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Pendidikan Kesehatan Reproduksi Formal Dan Hubungan Seksual Pranikah Remaja Indonesia, Anggriyani Wahyu Pinandari, Siswanto Agus Wilopo, Djauhar Ismail

Kesmas

Transisi demografi kedua akan terjadi di Indonesia dan ditandai dengan revolusi seksual dan reproduksi. Masalah potensial di masa ini adalah peningkatan perilaku seksual pranikah, kehamilan yang tidak diinginkan, infeksi menular seksual dan penyalahgunaan obat. Penelitian ini bertujuan untuk menguji pengaruh pendidikan kesehatan reproduksi formal terhadap penundaan hubungan seksual pranikah pada remaja dan dewasa muda Indonesia. Penelitian potong lintang yang dianalisis sebagai kohort retrospektif menggunakan data Survei Kesehatan Reproduksi Remaja Indonesia tahun 2012 (10.980 laki-laki dan 8.902 perempuan). Efek pendidikan kesehatan reproduksi formal terhadap penundaan perilaku hubungan seksual dianalisis menggunakan kurva kaplan meier, uji log-rank, dan uji chi square, sedangkan analisis …

Assessment Of Nutrition Information System Using Health Metrics Network Framework, Mochamad Iqbal Nurmansyah, Catur Rosidati, Riastuti Kusuma Wardani, Badra Al-Aufa

Kesmas

Sistem informasi gizi (Sigizi) dikembangkan oleh Direktorat Bina Gizi Kementerian Kesehatan sejak 2011. Data Sigizi mencakup data penimbangan balita di posyandu, kasus gizi buruk, cakupan pemberian tablet Fe pada ibu hamil, konsumsi garam beryodium, pemberian vitamin A, dan ASI eksklusif. Penelitian ini bertujuan untuk mengukur kinerja pengelolaan Sigizi di Dinas Kesehatan Kota Tangerang Selatan menggunakan kerangka Health Metrics Network yang dikeluarkan oleh WHO tahun 2008. Sigizi merupakan sistem informasi yang diaplikasikan pada tingkat nasional dengan mekanisme pelaporan berjenjang, dari 508 kabupaten/kota menuju 34 provinsi dan bermuara di tingkat nasional. Di Provinsi Banten, terdapat delapan kabupaten/kota yang menjalankan Sigizi. Informan penelitian …

Sikap Remaja Terhadap Keperawanan Dan Perilaku Seksual Dalam Berpacaran, Desi Rusmiati, Sutanto Priyo Hastono

Kesmas

Laporan Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 dan 2012 menunjukkan terjadinya penurunan jumlah remaja yang memiliki sikap positif terhadap pentingnya mempertahankan keperawanan bagi seorang perempuan. Dari laporan yang sama juga diketahui adanya peningkatan perilaku seksual remaja dalam hal berpegangan tangan, berciuman bibir, petting, dan melakukan hubungan seksual. Penelitian ini bertujuan untuk membuktikan adanya hubungan antara sikap remaja terhadap keperawanan dengan perilaku seksual dalam berpacaran dengan melibatkan usia, jenis kelamin, pendidikan, tempat tinggal, usia pertama kali pacaran, pengetahuan, dan pengaruh teman sebaya sebagai variabel perancu. Penelitian ini merupakan penelitian kuantitatif dengan rancangan potong lintang menggunakan model faktor risiko dari …

Limiting Exposure To Isoflurane In A Veterinary Occupational Setting, Richard A. Votava

Master's Projects and Capstones

This paper characterizes the veterinary occupational health hazards of waste anesthesia gas. A needs assessment was conducted to develop educational materials on hazard and control. Rcommendations were made to HESIS on need for educational products.

