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"ABSTRAKPenelitian ini membahas tentang gambaran masalah penyalahgunaan tramadol yang dilakukan oleh remaja di Kabupaten Bangka Selatan. Tujuan dari penelitian ini adalah menggali secara mendalam perilaku dan faktor pendukung serta penghambat perilaku remaja penyalahgunaan tramadol dengan menggunakan teori Sosio Ekologi Model SEM . Penelitian ini adalah penelitian kualitatif dengan metode life history. Hasil dari penelitian menemukan bahwa perilaku remaja menjadi penyalahguna tramadol dimulai dari usia 12 hingga 19 tahun. Terdapat gejala ketergantungan tramadol yang dialami oleh beberapa subyek ditandai dengan peningkatan dosis obat, gejala putus obat dan intoleransi obat. Subyek remaja pekerja dan non pekerja memiliki pola konsumsi yang berbeda. Ada penggunaan obat/zat lain pada perilaku penyalahgunaan tramadol. Faktor pendukung dan penghambat perilaku penyalahgunaan tramadol meliputi seluruh level perilaku yaitu intrapersonal, interpersonal, komunitas dan kebijakan. Kesimpulan dari penelitian ini bahwa perilaku penyalahgunaan tramadol sudah menjadi hal yang wajar bagi remaja di kabupaten Bangka Selatan, berbagai faktor telah mempengaruhi remaja dalam penyalahgunaan tramadol. Upaya pencegahan dan penanganan segera diperlukan untuk mengatasi permasalahan ini.

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ABSTRAKThis study discusses about the image of tramadol abuse doing by adolescents in South Bangka County. The purpose of this study is to explore deeply the behavior, supporting and inhibiting factors of adolescent on tramadol abuse by using the Socio Ecological Model SEM theory. This is qualitative research with life history method. The results show that the juvenile rsquo s behavior on misuse of tramadol started from ages 12 to 19 years. The symptoms of tramadol dependence experienced by several subjects are marked with the increasing of drug dose, withdrawal symptoms and drug intolerance. Both of working and non working youths have different consumption patterns. There is the use of other drugs substances in tramadol abuse behavior. Supporting and inhibiting factors of tramadol abuse behavior include entire levels of behavior such as intrapersonal, interpersonal, community and policy. The conclusion of this study are tramadol abuse behavior has become a habit for adolescents in South Bangka County and multiple factors have affected adolescents on tramadol abuse. Immediate preventive and responsive efforts are needed to solve this problem."

"Tesis ini membahas tentang bagaimana regulasi penambangan yang ada diKabupaten Bangka Selatan Propinsi Kepulauan Bangka Belitung dihubungkandengan tingkat kerentanan sosial dan sumber penghidupan masyarakat. Thesis iniingin melihat gambaran kerentanan (Vulnerability) dan Sumber Penghidupan(Livelihood). Sampel diambil sebanyak 387 responden di wilayah Bangka Selatandengan menyebar kuesioner dan menggunakan metode simple random samplinguntuk responden menggunakan analisis bivariat untuk melihat signifikansi level danpearson correlation dengan menggunakan bantuan software. Hasilnya adalahadanya Kerentanan (Vulnerability) dan Sumber Penghidupan (Livelihood)masyarakat sekitar lahan pertambangan timah di Kabupaten Bangka Selatan.

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This thesis discusses how existing mining regulation in South Bangka Bangka

Belitung province associated with the level of social vulnerability and livelihoods.

This thesis would like to see a picture of vulnerability (Vulnerability) and

Livelihoods (Livelihoods). Samples were taken as many as 387 respondents in the

South Pacific region by spreading the questionnaire and using simple random

sampling method to respondents using bivariate analysis to look at the significance

level and Pearson correlation using statistical software. The result is the existence

of Vulnerability (Vulnerability) and Livelihoods (Livelihoods) surrounding

communities tin mining land in South Bangka Regency."

