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HUBUNGAN HIGIENE PERORANGAN DAN KONDISI FISIK RUMAH DENGAN KEJADIAN PENYAKIT KUSTA (Studi Kasus di Puskesmas Tanjung Bumi Kabupaten Bangkalan Tahun 2019) Tri Agustina Wulansari; Imam Thohari; AT Diana Nerawati
GEMA LINGKUNGAN KESEHATAN Vol 18, No 1 (2020): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v18i1.1119

Abstract

Pada Tahun 2017 Jawa Timur merupakan provinsi yang paling banyak terdapat kusta dengan jumlah kasus baru sebanyak 3373 jiwa. Salah satu kabupaten yang masih ditemukan kasus kusta baru di Jawa Timur yaitu Kabupaten Bangkalan. Dari beberapa penelitian ventilasi, kelembaban,suhu,kepadatan hunian, jenis dinding, jenis lantai, kebiasaan Mandi, Kebiasaan cuci rambut, kebiasaan tidur bersama-sama, serta memakai pakaian dan handuk secara bergantian diyakini berhubungan dengak kejadian penyakit kusta. Tujuan penelitian ini untuk mengetahui hubungan higiene perorangan dan kondisi fisik rumah dengan kejadian penyakit kusta di wilayah kerja Puskesmas Tanjung Bumi Kabupaten Bangkalan. Penelitian ini merupakan penelitian observasional analitik dengan pendekatan (case control). Pengumpulan data dilakukan dengan wawancara dan pengukuran kondisi fisik rumah. Besar sampel sebanyak 35 orang kelompok kasus dan 35 orang kelompok kontrol. Data dianalisis melalui uji Chi Square.Hasil penelitian didapatkan higiene perorangan dan kondisi fisik rumah meliputi pencahayaan, ventilasi berhubungan dengan kejadian penyakit kusta. Sedangkan suhu, kelembaban dan kepadatan hunian tidak berhubungan dengan kejadian penyakit kusta. Disarankan untuk meningkatkan pola hidup bersih dan sehat dengan tidak menggunakan pakaian,handuk, sabun dengan anggota keluarga yang lain, mencuci rambut secara teratur, serta membuka jendela secara rutin.Kata Kunci : Kusta, higiene perorangan, kondisi fisik rumah
EVALUASI TINGKAT POLUTAN DARI KEGIATAN PENGELOLAAN SAMPAH DI RUMAH KOMPOS SRIKANA DAN KEPUTRAN KOTA SURABAYA Irma Nur Asifa; Imam Thohari; Waluyo Jati
GEMA LINGKUNGAN KESEHATAN Vol 11, No 2 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i2.195

Abstract

Garbage materials are able to contaminate the environment in three ways:physically, chemically, and biologically. The large composition of garbage require managementand processing to reduce garbage load entering the TPA. In relation to this, Dinas Kebersihandan Pertamanan Kota 5urabaya has initiated composting of organic wastes partly to reducetheir volume. This study was aimed at measuring pollutants in compost materials especially interms of CO, 502, and H25 parameters. This activity was carried out in Composting Houses of5rikana and Keputran 5urabaya.This descriptive study was performed by measuring CO, SOb and H25 andlaboratory examination. The population under study was composting houses (18 sites) and thesample size was 2 composting houses.Results showed that pollutant level of CO, 502 and H25 in the air was not exceedingthe quality standard being implemented in East Java. The CO level in 5rikana CompostingHouse was 4.21 «(JgjNm3) and in residential area was 3.37 «(JgjNm3). 502 level in compostinghouse was 12.04 «(Jg/Nm3), while outside of house of 16.71 «(JgjNm3) and in residential areawas 4.16 «(Jg/Nm3). The H25 level in composting house was 9.13 «(Jg/Nm3), outside the housewas 6.54«(JgjNm3) and in residential area was 3.22 «(JgjNm3). The CO level in KeputranComposting House was 9.66 «(Jg/Nm3), in outside of the house was 15,74 (uq/Nrn") and in thesurrounding market was 4.18 «(Jg/Nm3). The 502 level in composting house was 6,88«(Jg/Nm3), outside of compost house 19.38«(Jg/Nm3), and in the surrounding market was 2,76«(Jg/Nm3). H2S level in composting house was 16,14 «(Jg/Nm3), in outside of the house was4,49 «(JgjNm3) and in the surrounding market was 1.97 «(Jg/Nm3). Temperature, humidity, andwind velocity lase have some influence as well but not too significant to increase pollutantlevel.It is suggested to Dinas Kebersihan dan Pertamanan Kota Surabaya to addcomposting house in its list of air pollution monitoring station.
PENGARUH TEKANAN PANAS TERHADAP KELELAHAN PEKERJA Margaretha .; Imam Thohari; Marlik .
GEMA LINGKUNGAN KESEHATAN Vol 17, No 2 (2019): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v17i2.1062

