Nuri Purwito Adi
Department Of Community Medicine, Occupational And Environmental Health Research Center IMERI, Faculty Of Medicine, Universitas Indonesia, Jl. Pegangsaan Timur No.16, Jakarta

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THE EFFECT OF INTERVENTION PROGRAMS ON HOW TO WORK COMPLAINTS IN MECHANICAL WORKERS IN HEAVY EQUIPMENT COMPANIES Muhammad Ilyas; Muhammad Soffiudin; Nuri Purwito Adi; Astrid Sulistomo; Aria Kekalih
The Indonesian Journal of Public Health Vol. 16 No. 1SP (2021): SUPPLEMENTARY
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (369.509 KB) | DOI: 10.20473/ijph.v16i1SP.2021.1-11

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ABSTRACTLow back pain (LBP) is experienced by almost everyone during his life, and data in Indonesia ranged from 3-17% based on hospital records. LBP can occur due to awkward body postures and manual handling during working and need intervention to reduce complaints. This study to know intervention to reduce risk at ergonomic can induce LBP. This study uses a quasi-experimental design using control with a sample of 35 in each group. The intervention program monitoring was carried out by the SHE team at the work site based on conducting weekly observations regarding workers doing awkward work postures and manual handling activities and ensuring that mechanical workers receive ergonomics training. After one year of the intervention program, the data collection was carried out using a questionnaire to find out the changes in the length of the squat position, bending position, and manual handling activities in both groups. Significant differences between the two groups were obtained in the long work category with squat posture with p-value <0,001, bent posture with p-value 0.001, and a non-significant difference were found in the manual handling category with a p-value of 0.614. The intervention program can change manual handling in the intervention group 3.6 times at work duration more than 1 hour in a squatting position and decrease in the length of bending position more 1 hour by 1.4 times compared to control. Keywords: ergonomic training, squatting position, bending position, manual handling. 
RELATIONSHIP BETWEEN NUTRITION INTAKE AND THE FITNESS OF MANUFACTURING WORKERS IN INDONESIA Muhammad Ilyas; Dewi Sumaryani Soemarko; Nuri Purwito Adi; Dewi Yunia Fitria; Marsen Isbayu Putra; Yessi Kualasari
The Indonesian Journal of Public Health Vol. 16 No. 1SP (2021): SUPPLEMENTARY
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.948 KB) | DOI: 10.20473/ijph.v16i1SP.2021.23-33

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ABSTRACKIndonesia ranks fourth in the world out of 15 countries whose manufacturing industries contribute more than 10% to the Gross Domestic Product (GDP). Nowadays, one of the consequences of the rapid development of the manufacturing industry in Indonesia is related to work productivity. Each person's work productivity is not the same, one of them depends on the availability of nutrients in the body. Lack of nutritional consumption for someone from standard needs will affect health conditions, activities, and work productivity. Nutritional substances in workers also affect fitness in addition to other factors such as age, health status, nutritional status, nutritional status, gender, and psychological conditions. Based on the description above, it is necessary to study the relationship between nutritional status and physical fitness of workers in manufacturing companies in Indonesia. The study was cross sectional on 120 workers from 6 manufacturing companies in Indonesia which was conducted using cluster sampling. Assessment of individual characteristics was conducted by direct interview. Assessment of nutritional intake uses the Food Frequency Questionnaire (FFQ) and the results were categorized as appropriate and inappropriate based on the 2019 nutritional adequacy figure for the Indonesian population. The fitness assessment (physical capacity) used a six-minute walking test by an occupational specialist and was converted to Meters and categorized with a cut off of 4.5 Mets to be sufficient or insufficient. About one third of manufacturing workers were centrally obese. Characteristics The dietary intake according to the recommendation were only about 10%, namely the appropriate carbohydrate intake 11.7% (Frequency 8.46 times (533.22 gr)), suitable fat 12.5% (Frequency 2.75 times (57.14 gr)), and suitable protein 10% (Frequency 6.55 times (101.77 gr)). The physical capacity of manufacturing workers in Indonesia was categorized as sufficient as much as 75.8% of their workload. Factors that affect physical capacity, namely age ≥ 40 years have 4.37 times less physical capacity and protein intake affected physical capacity / fitness for workers (p = 0.02). About a third of manufacturing workers were centrally obese. The characteristic of food intake in accordance with the recommended nutritional adequacy of the Indonesian population was only about 10%. The physical capacity of manufacturing workers in Indonesia was categorized as sufficient as much as 75.8% of their workload. Factors that affected physical capacity were age and protein intake. Keywords: Food Intake, Food Frequency Questionnaire (FFQ), Manufacturing Worker, Fitness, Six-Minute Walking Test.
The influence of Guided Imagery and Music (GIM) relaxation on primary school teachers’ stress Herlinah Herlinah; Herqutanto Herqutanto; Nuri Purwito Adi
Health Science Journal of Indonesia Vol 9 No 1 (2018)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/hsji.v9i1.463

