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Abstrak :
Pada periode sepuluh tahun terakhir, angka kejadian hipertensi pada jema'ah haji Indonesia berfluktuasi pada kisaran 10-12 persen pada setiap musim haji. Jumlah kejadian hipertensi pada JHI pada tahun 1428 H adalah 11,8 persen masih dalam rata-rata pada populasi umum yaitu 6 - 15 persen. Penelitian ini bertujuan untuk mengetahui berbagai faktor yang berhubungan dengan status hipertensi pada calon jema?ah haji Indonesia pada musim haji 1428 H. Penelitian ini dilakukan pada 197.365 orang jema?ah haji Indonesia, metode penelitian yang digunakan adalah cross-sectional. Sumber data dasar untuk analisis digunakan pada penelitian ini adalah data sistem komputerisasi terpadu (Siskohat) 2008 dan Siskohatkes 2008, data buku laporan TKHI kloter tahun 1428 H. Data dianalisis menggunakan analisis logistik ganda. Faktor yang berhubungan dengan status hipertensi jema?ah haji Indonesia adalah umur dan jenis kelamin. Umur 40 sampai dengan 50 tahun memiliki risiko 3,17 kali lebih tinggi (95 % CI : 2,88 ? 3,49), jema?ah haji berumur 51 ? 60 tahun memiliki risiko 6,33 kali lebih tinggi( 95 % CI : 5,76 ? 6,94), Jema'ah berumur ≥ 61 tahun memiliki risiko 9,00 kali lebih tinggi ( 95 % CI : 8,20 ? 9,89)untuk hipertensi dibandingkan umur jema'ah haji < 40 tahun. Jema'ah haji wanita mempunyai risiko 0,92 kali lebih rendah (95 % CI : 0,82 ? 1,03) untuk menderita hipertensi dibandingkan jema?ah haji pria. Kontribusi hipertensi terbesar pada jema?ah haji Indonesia disumbangkan umur ≥ 61 tahun sebesar 21,7 %. Kontribusi terbesar lainnya umur 51 ? 60 tahun sebesar hampir 15,6 %, umur 40 ? 50 tahun sebesar 8,4 % dan umur < 40 sebesar 2,86 %. Pekerjaan pedagang dan petani sebesar 14,0 %, jenis kelamin laki laki sebesar 12,5 %, pendidikan rendah 12,6 % untuk menyebabkan hipertensi pada jema?ah haji Indonesia. Sebaiknya umat Islam menunaikan ibadah haji sebelum berusia 40 tahun, memberi perhatian yang lebih besar pada jema?ah berusia diatas 40 tahun dan berjenis kelamin pria. ...... In the last decade, the hypertension incidence rate on the Indonesian Hajj Pilgrim (IHP/JHI) is fluctuated in a ange of 10 to 12 percent, in every pilgrimage season. The incidence number of hypertension on IHP at the year of 1428H is 11.8% and it is still on the average of general population, which is at 6-15%. The study has aim on exploring factors realted to hypertension status of the IHP at the hajj pilgrimage season 1428H. The study is carried out on 197,365 people of IHP with a cross sectional study design. The data used in this study has sourced from the integrated computerized system (ICS/Siskohat) 2008 and Sikohatkes 2008, Report Book of TKHI at the year 1428H, and analyzed by the multiple logistic analysis. Factors related to hypertension status of the IHP are age and sex. Compare to IHP age less than 40 years old, IHP who are in 40 to 50 years old have a risk 3.17 times higher (95% CI: 2.88 ? 3.91), those who age 51 ? 60 has a risk 6.33 times higher (95% CI: 5.76 ? 6.94), and IHP age more than and equal to 61 years old has a risk 9.00 times higher (95% CI: 8,20 ? 9.89) to acquire hypertension. Women pilgrim has a risk on 0.92 lower (95% CI: 0.82 ? 1.03) than men to become hypertension. Most contribution for hypertension is from those who age > 61 years old 21.7%, from age 51-60 is about 15.6%, age 40-50 is 8.4% and from age less than 40 is only 2.86%. Contribution of IHP who has occupation as a merchant and farmer is around 14%, male 12.5%, and low education 12.6%, to become hypertension. It is suggested that IHP should do their pilgrimage before the age of 40, more attention should be given to those who are age more than 40 and men IHP.

