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Kelelahan Kerja di Kalangan Awak Kapal: Systematic Literature Review Adam Farhandika, Gibza; Modjo, Robiana
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 3 (2025): September: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i3.4336

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Penelitian ini bertujuan untuk mengidentifikasi faktor penyebab, metode pengukuran, serta dampak kelelahan kerja pada awak kapal melalui kajian sistematik terhadap literatur yang relevan. Kajian dilakukan dengan pendekatan Systematic Literature Review mengikuti pedoman PRISMA, menggunakan database seperti PubMed, Scopus, dan Web of Science. Hasil analisis menunjukkan bahwa kelelahan kerja pada awak kapal disebabkan oleh jam kerja panjang, kurangnya kualitas tidur, tekanan psikososial, dan lingkungan kerja yang ekstrem. Dampak kelelahan meliputi peningkatan risiko kecelakaan laut, gangguan kesehatan fisik dan mental, serta penurunan efisiensi operasional. Strategi mitigasi yang diidentifikasi mencakup penerapan Fatigue Risk Management System (FRMS), perbaikan kondisi tidur, dukungan sosial, pelatihan kepemimpinan, dan penyediaan layanan kesehatan mental. Kesimpulannya, kelelahan kerja merupakan isu multidimensional yang memerlukan pendekatan manajemen terpadu dan berkelanjutan.
Analisis Perbaikan Respond Time Door to Needle R-TPA Pada Pasien Code Stroke di IGD RSPON Prof. Dr. Mahar Mardjono Jakarta Lami Trisetiawati; Robiana Modjo; Adang Bachtiar; Cicilya Candi
Cerdika: Jurnal Ilmiah Indonesia Vol. 5 No. 7 (2025): Cerdika: Jurnal Ilmiah Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/cerdika.v5i7.2651

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Stroke merupakan penyebab kematian tertinggi di Indonesia, dengan angka kejadian 131,8 per 100.000 penduduk (WHO, 2023). Penanganan stroke iskemik akut yang optimal harus dilakukan dalam waktu ? 4,5 jam sejak onset, dengan pemberian terapi trombolitik (rtPA) idealnya dalam waktu ? 60 menit sejak pasien tiba di instalasi gawat darurat (door-to-needle time/DTN). Namun, di IGD RS Pusat Otak Nasional Prof. Dr. dr. Mahar Mardjono Jakarta, waktu DTN tahun 2021 masih mencapai 91 menit. Tujuan penelitian ini adalah untuk menganalisis dan memperbaiki alur penanganan pasien code stroke guna mempercepat waktu pemberian rtPA. Metode penelitian menggunakan pendekatan kuantitatif deskriptif berbasis Six Sigma melalui tahapan DMAIC (Define, Measure, Analyze, Improve, Control). Data dikumpulkan melalui observasi, wawancara tenaga medis, dan telaah rekam medis tahun 2022. Hasil penelitian menunjukkan bahwa intervensi terhadap sembilan titik proses pada lima fase utama—triase, pendaftaran, pemeriksaan penunjang, konsultasi DPJP, dan keputusan rtPA—berhasil menurunkan waktu DTN menjadi 40 menit pada triwulan IV tahun 2023. Penurunan ini melampaui standar pelayanan yang ditetapkan (<60 menit), menandakan keberhasilan reformasi alur penanganan stroke. Implikasi penelitian menunjukkan bahwa penerapan sistem code stroke terstruktur dan berbasis monitoring waktu efektif dalam meningkatkan kecepatan dan kualitas layanan stroke akut serta menurunkan risiko kecacatan.
NDVI, suitability, and carrying capacity of Dieng Plateau Forests to sustain Dieng Kulon Village tourism, Central Java, Indonesia FATMA LESTARI; INDRA NI TUA; ADONIS MUZANNI; DANESTA FEBIANTO NUGROHO; ANDRIO A. WIBOWO; TRI WARTONO; BAIDURI WIDANARKO; ASEP SAEPULLAH; ROBIANA MODJO; MIFTACHUL FARIDA; DADAN ERWANDI; DESSY DWI ARYANI; ABDUL KADIR; ANINDHITA IRSALINA WIDIATMOKO; HENDRA HENDRA; ZICO JUNI HERWANTO; MILA TEJAMAYA; RIZAL ALFIANSYAH HAMID; FATMAH FATMAH; EZSA LARASHATI GUNAWAN; DINA LUSIANA SETYOWATI; M. FAIZIR HAFIDS
Biodiversitas Journal of Biological Diversity Vol. 24 No. 1 (2023)
Publisher : Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/biodiv/d240134