Abstract

Fatigue is a condition of decreased efficiency and decreased work capacity and endurance. Fatigue can be influenced by individual factors such as age, length of work and nutritional status. Fatigue can also be influenced by physical environmental factors, namely heat pressure. The purpose of this study was to know the influence of heat pressure on fatigue in workers in the workshop of Sub Assembly, Assembly MPL and Assembly CBL PT. X Year 2019.This type of research is observational analytic with research design using Cross Sectional approach. a sample size of 34 workers. Data analysis was performed by univariate analysis and bivariate test with a statistical test namely Chi Square Test.Research results on workers in the Commercial Ship Division of X mostly aged ≤ 40 years with 91.2% with working duration kerja 8 hours / day as much as 100%, having fat nutritional status as much as 58.8%, heat exposure did not meet the requirements as much as 58.8% and experienced fatigue as much as 88 , 2%. The results of statistical tests using the Chi Square test showed p value equal to 0,039 (p value ≤ 0,05) which means there is an influence of heat pressure on the fatigue of workers in the Merchant Marine Division of PT. X in 2019.It is recommended to add an air ventilation place in the form of a window, adding a blower and workers often consume drinking water provided by the company. Keywords: Heat Pressure, Fatigue
PERILAKU 3M BAGI PENGHUNI RUMAH MEMPENGARUHI KEJADIAN PENYAKIT DEMAM BERDARAH DENGUE Nur Fauziah; Umi Rahayu; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 17, No 1 (2019): GEMA Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v17i1.1053

Abstract

Tindakan pencegahan penyakit Demam Berdarah Dengue dilakukan dengan pengendalian terhadap vektor melalui pemberantasan jentik nyamuk Aedes aegypti yang dapat dikombinasikan dengan perilaku menguras, menutup dan mengubur (3M) sehingga akan menjadi lebih efektif dalam mencegah penyakit DBD. Tujuan dari penelitian ini adalah untuk mengetahui hubungan keberadaan kontainer dengan perilaku 3M (menguras, mengubur, menutup) penghuni terhadap kejadian penyakit DBD.Jenis penelitian ini adalah penelitian Analitik dengan menggunakan studi Case Control dan dilakukan di wilayah kerja Puskesmas Tenggilis dengan besar sampel sebanyak 20 rumah penderita DBD tahun 2016 dan 20 rumah kontrol. Teknik pengambilan sampel menggunakan teknik simple random sampling yang kemudian dianalisis menggunakan uji chi-square dan regresi binary logistic dengan derajat kesalahan (α) sebesar 0,05.Hasil penelitian menunjukkan bahwa, variabel yang berhubungan dengan kejadian Demam Berdarah Dengue di wilayah kerja Puskesmas Tenggilis adalah Sikap (p value : 0,0130,05) dan Tindakan (p value : 0,0270,05)  terkait 3M serta Keberadaan Kontainer (p value : 0,0380,05). Sedangkan variabel yang tidak berhubungan dengan kejadian Demam Berdarah Dengue adalah Pengetahuan terkait 3M (p value : 0.3760,05). Variabel yang paling mempengaruhi kejadian Demam Berdarah Dengue adalah Sikap responden terkait 3M.Hendaknya masyarakat meningkatakan kepedulian terhadap kebersihan lingkungan dan kesadaran akan pentingnya menguras bak mandi secara rutin. Sedangkan bagi instansi Puskesmas dapat lebih sering memberikan edukasi dan informasi terkait penyakit demam berdarah dengue  kepada masyarakat. Kata kunci : DBD, Kontainer, 3M
GAMBARAN LAMA PAJANAN DENGAN KADAR HbCO DALAM DARAH PADA PETUGAS RETRIBUSI TERMINAL PURABAYA BUNGURASIHSURABAYATAHUN 2015 Agustin Wulansari; Rachmaniyah .; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 14, No 1 (2016): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v14i1.120

