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Syahrani Tri Buwana Putri Kusumawardani; Pembimbing: Yovsyah; Penguji: Renti Mahkota, Chita Septiawati
Abstrak:
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Infeksi Hantavirus di Indonesia umumnya bermanifestasi sebagai Hemorrhagic Fever with Renal Syndrome (HFRS). Meskipun bukti reservoir pada rodensia cukup kuat, data epidemiologis pada manusia masih terbatas. Mendeskripsikan karakteristik epidemiologi kasus konfirmasi Hantavirus di Indonesia tahun 2025 berdasarkan aspek orang, tempat, dan waktu. Studi kuantitatif dengan desain case series menggunakan data sekunder hasil penyelidikan epidemiologi Kementerian Kesehatan RI terhadap 14 kasus konfirmasi. Mayoritas kasus ditemukan pada laki-laki (71,43%) dan kelompok usia 19-59 tahun (50%). Jenis pekerjaan terbanyak adalah buruh/sopir/ART (35,71%). Gejala klinis dominan meliputi demam (85,71%) dan ikterik (64,28%), dengan 50% kasus mengalami komplikasi gagal ginjal. Sebagian besar kasus (92,86%) melaporkan keberadaan tikus di lingkungan tempat tinggal. Secara geografis, frekuensi tertinggi ditemukan di Provinsi DIY (42,85%). Berdasarkan waktu, puncak temuan kasus terjadi pada bulan Mei dan Juni. Kasus Hantavirus di Indonesia tahun 2025 ditemukan pada kelompok usia produktif dengan riwayat keberadaan reservoir di lingkungannya serta manifestasi klinis yang mengarah pada gangguan fungsi ginjal.
Hantavirus infection in Indonesia generally manifests as Hemorrhagic Fever with Renal Syndrome (HFRS). While evidence in rodent reservoirs is substantial, human epidemiological data remains limited. To describe the epidemiological characteristics of confirmed Hantavirus cases in Indonesia in 2025 based on person, place, and time. A quantitative study with a case series design using secondary data from the Indonesian Ministry of Health's epidemiological investigations of 14 confirmed cases. The majority of cases were found in males (71.43%) and the 19-59 age group (50%). The most frequent occupations were laborers/drivers/domestic workers (35.71%). Dominant clinical symptoms included fever (85.71%) and jaundice (64.28%), with 50% of cases experiencing renal failure complications. Most cases (92.86%) reported the presence of rats in their residential environment. Geographically, the highest frequency was in the Special Region of Yogyakarta (42.85%). Temporally, the peak of case findings occurred in May and June. Hantavirus cases in Indonesia in 2025 were identified in the productive age group with a history of reservoir presence in their environment and clinical manifestations leading to renal dysfunction.
S-12177
Depok : FKM-UI, 2026
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Iif Syarifah Munawaroh; Pembimbing: Helda; Penguji: Sudarto Ronoatmodjo, Eny Martindah, Aria Kekalih
Abstrak:
Toxoplasmosis merupakan penyakit zoonosis yang berasal dari parasit Toxoplasma gondii. Dampak dari toksoplasmois dapat menyebabkan kegagalan kehamilan, abortus spontan, kelainan fetus (hydrocephalus, korioretinis, kalsifikasi intrakranial), gangguan syaraf otak dan mata, bahkan dampak jangka panjang dapat menyebabkan penyakit Alzheimer. Tujuan dari penelitian ini adalah untuk menganalisa hubungan kepemilikan hewan peliharaan dengan kejadian toksoplasmosis pada pasien klnik Aquatreat Bogor Tahun 2019. Desain penelitian yang digunakan desain penelitiaan adalah case control dengan pendekatan kuantitatif. Penelitian ini menggunakan data rekam medis pasien klinik Aquatreat yang berkunjung selama tahun 2019 dengan jumlah 286 pasien. Pasien yang bersedia dijadikan sampel penelitian sejumlah 108 pasien. Sampel tersebut didapatkan dengan cara Simple Random Sampling. Teknik analisa data yang dilakukan pada penelitian ini bertahap, meliputi analisa univariat, bivariat, stratifikasi dan analisa multivariat yang diolah menggunakan program statistik. Hasil penelitian menunjukkan bahwa proporsi responden dengan kepemilikan hewan peliharaan pada kelompok kasus toksoplasmosis 53,70% dan yang tidak memiliki hewan peliharaan pada kasus toksoplasmosis yaitu 46,30%. Sedangkan kepemilikan hewan peliharaan pada kelompok yang tidak terjangkit toksoplasmosis adalah 29,63% dan yang tidak memiliki hewan peliharaan pada kelompok yang tidak terjangkit toksoplasmosis adalah 70,37%. Hasil analisis uji logistic regression model akhir menunjukkan hubungan yang signifikan antara kepemilikan hewan peliharaan dengan kejadian toksoplasmosis dengan OR 2,88 (95% CI: 1,146,90; p-value: 0,024) artinya bahwa kepemilikan hewan peliharaan pada kelompok toksoplasmosis berisiko 2,88 kali lebih tinggi mengalami toksoplasmosis dibanding kelompok yang tidak memiliki hewan peliharaan setelah dikontrol dengan variabel jenis riwayat transfusi darah, jenis kelamin, konsumsi daging berisiko dan kebersihan rumah
