M. Sakundarno Adi
Bagian Epidemiologi FKM Undip

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GAMBARAN PENGOBATAN MASSAL FILARIASIS ( STUDI DI DESA SABABILAH KABUPATEN BARITO SELATAN KALIMANTAN TENGAH ) Dewi, Supatmi; Saraswati, Lintang Dian; Adi, M. Sakundarno; Ginandjar, Praba
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 4 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Filariasis Elimination program through MDA (Mass Drug Administration) filariasis is a major national priority in all filariasis endemic area. Sababilah is the spot check site which started MDA in 2008. In 2014, Transmission Assessment Survey showed Mf rate Sababilah village of 1,7%. As a result, MDA failed and Sababilah village must add MDA filariasis 2 years which is the last round has been done in 2016. This study aimed to describe the filariasis mass treatment of endemic areas in Sababilah village. The research was descriptive with cross sectional approach. The data were collected using structured questionnaires as an instrument,observations, and Transmission Assessment Survey. Total sample of 107 respondents obtained by using cluster random sampling method as sampling technique.the data was analyzed using univariate frequency distribution table with narration. The result showed that 100% amicrofilaria,0% mf rate filariasis with non endemic area category, 78,5% respondent with good knowledge about filariasis,96% medicine practice, 99,1% respondent who received support from Ministrant personel of elimination, Further, required refresher and filariasis training for Minister Personel of Elimination, monitoring of patient in the period of selective treatment, Transmission Assessment Survey as follow up and improve the administration and data report of MDA filariasis.
GAMBARAN FUNGSI KOGNITIF PADA PENDERITA HIPERTENSI USIA 45-59 TAHUN DI PUSKESMAS TLOGOSARI WETAN KOTA SEMARANG Lestari, Deni; Udiyono, Ari; Saaraswati, Lintang Dian; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 1 (2018): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Cognitive impairment is a disorder which a person is experiencing a memory loss more severe than people his age. The causes are multifactorial, one of which is hypertension. The purpose of this study was to describe the cognitive function in patients with hypertension aged 45-59 years in the primary health care center Tlogosari Wetan, Semarang City. This research used descriptive research with cross-sectional study design. There were 100 respondents with hypertension who meet the admission criteria as research subjects. The sample was selected by simple random sampling. The result showed that the proportion respondents with cognitive impairment was 94.0%. Based on the variables researched, the percentage of cognitive impairment that occur in the age group 55-59 years (100.0%), female gender (95.1%), not completed primary school education and completed primary school eduation (100.0%), systolic blood pressure 187-202 mmHg and 172-186 mmHg (100.0%), diastolic blood pressure 107-112 mmHg and 102-106 mmHg (100.0%), long suffering hypertension ? 5 years (97.3%), not comsumption of antihypertensive drugs (100.0%). The proportion of higher cognitive impairment in the age group 55-59 years, female gender, systolic blood pressure 187-202 mmHg and 172-186 mmHg, diastolic blood pressure 107-112 mmHg and 102-106 mmHg, long suffering from hypertension ? 5 years, and not comsumption of antihypertensive drugs. Patients with hiypertension are recommended to control blood pressure in order to remain stable.
GAMBARAN KARAKTERISTIK SUMUR WARGA DI WILAYAH KERJA PUSKESMAS KEDUNGMUNDU KOTA SEMARANG Nashiroh, Insani; Adi, M. Sakundarno; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Escherichia coli is the indicator for water pollution including in well water. Well water that is ineligible can be contaminated by Escherichia coli. This study aims to describe the characteristic of well in Kedungmundu Health Center. This study uses cross-sectional design. The sample for this study is 97 well that taken by simple random sampling technique. The most well is dug well (59,8%), lined well (61,9%), and covered well (81,4%); well within ?10 meter in distance with latrine (61,9%) and septic tank (67%); well  within <10 meter in distance with sewage (67%); well with absence of  dumpsite (78,4%) and livestock pen (81,4%) within <10 meter in distance. This result shows that most of well is eligible according to Indonesia Health Ministry. It is recommended doing a laboratory test of well water to know the presence of bacteria.
GAMBARAN PERILAKU SELF CARE MANAGEMENT PADA PENDERITA DIABETES MELITUS TIPE 2 (STUDI DI WILAYAH KERJA PUSKESMAS ROWOSARI KOTA SEMARAN TAHUN 2018) Istiyawanti, Hari; Udiyono, Ari; Ginandjar, Praba; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 7, No 1 (2019): Jurnal Kesehatan Masyarakat (E-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Diabetes mellitus (DM) type 2 is a chronic disease characterized by an increase in glucose in the blood and can cause various complications. Complications of type 2 diabetes can be minimized through management efforts called diabetes self-care management. The purpose of this study was to describe the behavior of self-care management of diabetes in type 2 DM patients. This type of research was observational analytic research with a cross sectional research design. The results of this study indicate the average score of self-care management of respondents in this study was 52.13 with a range of scores from 0 to 119. On average respondents made dietary arrangements of 3.1 days in the last seven days. The average respondent did 3.5 days of physical exercise in the last seven days. The average respondent carries out 2.0 days of foot care in the last seven days. The average respondent did 5.3 days of treatment in the last seven days. The average respondent monitors blood glucose levels as much as 1.2 days in the last seven days. Based on the results of these studies indicate that the behavior of self care management in patients with type 2 DM has not been done optimally. Patients with type 2 DM are advised to apply diabetes self care management behavior routinely in their daily lives. Diabetes self-care management behavior that is routinely carried out can control the patient's blood glucose levels so that it can minimize the risk of complications due to type 2 diabetes.
STUDI RISIKO PENGGUNAAN KAYU BAKAR TERHADAP KEJADIAN BAYI BERAT LAHIR RENDAH Widaryana, I Dewa Made; Setiani, Onny; Adi, M. Sakundarno
Jurnal Kesehatan Lingkungan Indonesia Vol 2, No 1 (2003): APRIL 2003
Publisher : Master of Environmental Health Study Program, Faculry of Public Health, Faculty of Public

