aged 15-65 years with inclusion criteria are commuters passive commuting with all types of transportation except bicycles/walking.  The sampling method used two stages of cluster sampling. The final sample was 652 persons. Statistical analysis used binary logistic regression. The study shows that around one-third of commuters have commuting-related health problems. Health problems are more perceived by formal workers, low incomes, and low-educated. This study shows that distance and transportation mode had correlated with health problems (OR=1.71). Motorcycle and private car users have more health problems than public transportation (OR=2.49; OR=3.13). The impact of commuting for com-muter health can be minimized by providing public transportation that is fast, safe, comfortable, and inexpensive. Local government must encourage the use of public transportation for commuters through campaigns from a public health perspective.
Users’ Perception of the Hospital Information System in a Maternity Hospital in Lampung, Indonesia Al Asyary; Arief Kurniawan Nur Prasetyo; Tris Eryando; Solvay Gerke
Jurnal Kesehatan Masyarakat Nasional Vol 14, No 2 (2019): Volume 14, Issue 2, November 2019
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (70.742 KB) | DOI: 10.21109/kesmas.v14i2.2574

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Hospital information systems (HIS) have been applied on a massive scale; however, user evaluation of their effectiveness, efficiency, and service quality improvements remain rare. This study aimed to describe the utility of information systems from the users’ point of view by using the Technology Acceptance Model (TAM) in a maternity hospital in Lampung, Indonesia. The study provided an overview of the features of the information system and the workflow of the user through this information system. Screenshots were taken by using Camtasia Studio 2.0 Trial Version application software for one day (two shifts) in the outpatient service. The HIS generally supported the workflow, but not all application modules were fully applied. The obstacles appear to be at the registration unit/outpatient registration and queue dashboard, cashier unit, pharmacy unit, medicine storage/room, and poly unit/checking room. A TAM framework, which included perceived ease of use and perceived usefulness of the information system, revealed that the currently implemented HIS was not perceived as optimal. However, users are still optimistic and aware of the usefulness of the information system in supporting their jobs. Thus, leaders have committed to initiate the potential development of this information system in the inpatient polyclinic.
Bayi Berat Lahir Rendah di Rumah Sakit Umum Daerah Pasar Rebo dan Faktor-faktor yang Berhubungan Nur Asniati Djaali; Tris Eryando
Jurnal Kesehatan Masyarakat Nasional Vol. 5 No. 2 Oktober 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (237.139 KB) | DOI: 10.21109/kesmas.v5i2.151

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Salah satu penyebab utama angka kematian bayi yang tinggi adalah masalah berat badan lahir di bawah 2500 gram (berat badan lahir rendah). Berdasarkan data dari Statistik Rumah Sakit Indonesia tahun 2005, sekitar 40,7% kematian bayi disebabkan oleh berat lahir rendah, pertumbuhan janin yang lambat, malnutrisi janin, dan gangguan yang berhubungandengan kecukupan masa kehamilan. Angka BBLR di RSUD Pasar Rebo pada tahun 2007 mencapai 8,7%. Tujuan penelitian ini adalah mengetahui berbagai faktor yang mempengaruhi berat lahir menggunakan data rekam medis RSUD Pasar Rebo. Studi ini menggunakan desain crosseksional dan data retrospektif rekam medis rumah sakit. Populasi penelitian adalah seluruh ibu yang melahirkan di RSUD Pasar Rebo, Sampel diperoleh dengan teknik simple random sampling, dan jumlah sampel dihitung menggunakanrumus sample size uji hipotesis koefisien korelasi dengan variabel kontinyu/ numerik. Hasil analisis dan pengolahan data menunjukkan berat lahir berdistribusi normal dengan rata-rata sebesar 3126,6 gram dan standar deviasi sebesar 453,65 gram. Tingkat pendidikan, usia kehamilan, dankenaikan berat badan ibu selama hamil berhubungan signifikan dengan berat badan bayi lahir. Berdasarkan hasil analisis regresi linier ganda, didapatkan bahwa ketiga variabel tersebut berkontribusi pada berat lahir dan tingkat pendidikan berkontribusi paling besar.Kata kunci: Berat lahir, berat lahir rendahAbstractOf the main causes of high infant mortality rate is birth weight under 2500 gram (low birth weight/LBW). Base on data from Indonesian Hospital Statistic in 2005 =, as much as 40,7% baby’s death was caused by low birth weight, intrauterine growth restriction, fetal malnutrition, and problem relatedwith term of pregnancy. Base on data from sample, LBW in RSUD Pasar Rebo in 2007 reached 8,7%.This study is aimed to know the factors that influence infant birth weight as observed from medical record in Pasar Rebo Public General Hospital, Jakarta, and to identify what factor influence most  in predicting infant birth weight. A cross-sectional study was designed using retrospective data of hospital medical record. The population of this study was all mothers who gave birth in this hospital, had complete registration and data containing variables observed, such as infant birth weight, and at least performed antenatal care visit in the first trimester. Simple random sampling was administered. The amount of samples were obtained using correlation coefficient hypothesis testing sample size formula with continuous variable. Data processing and analysis showed that infant birth weight are distributed normally with mean 3126.6 grams and 453.655 grams standard deviation. Further analysis showed that educational level, term of pregnancy, and weight-gained during pregnancy were significantly related with infant birth weight. Using double linear regression analysis, those three variables contributed in predicting infant birth weight, where the educational level contributed most.Key words: Infant birth weight, low birth weight.
Level of Exposure of Childhood Tuberculosis with Adult Pulmonary Tuberculosis Household Contacts Al Asyary; Tris Eryando; Purwantyastuti Purwantyastuti; Purnawan Junadi; Carol Clark; Edwin van Teijlingen
Jurnal Kesehatan Masyarakat Nasional Volume 12, Issue 1, August 2017
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (107.799 KB) | DOI: 10.21109/kesmas.v12i1.1469