Abstract

Bus station activity, transportation operations creates high pollution of carbon monoxide (CO) which is so dangerous for retribution officers of Purabaya bus station, Bungurasih. HbCO level can be affected by long exposure. This research aims to describe exposure to carbon monoxide tested through HbCO in the blood of retribution officers of  Purabaya Bus Station Bungurasih.This is a descriptive research with cross sectional approach and uses x Blood Gas analyzer method. Sample of the research was 12 retribution officersworkingin morning and afternoon shift. Data was analyzed by descriptive tabulation in the form of table.Interview was conducted to determine characteristics of the retribution officers of Purabaya Bus station, Bungurasih.Results showed that retribution officers possessed averageHbCO level of 11.94%, exposure duration per day of 8 hours was 66.7% and 41.7% officers had smoking habit of ½ - 2 packs/day.It is concluded that HbCO level in officers blood washigher than normal level( 5%). Improvement is needed in all aspects; all employees working outdoors are recommended to wear mass to filter gases or pollutants in which is harmful for health. They are recommended not to smoke when working. Manager of bus station also needsto do planting in bus station area.
ANALISIS RISIKO PAJANAN KARBON MONOKSIDA (CO) PADA PETUGAS PARKIR DI PASAR KAPASAN SURABAYA TAHUN 2017 Putri Delia Aryagita; Khambali .; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 15, No 2 (2017): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v15i2.672

Abstract

Tempat parkir adalah satu diantara lokasi yang terdapat konsentrasi gas karbon monoksida (CO) yang tinggi yang berasal dari emisi gas buangan kendaraan bermotor. Gas CO apabila terhirup ke dalam paru-paru akan mengikuti peredaran darah dan dapat menghalangi masuknya oksigen yang dibutuhkan oleh tubuh. Hal ini dikarenakan daya ikat dari gas CO terhadap Hb 210 kali dari daya ikat oksigen terhadap Hb. Tujuan dari penelitian ini adalah menganalisis tingkat risiko gas CO terhadap petugas parkir Pasar Kapasan Surabaya.Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Data yang digunakan merupakan data primer hasil wawancara dengan petugas parkir sebanyak 12 orang yang sebagai objek penelitian, wawancara dengan pengelola pasar untuk melengkapi data objek penelitian, dan pengukuran gas CO. Data yang diperoleh selanjutnya dianalisis dengan menggunakan Analisis Risiko Kesehatan Lingkungan (ARKL).Hasil penelitian menunjukkan terdapat peningkatan konsentrasi gas CO di titik ke 2 pada setiap lantai tempat parkir. Lantai I sebesar 27,13 ppm, lantai II sebesar 24,55 ppm, lantai III sebesar 24,19 ppm, dan lantai IV sebesar 23,64 ppm. Nilai intake gas CO tertinggi pada semua responden terdapat di konsentrasi gas CO maksimal, sehingga dapat disimpulkan bahwa seluruh petugas parkir Pasar Kapasan Surabaya berisiko terpajan oleh gas CO (RQ 1).Adapun saran yang ditujukan pada pengelola Pasar Kapasan Surabaya, antara lain perlu melakukan pemantauan kualitas udara baik secara fisik maupun kimia, memperbaiki lingkungan tempat parkir, memberikan shift kerja pada petugas parkir, dan menyediakan masker untuk petugas parkir. Kata Kunci         : Analisis risiko, Karbon monoksida (CO), Petugas parkir
PEMANFATAN DAUN TEBU KERING (DADHOK) DENGAN PENAMBAHANBLOTONG DAN AKTIVATOR EM4 UNTUK PEMBUATAN KOMPOSDI KECAMATAN KREMBUNG KABUPATEN SIDOARJO TAHUN 2015 Fathwa Rakhmawati Kirana; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 13, No 2 (2015): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v13i2.88

