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 Association Between Mental Workload and Nonspecific Chronic Low Back Pain Among Operators of An On Shore Oil And Gas Company In South Sumatera Artanto, Ardi; Wibowo, Suryo; Adi, Nuri Purwito
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Work location influences the proportion of operators with low back pain (LBP) at a South Sumatera onshore oil and gas company. This study aimed to determine the prevalence of nonspecific chronic LBP among the company's operators, as well as the association between quantitative and qualitative mental workload and nonspecific chronic LBP. Methods: This study was cross-sectional in design, with 96 samples collected through purposive sampling. Questionnaires and physical examinations were used to collect data. Results: Nonspecific chronic LBP was found in 32.3 percent of people. According to the multivariate analysis, moderate-heavy qualitative mental workload (OR: 5.14; 95 percent CI: 1.49-17.78), being overweight (OR 9.02 95 percent CI 2.46-33.08), being a moderate-heavy smoker (OR 4.28 95 percent CI 1.29-14.26), and sitting for more than 4 hours (OR 3.61 95 percent CI 1.13-11.52) were all associated with an increased risk of having nonspecific chronic LBP. Conclusion: Nonspecific chronic LBP is common among company operators. Individual factors associated with this finding include being overweight and smoking, while occupational factors include having a moderate-heavy qualitative mental workload and long static sitting for more than 4 hours.
A Implementation of COVID-19 Preventive Healthy Lifestyle (PHL) among Administration Staff and its association with Health Consciousness and Occupational Factors: A Cross Sectional Study in Faculty Medicine Universitas Indonesia Tukimun, Suci Tria Meirisa; Kekalih, Aria; Purwito Adi, Nuri; Sumaryani Soemarko, Dewi; Ilyas, Muhammad
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 2 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i2.93.73-81

Abstract

Background: The COVID-19 pandemic has altered the pattern of human life toward a new life order,particularly in the office setting. Appeals, prohibitions, even large-scale social restrictions were implemented in order to decrease the cases. To cope with the rapid spread of the outbreak, citizens have to increase health consciousness and reduce their social interactions. The health consciousness require health protocols implementation. Ensuring high levels of compliance and several modifiable occupational risk factors in the office setting has been a challenge to manage the pandemic effectively. Methods: The research method used in this study is empirical research, by taking a problem-based approach to a behavioral approach namely health consciousness supported by primary data sourced from data sources. The data were obtained in October to November 2021. Results: When taken as a whole, the implementation of health protocols as part of the effort to prevent the spread of COVID-19 was relatively good; it's just that certain obstacles must be evaluated. The highest health consciousness scores were personal responsibility and health motivation. While the lowest of it were the psychological/inner state aspect and the health information and seeking usage. There was a positive correlation between the dimensions of health consciousness and several items of COVID-19 PHL (r > 0.3). The ease of applying COVID-19 PHL was significantly better for shift workers compared to non-shift workers, namely to severalitems of PHL. Based on the work pattern groups (WFH < 20 hours, WFH 20-40 hours and WFH > 40 hours, alternate to Work From Office (WFO)), there were no significance difference in the ease of implementation COVID-19 Preventive Healthy Lifestyle. Conclusion: Our results suggest that to effectively manage the pandemic, we should ensure that health consciousness is well-maintained, especially aspects of health information and seeking usage and psychological/inner state. Keywords: health consciousness, COVID-19 Preventive Healthy Lifestyle (PHL) at the workplace, shift work, work patterns during pandemic
Presenteeism among Governmental Office Workers-Using VDT and Associated Risk Factors Sjarifuddin, Citra Nurhayati; Putra, Marsen Isbayu; Soemarko, Dewi Sumaryani; Friska, Dewi; Adi, Nuri Purwito
The Indonesian Journal of Community and Occupational Medicine Vol. 4 No. 1 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v4i1.116.25-31

