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All Journal Health Science Journal of Indonesia Medical Journal of Indonesia Global Medical and Health Communication The Indonesian Journal of Public Health The Indonesian Biomedical Journal Universa Medicina Journal of General Procedural Dermatology and Venereology Indonesia Oto Rhino Laryngologica Indonesiana Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Binawan Student Journal The Indonesian Journal of Community and Occupational Medicine eJournal Kedokteran Indonesia Lux Mensana: Journal of Scientific Health Jurnal Penyakit Dalam Indonesia Journal of General-Procedural Dermatology & Venereology Indonesia Occupational and Environmental Medicine Journal of Indonesia Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute
Dewi Sumaryani Soemarko
Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Correlation of Plasma Melatonin Concentration and Alertness Level Among Female Nurses in Jakarta Indonesia Kresna, Andreas; Fuk, Liem Jen; Widyahening, Indah Suci; Soemarko, Dewi Sumaryani; Fitriani, Dewi Yunia
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract

Background Working in shift especially night shift could alter alertness level, increase fatigue, and working accident. One of the factors that affect the circadian rhythm were melatonin. Melatonin was a hormone that regulate the wake and sleep cycle that have an impact on alertness levels. This study was aimed to find correlation between plasma melatonin and alertness level. Methods A cross-sectional study was conducted on 40 female night shift nurses. Individual characteristics were obtained by self-administered questionnaire. Plasma melatonin concentrations and alertness level was collected twice at night time (11 pm – 00 am) and at morning (7 am − 8 am). Spearman or Pearson test was used to find correlation between melatonin concentrations and Psychomotor Vigilance Test (PVT). Results Mean age was 28.4 (±4.9) years with working experience varied from 1-16 years. Plasma melatonin concentrations among female night shift nurses were higher before working hours than after duty. Range of plasma melatonin value was 10-240 pg/ml and Alertness was in the same manner with average alertness level at night was 301.2 ± 51.6 ms and 293.2± 49.7 ms at morning. There was a weak correlation between plasma melatonin concentration and alertness level difference before and after duty (r = 0.37; p = 0.016). Conclusion There was weak correlation between plasma melatonin and alertness level in night shift workers before and after duty. To Maintain alertness level reduction and melatonin secretion, night shift workers should rest at least 30 minutes during their working hours, always keep the lights on while on duty and should not work more than one shift on the same day, and providing healthy foods.
The Effectiveness of Education through Web-Based Seminar in Increasing Knowledge about the Early Detection and Reporting of Occupational Diseases Monintja, Keyne Christa; Soemarko, Dewi Sumaryani; Fitriani, Dewi Yunia; Herqutanto, Herqutanto; Wibowo, Suryo
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Abstract

Background: In 2022, the Indonesian Occupational Medicine Association (IOMA) collaborated with oil and gas companies and conducted a web-based seminar (webinar) to enable participants to recognize occupational disease earlier and enhance reporting in companies. We aimed to investigate the effectiveness of the webinar in increasing the intended knowledge. Method: The webinar was separated into three batches, with different participants per batch. Using a one-group pretest-posttest design, we utilized secondary data from IOMA. The effectiveness of the webinar was determined by participants' satisfaction and knowledge as measured by pre-test and post-test. After performing item analysis, we removed poor discriminating items in pre-test and post-test ( Results: Data was gathered from 147 subjects (23.8%, 34%, and 42.2% of the three batches, respectively). Except for company status in the second batch (P = 0.045), there was no significant difference in initial knowledge based on the individual factors studied. Significant knowledge improvement was observed post-webinar in each batch compared to the initial. (P < 0.05). The correlation between satisfaction and post-test scores was negligible (r < 0.3; P > 0.05). Conclusion: The initial knowledge of oil and gas company workers in early detection and reporting of OD was low (
