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"Penelitian ini mengevaluasi tingkatan dan distribusi faktor risiko dan distress pada pekerja di industri tekstil PT UNITEX tahun 2024. Desain penelitian cross-sectional dengan pendekatan semi-kuantitatif. Data dikumpulkan melalui kuesioner, wawancara, serta data sekunder dari klinik perusahaan dan dokumen pendukung lainnya. Partisipan adalah 54 pekerja tetap PT UNITEX. Sebanyak 96,3% (52) pekerja mengalami distress, dengan rincian 46,3% (25) distress ringan, 29,6% (16) distress sedang, dan 20,4% (11) distress berat. Distress lebih banyak dialami oleh laki-laki (97,7%), usia <30 tahun (100%), belum menikah atau cerai mati (100%), kepribadian tipe A (100%), kondisi fisik lingkungan kerja yang buruk (97,9%), desain tugas yang baik (97%), bekerja <5 tahun (100%), shift (100%), bekerja >40 jam per minggu (96,4%), beban kerja rendah (100%), konflik peran rendah (100%), ambiguitas peran tinggi (100%), tanggung jawab rendah (100%), hubungan interpersonal buruk (100%), kontrol pekerjaan rendah (100%), pengembangan karir buruk (96,7%), dukungan sosial rendah (100%), dan home-work interface rendah (96,2%). Penelitian ini menunjukkan tingginya prevalensi distress di antara pekerja PT UNITEX, dipengaruhi oleh berbagai faktor lingkungan dan personal. Disarankan agar perusahaan mengimplementasikan program pengelolaan distress, memperbaiki kondisi fisik lingkungan kerja, mengkaji ulang pembagian beban kerja, dan meninjau kembali tata cara pelaksanaan pekerjaan.

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This study aims to see the level and distribution of risk factors and distress in workers in the textile industry PT UNITEX in 2024. This study uses a cross-sectional study design through a semi-quantitative approach, namely data collection using questionnaires, interviews, and using secondary data such as employee complaint or symptom data from the company clinic and other supporting documents. A total of 54 permanent workers of PT UNITEX participated in this study. The results of this study indicate that 96.3% (52) workers experienced distress. The majority of respondents experienced mild distress, namely 46.3% (25) respondents, followed by moderate distress of 29.6% (16) respondents, severe distress 20.4% (11) respondents and no distress as many as 3.7% (2) respondents. It was also found that distress was more experienced by men (97.7%), age <30 years (100%), unmarried or divorced (100%), type A personality (100%), poor physical conditions of the work environment (97.9%), good task design (97%), working <5 years (100%), shifts (100%), working >40 hours per week (96.4%), low workload (100%), low role conflict (100%), high role ambiguity (100%), low responsibility (100%), poor interpersonal relationships (100%), low job control (100%), poor career development (96.7%), low social support (100%), and low home-work interface (96.2%). The researcher suggested that the company immediately provide a program related to distress management, make improvements to the physical conditions of the work environment to comply with the specified regulations, review the division of workloads for employees, and review the procedures for carrying out work."

"Infrastruktur merupakan salah satu elemen penting yang harus dimiliki setiap negara. Pemerintah Indonesia sedang melakukan percepatan pembangunan infrastruktur untuk meningkatkan daya saing negara. Kebutuhan investasi dalam pembangunan jalan pada tahun 2020-2024 adalah Rp. 6.447 Triliun, sedangkan dana APBN dapat mengakomodasikan sebesar 37% dari total biaya. Dengan kebutuhan biaya yang besar, Kerjasama Pemerintah dan Badan Usaha (KPBU) sangat diperlukan untuk memudahkan swasta dapat bergabung untuk pembangunan infrastruktur. Skema yang paling sering dan sudah pernah dipakai di Indonesia adalah Build Operate Transfer (BOT). Aspek terpenting dalam KPBU adalah identifikasi risiko dan alokasi rissiko, dimana kedua hal tersebut dapat menentukan jumlah harga dan kemampuan dari setiap pemegang risiko tersebut yang berdampak pada perhitungan investasinya. Pada penelitian ini dihasilkan 64 variabel yang masih relevan di Indonesia dengan risiko yang terbagi menjadi 7 yaitu risiko politik, risiko studi kelayakan, risiko pembiayaan, risiko desain, risiko konstruksi, risiko operasi, dan risiko penyerahan.

