Muhammad Farid Dimjati Lusno

The increasing transportation activity in urban areas contributes significantly to air pollution, particularly through emissions containing Nitrogen Dioxide (NO₂). This reactive oxidizing gas can cause respiratory disorders and eye irritation, especially among high-risk groups such as permanent vendors working in bus terminals. This study aimed to analyze the environmental health risks of NO₂ exposure and identify related health complaints among permanent vendors at Brawijaya Bus Terminal, Banyuwangi Regency. A descriptive observational study with a cross-sectional approach was conducted and analyzed using the Environmental Health Risk Assessment (EHRA) method. Secondary data on NO₂ concentrations were obtained from the Banyuwangi Environmental Agency (average 0.00874 mg/m³), while primary data on respondent characteristics and health complaints were collected through questionnaires involving 10 permanent vendors. The results showed that the Risk Quotient (RQ) values for both realtime and lifetime exposure were below 1, indicating no significant non-carcinogenic risk. However, 60% of respondents reported coughing, 30% experienced shortness of breath, and 40–60% reported eye irritation. These findings indicate potential long-term health effects even though NO₂ levels remain below national air quality standards. Regular air quality monitoring, vehicle emission control, and health education for vendors are recommended to reduce exposure risks in transportation environments.

Waste is a classic problem for developing countries like Indonesia. Coastal areas are one of the areas that most vulnerable to environmental problems, especially those related to plastic waste. This community service activity aims to increase community knowledge about the importance of waste management and encourage them to turn waste into handicraft products that have economic value. This community service activity is in partnership with the community in the Keputih coastal area and local community leaders in RT VII RW VIII Keputih. The method used is to provide counseling, training and assistance to the community. Evaluation of activities is carried out by assessing: 1) knowledge about waste (inorganic and organic that is difficult to decompose) through pre-test and post-test regarding educational materials, 2) assessment of the ability to practice waste management (crafting) and 3) Impact of activities is carried out by reviewing Has waste management been implemented from households to TPS? The education and assistance on waste management, including sorting and making handicrafts from waste, has been successful with 3 indicators achieved, namely the presence of the community in counseling (80%), 65% of the target community has increased their knowledge, and 75% of the target community has sorted waste and made crafts from plastic waste. It is hoped that community service activities can be sustainable, such as providing education to target communities regarding how to sell handicrafts made from waste, and collaborating with other parties that can improve the branding of handicraft products.

Environmental sanitation and personal hygiene are important factors in maintaining student health at school. This community service program was carried out at Hidayatullah Putri Boarding School Depok, West Java, with the aim of improving understanding and practices related to environmental sanitation and clean and healthy living behavior (PHBS). The method used includes three stages: preparation, implementation, and evaluation. In the preparation stage, observation guides, educational materials, and coordination with the school were developed. The implementation stage includes observation of environmental sanitation, FGDs with teachers and school managers, and student education through media such as leaflets, posters, and videos. Evaluation was conducted through pre-test and post-test to measure the effectiveness of education. The results showed an increase in student knowledge, with an average pre-test score of 65.7 and post-test increasing to 84.7, or an increase of 19%. The program also identified several issues such as waste management, bedroom conditions, and limited sanitation facilities. In conclusion, the program was effective in increasing students' awareness of environmental sanitation and personal hygiene and providing practical solutions for sanitation improvement in the school environment.

Background: Human resource management plays a vital role in achieving hospital goals, including improving service quality by optimizing human resource talent efficiently. The quality of work significantly affects employee performance. Employees who experience a supportive and conducive work environment are more motivated, engaged, and likely to provide optimal results, contributing to organizational success. This study aims to analyze the influence of employee characteristics and quality of work life on employee performance at RSIA Glamour Husada Kebun Bangkalan. Methods: A quantitative research method with a cross-sectional approach was employed. The study involved all employees of RSIA Glamour Husada Kebun Bangkalan, with a sample of 74 respondents selected through total sampling. Data were collected via questionnaires covering employee characteristics, quality of work life, and employee performance. Binary logistic regression was used for data analysis. Results: Employee characteristics (p = 0.265) did not have a significant influence on performance simultaneously. However, the quality of work life (p = 0.000) significantly influenced performance simultaneously. Among the employee characteristics, the length of service (p = 0.008) had a significant effect on performance. All dimensions of quality of work life were proven to partially affect employee performance. Conclusion: Employee performance is significantly influenced by the length of service and various dimensions of quality of work life. These findings highlight the importance of fostering a supportive work environment and recognizing the critical role of tenure in enhancing the performance of hospital employees.

