Abstrak: Stroke tercatat sebagai penyebab kematian kedua tertinggi pada usia 45-54 tahun di wilayah perdesaan Indonesia. Stroke merupakan penyakit gangguan fungsi otak akibat kelainan vaskuler yang bersifat multikausal. Penelitian ini bertujuan mengetahui frekuensi dan determinan kejadian stroke berdasarkan faktor risikonya pada penderita hipertensi berusia ≥ 45 tahun di wilayah perdesaan Indonesia. Penelitian ini merupakan analisis lanjut dari data Riskesdas 2013 yang menggunakan desain studi cross-sectional. Sampel dari penelitian ini adalah penderita hipertensi yang berusia ≥ 45 tahun, dan tinggal di wilayah perdesaan. Hasil penelitian ini menunjukkan, prevalensi stroke pada penderita hipertensi dewasa di perdesaan adalah sebesar 5,3%. Prevalensi stroke tertinggi ditemukan di provinsi Maluku Utara (7,2%) dan terendah di provinsi Papua (1,7%). Pada variabel yang diteliti, jenis kelamin, stress, aktivitas fisik, konsumsi obat anti-hipertensi, perilaku merokok dan tingkat pendidikan memiliki hubungan bermakna terhadap kejadian stroke pada penderita hipertensi dewasa (≥ 45 tahun) di wilayah perdesaan Indonesia.
Kata kunci : Stroke¸ Penderita Hipertensi, Perdesaan, Dewasa, Indonesia, Riskesdas

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Stroke was recorded as the second-highest mortality cause at the age of 45- 54 years in rural areas of Indonesia. Stroke is multicausal brain function disorder due to vascular abnormalities. This study aimed to determine the frequency and determinants of stroke based on risk factors in hypertensive patients aged ≥ 45 years in rural areas of Indonesia. This study is a further analysis of the Riskesdas 2013 data which used cross-sectional study design. The sample of this study is hypertensive patients who aged ≥ 45 years old and lived in rural areas. The results of this study showed that the prevalence of stroke in adult hypertensive patients in rural areas amounted to 5.3%. The highest prevalence of stroke was found in North Maluku province (7.2%) and the lowest in Papua province (1.7%). In the studied variables, gender, stress, physical activity, consumption of anti-hypertensive drugs, smoking and education have relation to the prevalence of stroke in adult hypertensive patients (≥ 45 years) in rural areas of Indonesia.
Keywords : Stroke¸ Hypertensive Patient, Rural, Adult, Indonesia, Riskesdas

Abstrak: Latar Belakang: Hipertensi merupakan salah satu beban kesehatan masyarakat terbesar di Indonesia dan pemicu utama penyakit kardiovaskular. Keberhasilan pengendalian kondisi hipertensi sangat bergantung pada kepatuhan pasien. Berdasarkan data SKI 2023, ketidakpatuhan minum obat antihipertensi masih menjadi masalah signifikan di Indonesia. Metode: Menggunakan data sekunder dari SKI 2023 dengan desain studi cross sectional. Sampel adalah responden berusia ≥18 tahun dengan diagnosis hipertensi. Responden dengan data tidak lengkap dan wanita hamil diesklusi sehingga menghasilkan sampel akhir sebanyak 49.026 responden. Analisis data menggunakan regresi logistik multinomial. Hasil: Seluruh variabel independen yang diuji (pendidikan, pekerjaan, status ekonomi, wilayah geografis, komorbiditas, waktu sejak diagnosis, umur, jenis kelamin, tempat tinggal, perilaku penggunaan obat tradisional, konsumsi alkohol, akses fasilitas kesehatan, kepemilikan asuransi, dan dukungan informasi) berhubungan signifikan dengan ketidakpatuhan. Persentase ketidakpatuhan adalah sebesar 53,5%, yaitu 36,7% (95% CI:  35,9-37,4) responden tidak rutin dan 16,8% (95% CI: 16,2-17,4) tidak minum obat. AOR tertinggi ditemukan pada responden yang tidak mendapatkan dukungan informasi, baik pada kategori tidak rutin (AOR 3,76; 95% CI 3,59-3,95; p<0,001) dan pada kategori tidak minum obat (AOR 8,63; 95% CI: 8,12-9,19; p<0,001). Kesimpulan: Ketidakpatuhan minum obat antihipertensi masih menjadi tantangan besar di Indonesia. Diperlukan intervensi berbasis komunitas, peningkatan edukasi, dan perbaikan akses kesehatan untuk meningkatkan kepatuhan terhadap pengobatan. 