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Infrastructure is one of the essential elements that every country must have. The Indonesian government is accelerating infrastructure development to enhance the nation's competitiveness. The investment needed for road construction from 2020 to 2024 is IDR 6,447 trillion, while the state budget (APBN) can accommodate only 37% of the total cost. Given the substantial financial requirements, Public-Private Partnership (PPP) is crucial to facilitate private sector participation in infrastructure development. The most frequently used scheme in Indonesia is Build Operate Transfer (BOT). The most critical aspects of PPP are risk identification and risk allocation, as these factors determine the pricing and the capability of each risk holder, impacting investment calculations. This study identifies 64 variables still relevant in Indonesia, with risks categorized into seven types: political risk, feasibility study risk, financing risk, design risk, construction risk, operation risk, and transfer risk."

"Urinary Stone Disease also called urolithiasis had sever from human since 4800 before century. urolithiasis relapse value during one 15-17%, during 4-5 years was 75% and 95-100% during 20-25 years. Urolithiasis cause mild stadium pain until uremia syndrome and kidney fuction disturbance, severe consequences my provoke to death. Urolithiasis on Male"

"Latar Belakang : Riwayat alamiah Lesi Prakanker Serviks menjadi kanker invasif berlangsung bertahun-tahun, sehingga memiliki banyak kesempatan untuk deteksi dini. Inspeksi Visual with Acetat Acid (IVA) cukup cost efektif dan mampu laksana di Indonesia. Kejadian lesi prakanker diyakini disebabkan HPV dan dipengaruhi faktor risiko.Tujuan : Mengetahui hubungan karakteristik demografi serta riwayat kesehatan reproduksi dengan kejadian lesi prakanker serviks pada deteksi dini dengan menggunakan metoda IVA.Metode : Cross sectional data Female Cancer Program FKUI-RSCM yang berasal dari deteksi dini di beberapa puskesmas dan kantor di Jakarta. Logistik regresion digunakan untuk mendapatkan faktor yang memprediksi lesi prakanker serviks. Hasil : Perempuan berumur  ≤ 30 tahun (POR 5,2; 95% CI: 1,4-19,5), umur 31-40 tahun (POR 3,5; 95% CI: 1,0-12,0), dan umur 41-50 tahun (POR 2,1; 95% CI: 0,6-7,7) meningkatkan lesi prakanker serviks dibandingkan umur > 50 tahun. Menikah lebih dari 1 kali berisiko lesi prakanker serviks (POR 5,5; 95% CI: 2,9-10,0) dibandingkan menikah 1 kali. KB pil (POR 2,3; 95% CI: 1,0-5,1), KB susuk (POR 1,8; 95% CI: 0,4-8,7) dan KB suntik (POR 1,5; 95% CI: 0,7-2,8) meningkatkan lesi prakanker servik dibandingkan tidak KB dan KB non hormonal.Kesimpulan : Umur, jumlah perkawinan, KB merupakan prediktor independen lesi prakanker serviks. KB lebih berisiko dibandingkan KB suntik dan susuk. Dianjurkan deteksi dini pada perempuan yang telah melakukan kontak seksual dan membatasi jumlah pasangan seksual.

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Background ;Natural history Cervical Precancer lesions to be invasive cancer along many years, so it has many opportunities to be early detected.Visual Inspection Acetat Acid (VIA) is cost effectiveness and capable in Indonesia.The incidence of precancerous lesions is caused of HPV and influenced of risk factors.

Objective :  association between demographic characteristics and reproductive health history with the incidence of cervical precancer lesions in women screened by VIA.

Methods : Cross sectional with the data’s from Female Cancer Program FKUI-RSCM. Analysis which comes from early detection at primary health care and offices in Jakarta. Logistic regresion is used to obtain factors that predict cervical precancer lesions.