"Pengaruh hormon mengaktifkan kelenjar sebasea saat remaja, dan meningkatkan kelembaban genitalia. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan remaja awal tentang kesehatan organ reproduksi wanita dan perilaku vulva hygiene. Penelitian ini berjenis kuantitatif dengan desain deskriptif sederhana. Sampel penelitian mencakup 108 siswi kelas tujuh dan delapan, dengan teknik simple random sampling. Hasil penelitian menunjukkan, mayoritas pengetahuan remaja cukup (62,0%) dan perilaku vulva hygiene baik (51,9%). Informasi mempengaruhi pengetahuan, yang menentukan perilaku. Peneliti menyarankan pemberian informasi kesehatan reproduksi oleh peer group secara berkala, mahasiswa keperawatan juga perlu mempelajari keterampilan menyampaikan materi kesehatan reproduksi bagi remaja secara efektif.

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Hormonal changes activate sebacea glands and increase genitalia moisture. The study aimed to find the knowledge level of female reproductive health and vulva hygiene behaviour in early female adolescents. The method of this research was quantitative descriptive. The data were collected from 108 female students in seventh and eighth grade by simple random sampling. Result showed that most respondents had sufficient knowledge (62,0%) and good vulva hygiene behaviour (51,9%). Information influence knowledge, that determine human behaviour. Researcher suggested that delivering information about reproductive health by peer group should be done regularly, nursing students also need to learn communication skill in deliver reproductive health materials for adolescents effectively."

"ABSTRAK Upaya yang efektif dalam mencegah malaria pada ibu hamil dengan menggunakan kelambu berinsektisida. Tesis ini bertujuan untuk menganalisis perilaku ibu hamil dalam penggunaan kelambu berinsektisida dan faktor-faktor yang berhubungannya di Kabupaten Bangka Selatan. Disain penelitian potong lintang digunakan pada 256 sampel yang dipilih dengan metode klaster dua tahap dan PPS, sedangkan data dikumpulkan dengan metode wawancara menggunakan kuesioner. Hasil penelitian menunjukkan perilaku responden yang menggunakan kelambu berinsektisida sebesar 79,3%. Dukungan suami merupakan faktor yang paling dominan berhubungan dengan perilakupenggunaan kelambu, responden yang cukup didukung suamiberpeluang menggunakan kelambu berinsektisida 8 kali dibandingkan responden yang kurang didukung suami setelah dikontrol oleh pengetahuan, sikap dan keterpaparan penyuluhan (OR 8,34 95% CI 3,61 – 19,23).

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ABSTRAK Using the insecticide nets is the most effective method to prevent malaria for pregnant women. This study is aimed at analyzing pregnant women’s behavior in using the Insecticide Treated Nets (ITNs) and its determinants. Applying cross sectional design, 256 respondents taken as sample in South Bangka Regency, Indonesia. Sample were selected through 2 stages cluster and probability proportionate to size (PPS). Data collected by interviewing using pretested questionnaire, were then analyzed to meet the study objectives. This study founded 79,3% of the respondents used ITNs. Further analysing by using multiple logistic regression, pregnant women’s husband support is proven the most dominant variable toward the use of ITNs among pregnant women, respondents who had enough husband’s support has a chance to use ITNs 8 times than the respondents who less support, after controlled by knowledge, attitudes and exposure to midwive’s counseling"