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Background: Hypertension is one of the largest public health burdens in Indonesia and a major trigger for cardiovascular disease. The success of controlling hypertension is highly dependent on patient compliance. Based on SKI 2023 data, non-compliance with taking antihypertensive drugs is still a significant problem in Indonesia. Methods: Using secondary data from SKI 2023 with a cross-sectional study design. The sample was respondents aged ≥18 years with a diagnosis of hypertension. Respondents with incomplete data and pregnant women were excluded, resulting in a final sample of 49,026 respondents. Data analysis used multinomial logistic regression. Results: All independent variables tested (education, occupation, economic status, geographic region, comorbidities, time since diagnosis, age, gender, place of residence, traditional medicine use behavior, alcohol consumption, access to health facilities, insurance ownership, and information support) were significantly associated with non-compliance. The percentage of non-compliance was 53.5%, specifically 36.7% (95% CI: 35.9-37.4) of respondents did not follow the routine, and 16.8% (95% CI: 16.2-17.4) did not take their medication. The highest AOR was found in respondents who did not receive information support, both in the non-routine category (AOR 3.76; 95% CI 3.59-3.95; p<0.001) and in the category of not taking medication (AOR 8.63; 95% CI: 8.12-9.19; p<0.001). Conclusion: Non-compliance with taking antihypertensive medication is still a major challenge in Indonesia. Community-based interventions, increased education, and improved access to health are needed to improve treatment adherence.

Abstrak: Hypertension or high blood pressure is a global health problem, including in Indonesia because of its high prevalence. Hypertension does not provide typical complaints and symptoms so many sufferers do not realize it. Therefore hypertension is called the silent killer, the prevalence of hypertension in Indonesia in 2013 is 25.8%, in 2015 23.8%, in 2016 30.9%. Prevalence in women is 32.9%, men 28.7%, in urban areas 31.7%, rural areas 30.2% and the number 3 cause of death in Indonesia. This study aims to determine the relationship between consumption patterns of fast food, soft drinks and meat with the incidence of hypertension in the adult population in Indonesia in 2014 using IFLS-5 data. The design of the study in this study was analytic observational with a cross-sectional study design, this study was conducted in October-November 2018 in Depok City. The results of the study were the prevalence of hypertension in the adult population (≥ 18 yrs - 101 yrs) of 18.91%, people who consumed fast food, age> 30 years, with female gender, low education and suffering from diabetes mellitus were at risk for hypertension by 1 , 47 times to experience hypertension compared to people who do not consume fast food, PRadj 1.47 (95% CI: 1.16 - 1.86) P-value 0.001. People who consume soft drinks, age> 30 years, are female, with low education and suffer from diabetes mellitus at a risk of 1.63 times compared to people who do not consume PRadj soft drinks; 1.63 (95% CI; 1.37 - 1.95) P-value 0,000. People who consume meat, age> 30 years in female sex, low education, smoke and suffer from diabetes mellitus are not associated with the incidence of hypertension PRadj 1.00 (95% CI: 0.92 - 1.09) P-value 0.885. It is recommended to the public to consume foods that contain balanced nutrition, take measurements of blood pressure at least 1 time / month, to the Health Office to conduct counseling or healthy food campaigns that contain balanced nutrition, to the Ministry of Health, promote the consumption pattern of 4 perfectly healthy 5.
Keywords: Hypertension, Fast Food, Soft Drink, Meat and IFLS-5.

Abstrak: Cedera jari dan tangan sangatlah umum terjadi pada Divisi Maintenance. Hal inidikarenakan tipe pekerjaan pada Divisi Maintenance adalah pemasangan danpelepasan komponen yang bervariasi tahapannya, pekerjaan dilakukan saatberjalannya proses, menggunakan mesin yang rumit dan bekerja dengan tekananwaktu. Tujuan dari penelitian ini adalah untuk menjelaskan gambaran kecelakaankerja dan analisis penyebab kecelakaan kerja pada insiden cedera jari dan tangandi Divisi Maintenance PT X. Penelitian ini menggunakan desain penelitiancampuran (mixed methods research) yang diawali dengan pengumpulan 102 datakecelakaan kemudian wawancara mendalam pada 6 orang yang mengalamicedera jari dan tangan, pengawas dan manajemen. Penyebab langsung palingbanyak adalah tidak mengetahui adanya potensi bahaya, mengambil keputusanyang tidak tepat dan penggunaan perkakas secara tidak tepat. Penyebab dasarpaling banyak adalah pengembangan PSP yang tidak memadai, perilaku amanyang penting tidak cukup diidentifikasi. Pekerja masih kurang memiliki kesadaranterkait kesehatan dan keselamatan kerja. Peran supervisor dalam mencegahkecelakaan adalah dengan mengingatkan pekerja terkait aspek keselamatan.Manajemen berperan dalam membuat dan mengembangkan prosedur kerja dalammencegah kecelakaan.
Kata kunci :Kecelakaan kerja, cedera jari dan tangan, divisi maintenance,penyebab langsung, penyebab dasar.