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Abstrak Latar belakang: Stres dapat menimpa berbagai profesi dan pekerjaan. Guru sekolah dasar merupakan salah satu profesi yang rentan terhadap stres. Stres ini dapat berpengaruh terhadap kinerja guru, oleh karena itu stress harus diatasi. Salah satu cara untuk menurunkan stres adalah relaksasi dengan terapi musik. Bagian dari terapi musik adalah Guided Imagery and Music (GIM). Penelitian ini untuk mengetahui pengaruh relaksasi GIM terhadap stres guru sekolah dasar negeri di kabupaten Sekadau, Kalimantan barat. Metode: 40 orang responden guru diikut sertakan dalam penelitian ini melalui cluster random sampling. Desain penelitian menggunakan metode quasi eksperiment pre-post dengan grup kontrol. Data yang dikumpulkan meliputi karakteristik individu dan masa kerja, stressor kerja (menggunakan kuesioner SDS) dan stres guru (menggunakan kuesioner SCL-90). Relaksasi GIM diberikan sebanyak 5 sesi dalam waktu ±20 menit setiap sesi selama 1 minggu. Hasil: 77.5% responden memiliki tingkat stress sedang pada stressor beban pekerjaan kualitatif berlebih. Penilaian awal stress didapatkan 77.5% responden mengalami gejala psikopatologi dengan gejala terbanyak adalah obsesi-kompulsif (27.5%). Terdapat penurunan rerata stres yang bermakna pada guru SD yang mendapat relaksasi GIM dengan perbedaan mean 3.00±6.29 (p=0.046) dan peningkatan rerata stress pada kelompok kontrol -1.45±7.72 (p=0.412). Kesimpulan: Intervensi GIM berpengaruh terhadap penurunan tingkat stress pada guru SD yang menjalani relaksasi GIM. (Health Science Journal of Indonesia 2018;9(1):45-50) Kata kunci: Relaksasi GIM, Stres guru, Guru sekolah dasar Abstract Background: Stress is a common hazard in a lot of professions and occupation. Primary school teachers are one of the most vulnerable profession to have stress. Stress may impact on teachers’ performance and therefore must be treated. One of the ways to alleviate stress is relaxation by musical theraphy. A part of musical theraphy is Guided Imagery and Music (GIM) relaxation. The purpose of the research is to know the influence of GIM relaxation method on stress’ level of primary school teachers in district Sekadau, West Kalimantan. Methods: 40 teachers participated in this research and were chosen by cluster random sampling method. The study design was pre-post quasi experiment with control group. The collected data included respondents’ individual characteristics and length-of-employment, work stressors (using SDS questionnaire) and teachers’ stress (using SCL-90 questionnaire). GIM relaxation method was provided in 5 sessions where conducted for 20 minutes during the period of one week. Results: 77.5% of respondents have medium stress levels, which were excessive qualitative workloads stressors. In early stress assessment, 77.5% respondent showed psychopatology symptoms, where the most frequent symptom was obsessive-compulsive (27.5%). There was a significant decrease in stress level in primary school teachers who received the GIM relaxation with a mean difference of 3.00±6.29 (p=0.046) and an increase of stress’ level in control group with a mean difference of -1.45±7.72 (p=0.412). Conclusion: GIM intervention has an effect on reducing stress level in primary school teachers who have undergone GIM relaxation. (Health Science Journal of Indonesia 2018;9(1):45-50) Keywords: GIM relaxation, Teachers’ stress, primary school teachers
Biomonitoring of Acetylcholinesterase (AChE) Inhibitor and the Association with Hypertension among Farmers in Bandung, Indonesia Mulyana Mulyana; Iwan Sugiarta; Lim Jen Fuk; Vani Nur Pratami; Dewi Yunia Fitriani; Nuri Purwito Adi; Dewi Sumaryani Soemarko
The Indonesian Biomedical Journal Vol 12, No 4 (2020)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v12i4.1220

