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PREVALENSI DAN FAKTOR RISIKO GANGGUAN PENDENGARAN PADA PEKERJA INDUSTRI KONSTRUKSI INDONESIA Ela Ambar; Anna Suraya
Binawan Student Journal Vol. 4 No. 2 (2022)
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Binawan (LPPM Universitas Binawan)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54771/bsj.v4i2.459

Abstract

Pembangunan bidang konstruksi yang semakin pesat  membawa konsekwensi bagi pekerja karena hampir semua proyek konstruksi mempergunakan mesin yang menghasilkan kebisingan yang dapat menyebabkan gangguan pendengaran. Penelitian ini bertujuan untuk mengetahui prevalensi dan faktor risiko yang berpengaruh terhadap gangguan pendengaran pada pekerja konstruksi. Menggunakan desain cross sectional, penelitian dilakukan bulan Februari - Juni 2021. Populasi penelitian adalah pekerja disalah satu proyek konstruksi di Jakarta Timur dengan sampel sebanyak 200 orang. Pengambilan data menggunakan kuesioner dengan analisis utama menggunakan uji chi square. Sebesar 74,5% pekerja konstruksi Indonesia terpajan bising dengan prevalensi keluhan gangguan pendengaran adalah 51%. Kebiasaan mendengarkan musik yang keras secara signifikan berhubungan dengan keluhan gangguan pendengaran pada pekerja konstruksi. Pajanan kebisingan, umur, masa kerja, penggunaan alat pelindung telinga, dan kebiasaan merokok tidak berhubungan secara signifikan terhadap keluhan gangguan pendengaran. Perlu dilakukan edukasi pekerja tentang dampak bising baik yang berasal dari pekerjaan maupun diluar pekerjaan serta tindakan pencegahannya untuk melindungi pekerja dari gangguan pendengaran yang lebih berat.  
Predictive measure for Ischemic Heart Disease among Workers in Jakarta, Indonesia Leli Hesti Indriyati; Gea Pandhita S; Nurhayati Anis; Anna Suraya
Jurnal Kedokteran Brawijaya Vol. 31 No. 4 (2021)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2021.031.04.8

Abstract

Ischemic Heart Disease (IHD) is one of the leading causes of morbidity and mortality in many countries, including Indonesia. Therefore, cardiovascular risk-prediction models are required in clinical practice for early detection in high-risk populations, including the worker population. This study intends to develop a predictive risk measure for early detection of IHD incidences among employees in Jakarta, Indonesia. Source of data was the database of 4,100 medical check-up (MCU) results of employees and entrepreneurs in Jakarta and surrounding areas in January to October 2019. Multivariate analysis showed that being aged >40 years (p=0.000; OR=5.329 (95% CI 2.621-10.833)), having a history of dyspnea (p=0.000; OR=5.699 (95% CI 2.524-12.871)), smoking (p=0.048; OR=2.007 (95% CI 1.924-4.359)) and HDL<50 mg/dL (p=0.049; OR=1.811 (95% CI 1.099-3.281)) were all good predictors to detect IHD in the worker population. The combination of these predictors results with a cut-off point of 2.5, showed accuracy (79.2% sensitivity and 66.3% specificity). Workers who have a score >2.5 are at high risk of developing IHD in the future. This scoring system can be used by workers or companies to take early preventive measures.
Pleural plaques and pleural changes among lung cancer patients exposed to asbestos Aziza Ghanie Icksan; Canti Widharisastra; Anna Suraya; Martina Ferstl
Universa Medicina Vol. 41 No. 3 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.210-218

Abstract

BackgroundIndonesia is one of the world's largest asbestos importing countries. While asbestos is the main contributor to work-related lung cancer, studies or reports regarding the CT findings of asbestos-related lung cancer have been limited in the country. The objective of this study was to compare CT findings of the size of the tumor and pleural and lung parenchymal changes between lung cancer patients exposed to asbestosis and those not exposed. MethodsThis cross-sectional study involved 96 lung cancer patients consisting of 48 subjects who had been exposed to asbestos and 48 who had not been exposed. They underwent thoracic CT scans at the Radiology Department of Persahabatan Hospital. Asbestos exposure was determined using interviews that followed a protocol similar to that of a previous study about asbestos-related lung cancer. Senior radiologists investigated the existence of pleural and parenchymal changes. An independent T- test and chi-square test to compare CT scan features between the two groups. ResultsThe mean age was 57.75 ± 8.56 years in the asbestos-exposed group and 58.56 ± 7.99 years in the unexposed group. The proportion of tumor sizes of more than five cm, pleural plaques, and subpleural dot-like or branching opacities were significantly higher among asbestos-exposed subjects compared to the non-exposed group (p = 0.044;p=0.37;p=0.041, respectively). ConclusionsAsbestos exposure is significantly related to the size of the tumor and the existence of pleural plaques and asbestosis. These findings may help further management of lung cancer patients and the policy of asbestos use in Indonesia.
Studi Kasus Covid-19 Akibat Kerja Anna Suraya; Zulfikli Dharma; Putri Tresnasari; Putri Dwi Ginanti; Fani Syafani
MEDICINUS Vol. 34 No. 2 (2021): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (100.154 KB) | DOI: 10.56951/medicinus.v34i2.69

Abstract

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) yang menjadi penyebab Coronavirus Disease 2019 (Covid-19) merupakan pajanan biologis di fasilitas kesehatan, di mana perawat, dokter, serta petugas medis maupun nonmedis lainnya menjadi kelompok pekerja yang rentan tertular Covid-19 saat bekerja. Studi kasus ini bertujuan untuk memberikan gambaran penerapan tujuh langkah diagnosis okupasi pada tiga kasus Covid-19 yang terjadi pada tenaga kesehatan. Kasus pertama adalah Covid-19 pada perawat ICCU yang terbukti mengalami kontak dengan pasien Covid-19 saat bertugas kurang dari 14 hari sebelumnya. Kasus kedua merupakan kasus Covid-19 pada dokter yang terjadi akibat penularan di rumah tangga, dan kasus ketiga adalah kasus Covid-19 pada dokter UGD yang merawat pasien Covid-19 beberapa hari sebelum munculnya gejala. Kasus ini merupakan kasus fatalitas yang mendapatkan kompensasi dari BPJS Ketenagakerjaan. Penegakkan diagnosis okupasi sangat penting karena dapat menjadi umpan balik atau evaluasi terhadap tindakan pencegahan yang sudah dilakukan di tempat kerja. Adanya penyakit akibat kerja (PAK) di kalangan pekerja merupakan sinyal diperlukannya peningkatan perlindungan bagi pekerja.