Ririn Arminsih Wulandari
Departemen Kesehatan Lingkungan, Fakultas Kesehatan Masyarakat, Universitas Indonesia

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The Relationship between Scar BCG and the Incidence OF Tuberculosis (TB) in TB Patients at the Basuki Rahmad Health Center, Bengkulu City, Indonesia Yenni Sri Handayani; Ririn Arminsih Wulandari
JUMP Health (Journal of Ultimate Public Health) Vol. 3 No. 2 (2019): November 2019
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.325 KB) | DOI: 10.22236/jump-health.v3.i2.p%p

Abstract

Background: Mycobacterium tuberculosis is the bacterium that causes tuberculosis. WHO said the world TB rate had increased since 2014-2017. TB is a world health problem today. Bengkulu Province experienced an increase in the number of TB cases from 2015-2017. Objectives: This study aims to determine the relationship between Scar BCG and the incidence of tuberculosis in TB patients. Methods: This study uses a case control method. The population is all patients visiting the Basuki Rahmad Health Center in 2016-2017. Sample random sampling technique. Calculation of sample size of 2 proportions with previous P1 researchers using the Lemeshow formula obtained sample results 126 1: 1. Results: Of the 126 TB patients who did not have Scar as many as 54 (42.9%) and there were 72 (57.1%) Scar BCG, 69 (54.8%) male sex and 57 female sex (45.2%) people, patients who have a lack of nutritional status as many as 38 (30.2%) people and good nutritional status as many as 88 (69.8%) people, TB patients who have low education as much as 50 (39.7% ) people and those who have higher education are 76 (60.3%) people, 58 patients (46.0%) who contact home and 68 (54.0%) non-contact patients, patients <15-50 year as many as 111 (88.1%) people and patients aged> 50 years 15 (11.9%) people. There is a significant relationship between Scar BCG, nutritional status, gender with the incidence of pulmonary tuberculosis in 2016-2017 with p = 0,000 p = 0,000 and p = 0,000. And there is no significant relationship between age, education, household contact with TB incidence in 2016-2017. Counfounding Scar BCG for TB incidence is nutritional status, gender, age and household contact. Conclusion: There is a relationship between Scar BCG, nutritional status, gender with the incidence of pulmonary tuberculosis and counfounding Scar BCG with TB incidence there are 4 variables in the Basuki Rahmad Community Health Center, Bengkulu City. Recommendation: Prevention of TB can be carried out by BCG immunization, taking medication regularly.
Acute Breathing Infection (ARI) in the Toddlers in the Working Area of Pancasan Health Center, Bogor City, Indonesia Fathimi Fathimi; Ririn Arminsih Wulandari
JUMP Health (Journal of Ultimate Public Health) Vol. 3 No. 2 (2019): November 2019
Publisher : UHAMKA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.825 KB) | DOI: 10.22236/jump-health.v3.i2.p%p

Abstract

Introduction: ARI is often misinterpreted as upper respiratory tract infection, whereas ARI does not only attack the upper respiratory tract but also includes the lower respiratory tract. Infection is the entry of germs or microorganisms into the human body and proliferates to cause respiratory tract diseases ranging from the nose to the alveoli and their adnex such as the sinuses, middle ear cavity and pleura. Objective: This study aims to determine the effect of individual and environmental characteristic factors on the incidence of ARI in infants. Method: This study used a cross sectional study design, the number of samples of 163 toddlers, the study location in the work area of the Pancasan Health Center, the time of the study from 27 April to 30 May 2019. Results: The results showed 41.1% of children under five suffered ARI, statistically the variables associated significantly with the incidence of ARI were gender (OR: 2.89) and age (OR: 2.04). Conclusion: Many factors can influence the incidence of ARI in infants, both from the characteristics of children under five, parental characteristics, characteristics of the physical environment of the home and the health service facilities themselves. The next researcher can add research variables, the importance of the role of health workers especially to increase public awareness/ parents in maintaining and maintaining children's health and the existence of cross-program and cross-sector cooperation.
HEALTH RISK ANALYSIS OF LEAD LEVELS (Pb) IN GREEN LEAFY VEGETABLES FROM TRADITIONAL MARKETS AND SUPERMARKET IN SEMARANG CITY: A PRELIMINARY STUDY Puteri Inandin Nabiha; Ririn Arminsih Wulandari
Jurnal Riset Kesehatan Vol 9, No 1 (2020): MAY 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (456.972 KB) | DOI: 10.31983/jrk.v9i1.5736