"ABSTRAKKegiatan pertambangan rakyat yang disebut oleh masyarakat Bangka dengan Tambang Inkonvensional (TI), semakin marak hampir mencakup ke segala aspek ekosistem alam baik darat maupun laut yang mana tidak memiliki izin dalam proses kegiatan penambangan. Dengan semakin maraknya kegiatan pertambangan TI dikabupaten Bangka Selatan maka Pemerintah Daerah Kabupaten Bangka Selatan membentuk Tim Terpadu PETI dalam rangka upaya penanggulangan masalah penertiban serta penghentian segala bentuk pertambangan tanpa izin. Pembentukan Tim Terpadu PETI ini berdasarkan Keputusan Bupati Bangka Selatan No.188.45/67A/SAT POL PP/2014 tentang Pembentukan Tim Terpadu Penanggulangan Pertambangan tanpa Izin yang mana mengacu pada Perda No 4 Tahun 2011 Tentang Pertambangan Mineral.Fokus penelitian ini adalah pada implementasi kebijakan tersebut. Penelitian ini menggunakan metode kualitatif. Hasil penelitian menunjukkan bahwa implementasi kebijakan penanganan tambang timah inkonvensional (TI) mengalami berbagai permasalahan berupa keterbatasan Keterkaitan standar dan tujuan, sumberdaya, komunikasi antar organisasi dan aktivitas implementasi, karakteristik badan pelaksana, kondisi sosial, ekonomi dan politik serta disposisi pelaksana sangat mempengaruhi implementasi kebijakan. Ketidakjelasan dalam pelaksanaan standar dan tujuan, masih kurangnya dukungan sumberdaya kebijakan baik itu kurangnya sumberdaya manusia, sumberdaya dana, sumberdaya fasilitas dan sumberdaya informasi, serta aspek diluar organisasi seperti kondisi sosial, ekonomi memberikan hambatan dalam proses pelaksanaan implementasi kebijakan dan pencapaian keluaran implementasi kebijakan.

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ABSTRACTArtisanal mining activities called by the Islands community with Unconventional Mine (TI), the more bloom almost cover all aspects of natural ecosystems to both land and sea which are not authorized in the process of mining activities. With the rise of mining activities, the IT dikabupaten South Bangka Regency Government of South Bangka Integrated Team illegal formed in an effort to curb the problem prevention and cessation of all forms of mining without permission. Integrated Team illegal formation is based on Decree of the Regent South Bangka No.188.45 / 67A / SAT POL PP / 2014 on the Establishment of an Integrated Response Team Mining without a license which refers to Bylaw No. 4 of 2011 on Mineral.This research focus is on the implementation of the policy. This study uses a qualitative method. The results showed that the implementation of policies to deal with unconventional tin mine (TI) experienced a variety of problems such as limitations of standard linkage and objectives, resources, communication between the organization and implementation activities, the implementing body characteristics, social, economic and political as well as the disposition executive influence policy implementation. The lack of clarity in the implementation of standards and goals, still a lack of resources support good policies that lack of human resources, financial resources, resources, facilities and information resources, as well as aspects of outside organizations such as social conditions, economic provide obstacles in the implementation process of policy implementation and the attainment of policy implementation"

"Benteng Toboali merupakan sebuah benteng pertahanan yang terletak di pesisir barat Bangka Selatan di Pulau Bangka, tepatnya di Toboali. Benteng Toboali dibangun oleh pemerintah kolonial Belanda pada abad ke-19. Penelitian ini dilakukan dengan menempatkan Benteng Toboali dalam konsep panoptikon yang dikemukakan oleh Michel Foucault (1995) selama masa pemerintahan kolonial Belanda di Toboali untuk merekonstruksi mekanisme kuasa yang ada antara pihak Belanda dengan pihak-pihak yang ada di sekitar Benteng Toboali. Penelitian ini menggunakan metode penelitian arkeologi yang dikemukakan oleh Collin Renfrew dan Paul G. Bahn (2016): formulasi, pengumpulan dan perekaman data, pemrosesan dan analisis, dan publikasi. Pengumpulan dan perekaman data dilakukan dengan metode survei di Benteng Toboali pada bulan Januari 2020. Analisis jangkauan dilakukan untuk mengidentifikasi wilayah jangkauan pengawasan, dan analisis jaringan dilakukan untuk menjelaskan relasi antara pihak Belanda dengan fitur-fitur yang ada di wilayah pengawasannya. Hasil penelitian ini menyatakan bahwa Benteng Toboali sebagai representasi kuasa pemerintah kolonial Belanda di Toboali difungsikan sebagai bangunan pengawasan terhadap kelompok pribumi, kelompok etnis Cina, perusahaan-perusahaan Belanda (Bankatinwinning dan Bataafsche Petroleum Maatschappij), dan kelompok lain yang masih berada dalam wilayah jangkauan Benteng Toboali melalui mekanisme panoptikon.