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Hand and finger injuries commonly happen in maintenance division. This happenbecause type of work in maintenance division have various stage, workingalongside a running process, using complicated machinery, and time contraints.The objective of this study was to describe occupational accident and analyzeaccident causes hand and finger injury in Maintenance Division PT X. Thisresearch use mixed method research, that start with collecting accident data and indepth interview to 6 person hand and finger injuried, supervisor and management.The most direct causes were lack of knowledge of hazards present, improperdecision making or lack of judgement, and improper use of tools. The underlyingcauses were inadequate development of policies / standards / procedures andinadequate identification of critical safe behaviors. Workers have inadequateawareness to health and safety. The roles of supervisor are reminder workersabout safety issues. Management have made and developed work procedure toprevent accident.
Key words : accident, finger and hand injury, maintenance division, direct causes, underlying causes, supervisor, management.

Abstrak:
Pendahuluan: Di dalam industri hulu migas, cedera tangan dan jari merupakan tantangan besar. Setidaknya 50% dari kasus cedera di dalam industri migas merupakan cedera tangan dan jari. Di beberapa perusahaan, proporsi tersebut dapat menjadi lebih besar. Dalam analisis yang pernah dilakukan terhadap kecelakaan di perusahaan anggota IOGP, lebih dari delapan puluh persen diakibatkan karena factor manusia, baik yang disebabkan oleh faktor pribadi ataupun faktor organisasi. Studi ini dilakukan untuk menganalisis factor manusia di dalam kasus cedera tangan dan jari yang teradi di PT. X sepanjang tahun 2014 hingga 2020 dengan menggunakan kerangka HFACS. Metode: Penelitian dengan metode deskriptif kualitatif dengan menggunakan data sekunder berupa data kasus cedera tangan dan jari di PT. X dari tahun 2014 hingga 2020. Hasil: Cedera tangan dan jari paling banyak disebabkan oleh skill-based errors dan routine violations. Kasus cedera yang diakibatkan skilled-based errors juga diperparah oleh pelanggaran aturan yang dilakukan bersama secara terus menerus (routine violations). Kondisi yang menjadi prekondisi dari tindakan tidak aman yang berkontribusi dalam cedera tangan dan jari paling banyak terkait crew/ resource management. berbagai faktor yang termasuk ke dalam kategori ini di antara lain komunikasi, koordinasi, perencanaan dan kerja tim yang mempengaruhi kinerja. Pengawasan yang tidak aman yang paling banyak terjadi adalah failed to correct known problems dan inadequate supervision. Inadequate supervision terkait dengan pengelolaan personil dan sumber daya termasuk pelatihan, panduan professional dan kepemimpinan operasional. Sedangkan failed to correct known problems terkait dengan kekurangan pada individu, peralatan, pelatihan atau area keselamatan lain “diketahui” oleh supervisor, namun dibiarkan tidak dikoreksi. Di level 4, pengaruh organisasi yang terbesar adalah Organisational Process. Organisational process adalah proses formal di mana visi sebuah organisasi dijalankan termasuk operasi, prosedur, dan kesalahan di antaranya. Kesimpulan: Gambaran HFACS pada kasus cedera tangan dan jari di PT. X sejalan dengan gambaran umum HFACS yang ada dalam industri hulu migas, kecuali di level 2 yakni preconditions for unsafe acts. Sistem pembelajaran kejadian di PT. X masih dipengaruhi oleh teori domino dan belum mengintegrasikan konsep faktor manusia secara menyeluruh. Kerangka HFACS dapat membantu PT. X dalam menelaah lebih dalam defisiensi di dalam faktor manusia untuk dapat menetapkan tindakan perbaikan yang lebih tepat.

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Introduction: Hand and finger injuries have always been major challenges in upstream oil and gas industry. At least 50% of injuries in upstream oil and gas impacting hand and fingers. In some companies, the proportion could be larger. More than 80% of incidents in IOGP members were caused by human factors, both personal and organizational factors. This study aims to analyze human factors in hand and finger injuries at PT. X by using HFACS framework. Methodology: The study was conducted by applying qualitative descriptive analysis by using secondary data, investigation report of hand and finger injures from 2014 to 2020. Results: Skill-based errors and routine violations contributed in most of hand and finger injuries in PT.X. Routine violations were found as aggravating factors in skill-based errors injuries/ crew resource management were dominating level 2, preconditions for unsafe acts, it consists of coordination, communication, planning and team work that impacting performance. Unsafe supervision that occurred the most are inadequate supervision and failed to correct known problems. Inadequate supervision related to personnel and resources management including trainings, professional guidance and operational leadership. Failed to correct known problems related to deficiencies in individual, equipment, training or the safety area “known” to supervisor but left uncorrected. In level 4, Organizational process was the weak chain of organizational influences. Organizational process is a formal process where organization’s vision is implemented on Site, including operations, procedures. Conclusion: HFACS of hand and finger injuries in PT. X is in line with general HFACS description in upstream oil and gas industry, except for level 2, pre-conditions for unsafe acts. Learning from incident system in PT. X was still highly influenced by domino theory and has not yet integrated human factors. HFACS framework can help PT. X to dig deeper in human factors deficiencies in organization so PT. X can define more effective mitigation & preventive measures.