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BACKGROUND: The use of acetylcholinesterase (AChE) insecticides is still widely used by farmers in flower and agricultural centers. However, biological monitoring of farmers is still very rare in Indonesia. AChE inhibitors are reported to have toxic effects on various organs.METHODS: This study involved 120 subjects in Cihideung, Cikole and Pangalengan areas. All subjects have been interviewed, physically examined and biological sample taken by medical team. Descriptive analysis was performed to assess general conditions of the subjects and AChE erythrocyte activity enzyme at pseudo-baseline and the next 3 months from pseudo-baseline. Statistical analysis have been performed of the pseudo-baseline AChE erythrocyte activity with hypertension and history of exposures.RESULTS: The median value of pseudo-baseline AChE erythrocyte activity was 8.10 (1.3-14.25) U/g hematocrit. In the comparison between pseudo-baseline and 3 month from pseudo-baseline AChE activity, 7 respondents from 19 respondents (36.84%) had lower enzyme activity than 70% and the others subjects have higher activity value. AChE erythrocyte activity is associate with frequency of insecticide exposures. AChE erythrocyte activity (p=0.04; Exp (B)=2.937 CI 95%=1.049-8.224) and age (p=0.025; Exp (B)=3.872 CI 95%=1.180-12.703) are independent risk factors for hypertension in farmworker.CONCLUSION: AChE erythrocyte activity associated with frequency of insecticide exposures and hypertension among farmworkers.KEYWORDS: AChE erythrocyte activity, frequency of insecticide expsoures, hypertension
Lung Function Status of Workers Exposed to Welding Fume: A Preliminary Study Mulyana Mulyana; Nuri Purwito Purwito Adi; Meily L Kurniawidjaja; Andi Wijaya; Irawan Yusuf
The Indonesian Biomedical Journal Vol 8, No 1 (2016)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v8i1.196

Abstract

BACKGROUND: Exposure to welding fume in the workplace was associated with lung function disorders and occupational asthma. In this study, we determined lung function parameters in men workers exposed to welding fumes from heavy equipment manufacturer. This study is a preliminary study of biomonitoring program in worker exposed to welding fume as our main study. METHODS: A study with case-control design, random study, was conducted among welder (59 subjects) and non-welder (34 subjects) with more than one year experience in the same job task in a heavy equipment manufacturer. All subjects completed physical examination, informed consent, questionnaire and lung function status. Lung function status was measured by spirometer with vital capacity (VC), forced vital capacity (FCV), forced expiratory volume in one second (FEV1) and ratio of FEV1/FVC as test parameters. Linear regression model was developed to identify the risk factor of lung function parameter status using age, working period and smoking status as variables. RESULTS: This study showed that there were significant lower VC, FVC and FEV1 in welder than non-welder, but not difference in ratio of FEV1/FVC. However, there was no significant difference among welder from foundry and fabrication plan. By multivariate analysis, working period was found as a risk factor for lower parameters in lung function among welder. CONCLUSION: Lung function parameters status were significantly lower in welder than non-welder, and working period was the most important indicator for lung function status evaluation among welder. KEYWORDS: vital capacity, VC, forced vital capacity, FCV, forced expiratory volume in one second, FEV1, lung function, ratio of FEV1/FVC, working period 
Gangguan Tidur pada Anak Usia Bawah Tiga Tahun di Lima Kota di Indonesia Rini Sekartini; Nuri Purwito Adi
Sari Pediatri Vol 7, No 4 (2006)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp7.4.2006.188-93