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ABSTRACTToboali is a fortress located in the west coast of South Bangka in Bangka Island, precisely in Toboali. Fort Toboali was built by the Dutch colonial government in 19th century. This research was conducted by placing The Fort Toboali in the Panopticon concept by Michel Foucault (1995) during the Dutch colonial government in Toboali to reconstruct the mechanism of power that exixted between the Dutch and evertything around the Fort Toboali. The research used archaeological research method stated by Collin Renfrew and Paul G. Bahn (2016): formulation, collecting and recording evidence, processing and analysis, and publication. Collecting and recording the evidence was held by survei method in Fort Toboali on January 2020. Buffer analysis was used to identify the surveillance area, and networking analysis was used to explain the relation between the Dutch and the features on the surveillance area. The result of the research is that the Fort Toboali as a representation of the power of the Dutch colonial government in Toboali was functioned as a surveillance building to the indigenous group, Chinese ethic group, the Dutch companies (Bankatinwinng and Bataafsche Petroleum Maatschappij), and another group within the reach of Fort Toboali through the panopticon mechanism.

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"Kesehatan reproduksi untuk remaja penyandang disabilitas sering diabaikan sehingga kurangnya pendidikan seputar personal hygiene dikarenakan sebagian orang menganggap topik menstruasi merupakan topik yang sensitif dan keyakinan yang salah bahwa remaja dengan disabilitas tidak memiliki hasrat seksual. Sehingga pemahaman mengenai personal hygiene menstruasi pada remaja disabilitas kurang diperhatikan.Tujuan penelitian ini adalah untuk mengetahui gambaran personal hygiene dalam menghadapi menstruasi pada remaja disabilitas fisik dan disabilitas intelektual. Metode penelitian kualitatif dalam bentuk case study, pengumpulan data dengan wawancara mendalam dan observasi, informan terdiri dari 3 informan remaja disabilitas usia 15-24 tahun yang sudah menstruasi, serta 3 informan dari ibu remaja disabilitas dan 2 informan terapis anak berkebutuhan khusus. Penelitian dilakukan di Klinik Keanna Center dan YPAC Jakarta Selatan pada bulan Juli-September 2021. Hasil penelitian kurang pengetahuan ibu dan remaja disabilitas mengenai personal hygiene menstruasi, fasilitas penunjang memberikan kemudahan bagi remaja disabilitas maupun ibu untuk membantu melakukan personal hygiene menstruasi, kurangnya informasi mengenai personal hygiene pada remaja disabilitas, sebagian besar ibu membantu dalam melakukan personal hygiene menstruasi pada anak mereka dan perilaku personal hygiene menstruasi pada remaja disabilitas masih kurang tepat. Disarankan remaja disabilitas dan ibu perlu meningkatkan pengetahuannya dengan melakukan sharing dengan professional untuk mendapatkan informasi mengenai personal hygiene menstruasi dengan tepat.

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Reproductive health for adolescents with disabilities is often neglected education regarding personal hygiene are lacking. It is because some people consider menstruation as a sensitive topic and have the wrong belief that adolescents with disabilities have no sexual desire. The research purposes to know the overview of personal hygiene in dealing with menstruation in adolescents with physical and intellectual disabilities. The research methods were qualitative in the form of case study, data collected by in-depth interview and observation. Informants consisted of 3 informants from the adolescents of 15-24 years old, 3 informants are the mothers and 2 informants are the therapists for special needs children. The research was conducted in Klinik Keanna Center and YPAC South Jakarta in July-September 2021. The research results the lack of apprehension about the personal hygiene menstruation from the mothers and the adolescents with disabilities, supporting facilities that accommodated adolescents with disabilities and their mothers to perform treatment in personal hygiene, lack of apprehension about general personal hygiene menstruation in adolescents with disabilities, most of the mothers gave supports to the adolescents with disabilities in the form of assistance in performing personal hygiene during menstruation, also personal hygiene menstruation behavior in adolescents with disabilities are still incorrect. It is suggested that adolescents with disabilities and their mothers need to improve their knowledge by sharing with a professional to obtain correct information about personal hygiene during menstruation."

