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Length Of Time Return To Work In Workers With Low Back Pain And Associated Factors: Lamanya Waktu Kembali Bekerja Pada Pekerja Dengan Nyeri Punggung Bawah Dan Faktor Yang Berhubungan Tri Mawanti, Wening; Soemarko, Dewi S.; Kekalih, Aria
Binawan Student Journal Vol. 5 No. 3 (2023)
Publisher : Direktorat Penelitian, Pengabdian Masyarakat, Dan Kerjasama Universitas Binawan (DPPMK Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/bsj.v5i3.875

Abstract

Low back pain is one of the musculoskeletal disorders often associated to work. Based on previous research, 70.3% low back pain was found in manual handling workers and 22.98% in female nurses in hospital wards. The effects of low back pain are disability, decreased productivity and attendance rate, and loss of working hours. Returning to work as soon as possible after illness in a certain capacity is a highly recommended action. Until now in Indonesia there is no data on the length of time return to work on workers with low back pain and related factors. This study used cross-sectional design to determine the length of time return to work   and its relation to individual factors, work, and work environment. It used the Oswestry questionnaire and the population is workers who have low back pain and treated in a hospital, given sick leave, by the doctor as outpatient or inpatient. Workers with low back pain treated at the hospital (November 2016-April 2017), obtained a doctor's rest and or hospitalization letter amounting to 40 people (total sampling). The average value of the duration of return to work is 3 days (1-15 days) although clinical complaints have not fully disappeared. Factors relating to the length of the return to work were age (OR 9,71, 95% CI 1.08-87.31) and disability level before treatment (OR 2.50, 95% CI1.25-4.99). Length of time return to work due to low back pain is 3 days and has association  to age and disability level.
Return to Work Program for a Chef with Pemphigus Vulgaris : a Case Report Soemarko, Dewi; Indri, Olieve
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.v3i2.80.101-7

Abstract

Background: Pemphigus vulgaris is an autoimmune, intraepithelial, blistering disease, affecting the skin and mucosae, is defined by IgG antibody deposits in the keratinocyte membranes of the epidermis, leading to acantholysis with consequent generation of blisters. This disease has recurrence characteristics triggering by various risk factors such as medications, physical agents, infectious agents, hormones, and stress. The aim of this case report is to manage a return to work program for pemphigus vulgaris patient with numerous, widespread, blisters especially on both hands.Case presentation: Fourty-three years old woman presents with a painful and itchy blisters appeared in the palms, feet and body surfaces which are widely spreading throughout this week. The patient reported that the lesions first appeared as an ulcer in the upper lip, followed by cutaneus involvement. On physical examination, vital signs are normal and nutritional status is overweight. Dermatology status found numerous, widespread, tense or flaccide blisters, erosions and pruritic erythema on chest, back, abdomen, both arms and both palms accompanied by black crust with a soliter erosions on the upper lip. She was diagnosed with Pemphigus Vulgaris since 10 December 2020 and was controlled very well since February 2021, when suddenly new blisters started to appear on May 2022.She has got a medical and occupational management for her disease, which let her recovered and ready to go back to work again. Conclusion: Pemphigus Vulgaris could affect patient’s work life. Multiple hazard in the work place also can affect the nature of the disease. Occupational management is important to help patients return to their former work, and to prevent reccurence. As a return to work program, the author recommended several changes in the workplace to reduce the triggering factor, promote self care, did an education, and showed the way to work with a good ergonomic style. Work related stress which act as an exogenous factor triggering Pemphigus Vulgaris need to be controlled. With appropriate medications and interventions to control her occupational risk and exposure, patients can return to work with some modifications.
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
Acute Cutaneus Lupus Erythematosus in a Welder: a Case Report Soemarko, Dewi S.; Asep
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.v3i2.109.95-100

