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LATAR BELAKANG: Terbang dengan menggunakan pesawat yang memiliki kecepatan tinggi melebihi kecepatan suara (high performance air craft), yang mampu menghasilkan akselerasi +5Gz sampai +9Gz bahkan lebih terutama pada saat melakukan manuver, merupakan suatu tantangan tersendiri yang membutuhkan kepaiawaian dan sikap profesional. Banyak faktor yang mempengaruhi relaxed +Gz force tolerance seperti mean arterial pressure, hasil puncak ekspirasi dan posisi tubuh.METODE: Desain penelitian adalah studi korelasi, yang dilakukan di Lakespra Saryanto Jakarta. Dengan menggunakan populasi semua bakal calon penerbang TNI AU dan subyek dipilih secara random sederhana, semua yang memenuhi kriteria inklusi diambil. Sampel yang diambil sebanyak 31 orang, data yang dikumpulkan berasal dari kuesioner, pencatatan human centrifuge. Hasil penelitian kemudian dilakukan uji statistik berupa analisis regresi inner untnk melihat pengaruh arus puncak ekspirasi terhadap relaxed+Gz force tolerance serta faktor faal yang berpengaruh.HASIL: Rata-rata relaxed +G, -force tolerance 7,51 ± 0,71 G, selanjutnya beberapa faktor yang berpengaruh terhadap relaxed +Gr force tolerance antara lain arus puncak ekspirasi: koefisien regresi sebesar -0,358 dan kemaknaan p = 0,073; mean arterial pressure: koefisien regresi sebesar 0,047 dan kemaknaan p = 0,065, serta forced expiratory in 1 second: koefisien regresi sebesar 1,246 dan kemaknaan p = 0,012) dan yang paling dominan adalah-forced expiratory in l second.KESIMPULAN: Relaxed ±Gz force tolerance dipengaruhi oleh arus puncak ekspirasi. Di samping itu relaxed G tolerance berkaitan pula dengan mean arterial pressure dan FEV1.
BACKGROUND: The Influence of Peak Expiratory Flow Rate to Relaxed +Gz Force Tolerance at Human Centrifuge Training in Pilot Candidates of Indonesian Air Force 2002BACK GROUND: Flying high performance fighter aircraft is a challenging and demanding profession which regularly imposes significant acceleration force on pilot, particularly during air combat maneuvering, in which +Gz level of +5 to ±9 G or more are frequently experienced. Relaxed +Gz force tolerance is influenced by mean arterial pressure, peak expiratory flow rate and body position.METHODS: Correlation study design was chosen for this research in Lakespra Saryanto. Simple random sampling is used to choose the subject from all pilot candidates in the population. Thirty one subjects were selected consecutively according to inclusion criteria. Data collected from questionnaire, human centrifuge records. The results were analyzed by linear regression analysis to evaluate the influence of peak expiratory flow rate and relaxed +Gz tolerance, and other physiological factors which might influence the relaxed +Gz tolerance.RESULTS: The mean value of relaxed +Crz tolerance was 7,51 ± 0,71G. Several factors that influence of relaxed +Gz tolerance was peak expiratory rate (regression coefficient - 0,358, p = 0,073); mean arterial pressure (regression coefficient =0,047, p = 0,065); forced expiratory volume in 1 second (regression coefficient 1,246, p = 0,012). The most dominant was forced expiratory volume in 1 second.CONCLUSIONS: Relaxed +Gz force tolerance was influenced by peak expiratory flow rate, forced expiratory volume in 1 second and mean arterial pressure.
Rumah sakit memberikan pelayanan jasa kesehatan memiliki peranan penting dan strategis dalam mempercepat peningkatan derajat kesehatan masyarakat. Dampak negatif dari kegiatan pelayanan rumah sakit adalah menghasilkan limbah. Untuk dapat menerapkan pengelolaan dan monitoring limbah secara komprehensif dan tepat guna, salah satu upaya yang dapat dilakukan adalah melalui pendekatan manajemen risiko yang diawali dengan identifikasi dan analisis risiko. Untuk mengetahui seberapa besar risiko yang terjadi pada pengelolaan limbah medis tajam, penulis mencoba untuk menganalisis tingkat risiko pada pengelolaan limbah medis tajam di Rumah Sakit TNI AL Dr. Mintohardjo. Hasil penelitian menunjukkan alat medis tajam yang paling banyak digunakan adalah spuit 62 %, sedangkan tingkat risiko pada pengelolaan limbah medis tajam berada pada level priority 3 – priority 1. Kata Kunci : Penilaian risiko, limbah medis, limbah medis tajam.