Risques À La Sst : Les Stratégies Mises En Œuvre Par Des Adolescents Apprentis En Métier Semi-Spécialisé Lors D’Évènements Imprévus, Marie Laberge, Aurélie Tondoux, Bénédicte Calvet, Dolores Bayard, Curtis Breslin

Rapports de recherche scientifique

Plusieurs études ont montré qu’une faible expérience en emploi, souvent caractéristique des très jeunes travailleurs, était associée à une augmentation du risque de subir une lésion professionnelle. Parmi les jeunes travailleurs, les plus susceptibles de se blesser au travail sont ceux qui ont quitté l’école sans diplôme d’études secondaires, ceux qui occupent des emplois manuels ainsi que ceux qui éprouvent des difficultés d’apprentissage objectivées. Le ministère de l’Éducation, du Loisir et du Sport (MELS) a mis sur pied en 2007-2008 la Formation menant à l’exercice d’un métier semi-spécialisé (FMS), qui s’adresse justement à ces jeunes considérés plus à …

Risk Factors For Agricultural Injury: An Evaluation Using Systematic Review And Injury Surveillance, Rohan Mahadeo Jadhav

Theses & Dissertations

Purpose- Agriculture is the most hazardous industry in the United States. The effectiveness of intervention programs for injury prevention can be improved by acquiring knowledge of risk factors for occupational injury in agricultural operators. The landscape of agriculture is changing in the U.S. Agricultural populations, environments and risk factors are changing as well with the changes in the structure of farms and ranches. The objective of this study was to identify significant risk factors for agricultural injury based on the literature and three years of injury surveillance data covering seven U.S. states. Methods- We conducted a systematic review of reported …

Low Prevalence Of Asthma Among Textile Workers In Karachi, Pakistan, Sana Tanzil, Asaad A. Nafees

Community Health Sciences

Objective: To determine the prevalence of asthma in textile workers through post-bronchodilator spirometry and to compare the differences in prevalence based on different criteria used to assess asthma.
Methods: The cross-sectional study was conducted between July and December 2013 in Karachi, Pakistan, and comprised workers from15 textile mills in the city and its outskirts. Asthma and associated respiratory symptoms were assessed using the American Thoracic Society Division of Lung Diseases Questionnaire, and post-bronchodilator spirometry. SPSS 19 was used for statistical analysis.
Results: Among the 372 workers in the study, asthma was found in 19(5%) as diagnosed on post-bronchodilator spirometry. The …

Bronchoscopie En Milieu Hospitalier : Évaluation Des Expositions Aux Bioaérosols, Jacques Lavoie, Geneviève Marchand, Yves Cloutier, Yves Beaudet, Stéphane Hallé, Sylvie Nadeau, Gilbert Pichette, Caroline Duchaine

Rapports de recherche scientifique

Lors des examens de bronchoscopie en milieu hospitalier, des aérosols provenant de la bouche et du nez du patient peuvent se retrouver en suspension dans l’air ambiant. Les aérosols produits peuvent contenir des microorganismes pathogènes, tels des mycobactéries, des bactéries, des virus et même des moisissures. Ces microorganismes peuvent également être aérosolisés lors du nettoyage des bronchoscopes effectué après l’examen. Selon la nature de ces microorganismes ou bioaérosols, ils peuvent persister assez longtemps dans l’air et potentiellement causer des infections chez les travailleurs exposés. L’objectif principal de cette recherche est de mesurer les concentrations des particules totales et biologiques lors …

Optimal Exposure Biomarkers For Nonpersistent Chemicals In Environmental Epidemiology, Antonia M. Calafat, Matthew P. Longnecker, Holger M. Koch, Shanna H. Swan, Russ Hauser, Lynn R. Goldman, +7 Additional Authors

Environmental and Occupational Health Faculty Publications

We discuss considerations that are essential when evaluating exposure to nonpersistent, semivolatile environmental chemicals such as phthalates and phenols (e.g., bisphenol A). A biomarker should be chosen to best represent usual personal exposures and not recent, adventitious, or extraneous exposures. Biomarkers should be selected to minimize contamination arising from collection, sampling, or analysis procedures. Pharmacokinetics should be considered; for example, nonpersistent, semivolatile chemicals are metabolized quickly, and urine is the compartment with the highest concentrations of metabolites. Because these chemicals are nonpersistent, knowledge of intraindividual reliability over the biologic window of interest is also required. In recent years researchers have …

