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Muchtaruddin Mansyur
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Jl. Pegangsaan Timur No.16, RT.1/RW.1, Pegangsaan, Kec. Menteng, Kota Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10320
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INDONESIA
Occupational and Environmental Medicine Journal of Indonesia
Published by Universitas Indonesia
ISSN : 29853230     EISSN : 29853230     DOI : https://doi.org/10.7454/oemji
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health
Aims Occupational and Environmental Medicine Journal of Indonesia Occupational and Environmental Medicine Journal of Indonesia (OEMJI) publishes several types of articles, including editorials, commentary, original articles, review articles, systematic reviews, case reports, evidence-based case reports, and other scientific articles pertaining to occupational and environmental medicine and related disciplines. Scope The scope of Occupational and Environmental Medicine Journal of Indonesia includes occupational health, ergonomics, environmental health, aviation medicine, industrial hygiene, and so on. Aside from that, the journal will accept and consider scientific papers in fields such as public health, epidemiology, statistics, and others.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 20 Documents
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Examining the Chelating Effectiveness of Dimercaptosuccinic Acid and Ethylenediaminetetraacetic acid Calcium Disodium in Patients with Lead Poisoning : An Evidence-Based Case Report Alfares, Heru; Rafsanzani, Reza A; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Evidence Based Case Report: Examining the Chelating Effectiveness of Dimercaptosuccinic Acid and Ethylenediaminetetraacetic acid Calcium Disodium in Patients with Lead Poisoning Heru Alfares1, Reza A. Rafsanzani1, Muchtaruddin Mansyur2 1 Occupational Medicine Specialist Study Program, Faculty of Medicine, Universitas Indonesia, Jakarta, 2 Dept. of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, ABSTRACT Background: Lead environmental and occupational exposures harm workers’ health, both acute and chronic lead poisoning. Chelation therapy is one of the treatments for lead poisoning using several chelating agents available, including ethylenediaminetetraacetic acid (EDTA), dimercaptosuccinic acid (DMSA), dimercaptopropanesulfonate (DMPS), and 2,3-dimercaptopropanol or British Anti Lewisite (BAL). However, the use of these chelating agents varies and lacks standardised guidelines for lead poisoning cases. Objective: To determine whether DMSA can be a better chelating agent than EDTA in treating lead poisoning among workers. Methods: This study conducted a literature search using evidence-based databases focusing on clinical questions using the “PICO” method. The author searched the relevant articles using the following databases: “PubMed,” “Cochrane Library,” and “EMBASE.” The keywords used included “lead poisoning,” “lead intoxication,” “EDTA” (MESH Term), “Ethylenedinitrilotetraacetic,” “edetic acid” (MESH Term), “succimer” (MESH Term), “Dimercaptosuccinic Acid,” along with their synonyms combined with Boolean operators. Inclusion criteria comprised studies involving adult populations aged >18 years, non-pregnant individuals, therapeutic research areas, systematic reviews/meta-analyses of randomised controlled trials or clinical trials, written in English, and with full-text availability. Exclusion criteria included articles with incomplete data or inaccessible full-text. Results: Based on the analysis of two reviewed literatures, the author obtained insights into the effectiveness of using DMSA compared to EDTA in cases of lead poisoning. DMSA can be administered orally, providing better chelation therapy efficacy than EDTA in treating lead poisoning. It effectively alleviates lead poisoning symptoms and reduces blood lead levels better than EDTA. Conclusion: DMSA can be considered an alternative chelating agent of choice for treating lead poisoning in workers. Keywords: Lead poisoning, Lead intoxication, EDTA, Ethylenedinitrilotetraacetic, succimer, Dimercaptosuccinic Acid.