Perubahan Perilaku Penggunaan Alat Pelindung Diri (APD) Pasca Terinfeksi COVID-19 pada Dokter di Indonesia: Sebuah Survei Nasional pada Awal Pandemi Herikurniawan, Herikurniawan; Yunihastuti, Evy; Syam, Ari F; Soemarko, Dewi Sumaryani Sumaryani; Wiraguna, Andrian
Jurnal Penyakit Dalam Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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Introduction. Doctors have greater risk of acquiring COVID-19 due to occupational exposure. Personal protective equipment (PPE) is an essential factor in reducing COVID-19 transmission. We aimed to evaluate the behavior changes of PPE usage among doctors in Indonesia before and after getting COVID-19 infection in early pandemic. Methods. This was a descriptive online survey with cross-sectional design. This survey was conducted from October-December 2020 among Indonesian doctors who were COVID-19 survivors. Results. A total of 389 doctors who survived COVID-19 infection across Indonesia were included in the final analysis. Most participants were general practitioners and residents (69.2%) with a median age of 40 (22-28) years. After being infected, there was an improvement in the use of N95 respirator masks in isolation rooms (always: 80.9% from 70.2%; sometimes: 13.2% from 15.8%). An improvement in the use of other PPE before and after being infected with COVID-19 was also shown by the use of other PPE such as headcap (93.9% from 83.3%), face shield (90.4% from 83.3%), goggles (70.2% from 62.3%), gown (61.4% from 53.6%), hazmat suit (88.6% from 81.6%), boots (82.5% from 71.1%), and gloves (91.3% from 86.8%). Similar results were also shown in the use of PPE in other non-isolation rooms. Conclusion. After recovering from COVID-19 infection, these doctors showed an increase usage of adequate PPE both while on duty in isolation and non-isolation rooms.
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.
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.
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.
Co-Authors -, Herqutanto Ade Mutiara Aditya Agung Prasetyo Agus Sugiharto Agustina, Amilya Ahmad Fuadi Ahmad Fuady Aldri Frinaldi Ambar Roestam Ambar W Roestam Amran Anggraeni, Caroline Anitasari Kusumawati Ari F Syam Aria Kekalih Arman, Fitri Arriz Akbar Sukadi Asep Barliana, Julie D. Bastaman Basuki Bernath Siagian Brastho Bramantyo Cahyono, Arie Denta Aditya Episana Desdiani, Desdiani Dewi Friska Dewi Yunia Fitria Dewi Yunia Fitriani Endang Parahyanti Ermita I. Ibrahim Evy Yunihastuti Faisal Yunus Ferdy Nurhadi Fifinela Raissa Finna Fitriana Firly Ratsmita Fita Rahmasari Fuk, Liem Jen Githa Rahmayunita Harahap, Ummi Chairani Herikurniawan, Herikurniawan Herlinah Herlinah Herqutanto - Herqutanto Herqutanto Herqutanto2 Imron Khazim Indah S. Widyahening Indri, Olieve Irwan Suhadi Isbayuputra, Marsen Iwan Sugiarta Iwan Susilo Joko Izzatul Abadiyah Khoe, Levina Chandra Kresna, Andreas Landauw, Martha Lim Jen Fuk Listya Tresnanti Mirtha, Listya Tresnanti Lusi Sandra Hutahaean Mardianto, Umar Mariska, Tara Candida Marsen Isbayu Putra Marsen Isbayuputra Mohammad Firmansyah Monintja, Keyne Christa Muchtaruddin Mansyur Muhammad Ilyas Muhammad Ilyas Muhammad Ilyas Muhammad Ilyas Mulyana Mulyana Mulyantini, Astri Novi Silvia Hardiany Nuri Purwito Adi Nuri Purwito Adi Nuri Purwito Adi Prihartanto, Joedo Priyono, Harim Pukovisa Prawiroharjo, Pukovisa Purnama, Ahmad Angga Putra, Marsen Isbayu Ray Wagiu Basrowi Restuti, Ratna Dwi Retno A. Werdhani Riani Dwianasari, Riani Rita Ingewaty Wijaya Rita Ingewaty Wijaya Rosady, Dony Septriana Salim, Stellon SEPTELIA INAWATI WANANDI Sjarifuddin, Citra Nurhayati Slamet Ichsan Sofyan, Marwan Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Sudadi Hirawan Tenny Sutarto Tri Mawanti, Wening Tukimun, Suci Tria Meirisa Vani Nur Pratami Wibowo, Suryo Wiraguna, Andrian Yessi Kualasari Yusuf, Prasandhya Astagiri Zarni Amri  Sugiarta,  Iwan