Results :  Women aged ≤ 30 (POR 5.2, CI: 1.4-19.5), aged 31-40 (POR 3.5, CI: 1.0-12.0), and  aged 41-50 (POR 2.1, CI: 0.6-7.5) for cervical precancer lesions in comparison with women in the older age group (>50 years). Married subjects  were more than 1 times the risk of cervical precancerous lesions (POR 5,5, 95% CI: 2.9-10.0) compared with one times merriage. Pill contraceptive (POR 2.3; CI: 1.0-5.1), implant contraceptive (POR 1.8; 95% CI: 0.4-8.7), injecting contraception (POR 1.5; CI: 0.7-2.8) are increased precancerous cervical lesions compared non contraception and  non hormonal contraception.

Conclusion : age, number of marriages, contraception are independent predictors of cervical precancer lesions. The prevention and control of cervical cancer in this study should early detection is done on every woman who has sexual contact and limiting  number of sexual partners."

"ABSTRAKPekerjaan rigger berisiko LBP, tujuan penelitian ini untuk mengetahuifaktor risiko ergonomi pekerjaan dan tingkat risiko LBP serta pengendaliannya.Desain penelitian adalah cros sectional terhadap pekerja rigger, denganmenggunakan metode Rapid Entire Body Assesment (REBA). Hasil penelitian inimenunjukkan tingkat risiko tertinggi adalah pada saat melepaskan hook craneskor (11), sedangkan yang terendah adalah saat melepaskan lilitan wire sling skor(6). Disarankan menambah alat bantu berupa grating basket bertingkat, basketpanjang, penyanggah casing, penyanggah hook crane dan meningkatkanperawatan pada alat bantu ini.

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ABSTRACTLBP can caused by Rigger jobs, the purpose of this study to determineergonomic risk factor, level of risk and risk control of LBP. The study design wascross-sectional using REBA (Rapid entire body assessment) method. The result ofthis study shows that the highest risk rate was 'release the hook crane" with 11score.The lowest score was "release the wire sling" with 6 score.This studysuggest to added graded grating basket, long basket, casing buffer, hook cranebuffer, and do appropriate maintenance to this tools."

"Exhalation Channel Infection Disease of Acute (ISPA) be one of health problem of main public because still height of mortality because ISPA espicially at baby and balita. In Sub-Province Bandung death because ISPA reachs 54,55% and in kecamatan Gununghalu x'self patient ISPA at balita experiences improvement from the year 2003 until the year 2005. Risk the increasing of ISPA can be influenced by low economic social status , condition of housing which still varying according to quality of its (the building, causing is required research about factor relating to case of ISPA at balita. This researh type is analytic observasional with planning cross sectional. Variable which is accurate is house wall type, house floor type, ventilation wide of house, situation of house temperature, house dampness, existence of hole smoke of kitchen, unmate density, ripe fuel type, usage of anti mosquito drug, smoking habit member of family, umminization status, status gizi, time body weight borned and case of ISPA at balita. Result of research with test chi square there is relationship having a meaning (of) between house wall types (p value = 0,044 and OR = 3, 338), ventilation wide of house (p value = 0,030 and OR = 3,589), house temperature (p value = 0.023 and OR = 2,972) existence of hole smoke of kitchen (p value = 0,014 and OR = 3,824) smoking habit member of family (p value = 0,022 and OR = 6,182) status gizi (p value = 0,000 and OR = 12,600) and time body weight borned (p value = 0,049 and OR = 5, 800) dengan case of ISPA at balita. suggestion is given by intensifying counselling to public about healthy house and preventive effort the happening of ISPA at balita."

"ABSTRACTRheumatoid arthritis (RA) is an autoimmune disease which has recently been recognized to manifest as not only intraarticular events, presented either subclinically or clinically, were discovered more in AR patients. Atherogenic inflammatory mediator in AR including interleukin-6 (IL 6) was thought tobe one of nontraditional cardiovascular risk factor contributing to increase the endothelial dysfunction biomarker such as e selectin."