Intermingled Klebsiella Pneumoniae Populations Between Retail Meats And Human Urinary Tract Infections, Gregg S. Davis, Kara Waits, Lora Nordstrom, Brett Weaver, Maliha Aziz, Lance B. Price, +8 Additional Authors

Environmental and Occupational Health Faculty Publications

Background. Klebsiella pneumoniae is a common colonizer of the gastrointestinal tract of humans, companion animals, and livestock. To better understand potential contributions of foodborne K. pneumoniae to human clinical infections, we compared K. pneumoniae isolates from retail meat products and human clinical specimens to assess their similarity based on antibiotic resistance, genetic relatedness, and virulence.

Methods. Klebsiella pneumoniae was isolated from retail meats from Flagstaff grocery stores in 2012 and from urine and blood specimens from Flagstaff Medical Center in 2011–2012. Isolates underwent antibiotic susceptibility testing and whole-genome sequencing. Genetic relatedness of the isolates was assessed using multilocus sequence typing …

Using Whole Genome Analysis To Examine Recombination Across Diverse Sequence Types Of Staphylococcus Aureus, Elizabeth M. Driebe, Jason W. Sahl, Chandler Roe, Jolene R. Bowers, James M. Schupp, Lance B. Price, +11 Additional Authors

Environmental and Occupational Health Faculty Publications

Staphylococcus aureus is an important clinical pathogen worldwide and understanding this organism's phylogeny and, in particular, the role of recombination, is important both to understand the overall spread of virulent lineages and to characterize outbreaks. To further elucidate the phylogeny of S. aureus, 35 diverse strains were sequenced using whole genome sequencing. In addition, 29 publicly available whole genome sequences were included to create a single nucleotide polymorphism (SNP)-based phylogenetic tree encompassing 11 distinct lineages. All strains of a particular sequence type fell into the same clade with clear groupings of the major clonal complexes of CC8, CC5, …

Vaginal Douching And Racial/Ethnic Disparities In Phthalates Exposures Among Reproductive-Aged Women: National Health And Nutrition Examination Survey 2001–2004, Francesca Branch, Tracey J. Woodruff, Susanna D. Mitro, Ami R. Zota

Environmental and Occupational Health Faculty Publications

Background

Diethyl phthalate (DEP) and di-n-butyl phthalate (DnBP) are industrial chemicals found in consumer products that may increase risk of adverse health effects. Although use of personal care/beauty products is known to contribute to phthalate exposure, no prior study has examined feminine hygiene products as a potential phthalate source. In this study, we evaluate whether vaginal douching and other feminine hygiene products increase exposure to phthalates among US reproductive-aged women.

Methods

We conducted a cross-sectional study on 739 women (aged 20–49) from the National Health and Nutrition Examination Survey 2001–2004 to examine the association between self-reported use of …

Assessing The Health And Safety Aspects Of Reboiler Maintenance Activities, William Svendsen

Graduate Theses & Non-Theses

Maintenance on equipment at an oil and gas facility is an everyday occurrence in Alberta, Canada. Due to their inherent hazards, especially from explosion, fire and chemicals, these facilities (refineries and upgraders) are tightly regulated places in which to work. In these plants, hazards can come in many different shapes and forms; all of which must be mitigated to ensure the safety of both the equipment and the workers. Examples of such hazards include hydrogen sulphide (H2S), naturally occurring radioactive material (NORM), ergonomics and noise.

The intent of this survey was to determine if there were any gaps in Client …

Exposure Assessment To Respirable Crystalline Silica Particles During Airfield Maintnenance Concrete Operations, Kenneth Pratt

Graduate Theses & Non-Theses

Crystalline silica is found in naturally occurring and manmade materials. According to OSHA, approximately 2.2 million people are exposed to silica each year (OSHA, 2002). These individuals are at an increased risk of silicosis, an incurable disease that is often fatal. The objective of this project was to determine if airport maintenance workers are exposed to crystalline silica over the current permissible exposure limit. Two days of sampling was conducted and it was determined that there was some exposure to the Airfield Paint Crew exceeding the action level. The highest employee exposure was at 0.362 mg/m3 with a corresponding PEL …