Abstract

Background: Presenteeism is the presence of workers in the workplace without full working capacity due to health factors, but several studies also link it to organizational influence. The government staffing system in Indonesia has two types of work status (permanent and non-permanent) and policy changes related to increasing the use of Visual Display Terminal (VDT), will certainly affect worker presenteeism. This study was conducted to assess the risk factors presenteeism in workers using VDT in the Indonesian government office. Methods: This study was a cross-sectional observational study using a questionnaire method using the Stanford Presenteeism Scale (SPS-6) to assess presenteeism and its association with organizational and health risk factors in a multivariate manner. Computer Vision Syndrome (CVS) at one of associated factor, was assessed using Indonesian version of CVS Questionnaire (CVSQ). Analysis of this study used SPSS version 26. Results: Of the 201 research subjects, 44.28% of presenteeism was found. but complaints of computer vision syndrome (Positive CVSQ score) were found in almost all of the study subjects (84.5%). Risk factors for employment status and position have a strong relationship with presenteeism (p <0.001). Temporary worker status has a 7.08x risk (aOR=7.08 95% CI = 3.1-15.8) of experiencing presenteeism. Whereas for workers with a presenteeism risk position of 3.45x (aOR=3.45 95% CI = 1.3-8.5). Conclusion: Most government workers who use VDT continue to work even though they have health problems in the form of complaints of computer vision syndrome. Non permanent status (aOR=7.08 95% CI = 3.1-15.8) and low position (aOR=3.45 95% CI = 1.3-8.5) are determinant factors for presenteeism.
Analysis between Demographic Factors, Chronic Conditions and Its Association with Increased Hearing Threshold On Factory Workers Exposed to Noise: A Cross Sectional Study in 2022 Roscoe, Roscoe; Purwito Adi, Nuri; Kekalih, Aria
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 3 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i3.121.150-4

Abstract

Background: Exposure to noise in workplace is the leading cause of increased hearing threshold and hearing loss among factory workers. There are other factors other than noise than can cause increased hearing threshold such as age, length of work, history of hypertension, diabetes, dyslipidemia, Body Mass Index and smoking habit. PT K is a company that produce heavy machinery parts for construction where workers are exposed to noise above Threshold Limit Value (TLV).Methods: A cross-sectional research of 965 employees was conducted after passing the ethical evaluation based on the 2022 medical check-up results. Samples were taken from total secondary data from the company’s medical records and data verification was done to eliminate duplication and confirm data validity. Univariate, chi-square for bivariate analyses were performed.Result: The prevalence of increased hearing threshold among workers is 39.6%. The factors that associated with the prevalence of increased hearing threshold were determined to be older age group (p<0.001), history hypertension (p=0.003), dyslipidemia (p=0.008) and overweight – obese Body Mass Index (p=0.002).Conclusion: Older age group, length of work, works departments, history of high blood pressure, dyslipidemia and overweight – obese Body Mass Index were significant risk factors associated with increased hearing threshold. The risk of increased hearing threshold is 3.2 times higher in workers above 36 years old. This indicate the importance of preparing better mitigation strategy of noise control and hearing conservation program, particularly in workers older than 36 years old.
Assesment of Occupational Stressor and Stress Response among Election Officers (KPPS) in 2019 Soemarko, Dewi Sumaryani; Muhammad Ilyas; Landauw, Martha; Nuri Purwito Adi; Khoe, Levina Chandra
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 3 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i3.122.141-9

Abstract

Introduction: The 2019 general election in Indonesia was the first general election to be held simultaneously and election officers (KPPS) had to complete the vote count on the same day with additional ballot papers. This situation caused high mortality and morbidity among KPPS officers due to stress and fatigue caused by job overload. This study was aimed to explore the factors related stress response in 2019 election KPPS officersMethods: A cross-sectional study design was conducted to the issue under the study included 80 data of KPPS officers at Polling Station (TPS) in Jakarta, Banten, and Yogyakarta. Occupational stressor and stress response was assesed with NBJSQ bahasa Indonesia. Multiple logistic regression models were used to explore factors associated with stress response.Results: The most perceived occupational stressor experienced by the 2019 General Election KPPS officers in this study were quantitative job overload (47,5%).The stress response that occurred in the 2019 General Election KPPS officers in this study was fatigue (17.5%). There was no relationship between occupational stressor and individual factors with stress response (p>0.05)Conclusion: This study showed that quantitative job overload was a major occupational stressor among KPPS officers in general election 2019. The stressor can trigger the incidence of heart attacks in predisposed individuals.
Analysis of The Relationship Between Manual Handling and Individual Factors with De Quervain Syndrome In Workers of Heavy Equipment Manufacturing Company PT. K Finna Fitriana; Soemarko, Dewi Sumaryani; Adi, Nuri Purwito; -, Herqutanto; Prawiroharjo, Pukovisa
The Indonesian Journal of Community and Occupational Medicine Vol. 4 No. 2 (2024): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v4i2.137.45-51

