Muhammad Ilyas
Division of Occupational Medicine, Department of Community Medicine, Faculty of Medicine, Universitas Indonesia

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Literature Review: Heart Rate Variability as a Biomonitoring of Occupational Stress Annes Waren; Muhammad Ilyas
The Indonesian Journal of Occupational Safety and Health Vol. 10 No. 2 (2021): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (450.743 KB) | DOI: 10.20473/ijosh.v10i2.2021.273-279

Abstract

Introduction: Occupational stress is a modern epidemic. In terms of stress assessment, tools such as questionnaires are believed to be more subjective, especially in the assessment of stress in the workplace, while of course an objective assessment of stress also needs to be carried out. Objective examination for occupationalsstress will be very useful in the occupationalhhealth settings, which can early detect stress at work and prevent the long term effects. Therefore, this literature review aims to investigate the role of HRV in determining occupational stress. Methods: The searching methods used were PubMed and Google Scholar to find related journals about occupational stress and HRV, published in English. The articlessthatmmet the inclusion criteria were analysed basedoonothesstudy design, study population, occupationalsstressaand HRV assessment based on the Centre of Evidence-based Medicine, the University of Oxford for therapy study. Moreover, sample size varied from 8 to 1788. Results: It was found that there are three studies that fit the criteria, which are one systematic review study, one longitudinal study, and one cross-sectional study. The main finding from those articles was that occupational or job stress is found to be associated with lowered HRV value. Conclusion: HRV can be recommended for practicing occupational physicians and company doctors to identify the core areas of work- related stress.Keywords: biomonitoring, heart rate variability, coccupational stress
Literature Review: Biological Monitoring of Occupational Tetrachloroethylene Exposure in Workers Dina Tri Amalia; Muhammad Ilyas
The Indonesian Journal of Occupational Safety and Health Vol. 10 No. 2 (2021): The Indonesian Journal of Occupational Safety and Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (576.876 KB) | DOI: 10.20473/ijosh.v10i2.2021.280-288

Abstract

Introduction: One of the most common chlorinated solvents in the world is tetrachloroethylene (TCE) because it is widely used in various industries. Exposure to tetrachloroethylene can cause health problems so biological monitoring is necessary to do. The aim of this research is to assess which one is more feasible to use among the various types of biological monitoring for tetrachloroethylene exposure, based on the evidence-based literature. Methods: The literature searching was performed via electronic databases from PubMed, Scopus, and Proquest. The keywords used were “biological monitoring”, “biomonitoring”, “tetrachloroethylene”, “perchloroethylene”, “work” and “occupation”. The articles were chosen based on the given inclusion and exclusion criteria. Selected articles were then critically appraised. Results: Initially 29 papers were collected, but only6 cross-sectional articles were selected after the screening process and manual searching. Based on the selected evidence-based literatures, statistically meaningful associations were found between tetrachloroethylene exposure and tetrachloroethylene in blood in pre- and end-of-shift, in urine at end of shift, and in exhaled air at end-of-shift. Moreover, micronucleus frequency and DNA damages between dry cleaning workers and the controls differed significantly. Conclusion: The level of tetrachloroethylene in blood, urine, and exhaled air becomes an appropriate biological exposure index for assessing tetrachloroethylene exposure in dry-cleaning workers. In Indonesia, biomonitoring that is more feasible to be implemented is micronucleus frequency evaluation from buccal mucosal epithelial smears since it is a simpler, faster, and less expensive procedure.Keywords: biological monitoring, biomonitoring, occupational exposure, tetrachloroethylene