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AbstractPulmonary tuberculosis (TB) in children is a neglected global health problem, with an increasing proportion of TB cases in Indonesia. Children with TB are most often impacted by TB transmission in the population at large, especially adult TB that exists in the child’s household. This study aimed to find protective factors that can keep children healthy despite household adult TB contacts. This study reports on 132 respondents with a case-control study conducted at nine referred hospitals and several health centers based on medical records at Special Region of Yogyakarta Province. The study lasted from January to December 2014, while the data analysis was used by both of bivariate (chi-square) and multivariate (multiple logistic regression) analysis. The study found that healthy houses, especially those with healthy bedrooms and fewer exposures to adult TB sufferer, influenced by confounder variables, protected children from TB even though they were exposed to adult TB in their environment. Longer periods of living together is not a risk factor for children to contract TB when living with adult TB patients at home. However, this risk increases with frequent exposure among children to adult TB patients at home. AbstrakTuberkulosis paru (TB) pada anak kian menjadi masalah kesehatan global yang masih terlupakan seiring dengan peningkatan proporsi TB di Indonesia. Penularan penyakit ini di populasi umum seringkali berdampak pada anak, terlebih ketika kontak TB terjadi di rumah tangga. Penelitian ini bertujuan untuk memperoleh faktor protektif sehingga anak tetap sehat meskipun memiliki kontak dengan penderita TB dewasa serumah. Penelitian ini dilakukan dengan pendekatan kasus-kontrol pada 132 responden anak yang berasal dari delapan rumah sakit rujukan dan beberapa puskesmas di Provinsi Daerah Istimewa Yogyakarta. Penelitian dilakukan dalam periode Januari hingga Desember 2014 yang hasilnya dianalisis dengan uji bivariat (kai kuadrat) dan multivariat (regresi logistik ganda). Hasil penelitian menunjukkan bahwa rumah yang memenuhi syarat kesehatan, yakni ruang tidur yang sehat, serta paparan yang jarang diterima dari penderita TB dewasa mampu memproteksi anak agar tetap sehat meskipun tinggal serumah dengan penderita dewasa penyakit ini. Penelitian ini menyimpulkan bahwa lama tinggal bersama bukanlah faktor risiko penyakit TB pada anak.Hal ini karena meskipun lama tinggal bersama antara penderita TB dewasa dengan anak, namun apabila memiliki paparan yang jarang, hal ini pun tidak signifikan menjadikan anak untuk terkena TB.
COVID-19 Case Fatality Rate and Detection Ability in Indonesia Tiopan Sipahutar; Tris Eryando
Jurnal Kesehatan Masyarakat Nasional Special Issue Volume 1, 2020
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.244 KB) | DOI: 10.21109/kesmas.v15i2.3936

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The world is currently experiencing a COVID-19 pandemic. More than 5 million people have been infected with COVID-19 and more than 300 thousand have died from this virus worldwide. In Indonesia, the number of infected people has reached more than twenty thousand people and more than one thousand people have died from this virus. During the COVID-19 pandemic, Case Fatality Rate was a very important measure for many people because death is very important to each person, including questions of when and how death will occur and whether there is any way to delay it. However, caution is needed in calculating and displaying CFR. This paper will present the uses and the weaknesses of CFR in the context of the COVID-19 pandemic in Indonesia.
Faktor Dominan yang Mempengaruhi Kejadian Malaria di Perdesaan Dewi Susanna; Tris Eryando
Jurnal Kesehatan Masyarakat Nasional Vol. 4 No. 4 Februari 2010
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.384 KB) | DOI: 10.21109/kesmas.v4i4.176