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Abstract. Lestari F, Tua IN, Muzanni A, Nugroho DF, Wibowo AA, Wartono T, Widanarko B, Saepullah A, Modjo R, Farida M, Erwandi D, Aryani DD, Kadir A, Widiatmoko AI, Hendra, Herwanto ZJ, Tejamaya M, Hamid RA, Fatmah, Gunawan EL, Setyowati DL, Hafids MF. 2023. NDVI, suitability, and carrying capacity of Dieng Plateau Forests to sustain Dieng Kulon Village tourism. Biodiversitas 24: 282-289. Village tourism is a form of tourism that can support the conservation of an ecosystem. On the Dieng Plateau, Dieng Kulon is one of the tourism villages located in Banjarnegara district, Central Java, Indonesia. Despite the rapid growth of tourism in Dieng and its potential environmental consequences, information on tourism carrying capacity in Dieng is still limited. Here, this study aims to measure the suitability and carrying capacity of Dieng Kulon Village. The suitability for tourism is measured based on the Normalized Difference Vegetation Index (NDVI). Equation was used to calculate the carrying capacity. According to the findings, forest areas with a size of 23.9% and high NDVI values ranging from 0.87 to 0.91 were deemed very suitable for birdwatching and hiking activities. Agricultural land made up nearly half of the village (57.1%) with high NDVI values (ranging from 0.36-0.86) was deemed ideal for sightseeing activities. In comparison to other types of land, agricultural land had the highest carrying capacity, followed by forest land. Agricultural land can support 84.8-155.2 people per day for sightseeing activities. Forest areas are suitable for hiking and birdwatching activities. At least 51.6 to 334.9 people per day are allowed for hiking activities. Birdwatching in the forest is limited to 3.1-19.9 people per day. To conclude, carrying capacity information is very important for managing village tourism in a sustainable manner.
Carbon sink and greenhouse gas emission of dryland vegetation cover in tourism villages in Flores Island, East Nusa Tenggara, Indonesia FATMA LESTARI; INDRA NI TUA; ADONIS MUZANNI; DANESTA FEBIANTO NUGROHO; ANDRIO A. WIBOWO; TRI WARTONO; BAIDURI WIDANARKO; ASEP SAEPULLAH; ROBIANA MODJO; MIFTACHUL FARIDA; DADAN ERWANDI; DESSY DWI ARYANI; ABDUL KADIR; ANINDHITA IRSALINA WIDIATMOKO; HENDRA HENDRA; ZICO JUNI HERWANTO; MILA TEJAMAYA; RIZAL ALFIANSYAH HAMID; FATMAH FATMAH; EZSA LARASHATI GUNAWAN; DINA LUSIANA SETYOWATI; M. FAIZIR HAFIDS; ROSSI YULIANI
Biodiversitas Journal of Biological Diversity Vol. 24 No. 4 (2023)
Publisher : Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/biodiv/d240408

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Abstract. Lestari F, Tua IN, Muzanni A, Nugroho DF, Wibowo AA, Wartono T, Widanarko B, Saepullah A, Modjo R, Farida M, Erwandi D, Aryani DD, Kadir A, Widiatmoko AI, Hendra, Herwanto ZJ, Tejamaya M, Hamid RA, Fatmah, Gunawan EL, Setyowati DL, Hafids MF, Yuliani R. 2023. Carbon sink and greenhouse gas emission of dryland vegetation cover in tourism villages in Flores Island, East Nusa Tenggara, Indonesia. Biodiversitas 24: 1998-2005. Due to its natural features and scenery, the dryland ecosystem has recently become a tourist destination. One of the growing dryland ecosystems for village tourism is Flores Island, East Nusa Tenggara, Indonesia. Those tourism villages have the potential to promote carbon sequestration through the preservation of natural resources and, at the same time, can release Green-House Gases (GHG). Despite growing research on carbon stock, there is little information on the carbon budget of a dryland tourism village, which includes the values of carbon stock sequestered from the atmosphere and greenhouse gas emissions. This research aimed to measure the carbon stock and GHG emissions in three villages containing paddy fields, savanna, and forest covers. The measured gases, including CO2, CH4, and N2O, were collected using the gas chamber method and analyzed using gas chromatography. The result shows that forest land covers have the highest carbon stock, with average values of 97.44 Mg ha-1 within the 57.34-117.5 Mg ha-1. A low average carbon stock of 17.39 Mg ha-1 was observed in paddy fields. The GHG was in the order of CO2 &gt; CH4 &gt; N2O. The paddy field has higher GHG than other land covers, with average CO2, CH4, and N2O values of 292.45 ppm, 1.35 ppm, and 1.09 ppm. While CO2, CH4, and N2O values for the forest were 281.05 ppm, 1.30 ppm, 1.05 ppm, 272.83 ppm, 1.26 ppm, and 1.02 ppm for savanna covers.
Systemic Breakdowns in Safety Defenses: An HFACS Analysis of Fatigue-Related Accidents and Organizational Failures in Coal Mining (2020–2024) Sari Febryanti Wibisono; Robiana Modjo
Jurnal Kesehatan Komunitas Indonesia Vol 6 No 2: August 2026
Publisher : Al-Hijrah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58545/jkki.v6i2.766

