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PM10 as Predictor of Ventilation Efficiency of Houses in Relation to Health Effect Purwana, Rachmadhi
Medical Journal of Indonesia Vol 14, No 4 (2005): October-December
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.466 KB) | DOI: 10.13181/mji.v14i4.204

Abstract

Concerns for the high concentration of particulates in the ambient air of Jakarta had been associated with respiratory health effects. Accordingly, the high concentration of indoor air particulate in homes was also recognized as a potential health hazard to the household. This paper was based on findings in a cross-sectional study in homes of a village, Jakarta done for a dissertation of a doctoral degree in Public Health. In relation to health aspect, ventilation effectiveness was more predicted by the variation of indoor particulates concentrations (as PM10) than the physical characteristic of the houses. Besides, respiratory symptoms rates among children under-five were positively associated to PM10 concentrations. Except for the house dampness factor, no physical features of the houses such as sizes of windows, rooms, and the like, contributed to the variability of health of the occupants. This research suggested that PM10 concentration was a better indicator for a healthy house than the physical characteristics of the house. As such, the most sensitive and specific level of PM10 concentration to predict the development of respiratory symptoms was  70µg/m3. This cutoff concentration of PM10  agreed with the guideline value set on the level of 70 µg/m3 for the thoracic particles by the World Health Organization. (Med J Indones 2005; 14: 237-41)Keywords: respiratory symptoms, overcrowding, children under-five, PM10 concentration of 70 µg/m3, physical factors of houses.
PERILAKU DETEKSI DINI KANKER SERVIKS MELALUI METODE PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA) PADA MAHASISWA MAGISTER FKM UI MENURUT TEORI PROCEEDE – PRECEEDE TAHUN 2019 Aprilla, Gabe Gusmi; Purwanana, Rachmadhi
Jurnal Kedokteran YARSI Vol 27, No 3 (2019): SEPTEMBER - DESEMBER 2019
Publisher : Lembaga Penelitian Universitas YARSI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.605 KB) | DOI: 10.33476/jky.v27i3.1084

Abstract

Latar belakang: Tujuan: Untuk mengetahui perilaku deteksi dini kanker serviks melalui pemeriksaan Inspeksi Visual Asam Asetat (IVA) pada Mahasiswa Magister FKM UI Tahun 2019.Metode: Desain penelitian ini adalah penelitian kualitatif dilakukan di Fakultas Kesehatan Masyarakat Universitas Indonesia (FKM UI) pada bulan April 2019 terhadap 6 orang mahasiswi Magister FKM UI dengan teknik non probability sampling dalam hal ini adalah purposive sampling, suami mahasiswi dan bidan. Hasil: Perilaku pemeriksaan IVA mahasiswi Magister FKM UI Angkatan 2018 sudah bagus karena sudah banyak yang telah melakukan pemeriksaan IVA dan yang belum pemeriksaan IVA dikarenakan telah melakukan pemeriksaan papsmear meskipun ada juga yang masih malu dan takut melakukan pemeriksaan tersebut. Pengetahuan mahasiswi Magister FKM UI Angkatan 2018 tentang pemeriksaan IVA sudah cukup bagus karena telah mampu menjelaskan dengan baik dan beragam mengenai kanker serviks, ciri-ciri, penyebab, deteksi dini, pemeriksaan IVA dan prosedurnya. Mahasiswi Magister FKM UI Angkatan 2018 telah memiliki sikap positif terhadap pemeriksaan IVA meskipun masih ada yang merasa takut dan risih dengan pemeriksaan tersebut. Keterpaparan informasi mahasiswi Magister FKM UI Angkatan 2018 tentang pemeriksaan IVA sudah cukup bagus khususnya yang bersumber dari media sosial. Dukungan tenaga kesehatan dalam pemeriksaan IVA menurut mahasiswi Magister FKM UI Angkatan 2018 belum maksimal dilakukan. Fasilitas pemeriksaan IVA bagi mahasiswi Magister FKM UI Angkatan 2018 mudah karena tersedia di fasilitas kesehatan terdekat di daerah masing-masing dengan biaya gratis bagi pengguna BPJSKesimpulan: Perilaku, pengetahuan dan keterpaparan informasi dalam pemeriksaan IVA pada mahasiswa sudah cukup bagus, sedangkan dukungan tenaga kesehatan dalam pemeriksaan IVA menurut mahasiswa belum maksimal.Kata kunci: Kanker Serviks, Pemeriksaan Inspeksi Visual Asam Asetat, Proceede ? Preceede 
INTERVENTION TO INDOOR AIR-POLLUTION IN TIMOR TENGAH SELATAN, INDONESIA Purwana, Rachmadhi; Hartono, Budi; Tahun, Omega DR
ASEAN Journal of Community Engagement Vol. 1 No. 2 (2017)
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

