Latarbelakang:Intensitas penggunaan pestisida yang berlebihan dan pelaksanaan penyemprotan yang tidak sesuai aturan dapat mengakibatkan masalah kesehatan bagi anak-anak, yang secara langsung maupun tidak langsung terpajan oleh pestisida. Pestisida dapat mengganggu proses sintesis dan metabolisme hormon tiroid dengan mengganggu reseptor TSH (TSH-r) di kelenjar tiroid. Kelenjar tersebut membesar sebagai kompensasi untuk meningkatkan output hormon tiroid. Pembengkakan leher akibat pembesaran kelenjar tiroiddisebutgoiter. Kelainan kelenjar tiroid pada anak-anak dapat mengakibatkan gangguan tumbuh kembang. Penelitian ini bertujuan untuk mengetahui hubungan riwayat pajanan pestisida dengan kejadian goiter pada siswa-siswa SD di wilayah pertanian hortikultura wilayah kerja Puskesmas Ngablak Kecamatan Ngablak Kabupaten Magelang.Metode:Penelitian ini menggunakan desain Case control (kasus control). Sampel pada penelitian ini adalah 60 siswa kelas 4-6 yang terdiri dari 20 siswa yang mengalami goiter sebagai kasus dan 40 siswa sebagai kontrol. Data diperoleh dari hasil pemeriksaan kadar UEI dalam urine dan wawancara.Hasil:sebanyak 60 % respondenpada kelompok kasus mempunyai riwayat pajanan pestisida dan kadar Ekskresi Iodium Urin (EIU)pada anak mempunyai nilai rata rata (Mean) 176,183µg/L dengan kisaran 30 µg/L - 291µg/L, nilai median 182µg/L. Riwayat pajanan pestisida secara signifikan berhubungan dengan kejadian goiter dengannilai p-value: 0,013 (p<0,05), OR; 5,41 95% CI; 1,53-19,12 Simpulan:Kesimpulan penelitian ini adalah riwayat pajanan pestisida dalam hal keterlibatan anak pada kegiatan pertanian merupakan faktor resiko terhadap kejadian goiter. ABSTRACTTitle: Exposure Pesticide Associated with Incidence of Goiter in Elementary School Students in the Areas of Agriculture in Sub District Ngablak District MagelangBackground:The intensity and excessive use of pesticides and spraying methods which not appropriate may cause health problems to farmers exposed directly as well as children who are indirectly exposed to pesticide. Pesticides can disrupt the synthesis process and thyroid hormone metabolism by disturbing the TSH receptor (TSH-r) in thyroid gland. The gland is enlarged as a compensation to increase thyroid hormone output. swelling of the neck from an enlarged thyroid gland is called Goiter. Thyroid unloyment caused by inhibition of thyroid hormone synthesis may cause growth disorders. The purpose of this study was to determine the exposure pesticide associated to the incidence of Goiter in elementary school students in agriculture areas at the Sub District NgablakMagelang.Method:This study was observational study with case control design. The sample in this study were 60 students of grade 4-6 consisting of 20 students who incidence goiter as the case and 40 students as control. The data Data was taken from UEI examination results in urine and interview. Result:That 60% of respondents in the case group had a history of pesticide exposure and iodine excretion level of Urine (EIU) in children had mean of 176,183 μg / L with a range of 30 μg / L - 291 μg / L, median value 182 μg/L. The history of pesticide exposure was significantly related to goiter events with p-value values: 0.013 (p <0.05), OR; 5.41 95% CI; 1.53-19.12.Conclusion:This study concluded thathistory of pesticide exposure in terms of children's involvement in agricultural activities is a risk factor to g incidence of Goiter
Occupational health absolutely must be implemented in work, both informal and formal industries. Activities that can cause health problems are improper work attitudes such as sitting, standing, bending, squatting, walking, and others. Health problems related to work attitudes are complaints of low back pain (LBP). This type of research is a descriptive-analytic study with a cross-sectional approach. Research respondents are brick workers in Babatan Seluma Village with 60 workers. Data were obtained by interviewing the respondents' characteristics, years of service, work attitudes, and complaints of LBP. Data analysis was carried out using the Chi-Square test to determine the relationship between variables and the logistic regression test to determine the factors most at risk for the occurrence of complaints. The results showed that 51.70% of the respondents were less than 40 years old, the respondent's working period of more than 10 years was 51.80%, and most of the respondents (56.70%) had non-ergonomic work attitudes. This study shows a relationship between age, tenure, and work attitude towards LBP complaints with a p-value (0.040; 0.050; 0.016). Workers are expected to work according to an ergonomic work attitude to avoid LBP complaints.
Most of the rainwater that falls to the earth cannot seep directly into the ground and eventually becomes runoff or what is often called surface water. Rainwater runoff that is not handled properly will cause various problems for the community, especially flooding. The negative impact of changing or losing catchment areas is that they cannot withstand the flow rate of water due to rainfall, causing stagnation of water or even flooding. Flood hazard in residential areas often occurs due to changes in land use from infiltration areas to watertight areas. Solutions that can be used to overcome flood problems, especially for dense residential areas or those with minimal rainwater infiltration, can be done by using biopore technology. The method used in this community service activity is to provide community empowerment regarding the use of biopore holes as rainwater infiltration and natural compost with demonstrations and practice of making biopore holes. The result of this community service activity is that the activity participants are able to make biopore holes as rainwater infiltration and natural compost which can then make biopore holes around the home page and share information and skills with other communities so that they can reduce standing water when it rains and can take advantage of compost management. Key words: biopore holes, infiltration water and compost
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