Abstract

Introduction: According to the European Occupational Disease Statistics in 2016, as much as 38.1% of Occupational Diseases are Musculoskeletal Disorders. Research in 2013 on the electrical assembly industry in Thailand showed that the most common cause of upper extremity MDS is De Quervain syndrome (DQS) with a prevalence of 13.03%. Previous studies showed that occupational factors are very important as risk factors for DQS, in addition to individual factors. Caused by excessive use of the muscles around the fingers to the wrist, sustained repetitive movements, forceful manual exertion and prolonged static position. In manufacturing industry, the production process need to use tools, machines, and still requires workers for manual work activities and work processes that cannot be replaced by machines. Because manual handling is one of the occupational risk factors for DQS, it is necessary to study DQS in manufacturing industry. This study aims to determine the prevalence of DQS, identify, and analyze the relationship between manual handling and individual factors related to DQS.Method: This research method is a cross sectional using secondary data of PT K employees’ Medical Check-Up (MCU) in 2021. The samples used was all employee’s MCU data with total of 1244 samples. Independent variables include manual handling work factors and individual factors, include age, gender, and years of service. The dependent variable is the De Quervain Syndrome. The DQS was diagnosed with Finkelstein test.Results: A total of 1244 respondents were obtained, with the DQS prevalence 9%. In the analysis of the relationship between manual handling work factor and individual factors (age, sex, and years of service) showed that no significant relationship with suspected DQS in PT K workers. Whereas the multivariate analysis showed that there were no factors that most dominantly influenced DQS, with p>0.05. Conclusion: There is no significant relationship between manual handling work factor and individual factors on suspected DQS.
Safety and immunogenicity of the CoV2-Bio in a healthy population aged 18 years and older in Indonesia Maria, Suzy; Olfriani, Ciho; Koesnoe, Sukamto; Sekartini, Rini; Soedjatmiko; Medise, Bernie Endyarni; Yuniar, Irene; Indawati, Wahyuni; Wirahmadi, Angga; Sari, Rini Mulia; Adi, Nuri Purwito; Retnaningdyah, Windri
Medical Journal of Indonesia Vol. 34 No. 1 (2025): March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.oa.247476

Abstract

BACKGROUND According to the WHO Target Product Profiles for COVID-19 Vaccines, vaccine development should be indicated for active immunization in all populations, in conjunction with other control measures to curtail the pandemic. Several RBD-based COVID-19 vaccines are being evaluated and have shown advantages. CoV2-Bio was developed based on the wild-type SARS-CoV-2 RBD amino acid sequence, representing residues of the spike protein of the Wuhan-Hu-1 isolate. This study aimed to evaluate the safety and immunogenicity of CoV2-Bio when compared to CoronaVac. METHODS This was an observer-blinded, randomized controlled prospective study of safety and immunogenicity of the CoV2-Bio in healthy adult population. A total of 54 healthy participants were randomized to receive either 3 doses of CoV2-Bio or 2 doses of CoronaVac, and 1 dose of placebo, administered 28 days apart. Participants were followed up for safety and immunogenicity. IgG antibody titers (ELISA) and neutralization assay against Wuhan and Delta strains were evaluated at baseline, Days 28, 56, and 84. We assessed seropositive rate, seroconversion, and GMT as parameters. RESULTS Both vaccines were well tolerated and induced good antibody response. The incidence rate and intensity of local and systemic adverse events did not differ between vaccine and control groups. The vaccine group showed a larger proportion of seroconversion (4-fold increase antibody) (87.5% versus 46.2%, p = 0.001) and higher GMT (305.9 AU/ml versus 102.4 AU/ml, p<0.001) when compared to control group. CONCLUSIONS 3 doses of the CoV2-Bio are safe and immunogenic in healthy adult population. 3 doses of the CoV2-Bio COVID-19 vaccine produce a better immunogenicity profile compared to CoronaVac.
Mempersiapkan Tempat Kerja Untuk Menghadapi COVID-19 Berdasarkan Perspektif Kedokteran Kerja Yosia, Mikhael; Adi, Nuri Purwito
Majalah Kedokteran Indonesia Vol 71 No 3 (2021): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.71.3-2021-613