Reaction Time Analysis On Female Workers with a Night Shift Work System at A Textile Factory in Sumedang: a Quasi-Experimental Study Suratna, Sang Ketut; Jen Fuk, Liem; Kusumadewi, Dian
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 2
Publisher : UI Scholars Hub

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Abstract Introduction. Shift work is a common work system in textile factories. The shift system affects workers’ diet and nutritional needs. Malnutrition has a high potential in causing fatigue. Thus, additional food recommendations and nutritional education for this population are needed. Linear Programming (LP) can be used to create a Food Based Recommendation (FBR) for textile industry owners who employ female workers with a shift system. Local food ingredients can be used to optimize nutritional content. Objective. To analyze the effect of additional food recommendations on reaction time in female night shift workers. Methods. This study analyzed the diet and reaction time of 100 female workers in Rancaekek, Sumedang Regency using a quasi-experimental design. The data was combined with 24-hour food recall and 5 FFQ (5-days food-frequency questionnaire). Reaction time was evaluated using lakassidaya. LP uses the Optifood system to formulate a Food-Based Recommendation (FBR). Results. The difference in reaction time between pre-and post-intervention in the intervention group was 12.97 milliseconds (p = 0.006), while the difference in reaction time between the combined group was 8.18 milliseconds (p = 0.007). Conclusion. Adequate energy intake through recommended FBR was effective in reducing reaction time. Recommendations for additional food menus and nutrition education can be used by workers and company owners.
Smallholder Farmers’ Health, Occupational Nutrition, and Sustainable Agriculture Liem, Jen Fuk
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 2
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Smallholder Farmers’ Health, Occupational Nutrition, and Sustainable Agriculture
The Association Between Mental Workload and Nonspecific Chronic Low Back Pain Among Operators of An On Shore Oil And Gas Company In South Sumatera Artanto, Ardi; Wibowo, Suryo; Adi, Nuri Purwito
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Background: Work location influences the proportion of operators with low back pain (LBP) at a South Sumatera onshore oil and gas company. This study aimed to determine the prevalence of nonspecific chronic LBP among the company's operators, as well as the association between quantitative and qualitative mental workload and nonspecific chronic LBP. Methods: This study was cross-sectional in design, with 96 samples collected through purposive sampling. Questionnaires and physical examinations were used to collect data. Results: Nonspecific chronic LBP was found in 32.3 percent of people. According to the multivariate analysis, moderate-heavy qualitative mental workload (OR: 5.14; 95 percent CI: 1.49-17.78), being overweight (OR 9.02 95 percent CI 2.46-33.08), being a moderate-heavy smoker (OR 4.28 95 percent CI 1.29-14.26), and sitting for more than 4 hours (OR 3.61 95 percent CI 1.13-11.52) were all associated with an increased risk of having nonspecific chronic LBP. Conclusion: Nonspecific chronic LBP is common among company operators. Individual factors associated with this finding include being overweight and smoking, while occupational factors include having a moderate-heavy qualitative mental workload and long static sitting for more than 4 hours.
Validity and reliability of the Indonesian version of Expanded Nursing Stress Scale (ENSS) as a job-stress assessment tool for nurses Harsono, Hasto; Herqutanto, Herqutanto; Wibowo, Suryo; Kekalih, Aria; Sulistomo, Astrid
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
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ABSTRACT Background: Job stress is a serious health problem in the 21st century because of its high incidence and impact. Nurses are known as a profession that has high risks of stress, has distinctive characteristics, and hence requires a work stress assessment instrument that suits its peculiarities. The Expanded Nursing Stress Scale (ENSS) is a nurse-specific stress assessment instrument that has high validity and reliability (Cronbach's alpha = 0.96) and is widely used in many countries but is not yet available in Indonesian. This study aims to obtain the Indonesian version of ENSS and evaluate its reliability and validity. Method: We applied the 10 steps of ISPOR's (International Society for Pharmacoeconomics and Outcomes Research) transcultural adaptation method, followed by validity and reliability tests on 104 nurses at a private hospital in Jakarta. Result: The Indonesian version of the ENSS questionnaire, consisting of 57 items, was obtained. All of the items were valid, with r values ranging from 0.362 to 0.793. Cronbach's alpha was 0.956, and the reliability test value using test-retest was 0.939. Conclusion: The Indonesian version of the ENSS has proven to be valid and reliable and has excellent internal consistency. The instrument can be used to assess job stress among Indonesian nurses. Keywords: ENSS; Indonesian; work stress; nurse