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KLB malaria selama periode 1998-2003 telah menyerang 15 propinsi yang meliputi 84 desa endemis dengan jumlah penderita 27.000 dengan kematian 368. Hewan besar seperti sapi, kerbau dan kuda adalah merupakan cattle barrier malaria. Hewan tersebut perlu diteliti agar dapat diketahui jenis hewan dan tempat hidup hewan (kandang) terhadap kejadian malaria. Tujuan umum penelitian ini adalah untuk mengetahui faktor dominan yang mempengaruhi kejadianmalaria di pedesaan. Jenis penelitian adalah non-intervensi, merupakan analisis lanjut data sekunder yaitu “Riset Kesehatan Dasar 2007”. Subyek yang dianalisis sebanyak 618.593 yang bertempat tinggal di perdesaan. Analisis dilakukan dengan metoda multivariat menggunakan regresi logistik. Ternak dibagi menjadi empat kategori, yaitu unggas (ayam, burung, dan bebek/itik), ternak besar (sapi, kuda, dan kerbau), ternak sedang (babi, domba,dan kambing), danternak kecil (kucing, anjing, dan kelinci). Faktor yang paling dominan mempengaruhi kejadian malaria adalah kepemilikan ‘ternak sedang’ (kambing, babi, dan domba), dengan OR = 0,52 (0,50-0,54). Faktor yang paling dominan mempengaruhi kejadian malaria adalah tidak adanya ‘ternak sedang, yaitu kambing, babi, dan domba.Kata kunci : Ternak, perdesaan, malariaAbstractMalaria outbreak in the period of 1998-2003 was occurred in 15 province including 84 endemic villages with number of cases of 27 000 and deaths of 368. Big cattles such as cow, horse and buffalo have been known as cattle barrier for malaria, while others have not been investigated yet. The objective of this research was to know the dominant factor related to cattle which influenced malaria in village area. The secondary data from ‘Riset Kesehatan Dasar 2007” had been used in this research with total population of 618593 who lived in village area and was analyzed using logistic regression test. Cattle as independent variable was divided into four categories, they were poultry (chicken, bird, and duck), big cattle (cow, horse and buffalo), medium cattle (pig, sheep, and goat), and small cattle (cat, dog, and rabbit). The most dominant factor for protection of malaria was medium cattle (pig, sheep, and, goat) as protective with Odds Ratio of 0.52 (0.50-0.54). The other cattle had Odds Ratios less than 2, although they had p value < 0.05. The medium cattle was the dominant factor influenced malaria in village area, while others did not have effect.Key words : Cattle, village, malaria
Co-Authors Aenaya Delavera Aenaya Delavera Afriansyah, Eddy Agung Waluyo Al Asyary Al Asyary Aldila Riznawati Aldila Riznawati Aldila Riznawati Allenidekania Allenidekania Apriningrum, Nelly Aria Kusuma Aria Kusuma Arief Kurniawan Nur Prasetyo Arman Harahap Artha Prabawa Artha Prabawa Astuti Yuni Nursasi Bagus, Nurzahara Bahar, Ryza Jazid Budi Anna Keliat Carol Clark Daniah Daniah Delavera, Aenaya Deny Yudhistira Deny Yudhistira Dera Alfiyanti Dewi Susanna Dia Wulandari Dian Kistiani Irawaty Dian Pratiwi Dian Pratiwi Dian Pratiwi Dian Pratiwi Doni Lasut Doria, Magda Dwi Prihatin Era Edwin van Teijlingen Efi Trimuryani Elly Nurachmah Elysabeth Sinulingga Fajar Nugraha Falupi, Lilik Aryani Hanny Handiyani Helmi Safitri Hermansyah, Hendra Irawaty, Dian Kristiani Jesa Nuhgroho Kemal N. Siregar Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Martya Rahmaniati Meiwita Budiharsana Milla Herdayati, Milla Nani Nurhaeni Negari, Nurfatia Nuhgroho, Jesa Nur Asniati Djaali Nurfatia Negari Nurhidayah, Nurhidayah Nuridzin, Dion Zein Nurzalia Safanta Purnawan Junadi Purnawan Junadi Purnawan Junadi Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Purwantyastuti Rahmadewi Rahmadewi Rani Delfiyanti Ratih Trivalni Ratna Sitorus Resti Sintya Ervina Restu Apriena Putri Restu Apriena Putri Retnowati Retnowati Riris Dian Hardiani Ristina Rosauli Harianja Riznawati, Aldila Roma Tao Toba MR Ryza Jazid Safitri, Helmi Saini, Izzatul Mardiah Sipahutar, Tiopan Solly Aryza Solvay Gerke Sri Yona Sulastri Sulastri Supriyadi Supriyadi Suprohaita Rusdi Talib Tiopan Sipahutar Tiopan Sipahutar Tiopan Sipahutar Tri Agustini Violila, Vallery Warendi Warendi Winarni Naweng Triwulandari Winnie Tunggal Mutika Yati Afiyanti Yudhistira, Deny Yulia Herawati Yvonne M. Indrawani