"Penyakit malaria dapat menyerang semua orang, dan dapat diidentifikasi dengan adanya gejala demam, menggigil yang menyerang secara berkala (Trias Malaria), dengan tahap stadium dingin, stadium demam, dan stadium berkeringat. Kabupaten Bangka merupakan daerah endemis tinggi malaria (AMI 54,83%). Hasil studi observasional yang dilakukan di Kabupaten Bangka didapat sebagian besar penderita malaria klinis yang melakukan pengobatan sendiri sebesar 62,5%. Berdasarkan hal tersebut maka telah dilakukan penelitian dengan tujuan menentukan perilaku pencarian pengobatan pertama penyakit malaria klinis dan faktor-faktor yang berhubungan dengan perilaku tersebut. Rancangan penelitian menggunakan desain cross sectional. Populasi adalah penduduk yang pernah merasa atau sedang menderita penyakit malaria klinis dengan gejala demam, menggigil dalam satu bulan terakhir di Kecamatan Sungailiat Kabupaten Bangka Tabun 2002. Jumlah sampel sebanyak 270. Pengolahan dan analisa data dilakukan dengan cara univariat, bivariat dan multivariat dengan menggunakan bantuan komputer. Hasil penelitian menunjukkan 62,2% penderita malaria klinis berobat ke luar sarana pelayanan kesehatan. Ada hubungan yang bermakna antara pengetahuan, pendidikan dan penyuluhan dengan perilaku pencarian pengobatan pertama penyakit malaria klinis, dimana dengan OR = 2,13, 2,60, 2,30 (95% CI 1,25-3,66; 1,50-4,51; 1,34-3,96). Pendidikan yang mempunyai hubungan yang paling kuat dengan perilaku pencarian pengobatan pertama penyakit malaria klinis (OR = 2,63; 95% CI 1,25-3,66). Intervensi yang dapat dilakukan adalah dengan melakukan penyuluhan dengan sasaran pemilik warung, masyarakat melalui LKMD, arisan-arisan dengan berbagai brosur, petunjuk minum obat malaria, leaflet, poster.

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The First Health Seeking Behaviors of Clinical Malaria Sufferer In Sungailiat District In Bangka Regency Year of 2002Malaria can attacks everybody and it can be identified through several symptom i.e. fever, regularly trembling (Trias Malaria), and followed by cold, fever, and sweaty phase. Bangka regency is known as one of high category of malaria endemic area (AMI 54,83%/). The results of observational study in Bangka Regency shows that more than 62,5% of clinical malaria sufferer have therapy by self medicine. Base on that fact, some have done researches to determine the behaviors of clinical malaria sufferer and the other factors that related to the behaviors.

The research using Cross Sectional design. The population is inhabitant ever to feel or suffering of clinical malaria that followed by fever, tremble in a month period in Sungailiat District, Bangka Regency in the year 2002. The samples are 270 sufferers. The analyses of data are done by univariat, bivariat and multivariat and processed by computer.

The results gives evidence that 62,2% of clininical malaria sufferer have taken a medicine out of health center. There are relationships between educations, knowledge, information and the way to treat their diseases with OR the first health seeking behaviors of clinical malaria OR =2,13, 260, 2,30 (95%Cl 1,25-3,66; 1,50-4,51; 1,34-3,96). The education has a tight relations with they way of treatment of malaria diseases (OR = 2,63; 95% CI 1,25-3,66). The interventions that can be done, is to give information to the owner of stall, public via LKMD, brocure, medicine direction, leaflet, poster and the other public organizations."