Abstract

Background: Cutaneous Lupus Erythematosus (CLE) is a diverse group of autoimmune connective tissue disorders localised to the skin that can be associated with Systemic Lupus Erythematosus (SLE). Chronicity and recurrency of this disease can cause a significant reduction in worker productivity, absenteeism and medical expensesObjective: To identify Cutaneous Lupus Erythematosus in welder is an occupational diseases or work aggravated diseases which will be implemented through seven step of ocupational disease.Case Presentation: A 42-year-old patient came with complaints of red patches on the face, scalp, and hands since 3 months ago. the patient was previously treated at an internal medicine polyclinic and was diagnosed with SLE. The patient was then referred to the dermatology department of allergy and immunology and was diagnosed with acute cutaneous lupus erythematosus.Discussion: According to the PERDOKI’s seven step guideline to diagnosis occupational disease, in this patient is declared as work aggravated disease. UV light is a major environmental triggering or precipitating factor in cutaneous lupus erythematosus(LE). Avoiding or reducing UV light exposure from the sun and from work are essential to prevent recurrence.
Xanthomas in A Warehouse Worker: A Case Report Harahap, Ummi Chairani; Mulyantini, Astri; Soemarko, Dewi S
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.v3i2.110.108-12

Abstract

Background: Xanthomas are visible external lump that appears on the body. Xanthomas are not tumors, instead, they are collections of foam cells that develop within the skin’s connective tissue, tendons and layers beneath the skin. These formations are significant indicators of disorders in lipid metabolism and are frequently seen in individuals with hypercholesterolemia. This case report describes the case of a male patient who worked in a warehouse with xanthomas and analyzes the relationship between his disease and work.Case Presentation: A 38-year-old man presented at a referral hospital in August 2023 with multiple yellowish elevated masses over the palm of the hands, sole and over the dorsum of the foot. The size of the masses varied between 0.5×0.5×0.5 cm (over the palm of the hands and sole), 1,5x1,5x0,5 cm and 2x1,5x1 cm(over dorsum of the foot) (Figure 1). The patient is accustomed to consuming fatty foods, coffee and alcohol. The patient presented with an elevated level of cholesterol and triglycerides. The patient had symptoms of discomfort and pain,which were due to the large size of the masses.The patient worked in a warehouse and encountered numerous potential hazards. Upon further examination, the patient was diagnosed with xanthomas. Excisional biopsy were performed to remove the massive xanthomas from the palm, sole and dorsum of the foot.Discussion: The process of confirming an occupational illness necessitates following a seven-step method, which considers factors such as clinical diagnosis, individual, and other exposures outside of work. However, in this instance, no work-related, personal, or external environmental elements linked to xanthomas were identified.Conclusion: There is no substantial evidence that occupational exposures as a warehouse worker cause or exacerbate the patient’s diagnosis of xanthomas. Very high cholesterol and triglycerides remain the main contributing factors to the diagnosis.
Type 2 Diabetes in Non-Sedentary Workers with Long Working Hours “An Evidence-Based Case Report” Sofyan, Marwan; Widyahening, Indah Suci; Soemarko, Dewi Sumaryani
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.v3i2.119.88-94