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Latar belakang. Tidur merupakan salah satu kebutuhan dasar untuk tumbuh kembangoptimal bagi seorang anak. Pola tidur dipengaruhi oleh beberapa faktor yaitu faktorinternal pada diri anak dan faktor lingkungan fisik. Gangguan tidur dapat menyebabkanmasalah perilaku, emosi, menyebabkan mengantuk pada siang hari, dan dapatmempengaruhi konsentrasi belajar serta daya ingat anak.Tujuan. Mengetahui prevalensi gangguan tidur pada anak usia bawah tiga tahunmenggunakan kuesioner BISQ serta hubungan antara faktor sosiodemografi dengangangguan tidur.Metoda. Penelitian ini dilakukan terhadap 385 anak usia bawah 3 tahun di 5 kota diIndonesia. Sejak Januari – Juni 2005. Sampel diperoleh secara consecutive sampling.Merupakan studi analitik seksi silang, menggunakan metode wawancara terpimpindengan kuesioner yang telah diuji coba dan formulir Brief Infant Sleep Questionnaire(BISQ). Definisi gangguan tidur bila ditemukan satu atau lebih kondisi seperti lamatidur malam kurang dari 9 jam, terbangun pada malam hari lebih dari 3 kali dan lamaterbangun pada malam hari lebih dari 1 jam. Data diolah dan dianalisis dengan programSPSS 11, uji Chi-Square, Fisher’s Exact test dan Mann-Whitney U. Hubungan bermaknasecara statistik bila ditemukan nilai p < 0.005.Hasil. Prevalensi gangguan tidur ditemukan pada 44,2% dari 385 subyek terdiri dari198 anak laki-laki dan 187 anak perempuan. Rata-rata usia anak 12 bulan. Tingkatpendidikan orangtua sebagian besar tingkat pendidikan sedang, dengan 66,5% masukdalam katagori tingkat pendapatan rendah. Sebagian besar anak (43,1%) tidur padaposisi telentang, tidur bersama orangtua di tempat tidur yang sama (bed sharing)ditemukan pada 73,5% dan co-sleeping ditemukan pada 18,7%. Dalam cara menidurkananak 56,1% tertidur ketika disusui, dan dari uji statistik didapatkan hubungan bermaknaantara tertidur ketika disusui dengan gangguan tidur. Ditemukan pula hubunganbermakna antara jumlah waktu tidur siang dan waktu mulai tidur malam dengangangguan tidur. Sedangkan faktor sosiodemografi tidak berhubungan bermakna dengangangguan tidur. Meskipun demikian 42,3% orangtua beranggapan bahwa gangguantidur pada anak bukan merupakan suatu masalah.Kesimpulan. Prevalensi gangguan tidur pada anak bawah 3 tahun ditemukan pada44,2% kasus yang diteliti dengan rata-rata usia anak 12 bulan. Ditemukan hubunganbermakna secara statistik antara tertidur ketika disusui dan jumlah waktu tidur siangserta waktu mulai tidur malam dengan gangguan tidur. Tidak ditemukan hubunganbermakna secara statistik antara faktor sosiodemografi dan gangguan tidur. PerangkatBISQ dapat merupakan salah satu alat untuk skrining gangguan tidur pada anak.Prevalensi gangguan tidur yang tinggi dan perhatian orangtua yang kurang terhadapmasalah ini, perlu dilakukan penyebaran informasi dan penyuluhan kepada orang tuatentang manfaat tidur dan dampak yang ditimbulkan dari gangguan tidur.
Hubungan antara Pajanan Kadmium dan Kanker Prostat pada Pekerja: Laporan Kasus Berbasis Bukti Dina Tri Amalia; Nuri Purwito Adi; Indah Suci Widyahening
Jurnal Kedokteran Universitas Lampung Vol 5, No 1 (2021): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jk unila.v5i1.2930

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Kadmium memiliki peranan penting karena banyak digunakan di berbagai macam industri. Kadmium dapat masuk dan terakumulasi dalam tubuh termasuk di prostat. Kadmium sangat toksik dan bisa menyebabkan kanker. Tujuan dari laporan kasus berbasis bukti ini adalah untuk mendapatkan jawaban yang tepat terkait hubungan antara pajanan kadmium di tempat kerja dan kanker prostat pada pekerja. Metode dengan pencarian literatur dilakukan melalui database PubMed, Scopus dan Cochrane Library. Kata kunci yang digunakan adalah cadmium, cancer, prostate, work* dan occupation*. Pemilihan artikel menggunakan kriteria inklusi dan eksklusi yang telah ditetapkan. Kemudian dilakukan penilaian kritis menggunakan kriteria yang relevan untuk studi etiologi atau systematic review berdasarkan Oxford Center for Evidence-Based Medicine. Terpilih dua artikel yang relevan dan valid dengan desain studi systematic review dan meta-analisis. Penelitian dari Ju-Kun, dkk menunjukkan rasio kematian terstandarisasi (standardized mortality ratio) antara pajanan Cd dan risiko terjadinya kanker prostat adalah 1.66 (95% CI 1.10–2.50) pada populasi pekerja yang terpajan Cd. Berdasarkan penelitian Chen, dkk menunjukkan bahwa pekerja dengan pajanan kadmium memiliki risiko terjadinya kanker prostat yang lebih tinggi dibandingkan populasi umum, namun secara statistik tidak signifikan yakni dengan nilai OR pada studi case-control 1.17 (95%CI [0.85-1.62]), dan standardized mortality ratio (*100) pada studi kohort adalah 98 (95%CI [75-126]). Hasil studi yang ada tidak menunjukkan bukti yang cukup untuk memastikan bahwa pajanan kadmium bisa menyebabkan kanker prostat pada pekerja. Key words: Kadmium, kanker prostat, pekerja.
Work Stressors Before and During COVID-19 Pandemic and Factors Related to Workers in the Heavy Equipment Manufacturing Industry of PT.X Yunianti Lafau; Nuri Purwito Adi; Amilya Agustina; Muhammad Ilyas; Agus Sugiharto
eJournal Kedokteran Indonesia Vol. 11 No. 2 - Agustus 2023
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.11.221.133

