Citra Anggun Kinanthi

Background: Mycobacterium tuberculosis is the bacterium responsible for tuberculosis (TB), a disease primarily spread through droplets from infected individuals. Ponorogo Regency ranks eighth in TB-related mortality in East Java, with Kauman Health Center recording the highest number of TB cases, most of which involve individuals working as farmers. This study aims to investigate how environmental factors such as lighting, floor type, and wall type contribute to the occurrence of pulmonary TB among farmers in the Kauman Health Center area. Methods: This research employed an analytical observational design with a case-control approach. A total of 78 who worked as farmers were included, consisting of 39 cases and 39 controls, selected through simple random sampling. Both primary and secondary data were collected using measurement and observation techniques. The study focused on pulmonary TB incidence as the dependent variable, while the independent variables included lighting, floor type, and wall type. Data analysis involved univariate and bivariate methods using logistic regression. Results: Findings showed that the majority of respondents lived in homes with inadequate lighting (72%), proper floor types (79%), and acceptable wall types (69%). A significant association was identified between poor lighting and TB incidence among farmers, OR = 3.659 (95% CI: 1.422–9.417). However, no significant relationship was found between TB incidence and either floor type (p=0.366) or wall type (p=0.113). Conclusion: Inadequate lighting is significantly associated with pulmonary TB in farmers. In contrast, the type of floor and wall materials did not significantly influence this study.

Objective: This community service aimed to educate healthcare workers at Aisyiyah Pandaan Inpatient Clinic on the process of medical record data, fostering data-driven decision-making in patient care. Method: In October 2024, a training program was conducted for 20 healthcare workers, focusing on medical record data analysis, interpretation, and presentation. Participants were trained on how to utilize medical data to support clinical decisions.  Results:  The training program led to a significant improvement in the participants' knowledge and abilities in medical record data analysis. The results were statistically significant with p-values: p < .001, p < .001, p = 0.003, p < .001, and p = 0.002. Novelty: This activity represents a novel initiative in empowering healthcare workers by enhancing their competencies in using medical record data for clinical decision-making, promoting efficiency and accuracy in patient care.

Background: Tuberculosis is transmitted through infected droplets. Ponorogo Regency is ranked 8th in TB mortality rates in East Java. The highest TB cases in Ponorogo Regency are in the Kauman Community Health Center and most people with pulmonary TB work as farmers. Purpose: The aim of the research was to analyze the effect of humidity, temperature, and ventilation area on the incidence of pulmonary TB in farmers in the working area of Kauman Health Center, Ponorogo Regency. Methods: The research design is analytical observational with a case control approach. The number of research samples was 39 cases and 39 controls. The sampling technique uses simple random sampling. The research data sources are primary data and secondary data with measurement techniques. The dependent variable in this study is the incidence of pulmonary TB in farmers. Meanwhile, the independent variables are humidity, temperature, and ventilation area. Data analysis uses univariate and bivariate analysis using logistic regression tests. Results: Most respondents have houses with humidity levels that do not meet the requirements (59%), room temperatures that do not meet the requirements (79.5%), and ventilation areas that do not meet the requirements (73.5%). There is a significant influence between humidity (p value 0.007; OR=3.753), temperature (p value 0.032; OR=3.889), and ventilation area (p value 0.025; OR=3.437) on the incidence of pulmonary TB in farmers. Conclusion: There is a significant influence between humidity, temperature, and ventilation area on the incidence of pulmonary TB in farmers.

Issues related to waste do not only occur in urban environments. Coastal areas are also not free from issues related to waste. Not only rubbish from the local community but rubbish from tourists also contributes to the large amount of trash in coastal areas. Waste that is not appropriately managed in the environment can be a source of disease. For this reason, it is necessary to increase public knowledge regarding waste processing to prevent the emergence of disease. Apart from that, the public is educated regarding the disease's symptoms and how to treat it. This community service activity occurred in Watu Ulo, Sumberejo Village, Ambulu SubDistrict, Jember Regency. The training was attended by 23 participants who were coastal youth. The results obtained were based on gender; the majority are male, and based on the occupation, the majority are fishermen, and the knowledge of respondents increased after counselling. Conclusion From this training, there has been increased respondents' knowledge through education about waste management socialization.