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Aspek Kedokteran Okupasi pada Seorang Penyandang Kusta dengan Claw Hand Yohanes Edwin Jonatan; Iwan Rivai Alam Siahaan; Sri Linuwih Menaldi; Dewi Sumaryani Soemarko
Media Dermato-Venereologica Indonesiana Vol 53 No 2 (2026): Media Dermato Venereologica Indonesiana
Publisher : Perhimpunan Dokter Spesialis Kulit dan Kelamin Indonesia (PERDOSKI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33820/mdvi.v53i2.557

Abstract

   Pendahuluan: Disabilitas akibat kusta memengaruhi aktivitas keseharian termasuk pekerjaan sehingga berdampak pada produktivitas. Tulisan ini membahas sebuah kasus claw hands pada seorang penyandang kusta dengan telaah bidang kedokteran okupasi. Kasus: Seorang laki-laki berusia 39 tahun, bekerja sebagai pengemudi motor ojek online didiagnosis dengan Eritema Nodosum Leprosum kronis berulang pada kusta tipe lepromatosa dengan claw hands bilateral yang sudah menyelesaikan pengobatan selama 37 bulan. Pasien sempat bekerja namun kehilangan pekerjaan akibat penyakitnya. Saat ini, pasien hanya mengantarkan paket saja. Pasien telah memodifikasi motor agar sesuai dengan kondisi fisiknya, ia mengatur gas dengan menggunakan ujung telapak tangan kanan, dan posisi rem pada setang kiri dimodifikasi agar lebih mendekati sisi kelingking. Derajat stres sedang terdeteksi dalam hal menyelesaikan persoalan pribadi dan ketidaksesuaian harapan menurut Perceived Stress Scale (PSS). Diskusi: Kondisi fisik yang dialami menyebabkan kesulitan dalam menggenggam setang motor secara optimal. Kondisi ini membuat pasien menghadapi tantangan besar dalam mendapatkan serta mempertahankan pekerjaan, yang pada akhirnya dapat memengaruhi kesejahteraan secara keseluruhan. Simpulan: Meskipun terdapat ketidaksesuaian antara tuntutan pekerjaan dan kondisi fisik, pasien telah melakukan modifikasi peralatan sehingga ia tetap bekerja sebagai pengemudi ojek online, tetap dapat produktif dengan keterbatasannya.
Hypertension and Its Association with Noise Exposure among Blacksmith Workers in an Indonesian Village Christopher F. Jaya; Marsen Isbayuputra; Jenny Bashiruddin; Dewi Sumaryani Soemarko; Rino Alvani Gani
The Indonesian Journal of Community and Occupational Medicine Vol. 6 No. 1 (2026): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v6i1.212.8-15

Abstract

Background: Blacksmith workers are at high risk of hypertension due to occupational exposures such as noise, heat, and heavy physical activity. Although noise exposure has been linked to cardiovascular stress through sympathetic activation, evidence regarding its direct association with hypertension in informal workers remains limited.Objective: To determine the prevalence of hypertension and its associated factors among blacksmith workers in an Indonesian village and to identify whether occupational noise exposure contributes to increased blood pressure.Methods: This was an analytical observational study with a cross-sectional design involving 107 blacksmith workers. Data were collected through interviews, blood pressure measurements, noise level assessment using a sound level meter, and body mass index (BMI) calculation. Bivariate analysis used Chi-square and Mann–Whitney tests, while multivariate analysis used logistic regression.Results: The prevalence of hypertension was 34.5%. Bivariate analysis showed significant associations between noise intensity (p=0.008), age (p=0.001), working duration (p=0.042), smoking degree (p=0.002), and BMI (p<0.001) with hypertension, whereas noise type was not significant (p>0.05). In multivariate analysis, only BMI remained significant (aOR=2; 95% CI: 1.3–3.3).Conclusion: The prevalence of hypertension was 34.5%. BMI is an independent risk factor for hypertension among blacksmith workers. Noise exposure was not significantly associated with increased blood pressure, likely due to confounding effects and non-differential noise types. Interventions should focus on weight management and regular blood pressure monitoring in this worker population.
Program Evaluation of the Monthly Health Review Program: A Strategy to Protect High-Risk Field Workers in the Manufacturing Industry from COVID-19 Melati Yalti Kautsar Syahrial; Dewi Sumaryani Soemarko; Agus Sugiharto; Nuri Purwito Adi; Boy Subirosa Sabarguna
The Indonesian Journal of Community and Occupational Medicine Vol. 6 No. 1 (2026): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v6i1.217.25-36