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Psychosocial hazards are a major public health problem, so it is necessary to prevent and manage them so as not to cause mental and physical harm to workers. This study aims to determine changes in work stressors before and during the COVID-19 pandemic and related factors to workers in the PT.X Heavy equipment manufacturing industry. The study used a retrospective cohort design from 2018 and 2021 Medical Check-Up (MCU) data with a Stress Diagnosis Survey (SDS) questionnaire. Research was conducted from October 2021 until July 2022 with samples of 146 obtained. Bivariate analysis using proportion and mean test. The research found that the increase in moderate-severe stressors before and during the pandemic was role ambiguity, role conflict, quantitative workload, and career development. On the other hand, qualitative workloads and responsibility for others decreased during the pandemic. The most worsened was role ambiguity and responsibility for others. Based on the type of production and non-production work, there was a significant relationship to quantitative workload before the pandemic (p=0.043), and not significant during the pandemic. Furthermore, there is a significant relationship with qualitative workload during the pandemic (p = 0.043), and it was not significant before the pandemic. It can be concluded that the Pandemic conditions caused an increase and decrease in work stressors analysed in workers in the heavy equipment manufacturing industry.
Development of Food-Based Recommendation and Nutrient-Dense Meal for Female Shift Workers in West Java, Indonesia Puji Lestari, Shanti; Adi, Nuri Purwito; Fahmida, Umi; Kusuma Dewi, Dian; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Some manufacturing industries employ not only male workers but also female workers, who are required to undergo shift work. Given the altered eating habits as well as metabolic and endocrine profiles of shift workers, this will affect their nutritional needs. Considering that anemia that occurs in female workers is primarily nutritional anemia, this becomes a challenge in the field of occupational nutrition, especially in terms of preparing food for female workers in accordance with their nutritional needs. The aim of the study is to develop a set of FBR for female shift workers using the Linear Programming (LP) approach. Methods. Dietary data were collected in a cross-sectional survey of female shift workers (n=106) working at a textile factory in Sumedang District, West Java, Indonesia, and a market survey in two local markets. Optifood software was used for LP analysis particularly to identify problem nutrients, and nutrient-dense foods, and compare alternative FBRs. The nutrient-dense menu was developed using the identified nutrient-dense foods. Results. The problem nutrients were iron (absolute) and calcium (partial), and the remaining nutrients were still dietary inadequate. The nutrient-dense menu including iron-rich and folate-rich foods can fulfill the nutrient gap for iron from the final FBR (15% RNI of the 7% RNI). Conclusion. The inclusion of a nutrient-dense menu for the female factory workers helped to meet the nutrient gap for iron which is the absolute problem nutrient in the optimized FBR. The promotion of optimized FBR and the provision of a nutrient-dense menu should be part of the occupational nutrition program.
The Effect of Physical Training Program for Fitness Improvement on Sickness Absence of Workers at a Chemical Company in Indonesia Johan, Anita; Kekalih, Aria; Purwito Adi, Nuri; W. Roestam, Ambar; S. Soemarko, Dewi
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Sickness absence, which can be caused by an unhealthy lifestyle, is an important productivity parameter for the company. Therefore, there are many wellness programs developed in the workplace in an effort to improve workers’ health, fitness, and productivity. The aim of this study was to assess the effect of a physical training program for fitness improvement (VO2 max value) on sickness absence. Methods. This study was conducted by observing the results of the workers' physical training program in the chemical company during 2018, using a cohort retrospective design. SPSS Statistics version 22.0 was used for analysis, with the chi-square test for bivariate analysis and logistic regression for multivariate analysis. Results. The analysis showed that there was a significant difference between the active group (AG) and inactive group (IG) in improving fitness (adjusted RR 4.82, CI 95% 1.54-15.05) and decreasing sickness absence (adjusted RR 3.46, CI 95% 1.03- 11.57). In addition, it was found that participants with normal weight were more likely to increase fitness compared to participants with overweight or obesity (adjusted RR 3.57, 95% CI 1.09-11.64). Conclusion. Participating in a physical training program has been shown to improve fitness levels and reduce sickness absence. Normal nutritional status is more likely to have improved fitness than overweight or obese.