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Samples of Green Spinach (Amaranthus gangeticus) Kale or Water Spinach (Ipomoea aquatica) and Green Mustards (Brassica rapa I. Subsp. Perviridis Bayley) were collected from three traditional markets and one supermarket in Semarang City, Central Java. The purpose of this descriptive study was to assess lead (Pb) contamination on raw and boiled vegetables and the health risks for residents in Semarang. The Pb of the samples was measured using atomic absorption spectrophotometer (AAS). The result showed Pb in all samples exceeded the standard values from WHO/FAO (0,3mg/kg), Indonesian National Standard (SNI) limit for Heavy Metals on Food (0,5 mg/kg) and The National Agency of Drug and Food Control of the Republic of Indonesia (BPOM) (0,2 mg/kg). The highest accumulation of Pb found in kale from ‘B’ Traditional Market with 6,123 mg/kg and the lowest was kale from supermarket 0,25 mg/kg. The boiling process for vegetables may increase the Pb concentration, considering the cookware materials. Results revealed that there is no risk of potential health problems for residents in the city with current Pb concentration.
Hubungan Tingkat Kebisingan dengan Gangguan Pendengaran Penduduk di Sekitar Terminal Pakupatan Linardita Ferial; Laila Fitria; Ririn Arminsih Wulandari
Faletehan Health Journal Vol 9 No 01 (2022): Faletehan Health Journal, Maret 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i01.311

Abstract

Activities at the bus station may cause environmental pollution, including noise. High noise levels can cause human health problems, especially hearing loss. This study aims to determine the correlation between noise level and hearing loss of the population around Pakupatan Bus Station. This study used an analytical observational approach with a cross sectional design. The survey was conducted in six residences around Pakupatan Bus Station in Serang City, Banten from January to May 2018. The samples of this study were 100 respondents selected by proportional random sampling technique. The noise level of residents around Pakupatan Bus Station reached 81.09 decibels which exceeded the noise quality standard of 55 decibels in 1996 No. 48 of the Ministry of Environment. The confounding variables included age, sex, health history, type of work, smoking, drinking, and length of stay of the respondents. Type of work and length of stay were the confounding variables of the correlation between noise level and hearing loss. The odd ratio of the type of work was 0.267 and the length of stay was 0.365, so it was necessary to apply green lines or to plant trees. The residents who were exposed to noise >70dB had a risk of 4.673 times higher than the noise level 70dB after being controlled by the variable length of stay and variable work.
Studi Ekologi Hubungan Kejadian Demam Berdarah Dengue (DBD) dengan Faktor Iklim di Kota Administrasi Jakarta Pusat, Indonesia Tahun 1999-2018 Fajar Nugraha; Budi Haryanto; Ririn Arminsih Wulandari; Tiffany Tiara Pakasi
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 03 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i03.923

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Demam Berdarah Dengue (DBD) merupakan vector-borne disease dengan tingkat prevalensi tertinggi di dunia. Jumlah kasus DBD telah meningkat di sejumlah negara dalam 10 tahun terakhir. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor iklim dengan kejadian DBD di Kota Administrasi Jakarta Pusat dalam periode 20 tahun, dari Januari 1999-Desember 2018. Penelitian ini menggunakan data sekunder dari Direktorat Pencegahan dan Pengendalian Penyakit Tular Vektor dan Zoonosis (P2PTVZ) Kementerian Kesehatan Republik Indonesia dan Badan Meteorologi, Klimatologi dan Geofisika (BMKG). Penelitian ini menggunakan disain studi ekologi dan dianalisis bivariat dengan uji korelasi Spearman. Hasil analisis bivariat menunjukkan bahwa variabel curah hujan (Pv=0,0001; r=0,448) dengan lag 2 bulan, suhu udara (Pv=0,0001; r=-0,27) dengan lag 1 bulan, dan kelembaban relatif (Pv=0,0001; r=0,329) dengan lag 2 bulan, secara signifikan berhubungan positif dengan kasus DBD. Kasus DBD secara signifikan dipengaruhi curah hujan, suhu udara, dan kelembaban relatif dengan lag bulan tertentu, oleh karena itu upaya pencegahan dan mitigasi epidemi DBD di Kota Administrasi Jakarta Pusat dapat dilakukan sejak bulan Januari dalam rangka mengantisipasi puncak kasus DBD di periode bulan Maret-April.
HUBUNGAN LINGKUNGAN FISIK DENGAN KEJADIAN ISPA PADA BALITA DI WILAYAH PERKOTAAN INDONESIA TAHUN 2018 (ANALISIS DATA RISKESDAS TAHUN 2018) Porman Tiurmaida Simbolon; Ririn Arminsih Wulandari
Jambura Journal of Health Sciences and Research Vol 5, No 2 (2023): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v5i2.18916