Heat Stress Prevention Program For Workers In Demilitarization Protective Ensemble At Pueblo Chemical Agent-Destruction Pilot Plant Training Facility, Joseph Padayhag

Graduate Theses & Non-Theses

The Pueblo Chemical Agent-Destruction Pilot Plant (PCAPP) is being constructed to dispose of the entire stockpile of sulfur mustard contained in munitions stored at Pueblo Chemical Depot, Colorado. The PCAPP Training Facility provides courses on protective measures necessary for making entries into areas with hazardous concentrations of chemical warfare agents in air. Students are trained to work in Demilitarization Protective Ensemble (DPE), an encapsulating, impermeable, and positive pressure suit. The course includes wearing the suit and performing tasks to simulate work in PCAPP toxic areas.

Wearing DPE will increase the heat stress load for workers making entries. The PCAPP heatstress …

Occupational Silica Exposure For The Fuel Distributing Company On Hydraulic Fracturing Locations, Caleb Moore

Graduate Theses & Non-Theses

This report investigates the potential exposure to respirable crystalline silica experienced by fuel distributing employees on hydraulic fracturing locations. Hydraulic fracturing is an oil and gas technique used to develop shale formations all across the United States of America. This is done by injecting large volumes of water, sand, and treatment chemicals under high pressure into oil wells within the shale formation. This well stimulation is possible due to the high pressure of the fluid, which creates and opens cracks and fissures in the formation. The sand contained inside the fluid flows into these opened fissures and becomes wedged, holding …

A Pilot Study To Assess The Impact Of The Proposed Crystalline Silica Standard In The Construction Industry, Kendra Lyons

Graduate Theses & Non-Theses

No worker should have to suffer a life altering or fatal illness for the sake of a job, yet thousands of workers have died or developed a disabling illness from occupational exposure to silica. The Occupational Safety and Health Administration (OSHA) has not updated the permissible exposure limit (PEL) for silica since 1971. The current PEL for respirable crystalline silica in the construction industry is 250 mppcf/ (%SiO₂ + 5) TWA which is adjusted per the amount of silica in the sample. This exposure limit is known to cause silicosis, a disease developed from silica exposure. The construction industry …

Health And Safety Considerations Associated With Sodium Debris Bed Experimental Nuclear Assembly Dismantlement, Alan Carvo

Graduate Theses & Non-Theses

As the end of World War II approached, scientists who developed the processes to generate nuclear material for war-time use grew interested in applying those technologies to the generation of power for cities across the United States. Concerns about the availability of natural uranium led to the development of self-fueling fast neutron breeder reactors. In order to produce plutonium at a rate greater than the consumption of uranium during a nuclear chain reaction, high-energy “fast” neutrons are required. Fast neutron reactors utilize low melting-point metals, like sodium, to provide cooling.

After the earliest reactors experienced trouble providing adequate cooling during …

Literature Review Of Studies Linking Benzene And Leukemia, Kylene Owens

Graduate Theses & Non-Theses

The purpose of this review was to discover how the by-products of oil production, such as benzene played a significant role in health issues, particularly leukemia. The objective is to evaluate the association of benzene exposure and leukemia through laboratory toxicity studies and public and occupational epidemiology studies. Multiple articles were researched to find a link between benzene exposure and the development of leukemia. Several articles were viewed and some eliminated due to their irrelevant to this paper or their duplicated information with other articles. A total of six articles were selected for this paper. Research has shown that benzene …

Methylene Chloride Exposure Evaluation During Active Pharmaceutical Ingredient Manufacturing, Janet Rullman

Graduate Theses & Non-Theses

A manufacturer utilizes methylene chloride (CH2Cl2) (CAS 75-09-2), also known as dichloromethane, to manufacture active pharmaceutical ingredients. Methylene chloride is specifically regulated by the Occupational Safety and Health Administration (OSHA) under 29 Code of Federal Regulation (CFR) 1910.1052. Evaluation and documentation of employee exposure to methylene chloride is required to comply with OSHA regulations. In addition to OSHA compliance, it is also important to evaluate employee exposure levels to determine if respiratory protection, regulation of the work area, and medical monitoring are necessary.

