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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

Abstract

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.
Strengthening Community Program toward Healthy Ageing: What are the Potential Interventions? Endang Mariani Rahayu; Nuri Purwito Adi; Levina Chandra Khoe
Amerta Nutrition Vol. 4 No. 1SP (2020): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i1SP.2020.6-9

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Background: The number of elderly populations is increasing each year. As the number of elderly populations increases, the risk of non-communicable diseases, such as hypertension, diabetes, stroke, will also increase. The main risk factors for this disease include unhealthy diet, inadequate physical activity, smoking, inadequate rest, frequent stress and etc., which are considered as individual's lifestyle. This lifestyle starts when the individual grows up. Therefore, health interventions must be carried out since the individual turns to adulthood in order to prepare themselves for healthy ageing.Purpose: This study aimed to review the conceptual framework necessary to develop public health programs in preparation for healthy aging.Discussion: In the preparation for healthy ageing, health interventions should be conducted by targeting the adult population. The health interventions should be based on the theory of behavior change, life-course approach, and ecological approach. In addition, with the advancement of technology, the health interventions can also be carried out by involving digital intervention. The contextual elements, such as social, cultural and psychological context are also important in implementing the program so that it can be accepted by the targeted community.Conclusion: There is no intervention that fits all levels of society. Therefore, the interventions must be developed specifically for the population according to the local context.
Effectiveness of PPE For Prevention of Occupational Ocular Injury Iwan Susilo Joko; Dewi S Soemarko; Nuri Purwito Adi
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 2 (2021): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.747 KB) | DOI: 10.53773/ijcom.v1i2.7.63-71

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Background: One of the risk factors for Chronic Lymphocytic Leukemia (CLL) is chemical exposure at work. The aim is to determine the relationship between patient who work as a farmer and vegetable seller with the incidence of CLL.Case presentation: A-69-year-old man who has been working as a vegetable seller since 15 years and a chili farmer since 4 years ago. The patient was diagnosed with CLL. In his work as a vegetable seller and chili farmer, the patient gets five hazards ranging from physical, chemical, biological, ergonomic and psychosocial hazards so it is necessary to analyze whether there is a relationship between the patient’s work and the current CLL disease.Discussion: There are seven steps needed in the enforcement of occupational diseases. In addition, additional examinations are needed to determine the biomarkers of pesticides that can cause disease. This requires control for farmers and vegetable sellers who may be exposed to pesticides found in vegetables and chilies. Conclusion: Vegetable seller and farmer have potential hazards, especially chemicals contained in pesticides which have a risk relationship with the incidence of CLL. However, to cause CLL, sufficient doses are required which are influenced by occupation, intensity of use and the type of specific chemical without the need for a long duration of exposure.
COVID-19 Pandemic Management in Oil and Gas Company, a Corporate Office Experience Based Boy Hidayat; Nuri Purwito Adi; Cinthya Yuanita
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 3 (2022): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v1i3.32.174-8

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Background: The COVID-19 pandemic is first and foremost a human tragedy that has played out across the globe. People are experiencing unprecedented levels of disruption in their homes and communities, as well as in their jobs. Office worker of an international oil and gas company located in Jakarta was also had the impact of COVID-19 pandemic. The company must establish system to protect their worker to perform their work safely and avoid COVID-19 exposure.Objective: To describe COVID-19 statistic period 2020 – November 2021 and how company address the system to prevent outbreak and the re-occurrence.Methods: A case study based on company record and performance on tackling COVID-19 problem during 2020 – 2021.Result: Two cases started in March 2020 and total were up to 111 of 800’s workers until Nov 2021. 56% were asymptomatic, 39% were 50 yo or above. 74% did not have co morbid. 46% were domestic cluster. Cases trend were like local and national cases statistic trend.Conclusion: COVID-19 had also impact to corporate office workers which potentially lead to business disruption. The company set dedicated health system to prevent and control COVID-19 system. Principally, it must be set higher than local government standard other than 3M as follows: WFH policy, lowered body temperature identification to min 370C for COVID-19 testing, applied mobile application for health monitoring and tracing, biweekly COVID-19 screening test prior to work at office and included COVID-19 prevention behavior into individual key performance indicator.