Abstract

Background: Type 2 diabetes mellitus is a serious threat to public health and the economy. Several reviews suggested that working long hours has a negative effect on health, especially metabolic disorders.Objective: To determine whether long working hours increase the incidence of diabetes mellitus in non-sedentary workers.Methods: A literature search using PubMed, Scopus, and Proquest was conducted based on the clinical question. Selected studies were critically reviewed for their validity using Oxford University’s Center for Evidence-Based Medicine’s etiological study criteria.Result: Three relevant studies were found. A cohort study found that non-clerical workers and shift workers with long working hours had a significantly higher risk of developing diabetes with a Hazard Ratio (HR) of 2.28 (95% Confidence Interval [CI] 1.13-4.82). However, the dominant risk factor that may have influenced the outcomes could not be clearly identified. In contrast, a cross-sectional study found no significant association (p>0.05) between working overtime and diabetes prevalence among field workers. Another cross-sectional study showed that blue-collar workers with long working hours had a higher likelihood of prediabetes with an adjusted Odds Ratio (aOR) of 1.54 (95% CI 1.15-2.06). However, since this is a cross-sectional study, the causal relationship is uncertain. Conclusion: Studies regarding the relationship between long working hours and an increased risk of type 2 diabetes mellitus in non-sedentary workers showed inconsistent and unclear results. Further evaluation is still needed to find more evidence on the health effects of long working hours on workers.
Filtration effectiveness of N95 medical mask exposed to repeated ultraviolet germicidal irradiation room Restuti, Ratna Dwi; Priyono, Harim; Mariska, Tara Candida; Cahyono, Arie; Bramantyo, Brastho; Soemarko, Dewi S.; Yusuf, Prasandhya Astagiri; Arman, Fitri; Prihartanto, Joedo
Oto Rhino Laryngologica Indonesiana Vol. 52 No. 2 (2022): VOLUME 52, NO. 2 JULY - DECEMBER 2022
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v52i2.581

Abstract

ABSTRACTBackground: The global Coronavirus disease (COVID-19) pandemic has created shortages of personal protective equipment (PPE) including N95 respirator medical masks. Ultraviolet Germicidal Irradiation (UVGI) is an effective way for disinfection of N95 masks before reuse. The UVGI chamber is an effective method of disinfection against SARS-CoV-2, however its effect on the N95 medical masks filtration ability is still uncertain. Purpose: To evaluate filtration effectiveness of N95 mask after repeated UV-C irradiation in the UVGI chamber. Method: This was a parallel two-group experimental study to see the effect of repeated UVGI exposure on the filtration of 2 types of N95 medical masks (type 8210 and 1860), with 25 pieces each group, using an aerosol particle counter, after 10 cycles of repeated UVGI exposure in the UVGI chamber of the ORL-HNS Department Dr. Cipto Mangunkusumo Hospital. Result: There were no significant differences in the filtration effectiveness of N95 medical masks after repeated UVGI exposure up to 10 cycles for 2 types of N95 masks and there was no significant change in the filtration ability of the N95 medical masks after repeated UVGI exposure. Conclusion: The filtration of N95 medical masks type 8210 and 1860 filtration were maintained >95% after repeated UVGI exposure with cumulative dose of 10,126-16.200 mJ/cm2 in UVGI chamber of ORL-HNS Department, Dr. Cipto Mangunkusumo Hospital. ABSTRAKLatar belakang: Pandemi Coronavirus disease 2019 (COVID-19) menyebabkan keterbatasan tersedianya alat pelindung diri (APD) termasuk masker respirator N95. Ultraviolet Germicidal Irradiation (UVGI) merupakan salah satu cara desinfeksi yang menjanjikan dan efektif, sehingga masker N95 dapat digunakan kembali. Bilik UVGI merupakan metode yang efektif dalam disinfeksi terhadap SARS-CoV-2, namun efek paparan UVGI terhadap kemampuan filtrasi masker N95 belum diketahui. Tujuan: Untuk mengevaluasi efektivitas filtrasi masker N95 setelah paparan UV-C berulang di Bilik UVGI. Metode: Penelitian ini adalah studi ekperimental dua kelompok paralel untuk melihat efek paparan UVGI berulang terhadap filtrasi 2 tipe masker N95 (tipe 8210 dan 1860) sebanyak 25 masker di setiap grup, menggunakan aerosol particle counter setelah paparan UVGI berulang sebanyak 10 siklus di Bilik UVGI Departemen THT-KL RSCM. Hasil: Tidak didapatkan perbedaan bermakna pada masker N95 pasca-paparan UVGI berulang sebanyak 10 siklus dengan rerata filtrasi pada 2 tipe masker, serta tidak terdapat perubahan signifikan kemampuan filtrasi masker N95 pasca-paparan UVGI berulang. Kesimpulan: Filtrasi masker N95 pada penelitian ini dapat dipertahankan 95% pasca-paparan UVGI berulang hingga dosis kumulatif 10.126˗16.200 mJ/cm2 di bilik UVGI Departemen THT-KL RSCM. 
RELATIONSHIP BETWEEN SYNTHETIC COTTON DUST EXPOSURE AND SYMPTOMS OF RESPIRATORY DISORDERS IN TEXTILE FACTORY WORKERS AT PT X IN EAST JAVA Desdiani, Desdiani; Soemarko, Dewi Sumaryani; Purnama, Ahmad Angga
Lux Mensana: Journal of Scientific Health Vol. 3 Issue 2 (2024)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v3i2.566