A preliminary research in 2012 indicated that the prevalence of Acute Respiratory Infections (ARI) among children under-five in Nusa Tenggara Timur (NTT) Province, Indonesia, was related to high concentration of indoor PM10 concentration from the burning of wood in simple stoves in the traditional huts (Ume Kbubu). Out of the data obtained, a CEGs action research was done in 2013. Smoke produced from wood burning stoves inside the Ume Kbubu tends to flow up higher into the air in the confined room of the traditional huts. An application of partition and chimney upon the stoves was expected to drive the smoke to the upper part of the hut to mitigate the exposure to indoor smoke pollution for the inhabitants of the huts. Engaging the local community, an action-research using an observational cross-sectional data collection was done in 3 Sub-districts of Nunkolo, Oinlasi, and Kuanfatu, District of Timor Tengah Selatan, NTT. The action-research combined the use of a questionnaire, the measurement of the level of indoor air pollution by examining the PM10 and CO concentrations, the delivery of a general health education program, and the application of a room-partition and a chimney in each of Ume Kbubu selected. A higher concentration of PM10 (9.69 ± 8.8 ppm) was found inside the traditional huts at the height of 1½ meter as compared to 4.39 ± 5.82 ppm at the height of ½ meter examination points. This a sign that the smoke tends to concentrate on the higher level of a room. A significant health risks level of CO (86.2 ± 53.42 ppm) were also found. By driving the smoke through the application of partition and chimney upon the stove in the traditional huts the research found a prospective effective measure to control indoor air pollution in reducing the exposure of the inhabitants from smoke in the traditional huts. From the questionnaire, it was found that water collection was also a burden for the household members. Conclusion: The application of chimney and room-partition gave a promising improvement in the effort to mitigate the exposure of the inhabitant from the indoor air pollution in the traditional huts of Timor Tengah Selatan.
Polusi Udara Dalam Rumah Terhadap Infeksi Saluran Pernafasan Akut pada Balita di TPA Sukawinatan Palembang Garmini, Rahmi; Purwana, Rachmadhi
Jurnal Kesehatan Lingkungan Indonesia Vol 19, No 1 (2020): April 2020
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.19.1.1-6