Background: The Dengue Eradication Program is a government initiative to reduce dengue cases through preventive measures aimed at mosquitos. All activities in the various health sectors were restricted during the COVID-19 pandemic. The purpose of this study is to assess the Dengue Hemorrhagic Fever Eradication and Control program at the Sememi Health Center in Surabaya.Materials and Methods: This was a qualitative study with an evaluative approach. Key informants were identified using purposive sampling. The data was gathered through in-depth interviews and observations. The results were analyzed by evaluating the program’s implementation using the system approach method.Results: It is well known that the program evaluation results are positive. The results of the input variables meet the minimum standards that have been established. The outcome of the process variables is less than ideal. Dengue prevention counseling, mosquito net eradication, monitoring, and evaluation activities were not carried out. All activities that make crowds impossible to carry out. The assessment of output variables is based on the number of larva-free days and dengue cases in the good category.Conclusion: The input and output variables are satisfactory in accordance with the government’s policy provisions and should be maintained. To improve the program’s effectiveness, process variables must be improved, specifically increasing the implementation of counseling activities related to dengue prevention, eradication of mosquito nets, and monitoring and evaluation activities.

Dengue is a viral disease transmitted by the Aedes mosquito that causes Dengue Hemorrhagic Fever (DHF) which is a major problem in public health and has social and economic impacts. One of the key factors for the success of DHF eradication is community behavior which includes knowledge, attitudes, and actions. The purpose of this study is to conduct a systematic review by analyzing the relationship between knowledge and attitudes with the act of eradicating mosquito nests based on 7 (seven) journal articles that have been selected from the selection process measured using the quality assessment of the literature Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project (EPHPP) which assesses selection bias, study design, confounders, blinding, data collection methods and withdrawals and dropouts so that the quality of the reviewed journals can be seen. The quality assessment of the journal resulted in 3 points: Strong, Moderate, and Weak. The result is that most respondents are housewives. Knowledge level is good, attitude level is good, and action is good enough. There is a relationship between knowledge and action and there is a relationship between attitude and action. The recommendation is to improve the ability of housewives and improve coordination with local Jumantik. Keywords: Knowledge, Attitude, Practice, Dengue Prevention; DHF

Waste problems in Islamic boarding school is commonly caused by the low awareness of students and others individuals in practicing new paradigm of 3R waste management method (reduce, reuse, recycle). Target partner in empowering the community is Al Amin Boarding School Tunggul Paciran Lamongan. This empowerment program is built based on Dignan theory, starting with community analysis, targeted assessment, program plan development, implementation and evaluation. The Activities in September – October 2022. Our health education was successfully increased the students’ knowledge about waste management up to 86,6%, the students also were able to sort their waste, and did organic composting using Takakura bag.

Purpose: Low-density polyethylene microplastics are ingested into the bloodstream and distributed to all the organ tissue, including the hippocampus, causing toxic effects. This research aimed to elucidate the responses of hippocampal neurons to microplastic in the blood based on the expressions of superoxide dismutase (SOD), catalase (CAT) enzymes, malondialdehyde (MDA), 8-oxo-7,8-dihydro-2-deoxyguanosine (8-OHdG) in hippocampal neurons, and blood serum amyloid beta 1– 42 (Aβ 42) levels using SMART PLS pathway analysis. Methods: This was a pure experimental research on Wistar rats with a post-test control group design. Five experimental groups (X1, X2, X3, X4, X5) were given 0.0375 mg, 0.075 mg, 0.15 mg, 0.3 mg, and 0.6 mg of low-density polyethylene microplastics mixed in 2cc distilled water, respectively. Furthermore, except for control (C), the groups received microplastics an oral probe for 90 days. Results: The molecular response of hippocampal neurons of Wistar rats to microplastics in the blood significantly decreased SOD enzyme expression, while CAT enzyme was unaffected. It considerably increased neuronal membrane damage (expression of MDA), increased considerably neuronal deoxyribonucleic acid damage (expression of 8-OHdG), and decreased blood serum Aβ 42 levels (pathway analysis, all t-value > 1.96). Conclusion: The pathway analysis showed that hippocampal neurons were significantly affected by microplastic particles in the blood. Graphical Abstract:

