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Sekretariat ILUNI MKK FKUI dan Program Studi Magister Kedokteran Kerja (MKK) Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia Jl. Pegangsaan Timur No.16, RT.1/RW.1, Pegangsaan, Kec. Menteng, Kota Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10310
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The Indonesian Journal of Community and Occupational Medicine
Published by Universitas Indonesia
ISSN : -     EISSN : 2798723X     DOI : https://doi.org/10.53773/ijcom.v1i2
Core Subject : Health,
Health Professions Medicine & Pharmacology
IJCOM publishes original research articles, expert opinion, consensus, literature and systematic review as well as commentary focusing on various streams of community health sciences and occupational medicine including health and safety sciences and researches, community and occupational nutrition, community and public health, clinical epidemiology, marine and aviation medicine, public health administration, health management, health economics, health promotion, medical sociology/anthropology, social and family medicine. IJCOM also open for special edition and supplement volume publication
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 104 Documents
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Successful Implementation of Breastfeeding at Workplace: Review of Practical Knowledge and Skill for Female Workers Ray Wagiu Basrowi; Tonny Sundjaya; Erika Wasito
The Indonesian Journal of Community and Occupational Medicine Vol. 3 No. 1 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v3i1.103.47-55

Abstract

Introduction: Working mother has less time to breastfeed, increasing the risk of breastfeeding discontinuation and exclusive breastfeeding. This can impact the health of both mother and child.Objective: This review aims to discuss the factors for successful breastfeeding in working motherDiscussion: The factors influencing breastfeeding practices among working mothers are exclusive breastfeeding practice and workplace factors. The mother’s intention to breastfed is the most critical factor in ensuring successful breastfeeding for working mothers. Preparation required when breastfeeding mothers return to work are breastfeeding strategic plan, stress management, attitude towards breastfeeding, family support, support from the work environment, and expressing breastmilk. Meanwhile, the things that need to be prepared when mothers breastfeed at work are pumping and storing equipment, supporting work environment and facilities, hygiene practices, breastfeeding schedule, and adequate nutrition intake. Conclusion: To support the implementation of breastfeeding at workplace, there are several things that need to be prepared, both from the mother, family, and work environment. The preparation include knowledge, attitude, psychological, devices for express and storage breastmilk, pumping schedule, good quality nutrition intake, and understanding lactation management. In addition, breastfeeding work environment also support the success of breastfeeding among working mothers.
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
Caffeine Intake and its Effect on Hydration Status Among Workers: A Literature Review Rosemiarti, Tria; Basrowi , Ray W.
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.v3i2.98.113-22

Abstract

Introduction: caffeine is one of a compound that is widely found in coffee, tea, energy drink, and chocolate. Their consumption is high among adults, especially workers during working hours. The diuretic effect from caffeine, caffeinated beverages’ density, and drink behavior change due to the consumption of caffeinated beverages might alter the hydration status. Moreover, low hydration status is associated with work performance where heat strain may worsen it. The objective of this study is to review the original studies on the association of caffeine intake and hydration status among workers. Methods: studies were obtained from 4 electronic databases which are Scopus, PubMed, EBSCO, and google scholar. Inclusion criteria were published in English or Bahasa Indonesia, between January 2000 and February 2023. Only originals studies included with the method of experimental or observational studies.Results: there were eighteen studies found regarding the association between caffeine intake and hydration status. The indicator of hydration status varied from urine specific gravity, urine or serum osmolality, urine color, glomerular filtration rate, urine pH, urine volume, body water, and rehydration capability. Most of the intervention was caffeine intake, but two studies involved tea consumption instead. Conclusions: Recent studies suggested inconclusive results between caffeine intake and hydration status in adults where some studies showed insignificant change between intervention and control groups and some others showed the poor quality of hydration status among caffeine consumers. More studies are necessary to conduct, especially among workers since their specifically high consumption of caffeine and the risky environment of working.
Telemedicine: A Literature Review on Ethical, Legal, and Social Issue (ELSI) Permatasari, Gita; Basrowi, Ray Wagiu
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.v3i2.99.123-9