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Infeksi Saluran Pernapasan Akut (ISPA) merupakan salah satu penyakit yang sering terjadi pada balita di Indonesia, kejadian ISPA pada balita di Indonesia menurut hasil Riskesdas 2018 mencapai 20,06%. ISPA dapat disebabkan oleh beberapa factor salah satunya adalah factor lingkungan rumah yang tidak sehat, pengaruh tempat tinggal antara pedesaan dan perkotaan dihubungkan dengan jumlah penderita ISPA. Kebaruan penelitian ini karena peneliti menganalisis hubungan lingkungan fisik dengan kejadian ISPA. Tujuan penelitian ini adalah untuk mengetahui hubungan lingkungan fisik yang terdiri dari ventilasi, kebiasaan membuka jendela dan pencahayaan yang cukup di ruang tidur dengan kejadian ISPA pada balita di wilayah perkotaan Indonesia. Penelitian ini menggunakan desain studi ekologi multiple group dan dianalisis bivariat dengan uji korelasi pearson. Data yang digunakan adalah data sekunder dari hasil riset kesehatan dasar (Riskesdas) tahun 2018. Hasil analisis bivariat menunjukkan ada hubungan linier negatif dan berkekuatan sedang antara kebiasaan membuka jendela setiap hari (p=0,003;r=-0,493), ventilasi yang cukup (p=0,011;r=-0,432), dan pencahayaan yang cukup (p=0,007;r=-0,452) dengan kejadian ISPA pada balita. Dapat disimpulkan bahwa lingkungan fisik rumah berhubungan dengan kejadian ISPA pada balita di daerah perkotaan.
Workers’ Characteristics of Hearing Loss at Soekarno-Hatta International Airport, Indonesia Andrew Ebeneizer Timanta; Budi Haryanto; Ririn Arminsih Wulandari
Jurnal Kesehatan Masyarakat Nasional Volume 18, Special Issue No. 1, 2023
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v18isp1.7087

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This study aimed to analyze the characteristics and factors of worker behavior, including age, the use of ear protection, work duration, a record of diabetes mellitus or hypertension, work rotation, and noise hazards involved in hearing loss in PT. X at Soekarno-Hatta International Airport, Indonesia. A cross-sectional study from May 2017 to June 2017 involved 73 workers in the power service area (TZ Unit) exposed to noise levels <85 dBA and ≥85 dBA, using an audiometry test for hearing loss and Sound Level Meter for noise hazards was conducted. The Chi-square test showed a significant correlation between age (OR 8.4, 95% Cl = 1.6-44.1), work duration (OR 7.6, 95% Cl = 0.9-67.2), and the use of ear protection (OR 7.8, 95% Cl = 1.4-44.2) with hearing loss in workers in the power service area. The multivariate analysis revealed that workers exposed to a noise level of 85 dBA had a 1.7 times greater risk of hearing loss than workers exposed to a noise level of <85 dBA after controlling for age, work duration, use of ear protection, medical history, and work rotation.
Analysis of Climate and Environmental Risk Factors on Dengue Hemorrhagic Fever Incidence in Bogor District Ririn Arminsih Wulandari; Tria Rahmawati; Al Asyary; Fajar Nugraha
Jurnal Kesehatan Masyarakat Nasional Vol 18, No 3 (2023): Volume 18, Issue 3, August 2023
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21109/kesmas.v18i3.7351