Pada tanggal 28 September 2018 telah terjadi gempabumi dengan kekuatan 7,4 SR dengan pusat gempa berada di 26 km Utara Donggala dan 80 km Barat Laut kota Palu pada kedalaman 10 km. Guncangan gempa di Palu dapat dirasakan berbagai sekitar (Donggala, Parigi Moutong, Sigi, Poso, dan Toli-Toli) yang memicu tsunami hingga ketinggian 5 meter dan likuifaksi. Dalam kondisi ini keluarga merupakan yang terdampak besar dari akibat multi bencana, dimana banyak keluarga yang mengungsi akibat rumah hancur, tenggelam karena likuifaksi, rusak parah, termasuk kesulitan mendapatkan akses kesehatan, akses pendidikan anak-anak, akses sosial dan ekonomi terhambat. Selain itu, keluarga menjadi kelompok sosial pertama yang dipandang mampu untuk menjalankan komunikasi efektif dalam berbagai hal, sehingga keluarga yang tinggal di daerah rawan bencana lebih memerlukan pendidikan dan pendampingan untuk tanggap bencana untuk menjadi keluarga Tangguh bencana (katana). Terdapat 3 (tiga) tahapan kunci dalam upaya katana, yakni: 1. Sadar risiko bencana, sadar terhadap risiko dan ancaman bencana yang ada di lingkungannya; 2. Pengetahuan, mengetahui dan dapat memperkuat struktur bangunan, paham manajemen bencana, dan edukasi bencana; dan 3. Berdaya, merupakan kemampuan dalam menyelamatkan diri sendiri, keluarga dan tetangga. Tujuan pengabdian kepada masyarakat ini adalah upaya peningkatan dan mendorong peran serta keluarga dalam penanggulangan bencana multi hazard di Kabupaten Sigi, Provinsi Sulawesi Tengah dalam rangka mendukung terbentuknya Keluarga tangguh bencana (Katana). Peningkatan pengetahuan dan skill diharapkan dapat meningkatkan kapasitas keluarga dalam penanggulangan bencana multi hazard.

Latar Belakang: Demam Berdarah Dengue (DBD) hingga saat ini masih merupakan masalah kesehatan masyarakat di Indonesia, termasuk pulau Bali. Provinsi bali yang terdiri dari 9 kabupaten/kota adalah daerah endemis DBD, padahal Provinsi Bali adalah destinasi wisata baik lokal maupun mancanegara.Penelitian ini bertujuan untuk memberikan pemaparan berupa gambaran kejadian DBD di Provinsi Bali. Metode: Penelitian ini merupakan penelitian deskriptif dengan rancang bangun caseseries. Sumberdata pada penelitian ini menggunakan data sekunder yaitu Profil Kesehatan provinsi Bali tahun2015 hingga 2017, dan data iklim di Provinsi Bali tahun 2015-2017yang diperoleh dari Badan Pusat Statistik provinsi Bali. Hasil: Hasil penelitian menunjukkan insiden DBD per 100000 penduduk di Provinsi Bali tahun 2012 hingga tahun 2017 berturut turut 65,5: 174,5: 210,2; 259,1; 483; 105. Puncak insiden tertinggi Demam Berdarah Dengue (DBD) ada pada tahun 2016.Pada tahun 2017 ada 4 kabupaten/kota yang insidennya tinggi seperti kabupaten Badung , kota Denpasar , kabupaten Buleleng dan kabupaten Gianyar. Penyebab meningkatnya insiden DBD adalah banyaknya genangan air sebagai tempat perindukan nyamuk Aedes aegypti saat musim hujan, sehingga populasi nyamuk Aedes aegypti meningkat. Insidens DBD terjadi pada bulan Januari hingga Mei, yang di pengaruhi oleh cuaca lokal, kondisi sosial ekonomi masyarakat, curah hujan, topografi maupun kepadatan,serta mobilitas penduduk. Simpulan: Insiden DBD dipengaruhi oleh pola musim hujan , di bulan Januari, Februari, Maret, April dan Mei didukung kepadatan dan mobilitas dari penduduk. ABSTRACT Title: An Overview of Dengue Haemorrhagic Fever Cases in Bali Island 2012-2017 Background: Dengue Hemorrhagic Fever (DHF)remains a public health problem in Indonesia, including the island of Bali. Bali province consists of 9 regencies / cities is a dengue endemic area, whereas the island of Bali is a tourist destination both locally and internationally. This study aims to provide an overview of the incidence rates (IR) of DHF in the island of Bali. Methods: This research is a descriptive study with case series design. Data sources in this study use secondary data obtianed from Bali Health Profile 2015 – 2017, and the climate data of Bali Province in 2015-2017 was obtained from the Central Statistics Agency (BPS) of Bali Province. Results: The results showed the Incidence Rates (IR) of Dengue Haemorrhagic Fever (DHF) in the island of Bali in 2012- 2017 were 65.5; 174.5; 210.2; 259.1; 483 and 105.7 respectively. The highest incidence rates (IR) of DHF was notified in 2016. Up to 2017 there were 4 districts that had reported high incidence of DHF, such as Badung Regency, Denpasar City, Buleleng Regency, and Gianyar Regency. Factors contributing to the increasing incidence of DHF in Bali were the existence of water container as the potential breeding places for mosquitos vector of Aedes aegypti, particularly during rainy season. This condition initiated the increased population of Aedes aegypti. The incidence of dengue fever cases intensively occurred during January – May influenced by local weather climate, socio- economic condition, rainfall, topography, as well as population density and mobility Conclusion: The incidence of DHF is significantly associated with weather seasonal patterns whereasthe highest DHF incidence rates are found in each year in January, February, March, April and May. The other significant factors are including of rainfall, population density and mobility.