Abstract

Introduction: In practice, telemedicine can be described as an activity or process of obtaining medical information with patients, or other clinical colleagues, without meeting in person. Ethical and medicolegal issues are widely know following in its implementation. Despite of that, telemedicine has several benefits. And because of this benefit, after the covid pandemic ended, telemedicine activities are still being carried out and favored by several types of patients. Therefore, a study is needed regarding the ethical, legal, and social issues related to telemedicine. Method: This study is a literature review related to telemedicine’s topic. Literature search was carried out on the pubmed and sciencedirect databases using keywords related to telemedicine. Literature included in the criteria will be reviewed and discussed following ethical, legal, and social issue (ELSI). Result: Most of 11 aspects of ethical, legal, and social issue (ELSI) are discussed in both of the literature such as : Quality of Care, Consent and Autonomy, Access to Care and Technology, Legal and Regulatory, Clinician Responsibilities, and Policy. 5 to 6 of these topic commented negatively in both literature, while only 4 topic commented positively. Conclusion: Both of these literatures provide information regarding the positive and negative aspects of teleconsulting. Even though negative comments and challenges related to ethical, legal, and social issues are discussed more, the positive aspects of telemedicine still exist and can be taken into account. The two studies encourage medical providers, government, clinical, patient, and other parties to establish a good telemedicine service.
Health Mitigation Strategies and Challenges in Vulnerable Groups and Natives in Indonesia: A Literature Review Tanadi, Aristo; Basrowi, Ray Wagiu
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.v3i2.101.130-40

Abstract

Introduction: Indonesia, like many other countries, has vulnerable groups and natives that are at higher risk for poor health outcomes due to social, economic, and health disparities. Health mitigation efforts targeting these groups are crucial to ensure equitable health outcomes in Indonesia. This literature review aims to assess the current evidence on health mitigation in vulnerable groups and natives in Indonesia.Methods: We conducted a comprehensive search of the literature using databases such as PubMed, Scopus, and Google Scholar. We searched using a combination of keywords and controlled vocabulary terms related to vulnerable groups, natives, health mitigation, and Indonesia to identify relevant articles. We included articles published from 2013 to 2023 that focused on health mitigation in vulnerable groups and natives in Indonesia. We excluded articles that did not focus on vulnerable groups or natives, were not related to health mitigation, or were not based in Indonesia.Results: Our search yielded 11 relevant articles, including both original research and review articles. The studies focused on a range of vulnerable groups and natives, including older adults, women, children, refugees, and transgender people. Most barriers that were faced were difficulty to access health care providers, financial constraints, lack of knowledge regarding certain health issues, and social and cultural factors. Most study found that community-based health interventions, such as providing health education and access to health services, were more likely to be effective in improving health outcomes among vulnerable groups in Indonesia.Conclusion: In conclusion, this literature review highlights the need for continued efforts to mitigate health disparities in vulnerable groups and natives in Indonesia. Community-based health interventions and tailored health programs show promise, but cultural and social barriers to healthcare access must also be addressed to ensure equitable health outcomes.
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.
Occupational Hazards for Workers in The Battery Factories and Phosphate Fertilizers: Brief Review and Case Presentation Hattab, Faiez
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.v3i2.111.82-7

Abstract

Background: Workers in the battery factory and phosphate fertilizer industry are exposed to harmful sulfuric acid and metal vapors in manufacturing units. Aims: To describe dental, oral, and general health hazards to underappreciated workers in these industries and factors associated with the occurrence and severity. Methods: Dental and oral conditions of workers in the production lines were determined by using indices for teeth erosion, oral hygiene, and gingival health. Interviews and questionnaires were used to assess the general health problems, habits, oral hygiene practices, years of service, protective and safety measures, etc. Results: Results: Surveys show that 67%–86% of production line workers experience symptoms of tooth sensitivity, dry mouth and nose, dysgeusia, burning/itchy eyes, and abdominal discomfort. They also complain of loss of appetite, fatigue, irritability, and muscle or joint pain. Examinations revealed that nearly all workers had poor hygiene and periodontal problems, with 78% experiencing gum bleeding on probing (33%) and spontaneous bleeding (45%). More than two-thirds (79%) of workers had dental erosion on anterior teeth and occlusal abrasion of the posterior teeth. A dense teeth discoloration on the eroded anterior and tartar deposits was obvious. Conclusions: Overexposure to hazardous vapors generated in the manufacturing processes associated with the unsafe workplace, lack of self-protection, poor personal health care, and inadequate medical services are factors strongly involved in the deterioration of workers’ health.
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.

Page 7 of 11 | Total Record : 104

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