Abstract

Introduction. Respiratory disorders, which range from 1 to 100 μm, are a significant concern in the textile industry. Typical symptoms of cotton dust exposure include chronic cough with or without phlegm, painful breathing, wheezing, nasal congestion, and chest pain. While most research has focused on natural cotton fibers, there is a growing need to investigate the health risks associated with synthetic cotton dust, such as that derived from petroleum-based resources such as polyester. Method. This research employed a cross-sectional design, with 76 respondents. Result & Analysis. The results showed that 21.1% of the workers experienced respiratory symptoms, and 43.4% of the workers were exposed to high levels of synthetic cotton dust. Chi-square test analysis indicated a significant relationship between synthetic cotton dust exposure and respiratory symptoms (p < 0.001; OR 15.1 [3.17 – 73.21]). Discussion. Workers with high synthetic cotton dust exposure had a 15.1 times greater risk of experiencing respiratory symptoms than those with low synthetic cotton dust exposure.
E-Learning Readiness and Job Stressor of Elementary School Teachers in the Covid-19 Pandemic Dwianasari, Riani; Kekalih, Aria; Fitriani, Dewi Yunia; Soemarko, Dewi Sumaryani; Fuadi, Ahmad
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 6 No. - (2022): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v6i-.126

Abstract

Background: E-learning readiness became a new workload for teachers during the Covid-19 pandemic because of the obligatory online teaching. E-learning readiness comprises four factors: the readiness of technology, innovation, people, and self-development; and it might cause job stressors and affect teachers' performance. The research objective was to explore job stressors that influence teachers the most and how they might be associated with E-learning readiness. Method: The cross-sectional method assessed 186 teachers from public and private elementary schools in the urban city area in Jakarta. The data obtained from questionnaires: Teacher Stress Inventory (TSI) Boyle and E-learning Readiness (ELR) Aydin and Tasci. TSI assessed teachers' job stressors in five main components: workload, student behavior, professional recognition, time and resources, and interpersonal relationships. Results: Most teachers perceived readiness at e-learning (84.9%). E-learning readiness was a profound problem for female and non-classroom teachers. The dominant job stressors for teachers were workload (27%), professional recognition (22%), time and resources (21%), and student behavior (21%). The number of students influenced workload and professional recognition. Self-development was the prominent e-learning readiness factor associated with teacher job stressors, especially professional recognition. Conclusions: In urban areas like Jakarta, fifteen percent of teachers remain unprepared for e-learning teaching. The unpreparedness was related to the female gender and non-classroom teachers, who need e-learning skills training to improve their readiness and control job stressors for better teaching performance in a prolonged pandemic situation.
Effect of Structured Workers Physical Exercise, Individual Factors, and Work-related Factors on Physical Fitness of Security Officers Rosady, Dony Septriana; Mirtha, Listya Tresnanti; Agustina, Amilya; Soemarko, Dewi Sumaryani; Sugiharto, Agus
Global Medical & Health Communication (GMHC) Vol 13, No 1 (2025)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v13i1.13722