"This dissertation discusses about the tin mining in Bangka community in Penagan village, Province of Bangka-Belitung Islands, particularly on relations of strength in the activity structure of tin mining performed by the miners (individuals or groups) in organizing the control, exploitation, management and distribution of the resources in the area. Tin mining activities performed by Bangka people in Penagan is called TI forming inseparable part of Bangka people life. In these activities, the miners are connected in the context of relation of power based on the strength of each miner. The relation of strength and powers is not only demonstrated by the statue and role between Boss and subordinates in TI activities but also among TI with other miners interested in tin resources.In this dissertation, i will show the relation of power in the social structure being the function of mutual relations of strength among the miners based on the capabilities and capacity of each miner in such structure. The powers of each miner includes capital and symbols of relaionship regularly reproduced to strengthen the existing relation. Mutual relation is functionally empowered by the miners to maximize the economic benefit from available resources in the walks of life of the ccommunity. Tin mining structure is a siymbiotic and mutual cooperation network (mutual and profit exchange) primarily among the miners based on economic benefit of tin resource, where the fund will then become collective standard of the miners and business groups. The strength held by each miner in the context of tin resources control and tin mining activities indicate no dualism of the strength of the miner binding of free. In term of mining context, the existing strength is independent or binding. There is no miner who can directly control by the power it owns in tin mining activities. This is attributable to the fact that tin, as a resource in social system of tin mining is considered as collective resources.Research methodology used in this dissertation is qualitative research method with observation technique and in-depth interview. Specifically, it uses ethnography method resulth in deep and holistic examination on tin mining performed by Bangka community in Penagan. The period of data collection began from the early 2005 until August 2006. I use the approach referring to the relations of power and strength among the miners in the tin mining structure which includes control, management and organizing of tin resources. The relation of powers among the miners is based upon the strength of the miners to influence and or to control other miners."

"Aktivitas fisik menjadi salah satu faktor utama penyebab noncomunicable disease. 80% remaja di dunia tahun 2016 memiliki tingkat aktivitas fisik rendah. Aktifitas fisik remaja dipengaruhi oleh beberapa faktor antara lain usia, jenis kelamin, dukungan sosial, motivasi, dan urbanisasi. Penelitian ini bertujuan mengidentifikasi aktivitas fisik remaja di Kota Depok dengan melibatkan 364 responden siswa sekolah menengah pertama dan menengah atas dengan teknik consecutive sampling. Hasil penelitian ini menunjukan bahwa remaja memiliki tingkat aktivitas fisik rendah (n=208; 57,1%), motivasi aktivitas fisik rendah n=188; 51,6%, dukungan aktivitas fisik rendah dari orang tua n=205; 56,3%, dan dukungan aktivitas fisik rendah dari teman sebaya n=203; 55,8%. Disimpulkan bahwa sebagian besar remaja Kota Depok memiliki tingkat aktivitas fisik yang rendah, sehingga perlu adanya promosi maupun intervensi aktivitas fisik yang tidak hanya diberikan kepada remaja saja melainkan juga pada lingkungan sosial remaja (keluarga, sekolah, dan teman sebaya).

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Physical activity is one of the main factors causing non-communicable diseases. In the world, 80% of adolescents have low physical activity in 2016. Physical activity influenced by several factors, such as age, gender, social support, motivation, and urbanization. This study aimed to identify the physical activity of adolescents in Depok by involving 364 respondents of middle and high school students who used consecutive sampling techniques. The results of this study indicated that adolescents have low of physical activity n=208; 57,1%, low of physical activity motivation n=188; 51,6%, low of physical activity support from parents n=205; 56,3%, and low of physical activity supports from peers n=203; 55,8%. It concluded that the majority of adolescents in Depok have low physical activity. Thus, promotion or intervention of physical activities is given to adolescents but also and social environment of adolescents family, school, and peers.

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