This industrial hygiene report describes an investigation into the risks of exposure to methylene chloride. This report …

A Study Of A Simulated Infectious Disease On Healthcare Workers' Reaction, Knowledge, Attitudes, And Performance Towards Hand Hygiene, Lydia Wigglesworth-Ballard

Health Services Research Dissertations

Problem Statement. The high rate of healthcare worker-patient contact provides many opportunities for exposure to pathogens, which creates challenges in assessing healthcare workers' success at preventing healthcare associated infections caused by these dangerous pathogens.

Methods. This study explored the effects of a simulated infectious disease on healthcare workers' hand hygiene knowledge, attitudes, performance, and reactions using Kirkpatrick's Four levels of Evaluation. The study utilized a mixed method pre-test – 2 post-test design. The dependent variables were hand hygiene knowledge, attitudes toward hand hygiene guidelines, hand hygiene performance, and reaction to the overall experience. Data was collected three times over a …

Anticipation, Recognition, Evaluation, And Control Of Lead Exposure Associated With Sources Ouniquie To Highway Construction Projects, Jack Packwood

Graduate Theses & Non-Theses

No abstract provided.

Formaldehyde: Is It A Problem In My Home?, Cheryl (Cheri) L. Marcham

Publications

This guide is intended to help you decide if you want to investigate a possible indoor formaldehyde problem that you suspect is attributable to laminate flooring.

Approche Intégrée Pour Une Conception Et Une Manipulation Sécuritaires Des Nanomatériaux : Un Programme Basé Sur Une Concertation Entre L’Industrie Et Des Évaluateurs Des Risques Sanitaires, Claude Emond, Serge Kouassi, Frédéric Schuster

Rapports de recherche scientifique

Les nanotechnologies de synthèse se développent à un rythme presque exponentiel. Les estimations anticipées des retombées de cette technologie font miroiter un potentiel économique énorme à la grandeur de la planète. Par conséquent, plusieurs pays investissent massivement dans ce domaine de nouvelles technologies. Cependant, les responsables industriels des nanomatériaux et les spécialistes en évaluation des risques sanitaires ont une compréhension différente des programmes de sécurité devant baliser l’utilisation de cette nouvelle technologie dont on connaît peu les dangers pour la santé et la sécurité des travailleurs.

Plusieurs études montrent l’existence d’une réactivité biologique particulière des nanoparticules en raison de leur …

Les Emplois Verts Au Québec : Définition Et Appréciation De Leurs Risques Chimiques Ou Biologiques Potentiels Pour La Santé Des Travailleurs, Erwan Cheneval, Marc-Antoine Busque, Claude Ostiguy, Jacques Lavoie, Robert Bourbonnais, France Labrèche, Joseph Zayed

Rapports de recherche scientifique

Les emplois générés par les efforts d’écologisation de l’économie sont en pleine croissance. Ces emplois, couramment appelés « emplois verts », étaient estimés en 2010 à plus de 155 000 au Québec et à 682 000 au Canada. Ces chiffres dépendent bien entendu des définitions données aux termes « écologie » et « environnement », mais donnent une idée de l’importance de ce secteur en croissance. Plusieurs nouvelles technologies se développent et il est impératif d’en apprécier les risques potentiels pour la santé des travailleurs.

L’objectif de cette recherche est de tracer le portrait québécois des emplois verts et d’apprécier …

Portrait Des Pratiques De Prévention Primaire Et Secondaire En Bureautique Au Québec Chez Les Intervenants Et Dans Les Milieux De Travail, Marie Saint-Vincent, Sylvie Montreuil, Georges Toulouse, Roselyne Trudeau

Rapports de recherche scientifique

Dans la perspective de stimuler la prévention des troubles musculo-squelettiques (TMS) dans le domaine de la bureautique au Québec, et de préparer un guide de bonnes pratiques, une première étape nous est apparue incontournable : documenter les pratiques de praticiens et celles mises en œuvre dans les milieux de travail au Québec. Il s’agissait de décrire ce qui se fait au Québec, de déterminer les approches les plus prometteuses, de décrire les difficultés rencontrées et, inversement, les conditions de succès.