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (10899.448 KB) | DOI: 10.14710/jkli.2.1.12 - 17

Abstract

ABSRACT Background : Low birth weight incidence in Central Java is still high (1.2 %) compare to birth life. Faktor that may cause low birth weight intrinsic factors (i.e. mothers nutrition, anemia, etc.), and extrinsic factors i.e. physical factor, chemist, and social economic. One of chemical  factor was carbon monoxide exposure from wood smoke. Fire wood consumption in Central Java is still high ( Rp.3.093, - per capita)  compare to  gasoline consumption  (Rp.1.093/per capita) and Liquid Petroleum Gas (Rp.43, - per capita). The main objective  of this research is to  measure the  risk of the using of  fire wood to low birth weight incidence. Methods :This research a case control study, that used 84 low birth weight infant for case, compare to 84 non low birth weight infant  for control and infant mothers as respondents. Results :The research  show that the using of fire wood has OR=1.493  95%CI= 0.801-2.783, period time wood fuel before pregnant (in year) result OR=1.118;95%CI = 0.581-2.151, exposure duration  before pregnant (hours/day) has OR=1.402 ;95% CI= 0.761-2.582, exposure duration in pregnant (in trimester) has OR=1.538;95%CI=  0.837 ? 2.826, exposure duration in pregnant (hours/day) result OR=1.471 ;95% CI=0.799-2.708. Conclusion : There is no significant influence of the using of fire wood to low birth weight in Semarang District. Supposed for another researchers, to research in stage II (ambient) and stage III (biomarker), because this research is only in stage I (sources) and stage IV (impact). Key Words : Fire woodl, Low Birth Weight, Semarang  District, 2002
FAKTOR RISIKO DAN POTENSI PENULARAN TUBERKULOSIS PARU DI KABUPATEN KENDAL , JAWA TENGAH Wulandari, Agustina Ayu; Nurjazuli, Nurjazuli; Adi, M. Sakundarno
Jurnal Kesehatan Lingkungan Indonesia Vol 14, No 1 (2015): April 2015
Publisher : Master of Environmental Health Study Program, Faculry of Public Health, Faculty of Public

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.903 KB) | DOI: 10.14710/jkli.14.1.7 - 13