The hospital provides health services which have an important and strategic role in accelerating the improvement of public health level. The negative impact of the activities of hospital services is hazardous waste. To be able to implement management and monitoring of waste in a comprehensive and appropriate, an effort that can be done is through risk management approach that begins with the identification and risk analysis. To find out how big the risk that occurs in sharp medical waste management, the author tries to analyze the level of risk in sharp medical waste management at the Navy Hospital Dr. Mintohardjo. The results showed a sharp medical instrument is the most widely used syringes 62%, while the level of risk at the sharp medical waste management at the level of priority 3 - priority 1. Key words : Risk analysis, medical waste, sharps medical waste.
Salah satu bahaya Ssik di industri garmen adalah pajanan panas yang berasal dari alat kerja yang digunakan (setrika boiler/listrik dan rnesin press). Kondisi lingkxmgan kexja yang panas dapat mempengaruhi performansi kelja yang pada akhimya meningkatkan beban kelja dan mempemepat munculnya kelelahan dan keluhan subjektif sena menurunkan produktifitas kerja. Tujuan penelitian ini adalah untuk mengetahui dan mengevaluasi hubungan pajanan panas di lingkungan kelja dengan tingkat kelelahan pekenja di bagian produksi PT. Fokus Garmindo. Populasi penelitian ini adalah selumh pekerja di PT. Folcus Garmindo, dan sebagai sampel yaitu pekelja yang mclakukan pekeljaan di bagian ironing dan printing PT. Fokus Garmindo beljumlah 53 responden, sampel diambil secara Nonrandom Sampling berdasarkan Kuota. Rancangan desain studi yaitu crosssectional dengan deskriptif analitik. Data diambil dengan 2 (dua) cara yaitu melakukan pengukuran dan wawancam dengan kuesioner. Analisa data pada penelitian ini mcnggmmakan analisa uji statistik yang ada di FKM. Hasil penelitian diperoleh, rata-rata pajanan panas yang dilihat dad Indeks Suhu Basah dan Bola (ISBB) di lingkungan kerja adalah 30,14°C dcngan pajanan panas (ISBB) terendah adalah 28,9°C dan pajanan panas (ISBB) tertinggi adalah 32,1°C. Hasil tingkat kelelahan mcnunjukkan, sebagian besar rcsponden mengalami kelelahan ringan yaitu sebanyak 47 orang (88,7%), sedangkan responden yang mcngalami kelelahan sedang ada 6 orang (11,3%). Berdasarkan analisis hubungan didapatkan nilai p=0,028, berarti pada alpha 5% terlihat ada hublmgan yang signiikan rata-:ata pajanan panas di lingkungan kenja dengan tingkat keleIahan. Analisis mullivariat menunjukkan, variabel yang berhubungan bermakna (signiiikan) dan mempunyai pengamh paling besar tcrhadap tingkat kelelahan adalah variabel pajanan panas di lingkungan kelja. Odds Raiio (OR) dari pajanan panas didapat 4,403, artinya responden yang terpajau pauas lebih besar dari 30,14°C di lingkungan kerjanya akan berisiko 4 (empat) kali lebih besar mcngalami kelelahan dibandingkzm responden yang terpajan panas lebih kecil dari 30,14°C di lingkungan kegia selama 8 jam kerja. Kesimpulan penelitian ini adalah pajanan panas di lingkungan kerja merupakan faktor yang paling dominan dan mempunyai pengamh paiing besar terhadap tingkat kelelahan. Hasil penelitian ini diharapkan dapat membantu perusahaan untuk mengambi] kebijakan terutama masalah kesehatan pekegia, khususnya untuk meminirnalisasi dampak akibat dari pajanan panas di lingkungan kerja
One of physical hazard in garment industry is heat exposure from boiler/electrical iron and press machine. Hot working environment can influence work performance which cause increase work load and fatigue complaining and reduce productivity. Objective of the research to 'rind out and evaluate correlation between heat exposure in the workplace with fatigue of workers at PT. Fokus Garmindo. Population of the research is all workers at PT. Fokus Garmindo, and as sample is workers who work in ironing and printing area of PT. Fokus Garmindo are 53 respondent. Sample is calculated with nonrandom sampling quota. Design study is cross sectional and descriptive analysis. Data is collected by two ways, to measure and interview with questionnaire. Data analysis use statistic analysis at FKM. Result of the research, average of heat exposure which is measured from Wet Bulb Globe Temperature (WBGT) index in the workplace is 30,14°C, the lowest of WBGT is 28,9°C and the highest of WBGT is 32,1°C. Result of fatigue level showed that almost all respondent has light fatigue 47 person (88,7%) and found only 6 person (11,3%) has moderate fatigue. According to the analysis, found p value = 0,028, mean that on 5% alpha there was signiticant relationship between heat exposure in the workplace with fatigue level. Multivariate analysis, found that heat exposure in the workplace is the most significant and has biggest influence to fatigue level (Odds Ratio (OR)= 4,403). Respondent who is influenced by heat exposure more than 3O,14°C has 4 (four) times more risk to fatigue level compare to respondent who is influenced by heat exposure less than 30,14°C for 8 working hours. Conclusion of the research, heat exposure is the most dominant factor and has biggest influence to fatigue level. This research result is expected can help the company to taking policy on workers health, particularly to minimize eH`ect of heat exposure in the workplace.