Abstract

Latar belakang: Infeksi Saluran Pernapasan Akut (ISPA) merupakan penyebab utama morbiditas dan mortalitas pada bayi dan anak-anak. ISPA bisa terjadi karena pencemaran kualitas udara di luar maupun di dalam ruangan. Salah satunya gas sulfur dioksida (SO2) yang ada di tempat pembuangan sampah dapat mengganggu sistem pernapasan pada balita. Balita lebih berisiko tertular ISPA karena kekebalan tubuh yang dialami balita belum terbentuk sempurna. Penelitian ini bertujuan untuk mengetahui kondisi udara dalam rumah dan karakteristik balita terhadap kejadian ISPA pada balita di sekitar Tempat Pembuangan Akhir Sampah Sukawinatan Kelurahan Sukajaya Palembang.Metode: Jenis penelitian analitik, desain penelitian cross sectional. Variabel terukur adalah kondisi udara dalam rumah, karakteristik balita, dan kejadian ISPA pada balita. Populasi penelitian adalah anak balita berumur 12-59 bulan yang bertempat tinggal di Kelurahan Sukajaya dan sampel berjumlah 94 orang. Data dianalisis dengan uji chi-square, t-test independent, dan regresi logistik. Hasil: Period Prevalence kejadian ISPA pada balita sebesar 59,6%. Variabel penggunaan obat anti nyamuk, perokok dalam rumah, ventilasi, status gizi dan status imunisasi secara statistik menunjukkan hubungan yang bermakna terhadap kejadian ISPA pada balita, sedangkan variabel kadar SO2 dalam rumah dan umur balita secara statistik tidak menunjukkan hubungan yang bermakna terhadap kejadian ISPA pada balita. Hasil analisis multivariat diperoleh bahwa variabel ventilasi rumah merupakan variabel yang paling dominan berhubungan dengan kejadian ISPA pada balita.Simpulan: Ventilasi dapat menjadi faktor risiko terhadap terjadinya ISPA, karena ventilasi mempunyai fungsi sebagai sarana sirkulasi udara sehingga dapat mengurangi pencemaran udara dalam rumah. ABSTRACTTitle: Indoor Air Pollution And Acute Respiratory Infection In Child    Under Five Years In Sukawinatan Landfills Palembang.Background: Acute Respiratory Infections (ARI) is a major cause of morbidity and mortality in young children. ARI can occurs because indoor and outdoor air pollution. One of them is gas sulfur dioxide (SO2) in landfills that it can be irritate the respiratory tract in young children. Young children have higher risk of contracting ARI because the immune of young children not yet fully formed. This research aims to find out Indoor air Pollution and Characteristics of acute respiratory infection in under-fives in Sukawinatan Landfills.Methods: Type of research was analitic, cross-sectional study design. Measurement of indoor air pollution, characteristics of young children, and prevalence of acute respiratory infection. The population of this research was young children aged 12-59 months who lived in Kelurahan Sukajaya and 94 samples. Data were analyzed by chi-square, t-test independent, and logistic regression.Results: Period Prevalence of acute respiratory infection in young children about 59,6%. Using mosquito repellent, smokers in the house, ventilation, nutrition and immunization status were significant correlation to acute respiratory infection in young children. While SO2 levels in the home and age of young children were insignificant correlation to acute respiratory infection in young children. Multivariate analysis showed that the variables of ventilation with SO2 levels were the most dominant variable related to acute respiratory infection in young children.Conclusion: One of risk factor of acute respiratory infection is ventilation, because its function as air circulation to reduce indoor air pollution.
STUDI KASUS PEMANFAATAN TOGA DAN AKUPRESUR PROVINSI DKI JAKARTA TAHUN 2020 Gabe Gusmi Aprilla; Rachmadhi Purwana
Herb-Medicine Journal: Terbitan Berkala Ilmiah Herbal, Kedokteran dan Kesehatan Vol 3, No 3 (2020): Herb-Medicine Journal Oktober 2020
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/hmj.v3i3.6994

Abstract

Sebelum berkembangnya pengobatan modern, masyarakat di dunia menggunakan pengobatan tradisional sebagaiupaya memelihara kesehatan dan menyembuhkan penyakitnya. Di Indonesia bukti nenek moyang menggunakanbahan alam sebagai obat tradisional dari adanya naskah lama.Dalam sistem kesehatan nasional pemanfaatanTOGA dan Akupresur termasuk upaya pemberdayaan bersumber daya masyarakat (UKBM). TOGA merupakansekumpulan tanaman berkhasiat obat untuk kesehatan keluarga yang ditata menjadi sebuah taman dan memilikinilai keindahan. Sedangkan akupresur merupakan suatu prosedur melibatkan stimulasi titik-titik tertentu padatubuh dengan tekananPenelitian ini menggunakan data sekunder dari laporan Riset Kesehatan Dasar Tahun 2018. Data dianalisa secaradeskriptif dengan literatur review dengan tujuan mengetahui gambaran karakteristik masyarakat dalampemanfaatan TOGA dan Akupresur di Provinsi DKI Jakarta.Proporsi masyarakat Indonesia dalam memanfaatkan ramuan jadi 48%, ramuan buatan sendiri 31,8%,keterampilan manual 65,3%, keterampilan olah pikir 1,9% dan keterampilan energi 2,1%. Provinsi terbanyakmemanfaatkan ramuan jadi Kalimantan Selatan 58,4%, sedangkan provinsi terbanyak membuat ramuan sendiriSulawesi Barat 85,5%. Dalam hal memanfaatkan keterampilan manual terbanyak provinsi Kalimantan Selatan83,3%.Dalam hal pemanfaatan TOGA, masyarakat Provinsi Sulawesi Utara paling memanfaatkan TOGA sebesar55,6%, sedangkan masyarakat DKI Jakarta termasuk kurang memanfaatkan TOGA hanya 9,1%.Masyarakat DKIJakarta lebih banyak memanfaatkan ramuan jadi 59,6% dibandingkan membuat ramuan sendiri 18,7%, sedangkanuntuk keterampilan manual termasuk banyak 68,6%.Untuk mendorong masyarakat lebih antuasias memanfaatkan TOGA dan Akupresur, maka perlu strategi sepertimengadakan pelatihan bagi petugas Puskesmas, kader dan masyarakat, perlombaan tingkat Nasional dan Provinsi,inovasi dan sosialisasi
Environmental Impact Assessment of Co-firing Implementation at X Steam Power Plant, West Java Dessy Tri Nugraheni; Rachmadhi Purwana; Udi Syahnoedi Hamzah
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 20, No 2 (2023): July 2023
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v20i2.334-344