Abstract

Dry sugarcane leaves (dadhok) are garbages of sugar cane harvest that have not been managedproperly. One of the alternatives to reduce pollution generated is to use it as compost. This studyaims to determine content of dry sugarcane leaves as compost with the addition of blotong andEM4 activator.This research uses experimental design with Pre-Post Test Only Design. There were fourexperiments conducted within the study: 1st experiment was dry sugarcane leaves (control), 2experiment was dry sugarcane leaves + EM4 activator, 3blotong, 4thrd experiment was dry sugar cane leaves +  experiment was dry sugar cane leaves + EM4 activator + blotong. Data was collectionby measurement and laboratory testing. Data was then analyzed descriptively by referring to theRegulation of the Minister of Agriculture numbers 70 / Permentan / SR.140 / 10/2011 and SNI 197030-2004.Resultshows that of the four experiments conducted, C / N ratio of compost that met the requirement was the 2nd, 3rd, and 4th experiment but only the 3ripe compost requirement (color, texture, smell). Compost of 2ndrd and the 4th experiments fulfilled  experiment was not perfectly ripefor  EM4 only reduce the value of C / N ratio but it cannot degrade the material. On experiment 1,C / N ratio and compost ripeness did not meet the requirement. Macronutrients of all experimentsdid not meet the requirement. This was because the raw material had low macronutrients.Findings conclude that only the 3rd and the 4th experiments meet the requirement of PermentanRegulation number 70 / Permentan / SR.140 / 10/2011 and SNI 19-7030-200. Experiment 1 and 2were not qualified. Findings suggest sugar mills to distribute the abundant waste of blotong tofarmers that it can be used with dry sugarcane leaves as compost. For community who possessugar cane plantations, sugarcane leaves can be used as compost that they can use it to increasetheir income.
KAJIAN SARANA SANITASI DASAR PONDOK PESANTREN AL - FATTAH DI DESA BANJARSARI KECAMATAN BUDURAN KABUPATEN SIDOARJO Eka Anggraini; Imam Thohari; Nur Haidah
GEMA LINGKUNGAN KESEHATAN Vol 11, No 3 (2013): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v11i3.215

Abstract

Basic sanitation in Islamic Boarding School is very necessary to paid attention because of themain problem in Islamic Boarding School as basic sanitation aspects is ineligible. These basicsanitation included clean water supply, trash fill means, wastewater outlet means, latrine meansthat can be produced various diseasessuch as, diarrhea, dermatitis, and inhalation congestion.This research as descriptive research with cross sectional approach purposed to recognize onbasic sanitation means AI-Fattah Islamic Boarding School in Banjarsari village Buduran DistrictSidoarjo Regency, where performed assessmenttoward the conditions of infrastructure such asclean water supply, trash fill means, wastewater outlet means, latrine means. Data collectingdone with observation and interview. Data taken then analyzed descriptively.The result of the research of assessment toward basic sanitation means Al-Fattah IslamicBoarding School included clean water supply gain score 257 (71,3%), trash fill means gain 70(50%), wastewater outlet means gain score 66 (47,2%), latrine means gain score 272 (75,5%).Suggested in order to improving the cleaning frequency in basic sanitation facilities routinely tokeep their cleanliness.Keywords : Basic Sanitation Islamic Boarding School
Pemanfaatan Urin Sapi sebagai Bahan Baku Pupuk Organik Cair (Studi Eksperimen Penambahan Aktifator Air Kelapa dan Gula Merah tahun 2017) Nurika Octa; Rachmaniyah .; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 16, No 1 (2018): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v16i1.821