"Kurang gizi pada balita merupakan suatu keadaan yang sangat penting dan serius bagi kelangsungan hidup anak karena selain dapat menggangu tumbuh kembang anak juga dapat menyebabkan kematian. Perawat sebagai salah satu pemberi layanan kesehatan mempunyai peran penting dalam meningkatkan derajat kesehatan anak, salah satunya dengan memantau status gizi anak balita. Penelitian bertujuan untuk mengetahui determinan status gizi balita di RSUD Majalaya Kabupaten Bandung. Penelitian ini menggunakan desain penelitian retrospektif case control di rumah sakit dengan 35 pasien sebagai kasus dan 105 sebagai kontrol dari pasien yang dirawat dalam kurun waktu Juni 2008 sampai dengan Juni 2009 dengan melihat data sekunder rekam medis pasien. Analisis yang digunakan adalah dengan analisis univariat, bivariat dengan chi square, dan multivariat dengan regresi logistik berganda.Hasil penelitian menunjukkan bahwa pada tingkat kepercayaan 95% tidak ada hubungan usia balita, status infeksi penyakit kronis, status pendidikan ibu, status pekerjaan ibu, dan jumlah anak dengan status gizi balita. Ada hubungan usia ibu dan jumlah penghasilan keluarga dengan status gizi balita. Akan tetapi, ada kecenderungan bahwa usia balita yang lebih muda, balita yang mengalami infeksi penyakit, pendidikan ibu yang rendah, ibu yang bekerja, dan keluarga yang memiliki jumlah anak lebih dari dua memiliki resiko lebih besar untuk terjadinya kurang gizi pada balita. Hasil analisis multivariat menunjukkan faktor paling dominan terhadap status gizi balita adalah usia ibu (p=0,002, OR=12). Berdasarkan temuan tersebut, pelayanan keperawatan harus meningkatkan pendidikan kesehatan kepada ibu usia muda tentang pemenuhan gizi pada balita, sehingga status gizi balita dapat meningkat dan kasus kurang gizi pada balita menurun.

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Under nutrition in children under five years is very important and serious situation because it influence child development and can cause death. Nurse as a care giver has an important role to increase child health development with monitoring the child nutritional status. Purpose of this research is to determine the nutritional status risk factors for children under five years in the Majalaya Hospital. Retrospective hospital based case control is used with 35 patient as case and 105 control on June 2008-Juni 2009 by medical record analyzing as secondary data. Descriptive, chi square and logistic regression method are used in data analyzing.This research showed that there are no relation between child age, infectious status, mother educational status, mother job status, and number of child in family with nutritional status of under five years child. However, there are possible risk for them to influence child nutritional status. There is a relation between mother age and salary with nutritional status of under five years child with dominant factor is mother age (p=0,002, OR=12). Base on this result, the nursing health care must increase the promoting and educating function to mother with under five years child to required the child nutrition and decrease the mortality and the incidence of under nutrition in child."

"ABSTRAKPelaksanaan proyek EPC sering kali mengalami keterlambatan terutamapada typical proyek EPC industri pada sector Oil Gas, Power Plant,Petrochemical Processing plant. Keterlambatan menjadi kasus yag seringdijumpai pada kinerja proyek yang meleset dari ekspektasi pelaksana ekesekusikontraktor. Proyek industri dengan contract integrated EPC alaminyameningkatkan tingkat kompleksitas proyek berhubungan dengan kebutuhankomunikasi untuk mendukung proses kolaborasi stake holder dalam sharinginformasi untuk koordinasi dan integrasi. Integration pada akhirnya harusdilakukan dari bagian bagian sub sistem dan komponen yang memiliki keterkaitaninteraksi dependent, interdependent, dan independent namun boundary antarbagian menjadi permalasalahan yang timbul wujud dalam bentuk permasalahanantar muka/interfacing.Penelitian ini bertujuan dalam mengidentifikasi resiko resiko interface danresiko dominan didalam komisioning proyek EPC sehingga dapat rancang strategirisk respond untuk mengatasi masalah keterlambatan ini.Metode penelitian dengan melakukan survey, interview teknik Delphipada pakar dan studi kasus dari objek di PT.X yang banyak melakukan proyek disektor industri EPC. Metode Analisa menggunakan Analisa kualitatif riskmanagement berbasis PMBOK 2017, Analisa Statisitik deskrisi, Analisa faktoruntuk mendapat ekstraksi faktor baru dari resiko sehingga mudah dikontrol.Hasil penelitian ini berupa identifikasi resiko resiko interface dan resikodominan berdasarkan tingkatnya dari assessment risk matriks di komisioningproyek EPC dalam persepktif Management Interface sebagai langkah mengatasipermasalahan integrasi. Adanya keterkaitan complexity dan komunikasi, typicalproject EPC industri, kompleksitas yang disusun dalam strategi juga strategi yangtepat dan terintegrasi dalam perspektif Manajemen Interface menangani risikorisikoyang terjadi sehingga dapat meningkatkan kinerja waktu pada komisoningproyek EPC.