Toxoplasmosis is a zoonotic disease originated from parasite Toxoplasma gondii. toxoplasmosis can cause anembryonic gestation, spontaneous abortion, fetal abnormalities (hydrocephalus, chorioretinitis, intracranial calcification, mental retardation), brain and eyes neurological disorders. Toxoplasmosis also can lead to Alzheimer's disease as its long-term effect. The prevalence of Toxoplasmosis worldwide is about 25-30%. The purpose if this research is to analyze The Correlation Between Pet Ownership with The Toxoplasmosis Occurrence of The Patients in Bogor Aquatreat Clinic 2019. In this research, case control research design is used with a quantitative approach. This research is an observational research using data of medical record in the Aquatreat clinic by selecting the positive serological test results of Toxoplasmosis (IgG) for the case group and selecting the negative serological test results of Toxoplasmosis (IgG) for the control group. Afterwards, interviews of the case and the control groups were done by filling out the questionnaire (GForm). The data is taken from patients who visited in 2019 with total of 286 patients. The data that are willing to be used as samples are the data of 108 patients. The data analysis techniques used in this research were phased, those are univariate, bivariate, and multivariate analyzes which computerized by using a statistical program. The result showed that the proportion of the respondents who own pet in the toxoplasmosis case group is 53,70% and the group who does not own pet that is 46,30%. While the pet ownership in the control group is 29,63% and the group who does not own pet is 38 70,37%. The final model of logistic regression test analysis showed the significant correlation between pet ownership with the toxoplasmosis occurrence with OR value 2,88 (95% CI: 1,146,90; p-value: 0,024) which means the pet ownership in the case group has risk 2,88 times higher to have compared to the group who does not own pet after controlled by other variables that are blood transfusion history, gender, at-risk meat consumption and house cleanliness.
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Toxoplasmosis is a zoonotic disease originated from parasite Toxoplasma gondii. toxoplasmosis can cause anembryonic gestation, spontaneous abortion, fetal abnormalities (hydrocephalus, chorioretinitis, intracranial calcification, mental retardation), brain and eyes neurological disorders. Toxoplasmosis also can lead to Alzheimer's disease as its long-term effect. The prevalence of Toxoplasmosis worldwide is about 25-30%. The purpose if this research is to analyze The Correlation Between Pet Ownership with The Toxoplasmosis Occurrence of The Patients in Bogor Aquatreat Clinic 2019. In this research, case control research design is used with a quantitative approach. This research is an observational research using data of medical record in the Aquatreat clinic by selecting the positive serological test results of Toxoplasmosis (IgG) for the case group and selecting the negative serological test results of Toxoplasmosis (IgG) for the control group. Afterwards, interviews of the case and the control groups were done by filling out the questionnaire (GForm). The data is taken from patients who visited in 2019 with total of 286 patients. The data that are willing to be used as samples are the data of 108 patients. The data analysis techniques used in this research were phased, those are univariate, bivariate, and multivariate analyzes which computerized by using a statistical program. The result showed that the proportion of the respondents who own pet in the toxoplasmosis case group is 53,70% and the group who does not own pet that is 46,30%. While the pet ownership in the control group is 29,63% and the group who does not own pet is 38 70,37%. The final model of logistic regression test analysis showed the significant correlation between pet ownership with the toxoplasmosis occurrence with OR value 2,88 (95% CI: 1,146,90; p-value: 0,024) which means the pet ownership in the case group has risk 2,88 times higher to have compared to the group who does not own pet after controlled by other variables that are blood transfusion history, gender, at-risk meat consumption and house cleanliness.