L’étude a été réalisée en deux temps. D’abord, 25 praticiens ont été interrogés, 23 seuls et quatre en binômes pour …

Iarc Monographs: 40 Years Of Evaluating Carcinogenic Hazards To Humans, Neil Pearce, Aaron Blair, Paolo Vineis, Wolfgang Ahrens, Aage Andersen, Melissa J. Perry, +Several Additional Authors

Environmental and Occupational Health Faculty Publications

Background: Recently, the International Agency for Research on Cancer (IARC) Programme for the Evaluation of Carcinogenic Risks to Humans has been criticized for several of its evaluations, and also for the approach used to perform these evaluations. Some critics have claimed that failures of IARC Working Groups to recognize study weaknesses and biases of Working Group members have led to inappropriate classification of a number of agents as carcinogenic to humans.

Objectives: The authors of this Commentary are scientists from various disciplines relevant to the identification and hazard evaluation of human carcinogens. We examined criticisms of the IARC classification process …

Penile Microbiota And Female Partner Bacterial Vaginosis In Rakai, Uganda, Cindy M. Liu, Bruce A. Hungate, Aaron A.R. Tobian, Jacques Ravel, Lance B. Price, +8 Additional Authors

Environmental and Occupational Health Faculty Publications

Bacterial vaginosis (BV) is a common vaginal bacterial imbalance associated with risk for HIV and poor gynecologic and obstetric outcomes. Male circumcision reduces BV-associated bacteria on the penis and decreases BV in female partners, but the link between penile microbiota and female partner BV is not well understood. We tested the hypothesis that having a female partner with BV increases BV-associated bacteria in uncircumcised men. We characterized penile microbiota composition and density (i.e., the quantity of bacteria per swab) by broad-coverage 16S rRNA gene-based sequencing and quantitative PCR (qPCR) in 165 uncircumcised men from Rakai, Uganda. Associations between penile community …

Development Of A Support Approach For 911 Call Centre Work With A View To Preventing Musculoskeletal Disorders And Psychological Health Problems, Georges Toulouse, Louise St-Arnaud, Mariève Pelletier

Rapports de recherche scientifique

La présente étude constitue un prolongement des recherches antérieures ayant pour objectif de réduire les risques psychosociaux associés aux troubles musculosquelettiques et de santé psychologique chez les préposés des centres d’urgence 9-1-1. Elle se fonde plus précisément sur la précédente recherche (Toulouse et coll., 2011) dont les résultats suggéraient la nécessité de mieux soutenir les préposés aux prises avec des situations d’appels difficiles. En effet, les résultats montraient que les situations, qui génèrent une charge de travail ou une charge cognitive plus élevée sont corrélées à l’augmentation de l’intensité des douleurs au cou et aux épaules, alors que les douleurs …

Prehipertensi Pada Obesitas Abdominal, Lia Churniawati, Santi Martini, Catharina Umbul Wahyuni

Kesmas

Prehipertensi banyak terjadi pada penderita obesitas abdominal. Prevalensi obesitas abdominal di Kabupaten Gresik sebesar 21,5%. Kepatuhan diet penderita prehipertensi dengan obesitas abdominal diperlukan untuk mengurangi risiko terjadinya hipertensi. Prehipertensi dan hipertensi berhubungan dengan pelbagai komplikasi pada hampir seluruh organ. Penelitian ini bertujuan untuk menganalisis determinan prehipertensi pada obesitas abdominal di Kabupaten Gresik. Penelitian ini dilaksanakan di Kabupaten Gresik pada November 2013 - November 2014 dengan rancangan penelitian potong lintang. Responden adalah pasien yang datang ke unit rawat jalan puskesmas yang diambil secara konsekutif sejumlah 74 orang. Responden berusia antara 25 - 64 tahun, mengalami obesitas abdominal, tidak hamil, tidak hipertensi, …