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ABSTRACTImplementation of EPC projects is often delayed, especially on typicalindustrial EPC projects in the Oil Gas, Power Plant, Petrochemical Processingplant sectors. Delays are often the case in project performance that miss theexpectation of contractor execution executor. EPC contract integrated industrialprojects naturally increase the level of project complexity associated withcommunication needs to support stakeholder collaboration processes ininformation sharing for coordination and integration. Integration should ultimatelybe done from parts of the sub-system and components that have interrelationshipdependent, interdependent, and independent but boundary between parts becomeproblems that arise form in the form of interfacing / interfacing problems.This study aims to identify the risk of interface risk and the dominant riskin EPC project commissioning so as to design a risk respond strategy to overcomethis delay problem.Research methods by conducting surveys, Delphi technique interviews onexperts and case studies of objects in PT.X which many do projects in the EPCindustry sector. Analytical Method using qualitative risk management based onPMBOK 2017, static analysis description, factor analysis to get new factorextraction from risk so easy to control.The result of this research is identification of risk of interface risk anddominant risk based on the level of assessment risk matrix in EPC projectcommissioning in Persektif Management Interface as a step to overcomeintegration problem. Existence of complexity and communication linkages,typical EPC industry project, complexity compiled in strategy as well asappropriate and integrated strategy in perspective Interface Management takescare of the risks that occur so as to improve time performance on EPC projectcommissioning."

"CAPD merupakan suatu tehnik dialisis dengan menggunakan membran peritoneum sebagai membran dialisis yang memisahkan dialisat dalam rongga peritoneum dan plasma darah dalam pembuluh darah peritoneum. Berbagai komplikasi dapat timbul pada penanganan CAPD. Tujuan penelitian ini adalah untuk mengetahui faktor risiko terjadinya komplikasi CAPD. Penelitian ini menggunakan desain deskriptif analitik dengan cross sectional. Populasi pada penelitian ini adalah 130 pasien CAPD di RSUD Dr. Moewardi Surakarta dan RSUP Dr. Sardjito Yogyakarta yang dipilih dengan cara purposive sampling. Hasil analisis menunjukkan bahwa kepatuhan terhadap prosedur standar ( p = 0,019) dan higienitas saat penggantian cairan dialisat (p = 0,013) memiliki hubungan yang bermakna dengan komplikasi CAPD. Pasien dengan higienitas kurang baik saat mengganti cairan dialisat berisiko untuk mengalami komplikasi CAPD 3,82 kali lebih besar dibandingkan dengan pasien yang higienitasnya baik setelah dikontrol oleh variabel kepatuhan terhadap prosedur standar CAPD. Rekomendasi dari penelitian ini adalah perlu dilakukan evaluasi berkala terhadap kemampuan perawatan CAPD dirumah.

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CAPD is a dialysis technique using peritoneal membran as a dialysis membrane that separate the dialysate in the peritoneal cavity and blood plasma in the blood peritonium vessels. This study aimed to identify the risk factors of complications on CAPD.

The study used a descriptive design with cross sectional analytic. The population in this study was 130 CAPD patients in hospitals RSUD Dr. Moewardi Surakarda and RSUP Dr. Sardjito Yogyakarta, selected by using purposive sampling.

The results of the study indicated that adherence to standard procedures (p = 0.019) and hygiene during the dialysate fluid replacement (p = 0.013) had a significant association with complications of CAPD. The patients with poor hygiene during dialysat replacement had a risk for experiencing complication of CAPD at about 3.82 times greater than patients who had good hygiene when controlled by variable of adherence to standard procedures CAPD.

The recommendation of this study was the necessity of conducting periodic evaluation of the patient?s ability of CAPD treatment at home."