Abstrak :
ABSTRAK
Nefrostomi perkutan merupakan prosedur penting dalam penanganan obstruksi uropati yang disertai uremia dan septikemia. Nefrostomi dilakukan sebagai tindakan sementara sebelum dilakukan tindakan definitif. Beberapa faktor berperan dalam perbaikan fungsi ginjal setelah nefrostomi, antara lain: usia, durasi obstruksi, fungsi ginjal kontralateral, pyelolymphatic backflow dan compliance ureter dan pelvis renalis. Penelitian ini bertujuan untuk menilai faktor-faktor yang dapat memprediksi penurunan kadar kreatinin serum (< 2mg/dl) pascanefrostomi pada pasien obstruksi uropati di Rumah Sakit Dr.Sardjito tahun 2009-2012. Ini merupakan penelitian deskriptif analitik retrospektif. Data diambil dari pasien obstruksi uropati yang dilakukan tindakan nefrostomi perkutan dari Januari 2009 sampai dengan Desember 2012. Kemudian dilakukan analisis bivariat untuk menilai hubungan antara etiologi, nefrostomi (unilateral atau bilateral), durasi gejala (≤14 hari atau >14 hari), penyakit penyerta (hipertensi, diabetes melitus dan penyakit jantung) dan grade hidronefrosis (ringan, sedang dan berat). Dengan menggunakan analisis chi-square dan multiple logistic regression diperoleh faktor-faktor prediksi penurunan kadar kreatinin serum pascanefrostomi serta rumus prediksinya. Pada penelitian ini dianalisis 117 pasien yang dilakukan nefrostomi perkutan. Diperoleh analisis bahwa tindakan nefrostomi unilateral atau bilateral (p=0,000), durasi gejala (p=0,000), penyakit penyerta hipertensi (p=0,004) dan derajat hidronefrosis (p=0,000) berperan dalam menurunkan kadar kreatinin serum. Sedangkan etiologi dan penyakit penyerta (diabetes melitus dan penyakit jantung) tidak memiliki peran. Dengan menggunakan rumus prediksi, P= 1/(1+ey), dimana y= -0,271 + 1,636 (derajat hidronefrosis) + ((-2,216) nefrostomi unilateral atau bilateral) + 1,694 (durasi gejala) + ((-0,862) hipertensi) dengan sensitivitas 74,3% dan spesifisitas 70,7%. Terdapat hubungan antara nefrostomi (unilateral dan bilateral), durasi gejala, hipertensi dan grade hidronefrosis terhadap penurunan kadar kreatinin serum pascanefrostomi. Faktor-faktor tersebut dapat dijadikan pedoman untuk memprediksi penurunan kreatinin serum < 2mg/dl pascanefrostomi.

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ABSTRACT
Percutaneous nephrostomy is a life-saving procedure for the treatment of obstructive uropathy associated with septicaemia and uraemia. It is regarded as a temporary interventional procedure before definitive treatment. Several factors can affect recovery of renal function after nephrostomy, such as patient age, duration of obstruction, function of the contralateral kidney, pyelolymphatic backflow and compliance of the ureter and renal pelvis. This study is performed to determine factors that can predict the decrease in creatinine levels after percutaneous nephrostomy (< 2mg/dl). This is a retrospective analysis descriptive study. All patientsunderwent nephrostomy at Sardjito General Hospital Yogyakarta, from January 2009 to December 2012 were identified. The data were analyzed to evaluate the relationship between reduction of serum creatinine level and following variables including: etiology, nephrostomy (unilateral or bilateral), symptom duration (≤14 days or >14 days), comorbid disease (hypertension, diabetes melitus, heart disease) and degree of hydronephrosis (mild, moderate and severe). The data were analyzed with Chi-Square test and multiple logistic regression to obtain predictive factor and predictive scoring equation to measure the possibility of recoverability of renal function after nephrostomy. We analyzed 117 patients that were treated with percutaneous nephrostomy. It showed the relationship between reduction of serum creatinine level and the following variables: nephrostomy (unilateral or bilateral) (p=0,000), symptom duration (p=0,000), hypertension (p=0,004) and degree of hydronephrosis (p=0,000). Whereas etiology of urinary obstruction and other comorbid diseases showed no relationship. Predictive equation result: P= 1/(1+ey), where y= -0,271 + 1,636 (degree of hydronephrosis) + ((-2,216) unilateral or bilateral nephrostomy) + 1,694 (symptom duration) + ((-0,862) hypertension), with sensitivity 74,3% and specificity 70,7% in predicting renal function recoverability. Bilateral or unilateral nephrostomy, symptom duration, hypertension and degree of hydronephrosis are factors affecting the decrease in serum creatinine level. These factors can be used as independent predictor to predict recoverability of renal function can be considered.