T-5997
Depok : FKM-UI, 2020
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Muhammad Saleh Jasape; Pembimbing: Tri Yunis Miko Wahyono; Penguji: Renti Mahkota, Nyoman Saniambara
Abstrak:
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Rabies, penyakit zoonosis yang disebabkan oleh virus dari genus Lyssavirus, tetap menjadi tantangan kesehatan masyarakat global, termasuk di Provinsi Nusa Tenggara Timur (NTT), Indonesia. Penelitian ini menggunakan analisis multilevel untuk mengidentifikasi faktor-faktor yang memengaruhi kejadian rabies pada tingkat individu dan kontekstual di NTT selama 2023-2024. Data dari 14 kabupaten/kota yang dikategorikan sebagai daerah endemis rabies menunjukkan bahwa kelompok usia muda (15-24 tahun), paparan kerja lapangan, dan akses ke fasilitas kesehatan yang berjarak lebih dari 207 km secara signifikan meningkatkan risiko rabies. Temuan utama mencakup nilai odds ratio (OR) sebesar 18,427 untuk akses layanan kesehatan jarak jauh dan kontribusi variabel kontekstual seperti akses layanan kesehatan sebesar 36,284% terhadap kemungkinan wabah rabies. Penelitian ini menekankan pentingnya peningkatan akses layanan kesehatan, intervensi kesehatan masyarakat yang terarah, serta kampanye vaksinasi yang efektif untuk manusia dan hewan guna mengurangi penyebaran rabies di daerah endemis seperti NTT.
Rabies, a zoonotic disease caused by lyssaviruses, remains a significant public health challenge globally, including in East Nusa Tenggara (NTT) Province, Indonesia. This study employed a multilevel analysis to identify factors influencing rabies incidence at individual and contextual levels in NTT during 2023-2024. Data from 14 districts/cities categorized as rabies-endemic areas revealed that young age groups (15-24 years), occupational exposure, and living more than 207 km from healthcare facilities significantly increased the risk of rabies. Key findings included an odds ratio (OR) of 18.427 for distant healthcare access and a 36.284% contribution of contextual variables such as healthcare access to the likelihood of rabies outbreaks. This study underscores the importance of improving healthcare access, targeted public health interventions, and effective vaccination campaigns for both humans and animals to reduce rabies transmission in endemic areas like NTT
T-7224
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Rahmeen Ajaz; Pembimbing: Robiana Modjo; Penguji: Abdul Kadir, Stevan Deby Anbiya Muhamad Sunarno, Ali Syahrul Chairuman, Fetrina Lestari
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Stres akibat pekerjaan di kalangan dokter hewan merupakan masalah yang terus berkembang, khususnya terkait dengan paparan penyakit zoonosis. Penelitian ini bertujuan untuk menyelidiki hubungan antara paparan risiko zoonosis dan tingkat stres di kalangan dokter hewan di Pakistan, sekaligus meneliti peran kontrol pekerjaan dan dukungan sosial dalam memengaruhi stres. Tujuan utamanya adalah untuk menentukan apakah paparan penyakit zoonosis yang lebih tinggi secara signifikan berkontribusi terhadap peningkatan tingkat stres, dan apakah kontrol pekerjaan dan dukungan sosial yang lebih rendah semakin memperburuk stres di kalangan profesional veteriner. Sebuah penelitian cross-sectional dilakukan dengan melibatkan 110 dokter hewan dari berbagai wilayah di Pakistan. Data dikumpulkan menggunakan Skala Stres yang Dirasakan (PSS-10) yang telah divalidasi bersama dengan kuesioner terstruktur yang menilai frekuensi paparan zoonosis, kontrol pekerjaan yang dirasakan, dan dukungan sosial. Analisis deskriptif, uji Chi-square, dan tabulasi silang dilakukan untuk mengeksplorasi hubungan antara variabel-variabel tersebut. Hasilnya mengungkapkan hubungan yang signifikan antara paparan zoonosis yang lebih tinggi dan peningkatan tingkat stres (p = 0,041), dengan dokter hewan yang mengalami paparan yang sering memiliki kemungkinan tiga kali lebih besar untuk melaporkan stres yang tinggi. Lebih jauh lagi, dokter hewan dengan kontrol pekerjaan yang rendah (p = 0,037) dan dukungan sosial yang rendah (p = 0,047) secara signifikan lebih mungkin mengalami peningkatan tingkat stres. Analisis tabulasi silang menunjukkan bahwa 97,3% dokter hewan dengan paparan yang sering melaporkan stres yang tinggi, sementara mereka dengan kontrol pekerjaan yang rendah dan dukungan sosial yang rendah juga menunjukkan persentase stres yang jauh lebih tinggi dibandingkan dengan rekan-rekan mereka. Studi ini menyimpulkan bahwa paparan zoonosis yang sering, dikombinasikan dengan kontrol pekerjaan yang rendah dan dukungan sosial yang tidak memadai, secara signifikan berkontribusi terhadap stres kerja di antara dokter hewan di Pakistan. Temuan tersebut menyoroti kebutuhan mendesak untuk intervensi yang difokuskan pada pengurangan risiko biologis, peningkatan otonomi tempat kerja, dan penguatan sistem pendukung untuk melindungi kesehatan mental profesional veteriner.
