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All Journal Health Science Journal of Indonesia Global Medical and Health Communication The Indonesian Journal of Public Health The Indonesian Biomedical Journal Universa Medicina 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 Cerdika: Jurnal Ilmiah Indonesia Jurnal Penyakit Dalam Indonesia Journal of General Procedural Dermatology and 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
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Return-to-Work Management in A Palm Oil Harvester with Occupational Keratitis from A Foreign Body: A Case Report Kusuma, Mardiansyah; Soemarko, Dewi Sumaryani
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.v5i2.167.73-6

Abstract

Introduction: Effective return-to-work (RTW) management is essential for minimizing workplace disruptions and supporting functional recovery following occupational injuries. In physically demanding sectors such as palm oil harvesting, eye injuries—particularly occupational keratitis caused by plant debris—can lead to temporary visual impairment and reduced ability to perform essential job tasks. Objective.This case report demonstrates how structured RTW coordination, involving interprofessional collaboration and employer engagement, facilitates safe workplace reintegration and prevents reinjury.Methods: We report the case of a 27-year-old male palm oil harvester in Indonesia who developed left-eye keratitis after removing fogged protective goggles during harvesting. He was treated by an ophthalmologist, while a hospital-based occupational medicine specialist—acting in place of an internal occupational health unit—evaluated his work capacity, recommended temporary duty adjustments, and collaborated with company management to implement them.Results: Initial treatment consisted of topical antibiotics and ocular lubricants. The patient was deemed temporarily unfit for regular duties and was advised to perform low-risk tasks. Although the employer’s response was initially delayed, collaboration with the occupational physician facilitated a phased return to work through modified duties and ongoing monitoring. Full visual recovery was achieved within 17 days, after which the patient resumed regular tasks without restrictions. At 3.5 months post-injury, he remained asymptomatic and fully fit for work.Conclusions: Successful return to work (RTW) following occupational keratitis requires early and structured coordination between ophthalmologists and occupational medicine specialists, as well as active involvement from the employer. Temporary job modifications, functional capacity assessments, and ongoing monitoring are essential to ensure a safe reintegration process and to maintain productivity. In the absence of on-site occupational health services, hospital-based occupational medicine specialists play a vital role in conducting fitness-for-work evaluations and recommending appropriate workplace accommodations.
Carpal Tunnel Syndrome and Associated Factors Among Workers in Blacksmithing Industry in Java, Indonesia Maha Putra, I Gede; Isbayuputra, Marsen; Wiratman, Winnugroho; Hidayat, Rakhmad; Soemarko, Dewi Sumaryani
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.v5i2.173.66-72

Abstract

Introduction: Carpal Tunnel Syndrome (CTS) is one of the most common work-related musculoskeletal disorders, particularly in the informal sector such as traditional blacksmithing industries. Objective. This study aims to determine the prevalence and associated factors of CTS among blacksmith workers in Mekarmaju Village, Bandung Regency. Methods: Using a cross-sectional design, data were collected from 100 male workers through questionnaires, work observations, and physical examinations (Phalen and Tinel tests). Result:The results showed a CTS prevalence of 68%, with the majority of cases being bilateral. Bivariate analysis revealed several factors associated with CTS, including body mass index, age, dominant hand, and type of work. However, multivariate analysis identified only work duration (>3 years) as a significantly associated factor (aOR = 0.03; 95% CI: 0.01–0.92; p = 0.045), indicating that newer workers are more vulnerable to CTS. Conclusion: These findings highlight the importance of early ergonomic interventions and health screening at the beginning of employment to prevent CTS in the informal labor sector.
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.
Mental Workload and Work Stress among Train Drivers and Their Associated Factors: A Cross-Sectional Study in Indonesia Hidayat, Marizca Saras Chitra; Fuady, Ahmad; Wibowo, Suryo; Soemarko, Dewi; Purwito Adi, Nuri
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.v5i2.186.56-65

Abstract

Background: Employment in the railway sector is one of the professions that involves high challenges and demands, as it requires handling various complex tasks and responsibilities to ensure the safety and comfort of passenger travel. Train driver and train co-driver bear a high workload and face complex mental demands, making them vulnerable to work stress.Objective: This study aims to examine the relationship between mental workload and work stress, as well as occupational and sociodemographic factors among train driver and train co-driver in DAOP 2 Bandung.Methods: A cross-sectional analytical observational study was conducted using data from routine medical check-ups. Mental workload was measured using the NASA-TLX questionnaire, while work stress was assessed using the Job Stress Scale (JSS).Results: Among 106 participants, 53% experienced high mental workload, while 97% reported low to moderate work stress. No significant associations were found between work stress and mental workload (p=0.190), job type, years of service, age, marital status, income, number of dependents, or coworker support. However, work stress was significantly associated with role expectation conflict (p<0.001) and work-life balance (p=0.029). After multivariate analysis, only role expectation conflict remained significantly associated. Workers experiencing moderate to high role expectation conflict had a 14.3-fold higher risk of work stress (CI 4.45–46.17).Conclusion: Role expectation conflict is a significant factor associated with work stress. Addressing psychosocial factors through clear role definitions and policies supporting work-life balance is essential in reducing stress among train crews.
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, Sabasdin Harahap, Ummi Chairani Hardjono, Indra Herikurniawan, Herikurniawan Herlinah Herlinah Herqutanto - Herqutanto Herqutanto Herqutanto2 Hidayat, Marizca Saras Chitra Imron Khazim Indah S. Widyahening Indri, Olieve Irwan Suhadi Isbayuputra, Marsen Iwan Sugiarta Iwan Susilo Joko Izzatul Abadiyah Jonanda, Herik Okta Khoe, Levina Chandra Kresna, Andreas Kusuma, Mardiansyah Landauw, Martha Lim Jen Fuk Listya Tresnanti Mirtha, Listya Tresnanti Lusi Sandra Hutahaean Maha Putra, I Gede 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 Mutiara, Ade 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 Rakhmad Hidayat 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 Sulistomo, Astrid Sumirat, Ratih Nurdiany Tenny Sutarto Tri Mawanti, Wening Tukimun, Suci Tria Meirisa Vani Nur Pratami Wibowo, Suryo Wiraguna, Andrian Wiratman, Winnugroho Yessi Kualasari Yusuf, Prasandhya Astagiri Zarni Amri  Sugiarta,  Iwan