AbstrakTempat pembuangan akhir (TPA) sampah domestik dengan sistem penampungan terbuka sangat berisiko mencemari air tanah milik warga yang bermukim di sekitarnya melalui proses perlindian. Untuk mengetahui kandungan logam berat dalam air tanah di sekitar TPA, sebanyak 68 sampel air sumur gali (45 sumur Dusun I dan 23 sumur Dusun IV) dari Desa Namobintang Kecamatan Pancurbatu Kabupaten Deli Serdang, Sumatera Utara, telah dianalisis dengan inductively couple plasma atomic emission spectroscopy. Hubungan jarak sumur dengan konsentrasi kromium, merkuri, dan timbal diuji dengan Mann-Whitney, Spearman's Correlation dan analisis regresi linier sederhana. Hasil penelitian menunjukkan konsentrasi kromium, timbal, dan merkuri (rerata ± deviasi standar, mg/L) masing-masing 0,036 ± 0,0096; 0,0003 ± 0,00018; dan 0,005 ± 0,0041 (Dusun I); 0,0370 ± 0,0115; 0,00026 ± 0,00013; dan 0,0070 ± 0,0069 (Dusun IV). Dari 68 sumur yang dianalisis, hanya ada 8 sumur yang konsentrasi timbalnya melebihi batas menurut Peraturan Kementerian Kesehatan Republik Indonesia Nomor 492/Per/IV/2010. Sementara itu, tidak ada korelasi jarak sumur gali ke TPA dengan konsentrasi kromium, merkuri, dan timbal dalam air sumur gali tersebut. Disimpulkan bahwa perlindian sampah di Namobintang tidak mencemari air sumur-sumur gali yang berjarak 84 meter atau lebih dari TPA. Kata kunci: Kromium, merkuri, tempat pembuangan akhir (TPA), timbal Abstract Dumping site of domestic wastes has potential risk to contaminate groundwater of the surrounding population through leaching process. To determine heavy metals (chromium, lead, and mercury) in groundwater at surrounding dumping site, a total of 68 dig well water samples (45 from Hamlet I and 23 from Hamlet IV) of Namobintang Village, Pancurbatu Sub-District of Deli Serdang Regency, North Sumatra, were analyzed using Inductively Couple Plasma Atomic Emission Spectroscopy. The relationship between the dig well distance and chromium, mercury, and lead content was tested by Mann-Whitney, Spearman's Correlation and Simple Linier Regression. The result of this study showed that chromium, lead, and mercury concentrations (mean ± SD, mg/L) were 0.036 ± 0.0096; 0.0003 ± 0.00018; and 0.005 ± 0.0041 (Hamlet I); 0.0370 ± 0.0115; 0.00026 ± 0.00013; and 0.0070 ± 0.0069 (Hamlet IV). Of 68 dig well water samples analyzed, there were only 8 water samples that had lead concentrations exceeding the drinking water limit of Peraturan Kementerian Kesehatan Republik Indonesia Nomor 492/Per/IV/2010. Meanwhile, there was no correlation of dig well distance to dumping site and heavy metal concentrations in dig well water. The study concluded that solid waste leachate in Namobintang did not contaminate the dig wells water located at 84 meters or more from the dumping site. Keywords: Dumping site, chromium, mercury, lead PendahuluanPertumbuhan populasi yang cepat dan arus urbanisasi yang terus meningkat di negara-negara berkembang telah meningkatkan kuantitas limbah padat dan penurunan kualitas lingkungan. Pembuangan sampah yang aman dan baik...

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Sick Building Syndrome (SBS) was a healthproblem that caused by air polution, indoor air quality and a bad ventilation. In around the world,2.7 milions of people were dead because air polution in the room and this air polution source from ventilation (52%), tools in the room (17 %), outside the room (11%), the building material (3%), microorganism (5%) and others (12%). Mall was a public place with a close ventilation so it can influence the air quality and being the risk of SBS.The aim of this research was looking for correlation between air quality in the room and the characteristics of workerswith sick building syndrome (SBS).This research was an analytic with cross sectional design. The population was all of the workerwith 36 sample workers.Data analysis used univariat and bivariat.Result of this research showed the variabelswhich had correlationwith sick building syndrome are humidity, wind velocity, light intensity, age, and gender. The variables that had no correlation with sick building syndrome are temperature, microorganism quantity, duration of work and period of work.

Background Paediatric patients are one of the most vulnerable patient populations. There are many unlicensed medicines and the so-called ‘off-label’ uses for which they are prescribed may increase the risk of drug-related problems (DRPs) such as lack of efficacy and adverse drug reactions (ADRs). Purpose The objective of this study is determine the incidence of DRPs for patients admitted to the hospital's paediatric emergency unit, and provide information about drug use, with the intention of improving the rational use of medicines. Materials and methods A prospective observational study took place in July to September 2011. Pharmacists interviewed the people who were responsible for children up to 15 years old, without race restrictions, from both sexes, to obtain information about medicines the children had been taking. The results were evaluated and the DRPs were related to the admission to the hospital emergency paediatric unit of the State University Hospital of Campinas (UNICAMP). The DRPs obtained were classified as ineffective treatment, ADRs, inappropriate use, compliance, poisoning, drug interactions and technical defects. Results The authors interviewed 348 patients or those responsible for them and the proportion of hospital admissions due to DRPs was 14.7% (51 patients). Among the DRPs identified, 23 (45.1%) were due to ineffective treatment, 11 (21.6%) due to ADRs, 9 (17.6%) to inappropriate use, 4 (7.8%) to non-compliance, 2 (3.9%) to intoxication, 1 (2%) to a technical defect and 1 (2%) to a drug interaction. The respiratory and gastrointestinal systems were the most commonly affected organs, and antipyretics/analgesics were the drugs most commonly associated with ADRs. Conclusions This data may be used to construct the epidemiology profile of paediatric patients, showing that there is a high incidence of DRPs that cause hospitalisation. More study is necessary in both pharmacoepidemiology and pharmacovigilance in the paediatrics area to understand the DRPs involved and improve the use medicines in children.

The low nutritional status of pregnant women during pregnancy can result in various adverse effects for both mother and baby. Poor nutritional status in infants allows problems / developmental delays. In Langkat District the number of toddlers weighed in 2017 was 98,822 people and there were 189 (0.2%) who were below the Red Line (BGM). Malnutrition sufferers found in 2017 were 110 people. Another nutritional status indicator is Iron Nutrition Anemia (AGB) which is an effort to reduce it by giving iron tablets (Fe) as many as 90 tablets during pregnancy in Langkat Regency which is still below the national percentage of 78.69%. The prevalence of stunting toddlers in Langkat Regency in 2018 is 23.3%. For this reason, empowerment of cadres and village officials to monitor the nutritional status of pregnant women and toddlers to prevent stunting. Through increased knowledge and skills of cadres and village officials to achieve a reduction in the incidence of stunting in improving the nutritional status of pregnant women and toddlers can be done with nutritional surveillance by monitoring activities: PMT recovery, provision of vitamin A, TTD, Taburia, Zinc, Stimulation. The socialization was carried out on 26 June 2019 in the Hall of Karang Rejo Health Center, Langkat Regency. Training was held on June 26, 2019 in the Hall of Karang Rejo Health Center in Langkat Regency to improve the knowledge and skills of cadres and village officials to achieve a reduction in the incidence of stunting in improving the nutritional status of pregnant women and toddlers.