Abstract

With the COVID-19 pandemic continuing and the resulting economic burden increasingly apparent, the Indonesian government began to prepare a "new normal" phase and make peace with COVID-19. From this new decision arises the question of the readiness of businesses and the industrial sector to resume operations amid COVID-19. This article aims to provide concise and precise information about the preparations that can be made by businesses to operate safely amid COVID-19 based on existing scientific studies and literatures. From the literature visits it can be concluded that transmission and danger of a COVID-19 pandemic can be prevented through: creation of infectious disease prevention and response plan, implementing basic infection prevention measures, policies and procedures for proper identification and isolation of sick people, applying flexibilities in policies, and protections in the workplace.
Comparison of Fatigue Dimensions between Warehouse Staff and Heavy Equipment Technicians in The Mining Sector Bahari, Mohammad Ikram; Friska, Dewi; Fitriani, Dewi Yunia; Fuady, Ahmad; Adi, Nuri Purwito
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 2 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i2.174.49-55

Abstract

Background: Work-related fatigue is a multidimensional condition that can reduce productivity and increase the risk of workplace accidents, particularly in professions with high physical and mental demands such as heavy equipment technicians and warehouse workers in the mining sector. Both professions work under shift systems and high workloads; however, studies comparing the dimensions of fatigue between the two remain limited.Objective: To determine the proportion of fatigue levels and compare fatigue dimensions between warehouse workers and heavy equipment technicians.Methods: A descriptive-comparative cross-sectional study was conducted on 132 male workers (100 heavy equipment technicians and 32 warehouse workers) at a mining company in South Kalimantan, Indonesia. Demographic and job-related characteristics were collected. Fatigue was measured using the Swedish Occupational Fatigue Inventory (SOFI) in Indonesian, which has been validated, covering five dimensions: energy deficiency, physical exertion, physical discomfort, sleepiness, and lack of motivation. Descriptive and comparative statistical analyses were conducted.Results: Mild fatigue (among technicians and warehouse staff were 90% and 93.8% ). Moderate fatigue was experienced by 10% of technicians and 6.3% of warehouse staff. No participants experienced severe fatigue. Among heavy equipment technicians, the highest dimension was physical exertion, while the highest dimension of fatigue among warehouse staff was lack of energy. Work factors, age, work experience, and nutritional status were not significantly associated with fatigue levels.Conclusion: Mild fatigue dominates in both work groups, as this company is a supporting company for a mining company, there have never been any near misses or incidents, and has an appropriate management. For the overall fatigue dimension, heavy equipment technicians scored higher than warehouse staff. However, fatigue checks should still be carried out regularly among workers.
The Relationship between Adversity Quotient and Emotional Mental Disorders in Onshore Workers in The Upstream Oil and Gas Sector Jonanda, Herik Okta; Soemarko, Dewi Sumaryani; Purwito Adi, Nuri; Mutiara, Ade; Ilyas, Muhammad
The Indonesian Journal of Community and Occupational Medicine Vol. 5 No. 2 (2025): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v5i2.179.39-48

Abstract

Background: Adversity Quotient (AQ) is an essential concept for understanding an individual’s capacity to cope with adversity, including prolonged workplace stress that may lead to Emotional Mental Disorders (EMD), particularly among Onshore workers in the upstream oil and gas sector. Harsh physical work environments and psychosocial pressures place these workers at increased risk of developing EMD. Although AQ has been shown to correlate negatively with stress, no specific research has investigated the relationship between AQ and EMD in this population. Objective: This study aims to examine the relationship between AQ and EMD among Onshore workers in the upstream oil and gas.Methods: This was an observational analytic study with a cross-sectional design involving 155 high-risk Onshore workers in the upstream oil and gas sector. Data were collected using total sampling and measured through the Self-Reported Questionnaire-20 (SRQ-20) and the Adversity Response Profile (ARP). Data analysis was conducted using the Chi-square test and Fisher’s exact test.Results: Fisher’s test results, Adversity Quotient and emotional mental disorders were not significantly related (p = 0.47).Conclusion: There is no significant correlation between Adversity quotient (AQ) and emotional mental disorders onshore workers in the upstream sector oil and gas.