Abstract

Background: The Indonesian government has issued guidelines for companies during the COVID-19 pandemic to monitor high-riskemployees due to the severe complications associated with COVID-19. The study aims to identify the cause of program issues and determinepotential improvements to achieve the program’s target of a monthly health review, protecting high-risk field workers in the manufacturingindustry from COVID-19.Methods: A mixed-methods approach combining quantitative and qualitative data was employed, utilizing the Problem-Solving Cycle.Quantitative data were obtained from document reviews, which revealed the characteristics of the Implementers (n=5) and program participants(n=58). Qualitative data are collected through in-depth interviews with policy stakeholders, program implementers, and program participantsto identify the causes of program problems. These problems are then prioritized as main issues using the USG method, and alternative solutionsare discussed. The selected solutions are evaluated based on their effectiveness and efficiency using the Reinke method.Results: On average, 89.58% of participants attended the program throughout the past two years, and only 59.98% of individuals had ahealth condition under control. The interviews revealed that the absence of a Standard Operating Procedure (SOP) was the primary cause ofthe failure to achieve the attendance and under control health condition targets, which were also impacted by a lack of coordination. Nonadherence to medication contributes to discordant comorbidities.Conclusion: Creating an SOP with a relevant target program is the primary solution, and internal meetings to create a monthly schedule.Additionally, the company doctor and program implementers regularly educate program participants to raise awareness of the benefits oftaking the medication regularly.
Co-Authors ., Herqutanto Abadiyah, Izzatul Ade Mutiara Ade Mutiara Aditya Agung Prasetyo Agus Sugiharto Agus Sugiharto Agustina, Amilya Ahmad Fuadi Ahmad Fuady Aldri Frinaldi Ambar Roestam Ambar W Roestam Amilya Agustina Anitasari Kusumawati Ari F Syam Aria Kekalih Arman, Fitri Arriz Akbar Sukadi Asep Astrid Sulistomo Bastaman Basuki Bernath Siagian Boy Subirosa Sabarguna Brastho Bramantyo Cahyono, Arie Caroline Anggraeni Christopher F. Jaya Citra Nurhayati Sjarifuddin Dedy Pratama Dedy Pratama Denta Aditya Episana Desdiani, Desdiani Dewi Friska Dewi Yunia Fitria Dewi Yunia Fitriani Endang Parahyanti Ermita I. Ibrahim Evy Yunihastuti Faisal Yunus Feranindhya Agiananda Fifinela Raissa Finna Fitriana Firly Ratsmita Fita Rahmasari Fitria Nurbaeti Fuk, Liem Jen Githa Rahmayunita Harahap, Sabasdin Harahap, Ummi Chairani Herik Okta Jonanda Herikurniawan, Herikurniawan Herlinah Herlinah Herqutanto Herqutanto - Herqutanto - Herqutanto Herqutanto Herqutanto2 I Gede Maha Putra Imron Khazim Imron Khazim Indah S. Widyahening Indra Hardjono Indri, Olieve Irwan Suhadi Iwan Rivai Alam Siahaan Iwan Sugiarta Iwan Susilo Joko Izzatul Abadiyah Jenny Bashiruddin Junanta, Herlando Kresna, Andreas Levina Chandra Khoe Lim Jen Fuk Listya Tresnanti Mirtha, Listya Tresnanti Lusi Sandra Hutahaean Mardiansyah Kusuma Mariska, Tara Candida Marsen Isbayu Putra Marsen Isbayu Putra Marsen Isbayuputra Marsen Isbayuputra Marsen Isbayuputra Marsen Isbayuputra Martha Landauw Melati Yalti Kautsar Syahrial Mohammad Firmansyah Monintja, Keyne Christa Muchtaruddin Mansyur Muhammad Bob Muharly Rambe Muhammad Ilyas 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 Nuri Purwito Adi Nuri Purwito Adi Nuri Purwito Adi Pahlavie, Bonnie Medana Prasandhya Astagiri Yusuf Prihartanto, Joedo Priyono, Harim Pukovisa Prawiroharjo Purnama, Ahmad Angga Rakhmad Hidayat Ratih Catur Sholihah Ray Wagiu Basrowi Rayka, Ivan Restuti, Ratna Dwi Retno A. Werdhani Retno Wibawanti Riani Dwianasari, Riani Rino A Gani 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 Suryo Wibowo Tenny Sutarto Titis Mariyamah Tri Mawanti, Wening Tukimun, Suci Tria Meirisa Vani Nur Pratami Wibowo, Suryo Winnugroho Wiratman Wiraguna, Andrian Yessi Kualasari Yohanes Edwin Jonatan Zarni Amri