Background: Multidrug-resistant tuberculosis (MDR-TB) is another problem in TB elimination. In 2018, 484,000 people worldwide developed tuberculosis that was resistant to rifampicin, and 78% of those had MDR-TB. Estimation of risk factors to detect MDR-TB. Methods: A case-control study assesses the estimate of the socio-demographic, house environment, diabetes mellitus, treatment behavior, and health-related quality of life (HRQOL). There were 28 cases of MDR-TB patients, and 56 control of drug-susceptible tuberculosis (DS-TB), in the treatment phase of October 1, 2019 to March 31, 2020. Results: The analysis showed a diabetes mellitus (adjusted odds ratio [AOR] 4.06, 95% confidence interval [CI] 1.31-12.54), treatment adherence (AOR 3.67, 95% CI 1.26-10.69), and supervisor of drugs swallowing (AOR 3.55, 95% CI 1.06-11.86) as a risk predictor for MDR-TB, and HRQOL independently associated with the incidence of MDR-TB (crude odds ratio [COR] 4.08, 95% CI 1.19-13.98), whereas socio-demographic and house environment was not a risk factor in this study. Validity and reliability of the SF-36 questionnaire (intraclass correlation coefficient [ICC], 0.658-0.802; Cronbach's α coefficient, 0.864). Conclusion:Diabetes mellitus, treatment adherence, supervisor of drugs swallowing as a risk predictor for MDR-TB. HRQOL of patients with MDR-TB was lower. The SF-36 questionnaire is valid and reliable to measure the HRQOL for TB/MDR-TB patients.

Makanan merupakan salah satu kebutuhan pokok manusia untuk dapat melangsungkan kehidupan selain kebutuhan sandang dan perumahan. Higiene dan sanitasi merupakan hal yang penting dalam menentukan kualitas makanan dimana Escherichia coli sebagai salah satu indikator terjadinya pencemaran makanan yang dapat menyebabkan penyakit akibat makanan (food borne diseases). Wilayah kerja Puskesmas Ulakan mempunyai 70 rumah makan dan hanya 36 rumah makan (51,4%) yang memenuhi syarat. Tujuan penelitian adalah untuk mengetahui hubungan fasilitas sanitasi yaitu air bersih, pembuangan air limbah, toilet, tempat sampah dan tempat pencucian peralatan rumah makan dengan Kontaminasi E. Coli pada air kobokan rumah makan di wilayah kerja Puskesmas Ulakan. Rancangan penelitian ini bersifat analitik dengan pendekatan cross sectional. Sampel penelitian adalah 60 rumah makan yang ada di wilayah kerja Puskesmas Ulakan. Hasil penelitian menunjukkan bahwa rumah makan dengan kobokan tidak memenuhi syarat sebanyak 21,7%. Fasilitas sanitasi yang berhubungan dengan keberadaan Escherichia Coli adalah air bersih (p=0,031), air limbah (p=0,035), toilet (p=0,009) dan tempat pencuci peralatan (p=0,005), sedangkan tempat sampah tidak memiliki hubungan dengan keberadaan Escherichia Coli (p=0,520). Berdasarkan hasil yang didapatkan diharapkan petugas kesehatan perlu meningkatkan pemahaman pengelola rumah makan tentang dampak fasilitas sanitasi yang tidak baik yang dapat menimbulkan penyakit bagi pengunjung rumah makan.

Safety at work is a series of safety related to machines, work tools, materials and work processes, workplace and environment as well as working methods. Jambi Province is an area that has extensive plantation land, especially for oil palm plantations, based on data from the Central Bureau of Statistics at Provinceof Jambi in 2018. PT. X was experienced the highest incidence of work accidents in the 2017-2019 range in Jambi Province. This study aims to analyze the risks and determinants of workplace accidents at the palm oil mill at PT. X as an effort to prevent work accidents. This research is analytical research. The population of this study were all workers in the production division of PT. X as many as 96 people consisting of two work shifts and were also used as samples in this study. The data will be analyzed to see the relationship between variables using the Chi-Square test with (α = 0.05). There is a relationship between the availability of personal protective equipment (PPE), environmental factors and the use of personal protective equipment (PPE) with the incidence of work accidents in the production division workers of PT. X while working period, attitude, training and equipment safety are not related in this study.

Pesticides are a material that is widely used in various sectors, especially in the agriculture / plantation, forestry, fishery, and food agriculture sectors. The use of pesticides also has harmful effects on the health of its users, one of which is health complaints. The purpose of this study was to determine the relationship between behavioral factors and health complaints due to pesticide exposure to horticultural farmers in Kenagarian, Padang Lua. This research is a quantitative study with cross sectional research design, and was conducted in Kenagarian Padang Lua, Agam Regency. The sample consisted of 55 respondents. Sampling using systematic random sampling technique. Data processing used univariate analysis and bivariate analysis with the chi-square statistical test. The results showed that 56.4% of the horticultural farmers had health complaints. The results of the bivariate analysis showed that all behavioral factors were related to health complaints, namely knowledge (p = 0.010), attitude (p = 0.000), and action (p = 0.000). Knowledge, attitudes and risky actions cause health complaints to horticultural farmers in Kenagarian Padang Lua, Agam Regency. It is recommended that the local Health Service and Agricultural Extension Officers carry out agricultural extension activities regarding the correct application of pesticides and the dangers of using pesticides.

Dengue Hemorrhagic Fever (DHF) is an acute viral-febrile disease, often characterized by headache, bone or joint pain and muscle, and rash as a symptom. In Indonesia in 2011 there were 65,432 cases with 595 deaths. East Java Province has determined outbreaks of DHF since 2015 in 37 districts / cities, with a total of 3,136 cases of dengue fever and 52 deaths. Pasuruan Regency is one of Kabupeten in East Java with the highest death rate from DHF compared to other regencies or cities, which is 28 people in 2020. There are many factors that can affect, pray the only environment and vector. The purpose of this research is to see the relationship of environmental factors and vector with the incidence of DBD in Pasuruan Regency. This research is an observational research with case control design. The sample in this research were 76 respondents consisting of 38 case groups and 38 control groups representing from 3 sub-districts in Pasuruan Regency (Gempol, Beji and Kraton Sub-district). Data analysis with Chi-Square test. The results showed that there was a relationship between water pH in house (p = 0.005, OR = 5,343), indoor air temperature (p = 0.046, OR = 3,221), air humidity in house (p = 0.049, OR = 3,923) and presence of larvae (p = 0.037, OR = 3.032) with the incidence of DHF in Pasuruan Regency. The most influential factor in increasing the risk of DHF incidence in Pasuruan Regency is the pH of water, the temperature inside the house and the presence of larvae around the house. It needs cross-sector cooperation to pay attention to the condition of environmental sanitation so it will not be a good place for Ae mosquito development. aegypti. Providing counseling to people who focus on the source of the problem, and the community in order to prevent the occurrence of transmission of DHF by breaking the chain of transmission.