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Background:Pulmonary tuberculosis (pulmonary TB) is an infectious disease that continues to increase and was a global problem, the number of new cases findings in Kendal showed a rising trend. The prevalence of TB has fluctuated and is likely to increaseby 124 per100,000 populationin 2013. Environmental and behavioral risk factors were factors closely associated with pulmonary TB transmission. One patient with pulmonary TB BTA(+) has the potential to infect other people. This study aimed to know risk factors and the potential forpulmonary tuberculosis transmission to family members. Methods: It was an observational using case control and cross-sectional desing. The subjects ofthis study was 130 people consisted of 65 cases and 65 controls. Data analysis using chi square test and binary logistic regression. Results: Results of sputum examination in contactracing as many as 65 people were successfully retrieved from 44 cases of research, the results showed that there are 3 smear positive(4.6%) and 62 negative smear (95.4%). Risk factors that affect the incidence of lung tuberculosis is residential densityp=0.002, OR=7.841, CI=2.126 to 28.920, room temperature p=0.001, OR=8.048, CI=2.279 to 28.424, p=0.018 indoor humidity, OR=4.705, CI=1.310 to 16.894, the type of house floorp=0.016, OR=5.266, CI=1.356 to 20.446, a habit of throwing sputumany placep=0.016, OR=4.402, CI=1.322 to 14.660, habit cough / sneeze without closing them out hp =<0.001, OR=9.137, CI=2.694 to 30.992. Conclusions: This study concluded that residential density, room temperature, indoor humidity, the type of floor of the house, the habit of throwing sputum any place, habit cough / sneeze without covering them out hare risk factor sincidence of pulmonary tuberculosis in district Kendal. Keywords :Risk factors, pulmonary tuberculosis, transmission.
PAPARAN DEBU KAYU DAN GANGGUAN FUNGSI PARU PADA PEKERJA MEBEL (STUDI DI PT ALIS JAYA CIPTATAMA) Triatmo, Wenang; Adi, M. Sakundarno; Hanani D., Yusniar
Jurnal Kesehatan Lingkungan Indonesia Vol 5, No 2 (2006): OKTOBER 2006
Publisher : Master of Environmental Health Study Program, Faculry of Public Health, Faculty of Public

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.5.2.69 - 76

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ABSTRACT Background : Wood dust generated from processes of sawing, planning and sanding can disperse in the workplace air and harm to the workers. Exposed to low concentration of wood dust for a long time can cause respiratory tract disorders  such as restriction, obstruction or mixed. Generally, organic dust exposure will effect on obstruction of respiratory tract which is indicated by decreasing of % FEV ? 1 / FVC. Workers of wood industries have a high risk from wood dust deposition on their respiratory tract. Absorption of wood dust particles in the lung occurred by respiration mechanism. Methods : This research purpose was to analyze the exposure of wood dust and lung function disorder on furniture workers (Study  at  PT Alis Jaya Ciptatama ) in Jepara Regency. This research was an observational study with a cross Sectional approach with 55 samples. Sampling was carried out by using a Probability Systematic Sampling. Data of respirable wood dust concentration  was measured by a using Personal Dust Sampler. Whereas data of lung function was resulted from Sprirometry test  using a spirometer. Other data was collected from interview with the workers with age limitation is up to 40 years old. Data analyze by Chi Square Test was used to   identity the wood dust exposure, age, gender, time of exposure, working years, smoking habit, excercise habit, nutrient status and awareness in using of Personal Protective Equipment, in the correlation of occuring the lung function disorder.Multivariat analysis was carried out by regression test with the method of backward stepwise. Results: The result of this research was wood dust exposure significantly influence and correlate to the occuring of the lung function disorder on furniture workers ( Study at PT Alis Jaya Ciptatama ), using appliance Personal Dust Sampler, highest result wood dust exposure 1,848 mg/m³ and the low result wood dust exposure 0,833 mg/m³, with the result : for wood dust exposure  p = 0,001 and odss ratio  = 13,720 with 95% CI (3,034 ? 62,040). Probability of wood dust exposure factor toward lung function disorder which was assessed by logistic regression formula resulted in, wood dust exposure over the Theshold Limit Value of 1 mg/m³ is 78,4% another 21,6% is because of other factor beyond the study of the researcher. Conclusion: The recomendation  of this research is expected to be an input for the local government and  Health Service in particular, in making guidelines of the programs related to harmful effects from the workplace to the workers health, as well as for the needs of workplace monitoring and occupational health surveillance. Therefore to make the programs succeed , it needs occupational health promotion  and application of controle measures on reducing wood dust concentration at the workplace. Keywords : Wood Dust Exposure, Lung Function Disorder, Workers, Furniture.
DESCRIPTION OF FACTORS RELATED TO SEVERITY OF DIABETIC MELLITUS PATIENT TYPE 2 (STUDY IN RSUD KOTA SEMARANG) Hardianti, Dwi; Adi, M. Sakundarno; Saraswati, Lintang Dian
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 4 (2018): Jurnal Kesehatan Masyarakat (e-Journal)
Publisher : Fakultas Kesehatan Masyarakat