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Background: Coal mining is among the industries with the highest risk of occupational accidents due to the complex interactions among humans, machines, and the environment. Objective: This study aims to analyze the causal factors of occupational accidents in the coal mining sector by reviewing 25 incident investigation reports from 2020 to 2024. Methods: A descriptive analysis using the Swiss Cheese Model and the Human Factors Analysis and Classification System (HFACS) was employed to identify systemic patterns and contributing factors. Results: The results indicate an increasing trend in incidents, rising from 5 cases (2020) to 10 cases (2024), with total material losses exceeding Rp 1.2 billion. Severity classification: Near Miss 2 cases (8%), Property Damage 16 cases (64%), First Aid Injury 5 cases (20%), and Lost Time Injury 2 cases (8%). The HFACS analysis identified failures at four levels: organizational influences (production pressure, inconsistent policies), inadequate supervision, unsafe conditions, and unsafe operator actions. Fatigue was identified as a consistent contributing factor in 100% of cases, manifesting as microsleep, insufficient sleep duration, and dishonesty in reporting physical condition. The gap analysis indicates that the simultaneous failure of multiple barriers is not due to random factors but rather systemic failures rooted in an organizational culture that prioritizes production. Conclusion: The occupational accidents that occurred were not caused by random factors, but rather a series of systemic failures culminating in operator fatigue. This study recommends an integrated approach to prevent incidents, which includes system strengthening (such as the utilization of monitoring technology and roster optimization), cultural transformation (from a blame culture to a learning culture), and consistent policy implementation with clear accountability across all organizational levels.
Determinan Penggunaan Alat Pelindung Diri pada Pekerja Laki-laki Penyemprot Pestisida di Perkebunan Kelapa Sawit PT. LS, Sumatera Selatan Ebagustian Tamzil; Robiana Modjo; B Besral; M Maksuk; Sinthia Khodijah Marpaung
Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta 2026: Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta
Publisher : Universitas Muhammadiyah Surakarta

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

Abstract

Pendahuluan: Penyemprotan pestisida di perkebunan kelapa sawit merupakan pekerjaan berisiko tinggi karena pekerja berpotensi terpajan bahan agrokimia secara langsung dan berulang melalui inhalasi, kontak kulit, serta kontaminasi selama proses kerja. Penelitian ini bertujuan menganalisis determinan penggunaan alat pelindung diri pada pekerja laki-laki penyemprot pestisida. Metode: Penelitian observasional analitik dengan desain potong lintang ini melibatkan 122 pekerja laki-laki yang ditetapkan melalui total sampling. Penggunaan alat pelindung diri dinilai melalui observasi langsung menggunakan lembar observasi terstruktur dan diklasifikasikan menjadi lengkap atau tidak lengkap. Data umur, pendidikan, status perkawinan, masa kerja, berat badan, dan tinggi badan dianalisis menggunakan statistik deskriptif, uji Chi-square Pearson, uji Mann-Whitney U, dan regresi logistik biner. Hasil: Sebanyak 57,4% responden menggunakan alat pelindung diri secara tidak lengkap. Analisis bivariat menunjukkan bahwa pendidikan, status perkawinan, dan masa kerja berhubungan signifikan dengan penggunaan alat pelindung diri, sedangkan umur, berat badan, dan tinggi badan tidak berhubungan signifikan. Pada analisis multivariat, hanya masa kerja yang menjadi prediktor independen signifikan; setiap tambahan satu tahun masa kerja meningkatkan peluang penggunaan alat pelindung diri secara lengkap sebesar 12,7%. Simpulan: Pengalaman kerja merupakan determinan terkuat penggunaan alat pelindung diri pada pekerja laki-laki penyemprot pestisida, sehingga intervensi keselamatan kerja perlu diprioritaskan pada pekerja dengan masa kerja lebih pendek melalui pelatihan, supervisi, dan penguatan kepatuhan.
Gambaran Sindrom Metabolik pada ASN di Lembaga X Tahun 2025 Irfan Kurniawan; Robiana Modjo
Jurnal Locus Penelitian dan Pengabdian Vol. 5 No. 6 (2026): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v5i6.5899

