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                <text>Dehydration Index and Fatigue Level of Workers Laboring in Heat-&#13;
Exposed Environments</text>
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                <text>Background: Workers who are exposed to extreme heat may be at high risk of heat stresswhich can affect the&#13;
workers’ health and reduce their work productivity. This study aimed to analyzedehydration index and fatigue&#13;
level of employees working in heat-exposed environments. Methods: The participants of this cross-sectional&#13;
descriptive study were 52 employees working on shoveling sand. The urine and peripheral blood of the research&#13;
subjects were taken for laboratory analysis. The dehydration index was determined from the color, specific&#13;
gravity, and acidity of urine and from the hematocrit level of blood. The heat stresswas assessed using the&#13;
indicators of wet-bulb globe temperature(WBGT)and the amount of UV exposure. Fatigue levelwas measured&#13;
using occupational fatigue questionnaires referring to Subjective Self Rating Test (SSRT).Results: The results of&#13;
heat stressmeasurement showed that the average of WBGT was above the threshold limit value, and it meant&#13;
that the workload of workerswas high. All workers (100%) were exposed to UV radiation that higher than&#13;
recomended thethreshold limit value.It was found that 11% of the workers were dehydrated based on hematocrit&#13;
levels and 25% of those was dehydrated based on urine pH level test. Dehydration index based on urine color&#13;
observationrevealed that 52% of workers were severely dehydrated, whereas based on the urine specific gravity&#13;
72.3% of the workers were moderately dehydrated. The measurement of fatigue level showed that 89% of the&#13;
workers developed mild fatigue. Conclusion: Heat-exposed environments could make some changes in&#13;
dehydration index and cause mild fatigue in workers. It is necessary for people working in heat-exposed&#13;
environmentsto have regular medical check-ups and maintain the balance of body fluids.+</text>
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                <text>Mohammad Zulkarnain1*, Rostika Flora2&#13;
&#13;
, Achmad Fickry Faisya2&#13;
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, Aguscik3</text>
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                <text>DESCRIPTION OF HEMOGLOBIN CONCENTRATION IN SIMPANG&#13;
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ILIR DISTRICT 2018&#13;
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                <text>Kadar hemoglobin, Lansia </text>
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                <text>Salah satu masalah kesehatan yang sering diderita orang-orang lansia yaitu Anemia, dan ini merupakan kelainan hematologi yang sering di jumpai pada lansia. Penyebab anemia yang paling sering pada lansia penyakit kronik dan defisiensi zat besi. Penelitian ini bertujuan untuk mengetahui gambaran Kadar Hemoglobin  pada lanjut usia di Puskesmas Simpang Timbangan Kecamatan Indralaya Utara Kabupaten Ogan Ilir Tahun 2018. Populasi dalam penelitian ini adalah 50 orang pada tahun 2018. Metode yang digunakan dalam penelitian ini adalah metode deskriptif, Dari 50 sampel di dapatkan lansia yang memiliki kadar hemoglobin normal 62 % dan 38 %  memiliki kadar hemoglobin yang tidak normal 38 %. Disarankan lansia agar mengkonsumsi makanan sehat, melakukan aktifitas fisik yang tidak berlebihan serta memulai dan menjaga gaya hidup yang sehat. </text>
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                <text>Deteksi Anemia pada Remaja Putri SMA Negeri 4&#13;
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                <text>Anemia merupakan masalah gizi yang paling umum di dunia khususnya negara berkembang yang terutama disebabkan oleh defisiensi besi. Data WHO menunjukkan bahwa lebih dari 30% atau 2,2 miliar penduduk di dunia menderita anemia (WHO, 2015). Anemia adalah kondisi konsentrasi hemoglobin (Hb) dan/atau jumlah sel darah merah kurang dari 13,5 g/dL pada pria dewasa dan kurang dari 12 g/dL pada wanita dewasa. Berdasarkan data Riskesdas 2018, prevalensi anemia pada remaja sebesar 32 %, artinya 3-4 dari 10 remaja menderita anemia dan prevalensi remaja putri yang mendapatkan tablet tambah darah (TTD) di sekolah yaitu sebesar 76,2% dari total remaja putri di Indonesia.Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan remaja putri di SMAN 4 dengan Pelatihan dan Penyuluhan dalam mendeteksi diri sendiri anemia melalui kegiatan &#13;
konseling dan edukasi selama 6 bulan tahun 2021. Prosedur pelaksanaan melalui beberapa tahapan dimulai yaitu terdiri atas pendaftaran, penimbangan berat badan dan tinggi badan kemudian dilakukan pemeriksaan Hb. Pengukuran dengan pre dan post dengan menggunakan kuesioner. Hasil penelitian sebanyak 50 siswa, IMT pada Remaja Putri &#13;
SMAN 4 diketahui remaja yang kurus ada 10 (20%), remaja putri yang mengalami anemia ada 12 (24%) yaitu anemia sedang ada 6 (12%) dan anemia ringan ada 6(12%), Pengetahuan Pre-test yaitu remaja putri pengetahuan baik ada 5(15%). Setelah dilakukan pendidikan kesehatan tentang anemia pengetahuan baik ada 28 (56%). Dengan adanya &#13;
kegiatan ini diharapkan remaja putri dapat memahami tanda dan gejala anemia dan mau memeriksa dan mengontrol Hb secara rutin jika terjadi anemia remaja putri dapat mendapatkan tablet Fe di Pelayanan kesehatan dan mengkonsumsi makanan yang mengandung Fe dan pada pihak Puskesmas Simpang Periuk dapat secara berkala melakukan pemeriksaan Hb dan pemberian Tablet Tambah Darah ke pada Remaja Putri di &#13;
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