Occupational stress among veterinarians is a growing concern, particularly in relation to zoonotic disease exposure. This study aimed to investigate the association between exposure to zoonotic risks and stress levels among veterinarians in Pakistan, while also examining the roles of job control and social support in influencing stress. The primary objective was to determine whether higher exposure to zoonotic diseases significantly contributes to elevated stress levels, and whether lower job control and social support further exacerbate stress among veterinary professionals. A cross-sectional study was conducted involving 110 veterinarians from various regions in Pakistan. Data were collected using a validated Perceived Stress Scale (PSS-10) alongside structured questionnaires assessing zoonotic exposure frequency, perceived job control, and social support. Descriptive analysis, Chi-square tests, and cross-tabulations were performed to explore associations between the variables. The results revealed a significant association between higher zoonotic exposure and increased stress levels (p = 0.041), with veterinarians experiencing frequent exposure being over three times more likely to report high stress. Furthermore, veterinarians with low job control (p = 0.037) and low social support (p = 0.047) were significantly more likely to experience elevated stress levels. Cross-tabulation analyses showed that 97.3% of veterinarians with frequent exposure reported high stress, while those with low job control and low social support also showed considerably higher stress percentages compared to their counterparts. This study concludes that frequent zoonotic exposure, combined with low job control and insufficient social support, significantly contributes to occupational stress among veterinarians in Pakistan. The findings highlight the urgent need for interventions focused on reducing biological risk, improving workplace autonomy, and strengthening support systems to protect the mental health of veterinary professionals.
Occupational stress among veterinarians is a growing concern, particularly in relation to zoonotic disease exposure. This study aimed to investigate the association between exposure to zoonotic risks and stress levels among veterinarians in Pakistan, while also examining the roles of job control and social support in influencing stress. The primary objective was to determine whether higher exposure to zoonotic diseases significantly contributes to elevated stress levels, and whether lower job control and social support further exacerbate stress among veterinary professionals. A cross-sectional study was conducted involving 110 veterinarians from various regions in Pakistan. Data were collected using a validated Perceived Stress Scale (PSS-10) alongside structured questionnaires assessing zoonotic exposure frequency, perceived job control, and social support. Descriptive analysis, Chi-square tests, and cross-tabulations were performed to explore associations between the variables. The results revealed a significant association between higher zoonotic exposure and increased stress levels (p = 0.041), with veterinarians experiencing frequent exposure being over three times more likely to report high stress. Furthermore, veterinarians with low job control (p = 0.037) and low social support (p = 0.047) were significantly more likely to experience elevated stress levels. Cross-tabulation analyses showed that 97.3% of veterinarians with frequent exposure reported high stress, while those with low job control and low social support also showed considerably higher stress percentages compared to their counterparts. This study concludes that frequent zoonotic exposure, combined with low job control and insufficient social support, significantly contributes to occupational stress among veterinarians in Pakistan. The findings highlight the urgent need for interventions focused on reducing biological risk, improving workplace autonomy, and strengthening support systems to protect the mental health of veterinary professionals.