Abstract

Security officers require good physical fitness to perform their duties effectively. Maintaining this level of fitness often involves structured exercise programs that consider the frequency, intensity, duration, and type of activity. This study aims to examine the relationship between a structured physical exercise program, individual factors, and work-related factors on the physical fitness of security officers. This study was conducted in July 2023 and utilized company program data from March to June 2023, focusing on 67 security officers at PT X. Physical fitness data was collected using the Cooper test method and analyzed using SPSS. Data normality was assessed using the skewness/standard error method, with values <2 considered normally distributed. A paired sample t-test revealed a significant relationship between Cooper test distances before and after participation in the structured exercise program (p<0.001). Further analysis demonstrated relationships between changes in physical fitness and several factors: work fatigue (p<0.001), work stress dimensions (specifically work overload, role conflict, quantitative and qualitative workload excess, career development, and responsibility to others, all with p<0.014), and sleep quality (p<0.001). The coefficient of determination (r2) was 0.496, indicating that work fatigue, role conflict, and sleep quality collectively explain 49.6% of the variance in physical fitness changes. The remaining variance is likely influenced by factors not included in the model. Multivariate analysis confirmed that work fatigue (p<0.001), role conflict (p=0.036), and sleep quality (p=0.015) were predictors of changes in physical fitness. In conclusion, a structured physical exercise program has a positive influence on the physical fitness of security officers. Furthermore, work fatigue, work stress (particularly role conflict), and sleep quality are associated with changes in physical fitness among these officers.
Co-Authors ., Herqutanto Abadiyah, Izzatul Ade Mutiara Aditya Agung Prasetyo Agus Sugiharto Agustina, Amilya Ahmad Fuadi Aldri Frinaldi Ambar Roestam Ambar W Roestam Anitasari Kusumawati Ari F Syam Aria Kekalih Arman, Fitri Arriz Akbar Sukadi Asep Bastaman Basuki Bernath Siagian Brastho Bramantyo Cahyono, Arie Dedy Pratama Dedy Pratama Denta Aditya Episana Desdiani, Desdiani Dewi Yunia Fitria Dewi Yunia Fitriani Endang Parahyanti Ermita I. Ibrahim Evy Yunihastuti Faisal Yunus Fifinela Raissa Firly Ratsmita Fita Rahmasari Fuk, Liem Jen Githa Rahmayunita Harahap, Sabasdin Harahap, Ummi Chairani Herikurniawan, Herikurniawan Herlinah Herlinah Herqutanto Herqutanto - Herqutanto Herqutanto Herqutanto2 Imron Khazim Indah S. Widyahening Indri, Olieve Irwan Suhadi Iwan Sugiarta Iwan Susilo Joko Izzatul Abadiyah Junanta, Herlando Kresna, Andreas Levina Chandra Khoe Lim Jen Fuk Listya Tresnanti Mirtha, Listya Tresnanti Lusi Sandra Hutahaean Mariska, Tara Candida Marsen Isbayu Putra Marsen Isbayuputra Martha Landauw Mohammad Firmansyah Monintja, Keyne Christa Muchtaruddin Mansyur Muhammad Bob Muharly Rambe Muhammad Ilyas Muhammad Ilyas Muhammad Ilyas Muhammad Ilyas Mulyana Mulyana Mulyantini, Astri Mustikaningrum, Arif Hening Novi Silvia Hardiany Nuri Purwito Adi Nuri Purwito Adi Nuri Purwito Adi Nuri Purwito Adi Pahlavie, Bonnie Medana Prasandhya Astagiri Yusuf Prihartanto, Joedo Priyono, Harim Purnama, Ahmad Angga Ray Wagiu Basrowi Rayka, Ivan Restuti, Ratna Dwi Retno A. Werdhani Riani Dwianasari, Riani Rita Ingewaty Wijaya Rita Ingewaty Wijaya Rosady, Dony Septriana SEPTELIA INAWATI WANANDI Slamet Ichsan Sofyan, Marwan Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Stellon Salim Sudadi Hirawan Sumirat, Ratih Nurdiany Tenny Sutarto Titis Mariyamah Tri Mawanti, Wening Tukimun, Suci Tria Meirisa Vani Nur Pratami Wibowo, Suryo Wiraguna, Andrian Yessi Kualasari Zarni Amri