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Penelitian ini bertujuan untuk mengetahui gambaran kasus sindrom metabolik pada ASN di Lembaga X di Jakarta Tahun 2025 berdasarkan karakteristik responden dan komponen sindrom metabolik. Penelitian ini menggunakan desain deskriptif dengan pendekatan cross-sectional menggunakan data sekunder hasil Medical Check-Up (MCU) ASN di Lembaga X tahun 2025. Dari total 1.553 pegawai yang mengikuti MCU, sebanyak 406 (26,1%)  pegawai memenuhi kriteria sindrom metabolik berdasarkan kriteria Joint Interim Statement (JIS) dengan Cut off lingkar pinggang ASIA International Diabetes Federation (IDF). Analisis data dilakukan secara univariat untuk distribusi frekuensi 406 pegawai dengan sindrom metabolik dan bivariat terbatas untuk melihat hubungan antar komponen sindrom metabolik menggunakan uji Chi-Square dengan tingkat signifikansi p<0,05. Hasil penelitian menunjukkan prevalensi sindrom metabolik pada ASN di Lembaga X tahun 2025 sebesar 26,1%. Sebagian besar responden berusia >40 tahun (55,2%) dan berjenis kelamin laki-laki (79,3%). Komponen sindrom metabolik yang paling dominan adalah obesitas sentral (91,9%), kadar trigliserida tidak normal (72,2%), kadar gula darah puasa tidak normal (68,0%), dan kadar kolesterol HDL tidak normal (63,3%). Sebagian besar responden memiliki tiga kriteria sindrom metabolik (72,2%). Hasil analisis bivariat menunjukkan terdapat hubungan antara obesitas sentral dengan kadar kolesterol HDL (p=0,013) dan kadar trigliserida (p=0,021). Prevalensi sindrom metabolik pada ASN di Lembaga X tahun 2025 tergolong cukup tinggi dengan dominasi komponen obesitas sentral, hipertrigliseridemia, dan kadar HDL rendah.
Effects of intermittent fasting (time-restricted eating) for 30 days on body weight, visceral fat, and muscle mass in adult workers Ketus A. Prasetyo; Robiana Modjo; Eko Rizkianto; Desy Sulistiyorini
Narra J Vol. 6 No. 3 (2026): December 2026 (In Press)
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v6i3.3120