Abstract

" Beef is one of waste waste from human activities. Cow's urine must be well managed in order to reduce environmental pollution. Management of bovine urine by means of turning it into a fertilizer in Add Activator coconut milk, brown sugar and EM4 can reduce environmental pollution and beneficial to the plant. The purpose of this research was to analyze the cow's urine as a liquid organic fertilizer raw materials This type of research are True Experiment, with the design of the Posttest Only Control Group Design. Research methods to measure the levels of Nitrogen, phosphorus and Potassium in the treatment and control groups with a dose of a comparison of the coconut milk and brown sugar 240:16, 160:8 and 200:12. The location of the research carried out in the village of Tugu sub-district of Mantup Lamongan. Data is processed using tabulations further described with based on regulation of the Minister of agriculture no. 70/Permentan/SR 140/10/2011. Test results measuring the levels of the most highest value NPK averaged ratanya in the treatment of 1 with doses of a comparison 240:16. For pH values all liquid fertilizer meet the standard is 5 – 6. After applied on plants that grow quickly in plants that give fertilizer with a dose of 240:16. The addition of the EM4, Activator coconut water and brown sugar can change the cow urine into fertilizer Liquid Nitrogen and potassium levels qualify yet for Phosphorus levels have not been qualified. Need to research more about the effective dose in the manufacture of liquid organic fertilizer that meets the terms of the regulation of the Minister of agriculture no. 70/Permentan/SR 140/10/2011 About Biological Fertilizers, organic fertilizers and Pembenah Soil.Keywords : Cow urine, Activator coconut juice, brown sugar and EM4
THE FACTORS RELATING TO SELF PROTECTION TOOLS ON THE WORKERS (STUDY IN PT. lAPFA COM FEED INDONESIA TBK, THE DIVISION OF TECHNIQUE AND PRODUCTION) IN 2014 Nita Faradhila Hidayat; Winarko .; Imam Thohari
GEMA LINGKUNGAN KESEHATAN Vol 12, No 3 (2014): Gema Kesehatan Lingkungan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/kesling.v12i3.116

Abstract

PT. Japfa Comfeed Indonesia Tbk is one of the companies that produce animal feed especiallypoultry feed. Conducive factory environment will optimize operational activities of the company. On thecontrary, inconducive surrounding of the company, where there are lacks of safety, distance to sources ofraw material will induce obstruction to the operation and will create loss to the company. Many workers inPT. Japfa Comfeed Indonesia Tbk who do not wear self protection devices at work, or in the area of thework place. The purpose of this research is to illustrate the factors affecting use of Self Protection devicesat work.This was an observational study. Basedon the time aspect, it was a cross sectional study. Basedon the location this study was classfled as a field research, and considered to be an analytical research tocompare the relationship of variables.Workers who do not wear self Protection devices in PT. Japfa Comfeed Indonesia Tbk of were putunder study and: there were 45,2% workers who do not wear self Protection devices. 40,5% wear itincompletely, and the rest 4,3% wear such devices completely. Results of Chi-Square test indicated thatthere is relationship between knowledge and the use of self protection devices. However, there is norelationship with supervision, training and policy.Workers need to improve their poor habit by complying to the regulation made by the company, orcomply to government polkles which demand workers to wear self protection devices at work. Punishmentshall be given to workers who do not comply to the regulation with regard to the wearing of self protectiondevices at work or in work place area.