Abstrak :
Loading and unloading activity at port of Boom Baru in Palembang reached mean number 8264.892 ton each year. This caused happening of particulate contamination which can cause of the occurrence of non infection bronchi trouble. This study aim is to know PM10 exposure to occurrence of non infection bronchi trouble for loading and unloading worker at Port of Boom Baru in Palembang. In this study, variables of temperature, dampness and wind velocity are studied and their effect for PMI0 concentration, while variables of PM10 concentration, age, work time, nutrition status, smoking habit and usage of self protective device (APD) are checked and their effect for the occurrence of non infection bronchi trouble. PM1o concentration is used for analyzing effect of particulate contamination for the occurrence of non infection bronchi trouble. This study used a retrospective cohort study design for calculating Relative Risk (RR) to occurrence of non infection bronchi trouble as result of PM1o exposure and also another factors. Data analysis which has been done consisting of univariate analysis (descriptive), bivariate (kai square test and t-test) and multivariate (multiple linear regression and multiple logistic regression). Data analysis result indicated the existence of PM,o concentration related to temperature variable (p = 0,022), dampness (p = 0,002) and wind velocity (p = 0,006). While data analysis for the occurrence of non infection bronchi trouble with PM16 concentration variable (p = 0,001), age (p = 0,011), work time (p = 0,044) and smoking habit (p = 0,000). From all factors which related significantly, smoking habit is a dominant factor which affecting for the occurrence of non infection bronchi trouble. Therefore, factors which affected for occurrence of non infection bronchi trouble must be lessened, especially for smoking habit.

Abstrak :
Kebisingan lalulintas jalan merupakan masalah utama masyarakat di daerah perkotaan yang dapat menyebabkan gangguan kesehatan, diantaranya gangguan kesehatan psikologis. Tujuan penelitian adalah untuk mengetahui pengaruh kebisingan lalulintas jalan terhadap gangguan kesehatan psikologis anak SDN Cipinang Muara Kecatamatan Jatinegara dan pengaruh faktor risiko lainnya seperti jarak, lama pajanan, lama sekolah dan umur. Disain penelitian adalah Kasus-kontrol, dengan populasi adalah anak sekolah dasar kelas IV, V dan VI. Jumlah sampel yang diambil sebanyak 240 anak yang terdiri dari 80 kasus dan 160 kontrol. Cara pengambilan sampel menggunakan rancangan sampling bertingkat. Data Kebisingan diukur di dalam kelas, menggunakan Noise Logging Dosimeter Q-400/500. Analisis bivariabel dengan uji beda proporsi dengan kai kuadrat dan analisis multivariabel dengan uji regresi logistik ganda.Analisis bivariabel diperoleh ada pengaruh kebisingan, jarak dan lama pajanan dengan gangguan kesehatan psikologis, sedangkan lama sekolah dan umur tidak berpengaruh. Hasil analisis multivariabel mengindikasikan, bahwa anak sekolah dasar yang menerima kebisingan lalulintas jalan > 61,8 dBALeq dalam lingkungan sekolah berisiko 10,9 kali mengalami gangguan kesehatan psikologis dibanding dengan anak sekolah dasar yang menerima kebisingan lalulintas jalan ≤ 61,8 dBALeq secara bersama-sama dengan variabel jarak dan variabel lama pajanan. Perlu dilakukan sosialisasi dan penerapan peraturan perundangan tentang kebisingan dan dampaknya secara tegas dan konsisten. Pembinaan dan pengawasan dengan melakukan penyuluhan dan pemantauan kebisingan dan dampaknya secara berkala yang melibatkan lintas program dan sektor terkait. Untuk memastikan adanya inferensi kausal temporality, perlu dilakukan penelitian sejenis dengan disain studi kohort atau eksperimental, meningkatkan jumlah variabel yang secara substansi berpengaruh serta lokasi penelitian yang lebih tepat agar dapat menggambarkan kondisi lapangan yang lebih mantap.

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The Effect of Road Traffic Noise on Psychological Health Disorders of School Children at Cipinang Muara Elementary School, Jatinegara Sub District, East Jakarta City, DKI Jakarta Province, 2005. The traffic noise is the main issue of the community who live in urban area because it may cause an adverse human health and psychological effects. The purpose of this study is to describe the effect of road traffic noise to psychological health disorders on school children of Cipinang Muara elementary school at Jatinegara Sub District, and other risk factors such as distance, length of exposure, learning periode in school, and age. This research applied a case-control study with sample population of elementary school students from grade 4 to 6. Total samples were 240 children, including 80 cases and 160 controls. Data were collected through a multistage of random sampling. Data analysis used a computer program of univariate, bivariate and multivariate. Road traffic noise data measure in the classroom using noise logging dosimeter Q-400/500. Bivariate analysis (Chis-Square) and multiple logistic regression analysis are applied in the analysis. Bivariate analysis showed that there were a significantly effect of traffic noise, distance of seat, and length of exposure towards psychological health problems. On the other side, the length of school period and age of respondents did not have any significantly effect to the psychological health problems on the elementary school students. Multivariate analysis indicated that the elementary school students exposed to traffic noise more than 61.8 dBLAeq in the school area having a risk of psychological health problem 10.9 higher than those who were exposed to traffic noise less than 61.8 dBLAeq, a long with the distance variable and the length of noice exposure. It is required to socialize and apply the regulation on noise control and its impact in a consistently manner. Also, it is necessary to conduct health promotion and integrated monitoring both with inter-sector and inter-program. At last, to ensure the presence of inferential causal temporality, it is required to conduct further study with design of cohort or experimental study. This includes the increase of variable number and location of study in order to describe the real condition.