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Obesity among workers is an important occupational health concern because of its association with cardiometabolic risk and productivity loss. Time-restricted eating (TRE) 12:12 is a mild intermittent fasting protocol that limits food intake to a 12-hour eating window and may be feasible for workplace implementation. This study aimed to evaluate the effect of a 30-day TRE 12:12 intervention on body weight and body composition among adult workers. A quasi-experimental one-group pretest–posttest study was conducted among adult workers in Semarang, Indonesia. Participants followed TRE 12:12 for 30 days without prescribed calorie restriction. Body composition was assessed before and after the intervention using bioelectrical impedance analysis. Changes in outcomes were analyzed using paired-samples t-test and Cohen’s d, while adherence and participants’ perceptions were summarized descriptively. After 30 days, body weight decreased by 2.38±1.97 kg, body mass index (BMI) by 0.90±0.70 kg/m², body fat by 1.08±1.23%, visceral fat level by 1.12±0.72, and waist circumference by 5.82±3.37 cm, with all changes statistically significant (p≤0.001). Skeletal muscle mass increased slightly by 0.36±0.55% (p=0.008), which was interpreted as muscle preservation rather than meaningful muscle gain. Overall adherence was high (98.1%), reported side effects were mild, and most participants perceived the intervention as beneficial. This study highlights that TRE 12:12 was associated with short-term improvements in body weight and body composition among adult workers, particularly reductions in visceral fat and waist circumference, while preserving skeletal muscle mass. Further studies with larger samples and longer follow-up are needed to confirm its effectiveness and sustainability in working populations.
Co-Authors Abdul Kadir Adam Farhandika, Gibza Adang Bachtiar Adang Bachtiar ADONIS MUZANNI ADONIS MUZANNI Agus Dwi Susanto Ajaz, Rahmeen Alex Sander Lumban Gaol Alfiyyah, Arifah Alfiyyah, Arifah Ami Nuari Andra, Yoli Andriany, Raja ANDRIO A. WIBOWO ANDRIO A. WIBOWO ANINDHITA IRSALINA WIDIATMOKO ANINDHITA IRSALINA WIDIATMOKO Anjas Umaryadi Anjas Umaryadi Arifah Alfiyyah Arinda, Sri ASEP SAEPULLAH ASEP SAEPULLAH B Besral BAIDURI WIDANARKO BAIDURI WIDANARKO Baraja, Wafi Syukri Butsainah Putri Rahmah Cahyo Khoirul Ardli Candi, Cicilya Cicilya Candi DADAN ERWANDI DADAN ERWANDI DANESTA FEBIANTO NUGROHO DANESTA FEBIANTO NUGROHO DESSY DWI ARYANI DESSY DWI ARYANI Desy Sulistiyorini Desy Sulistiyorini Dharma Andika Yudha Didik Triwibowo Dimas Ari Dharmawirawan Dimas Ari Dharmawirawan DINA LUSIANA SETYOWATI Dina Lusiana Setyowati Doni Hikmat Ramdhan Ebagustian Tamzil Effendi, Fetrina Lestari Ellen Sophie Wulan Tangkudung Ellen Sophie Wulan Tangkudung EZSA LARASHATI GUNAWAN EZSA LARASHATI GUNAWAN Fajar Afifatur Rahmah Fajri, Hamzah Fansuri Farista Widyastuti Fathul Masruri Syaaf Fatma Lestari FATMAH FATMAH FATMAH FATMAH Febie Karmani Putra Frangky Ertanto Hamzah Fansuri Fajri Hanif Bangun Nuranto HENDRA HENDRA HENDRA HENDRA Herna Rosalin Manullang INDRA NI TUA INDRA NI TUA Indri Hapsari Susilowati Irfan Kurniawan Ketus A. Prasetyo Kristianto Putro, Wisnu Kurniasari, Fitri Kurniawidjaja, Meily Lami Trisetiawati Lestari, Fetrina M Maksuk M. FAIZIR HAFIDS M. FAIZIR HAFIDS Ma'rifatul Mubin Meilisa Rahmadani MIFTACHUL FARIDA MIFTACHUL FARIDA MILA TEJAMAYA MILA TEJAMAYA Muhamad Fajar Maulidi Tanjung Muhammad Faris Naufal Muhammad Rinaldo Nabila Syahlan Nicky Anelia Nisaa, Puspita Gaharu Prahastuti, Christina Puspita Gaharu Nisaa Putra, Riskiyana Sukandhi Rachma Fitriati Rachma Fitriati Rachmawati, Sutrani Rahman Gumilar Rahmawati, Ernita Resty Wulandari Riskiyana Sukandhi Putra Riskiyana Sukandhi Putra Riskiyana Sukandhi Putra Riskiyana Sukandhi Putra Riskiyana Sukandhi Putra Riskiyana Sukandhi Putra RIZAL ALFIANSYAH HAMID RIZAL ALFIANSYAH HAMID Rizkianto, Eko Rola Mesrani Simbolon Rosinta Uli ROSSI YULIANI Saefulmilah, Henik Sari Febryanti Wibisono Sari Tua Roy Nababan Sinthia Khodijah Marpaung Siti Aminah Siti Aminah Siti Yuliani Sulistyono, Eddy Syarif Potutu TRI WARTONO TRI WARTONO Trisetiawati, Lami Umaryadi, Anjas Varian Almerridho Vera Tiurma Tobing Wibowo, Aryo Yudha, Dharma Andika Yulidta Timory Yulinur Firdaus ZICO JUNI HERWANTO ZICO JUNI HERWANTO