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Diabetic ulcer is a chronic complication of diabetes mellitus. It is an open wound on the skin surface which is accompanied by a death tissue on the area. The prevalence of diabetic ulcer in RSUD Semarang had increased by 0,36% from 2013 to 2014. The purpose of this study were to describe the factors associated with the severity of diabetic ulcer in patients with type 2 diabetes mellitus in RSUD Semarang. This research was descriptive observational with cross sectional design. Samples of this research were 100 patients of diabetic ulcer using consecutive sampling method. The questionnaires filled were Food Frequency Questioner and Nottingham Assesment of Functional Footcare, in addition, medical record was used as secondary data. The study conclued that the majority of severity level was grade 3 (27%), female (55%), aged over 57 years old (53%), had senior high school degree (37%), housewife (37%), suffering from DM more than 6 years (54%), had high glucose level (52%), non-hypertensive (73%), non-smoker (69%), previously suffering from ulcer (91%), non-obese (71%), doing foot treatment regularly (58%), not wearing appropriate footwear (55%), and not obeying the diet (51%). The suggestion is that diabetic ulcer patient should obey the diet since it is found from the research that the respondents who suffering from hypertension, obesity, and not obeying the diet are the majority in grade 5.
PREVALENSI DAN GAMBARAN KARAKTERISTIK OBESITAS SENTRAL PADA ANAK SEKOLAH DASAR DI KECAMATAN BANYUMANIK KOTA SEMARANG 2018 Rahmani, Nabila Yasminuljannah; Udiyono, Ari; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 6, No 5 (2018): SEPTEMBER
Publisher : Fakultas Kesehatan Masyarakat

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In Banyumanik District, Semarang City, there was not central obesity prevalence at the age of elementary school children. In fact, central obesity at this age is known to have a risk of developing disease due to the risk of metabolic syndrome. The purpose of this study was to determine the prevalence of central obesity at school age and its potrayed based on age, sex and nutritional status based on the standard of child growth by WHO. Body weight, height and waist circumference were measured in 1686 elementary school children in Banyumanik Subdistrict, Semarang City (male as many as 871 children). WHO AnthroCalc Plus is used to determine the nutritional status of children based on the z-score Body Mass Index. Central obesity is defined by waist-to-height-ratio ? 0.5. Univariate analysis was used to determine the distribution of respondents based on age, gender, nutritional status and central obesity status. The cross tabulation table was used to determine the proportion of central obesity in the variables of age, sex and nutritional status. The results of the study showed that the central obesity prevalence in public elementary school children in Banyumanik District was 20.70%. Men have a higher prevalence (22.0%) than women (19.3%). Central obesity was found in children with thin, normal, overweight and obese nutritional status with a proportion of 1.6%, 2.2%, 39.5% and 89.2%. The conclusions of this study are that central obesity occurs in primary school-aged children in Banyumanik Subdistrict, Semarang City. The prevalence of central obesity in boys is higher than females. Researchers recommend measuring central obesity in children to be able to control and prevent risk factors for developing metabolic syndrome.
GAMBARAN TEKANAN DARAH DAN INDIKATOR OBESITAS WANITA USIA SUBUR DI WILAYAH KERJA PUSKESMAS TLOGOSARI WETAN KOTA SEMARANG Haryuti, Haryuti; Saraswati, Lintang Dian; Udiyono, Ari; Adi, M. Sakundarno
Jurnal Kesehatan Masyarakat (e-Journal) Vol 5, No 2 (2017): MARET
Publisher : Fakultas Kesehatan Masyarakat

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Women of childbearing age had high risk in cardiovascular disease like high blood pressure and obesity. Throughout a women?s life, health issues like pregnancy, and pregnancy prevention (birth control) could increase the risk of developing high blood pressure and obesity. The purpose of this research is to describe blood pressure and indicator of obesity in women of childbearing age at Public Health Center of Tlogosari Wetan, Semarang City. This research was a descriptive study with cross-sectional approach. The samples of this research included 82 women of chilbearing age which are taken by accidental sampling method and conducted the interview, filing questionnaires, and measurement waist circumference, height, weight and blood pressure. The average of waist circumference was 85,44 cm, sistolic blood pressure was 132,71 mmHg, diastolic blood pressure was 86,21 mmHg, BMI was 27,71 kg/m2. Majority of samples have central obesity (87,8%), hypertension grade I of sistolic blood pressure (32,9%), hypertension grade I of diastolic blood pressure (46,3%), have obese grade I (59,8%). Most of samples have high risk of cardiovascular disease especially because high blood pressure and obesity. Women of childbearing age sholud control blood pressure frequently, maintain healthy weight and avoid the risk factors to prevent cardiovascular disease.