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Dengue Hemorrhagic Fever (DHF) is transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes and is still becoming endemic in Bogor District. This quantitative correlation study with an ecological approach aimed to analyze how DHF incidence is influenced by climate factors, population density, Larvae Free Rate (LFR), and the area altitude factor. Secondary data were obtained from the Bogor Regency Health Office; the Central Bureau of Statistics of Bogor District; and the Meteorology, Climatology, and Geophysics Agency. In this study, the spatial analysis method was also used, but only on the area altitude factor. The study’s results showed a significant relationship between climate factors, such as air humidity at a Time Lag of 0 months (r=0.394) and the altitude factor (r=-0.350), and DHF incidence in the Bogor District from 2017 to 2022. Spatial data shows that in districts with lower altitudes, such as Cibinong, Cileungsi, and Gunung Putri, DHF incidence tends to be higher. The Bogor District Health Office, together with the community, may enhance efforts to prevent and control DHF, especially during seasonal transitions and in areas with lower altitudes. Cross-sector collaboration with the Meteorology, Climatology, and Geophysics Agency is also necessary to remain vigilant during climate fluctuations.
Environmental Factors and the Pulmonary Tuberculosis Cases in Bandung City in 2015-2019: an Ecological Study Cecilia Nadine Atillah; Ririn Arminsih Wulandari; Fitri Kurniasari
Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Vol 15 No 4 (2023): JIKM Vol. 15, Edisi 4, November 2023
Publisher : Public Health Undergraduate Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52022/jikm.v15i4.566

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Introduction: Pulmonary tuberculosis continues to be primary threat to public health by about 10.6 million cases in 2021. Among the countries, Indonesia being the second-largest contributor of tuberculosis cases. Bandung is the city in Indonesia which the incidence of pulmonary tuberculosis has been risen steadily since 2015. However, there is no information about the causes of the risen cases in Bandung city. Methods: Using an ecological study methodology, this study investigated the relationship between the number of pulmonary tuberculosis cases and the environmental factors including of healthy house coverage, population density, and the coverage of families with clean and healthy living behaviors. The correlation test between variables was done with either the Spearman correlation test or the Pearson correlation test, based on the results of the normality test on each data. Results: This study demonstrates a correlation between the coverage of healthy house and population density with the number of pulmonary tuberculosis cases, with both having a p-value of <0.001, but not the coverage of families with clean and healthy living behaviors. Conclusion: It is advisable to empower local communities, utilize the technology as an empowerment facility, and utilize the role of public figures in health promotion to maximize the government efforts to prevent the pulmonary tuberculosis.Keywords: Healthy house, PHBS, Population density, Pulmonary tuberculosis Latar Belakang: Tuberkulosis paru masih menjadi ancaman utama bagi kesehatan masyarakat dengan jumlah kasus sebesar 10,6 di tahun 2021. Di dunia, Indonesia merupakan kontributor kasus tuberkulosis terbesar kedua. Kota Bandung merupakan kota di Indonesia yang insiden tuberkulosis parunya terus meningkat sejak tahun 2015. Namun, tidak terdapat informasi mengenai penyebab kenaikan kasus di Kota Bandung. Metode: Menggunakan metode studi ekologi, studi ini meneliti hubungan antara kasus tuberkulosis paru dengan faktor lingkungan, termasuk cakupan rumah sehat, kepadatan penduduk, dan cakupan rumah tangga berperilaku hidup bersih dan sehat. Uji korelasi antar variabel akan dilakukan menggunakan uji korelasi Spearman atau uji korelasi Pearson, bergantung pada hasil uji normalitasnya masing-masing.Hasil: Studi ini menunjukkan korelasi antara cakupan rumah sehat dan kepadatan penduduk dengan kasus tuberkulosis, dengan keduanya memiliki nilai p sebesar <0,001, namun tidak dengan cakupan rumah tangga berperilaku hidup bersih dan sehat. Kesimpulan. Dari hasil studi ini, disarankan untuk memerdayakan komunitas lokal, memanfaatkan teknologi sebagai fasilitas pemberdayaan, dan memaksimalkan peran figur publik dalam upaya promosi kesehatan untuk memaksimalkan upaya pemerintah dalam usaha pencegahan tuberkulosis paru.Kata kunci: Kepadatan penduduk, PHBS, Rumah sehat, Tuberkulosis paru, Usia