As a workplace, office environments have significant hazards and risks associated with the interactions between human and computer. The consequences that may arise are related with the healthy state of worker, direct and indirect financial impact, and company productivity impact. In order to protect the workers, company assets and facilities; a comprehensive office ergonomics program is required to manage the risk factors of musculoskeletal disorders. As a start, necessary measures are required to improve the knowledge and perceptions of workers in the aspects of office ergonomics. Knowledge and perception are the foundation to achieve healthy behavioral changes. The healthy behavioral change is required for workers to control the risk factors of musculoskeletal disorders. Education, in the form of training, acts as one of critical factors to increase knowledge and perception. This study is performed to analyze the effect of office ergonomics training intervention on the knowledge and perception of office workers at PT XYZ. Quasi-experimental research was selected by involving both, the intervention and comparison groups. Two treatments were given to the intervention group, they are self-learning type intervention and online office ergonomics training intervention. Only one treatment was given to the comparison group, the self-learning intervention. Based on the research, it is concluded that the online office ergonomics training increased the knowledge and overall perceptions of the office workers of PT XYZ. Online office ergonomics training gave a more significant influence than the self-learning type intervention.
Hasil penelitian menunjukkan bahwa terdapat hubungan signifikan antara komitmen manajemen danprogram pelatihan K3 dengan penerapan SMK3, diman hasil analisis multivariate regresilogistic diperoleh p-value model adalah 0.000 omnimbus test of model coefficients , hal ini berarti secara bersama-sama komitmen manajemen dan program pelatihan K3 signifikan dapat memprediksi SMK3 di PT XYZ Tahun 2018. Faktor yang paling dominan mempengaruhi SMK3 di PT XYZ Tahun 2018 adalah komitmen manajemen. Hal ini disebabkan faktor program pelatihan K3 diperlukan adanya perbaikan seperti melakukan analisis kebutuhan pelatihan terkait K3 TNA , menentukan sasaran dan target pelatihan K3, pelatihan K3 sebaiknya juga melihat dari identifikasi bahaya penilaian risiko HIRADC dan melakukan evaluasi pelatihan K3.
This study aims to determine the effect of management commitment and trainingprogram Occupational Health and Safety OHS in implementing OHSMS. The study conducted related to the implementation of OHSMS mentions the management commitment and training program K3 is a prominent component in influencing the performance of OHSMS implementation. This study uses descriptive semi quantitative research by reviewing the management commitment and OHS training programs in applying OHSMS. And the implementation of OHSMS in PT XZY related to management commitment and OHS training compared withISO 45001 2018 standard, OHSMS Australia New Zealand AS NZS 4801 2001, PP.50 Year 2012 and ISRS Willem, 2009.
The results showed that there is a significant relationship between management commitment and OHS training programs with the application of OHSMS, whereas multivariate logistic regression analysis obtained p value model is 0.000 omnimbus test of model coefficients, it means jointly commitment of management and OHS training programs can significantly predict OHSMS in PT XYZYear 2018. The most dominant factor affecting OHSMS in PT XYZ Year 2018 is management commitment. This is due to the OHS training programs needs to be improved, such as conduct needs analysis related to OHS training TNA , determining the target and objective of OHS training, OHS training should also look at the hazard identification risk assessment HIRADC and conduct evaluation of OHS training.