Abstract

Co-firing is the activity of adding biomass to the combustion process as a mixed fuel for coal in power plants. In 2021 co-firing has been carried out at 17 PLTUs in Indonesia. The co-firing program at a steam power plant is a form of reducing coal consumption which can reduce carbon emissions while increasing the use of renewable energy without increasing investment in new power plants. PLTU X in West Java, Indonesia has implemented co-firing using sawdust biomass using the direct method without adding or modifying equipment. The use of biomass is obtained from wood-cutting waste, with a ratio of sawdust biomass usage <5%. Assessment of potential environmental impacts is carried out using the Life Cycle Assessment (LCA) method with cradle-to-gate coverage through two scenarios, namely full coal burning, and co-firing. The functional unit uses 1 kWh and the potential impact assessment method used IPCC2021 GWP100 and the CML-IA baseline. The results of the study obtained an assessment of the potential for environmental impact that could reduce the Global Warming Potential (GWP) by 0.13%, acidification by 0.40%, and eutrophication by 0.14%, but there was an increase in ozone layer depletion by 0.72%.
TENORM radiation protection patterns for the sustainable health of workers Primanti, Afthina; Kusnoputranto, Haryoto; Purwana, Rachmadhi; Gozan, Misri
Public Health of Indonesia Vol. 9 No. 3 (2023): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v9i3.704

Abstract

Background: Coal production in Indonesia continues to increase to meet national energy needs and export demand. Solid waste from the coal combustion process is estimated to increase significantly. One of the hazardous mining wastes is TENORM, but some TENORM is classified as production goods with economic value. The problem in this research is that the volume of waste containing TENORM is quite large, and the disposal, use, and recycling of TENORM has the potential to cause contamination for workers at the steam power plant and the surrounding environment. Objective: The purpose of this research is to obtain a design model for the protection of the environment and workers against TENORM radioactive waste from coal ash through an analysis of the social and economic perceptions of steam power plant workers regarding TENORM radiation and the effectiveness of TENORM radiation protection education to workers. Methods: A mixed method with a quantitative approach was applied. Data were gathered through field observation utilizing a questionnaire instrument that asked workers working at Steam Power Plant Units 1 – 7 a series of written questions. Results: Prior to Counseling, most Suralaya Steam Power Plant workers had shallow social and economic perceptions of TENORM radiation, with 88 percent unaware of its effects. The majority also paid between 100,000 and 500,000 IDR monthly in medical expenses. All respondents agreed that TENORM radiation safety counseling for Suralaya Steam Power Plant workers was utterly compelling, with acceptance of TENORM and WTP estimates following Counseling being the most important aspect. Conclusion: There was a significant relationship between the WTP variable after Counseling and the variables acceptance of TENORM protection (0.730), TENORM knowledge (0.627) before and after Counseling (after Counseling), and acceptance of TENORM protection (0.648), according to the pattern of protection for the SEM model.