T-7389
Depok : FKM UI, 2025
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Saidah Fatimah Sari Simanjuntak; Pembimbing: Sabarinah; Penguji: Martya Rahmaniati Makful, Tris Eryando, Fika Yuliza Purba, Dintar Hutabalian
Abstrak:
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Rabies merupakan salah satu penyakit yang terabaikan (neglected disease). Dalam aspek One Health, zoonosis seperti rabies disebabkan oleh interaksi antara manusia, hewan dan lingkungan. Penelitian ini bertujuan untuk mengetahui distribusi kasus gigitan hewan penular rabies ditinjau dari faktor manusia, hewan dan lingkungan di Kabupaten Tapanuli Utara tahun 2022 dan 2023. Penelitian ini merupakan penelitian kuantitatif dengan desain studi potong lintang (cross-sectional) menggunakan pendekatan ekologi. Populasi pada penelitian ini adalah semua kasus gigitan hewan penular rabies yang dilaporkan oleh Dinas Kesehatan Kabupaten Tapanuli Utara melalui bidang P2P pada tahun 2022 dan 2023. Sampel pada penelitian ini menggunakan metode total sampling yakni seluruh populasi menjadi anggota yang akan diamati sebagai sampel. Penelitian ini bersumber dari Dinas Kesehatan, Dinas Ketahanan Pangan dan Badan Pusat Statistik Kabupaten Tapanuli Utara yang dianalisis secara spasial dan regresi OLS. Hasil analisis menunjukkan bahwa ada hubungan (autokorelasi) secara spasial antara kasus gigitan hewan penular rabies dengan faktor manusia, hewan dan lingkungan di Kabupaten Tapanuli Utara pada tahun 2022 dan 2023. Model OLS menunjukkan bahwa, variable yang berhubungan dengan kasus gigitan hewan penular rabies di Kabupaten Tapanuli Utara pada tahun 2022 dan 2023 adalah pemberian vaksin anti rabies dan populasi hewan penular rabies. Wilayah yang menjadi prioritas program pencegahan dan penanggulangan kasus gigitan hewan penular rabies ditinjau dari seluruh faktor di Kabupaten Tapanuli Utara adalah Kecamatan Siborongborong, Pagaran, Sipoholon dan Tarutung.
Rabies is one of the neglected diseases. In the One Health aspect, zoonoses such as rabies are caused by interactions between humans, animals, and the environment. This study aims to determine the distribution of rabies-transmitting animal bite cases in terms of human, animal, and environmental factors in North Tapanuli Regency in 2022 and 2023. This research is a quantitative study with a cross-sectional design using an ecological approach. The population of this study includes all reported cases of rabies-transmitting animal bites by the North Tapanuli Regency Health Department through the P2P division in 2022 and 2023. The sample in this study uses the total sampling method, where the entire population is observed as the sample. This study sources data from the Health Department, Food Security Department, and Central Bureau of Statistics of North Tapanuli Regency, which are analyzed spatially and through OLS regression. The analysis results show a spatial relationship (autocorrelation) between rabies-transmitting animal bite cases and human, animal, and environmental factors in North Tapanuli Regency in 2022 and 2023. The OLS model indicates that the variables related to rabies-transmitting animal bite cases in North Tapanuli Regency in 2022 and 2023 are administration of rabies vaccine and the population of rabies-transmitting animals. The areas prioritized for rabies-transmitting animal bite cases prevention and control programs based on all factors in North Tapanuli Regency are Siborongborong, Pagaran, Sipoholon, and Tarutung Districts.
T-6967
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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