Analysis of Knowledge of Hospital Manager about Occupational Tuberculosis and Associated Factors Prasetyo, Aditya Agung; Wibowo, Suryo; Ilyas, Muhammad; Fuady, Ahmad; Taufik, Feni Fitriani
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Introduction.Knowledge of hospital managers about occupational tuberculosis can affect occupational tuberculosis services in the hospital. This study aims was to identify associated factors with knowledge of hospital manager about occupational tuberculosis in order to improve occupational tuberculosis services in hospitals as seen in the four management functions. Method.Concurrent embedded mixed approaches are used in this cross-sectional study. Focus group discussions (FGD) are used in qualitative research, whereas questionnaires are used in quantitative research. The questionnaire was evaluated using the difficulty level and discriminating index tests. The ten questions were examined both univariate and bivariate. Thematic analysis was used to analyze qualitative research. The quantitative and qualitative data were then integrated. Result.Age and years of service are related to question about definition of occupational diseases and occupational diseases regulation. Education level, occupational health training, and managed occupational disease are related to question about reporting occupational tuberculosis cases. Educational background is related to question about time reporting occupational tuberculosis. Four questions have a correct response frequency of less than 50%, while six questions have a correct answer frequency greater than 50%. Conclusion.No important factor affects knowledge of hospital managers about occupational tuberculosis. Hospital managers require occupational health training to understand occupational tuberculosis.
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
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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 (
Factors Affecting Superoxide Dismutase Activity in Railway Workers in Jakarta, Indonesia Winata, Vera; Ilyas, Muhammad; Kekalih, Aria; Wibowo, Suryo; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
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Introduction. Railway workers are exposed to many occupational health risk factors that may cause oxidative stress. Superoxide dismutase (SOD) activity is one of the response biomarkers of oxidative stress. Methods. A cross-sectional study was conducted from July-October 2021. Eighty-four participants were included in this study. Data about participants’ characteristics, physical activity intensity as measured by the Global Physical Activity Questionnaire (GPAQ) version 2, and stress levels as measured by Holmes-Rahe Stress Inventory were collected using Google Forms. The physical examination yielded data on blood pressure, ear condition, and waist circumference. Blood Superoxide dismutase activity and HbA1c levels were determined using the spectrophotometry assay method. Univariate, bivariate, and multivariate analyses were done using the chi-square test and logistic regression. Results. The proportion of administrative workers with high SOD activities was 78.6% compared to train drivers (33.3%). Administrative workers were 7.1 times more likely to have high SOD activity than train drivers (aOR = 7.1, p-value Conclusion. The train company administrative workers exhibited higher Superoxide Dismutase activity than train drivers. Future study and occupational health programs are needed to investigate occupational factors affecting oxidative stress to prevent potential health disorders.
Psychosocial Factors in the Workplace Wibowo, Suryo
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
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Prognosis of COVID-19 on Workers with History of Asthma: An Evidence-Based Case Report Parmitasari, Parmitasari; Fitriani, Dewi Yunia; Widyahening, Indah S
Occupational and Environmental Medicine Journal of Indonesia Vol. 2, No. 1
Publisher : UI Scholars Hub

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Background. As the COVID-19 pandemic occurs, those with asthma were thought to have an increased risk of infection. Question arisen whether special preparation for severe clinical outcomes might be needed for remote site workers. Method. A literature search was conducted through PubMed, Scopus and ProQuest databases, as well as hand searched. The inclusion criteria were systematic review, cohort study, retrospective study, cross sectional study, COVID-19, asthma, and ICU. Then, they were critically appraised based on Center of Evidence-Based Medicine, Oxford University, Critical Appraisal for Prognostic Studies and Systematic Reviews. Result. Three systematic review studies and three retrospective cohort studies were found. Systematic reviews by Sunjaya, et al. (2021) and Hussein, et al. (2021), also retrospective cohort study by Calmes, MD, et al. (2021) showed no significant difference in risk requiring admission to ICU for asthmatic compared to non-asthmatic (RR 1.19; CI 95%: 0.93 – 1.53; p= 0.16), (RR= 1.64, 95%CI = 0.67-3.97; p=0.27), and (OR = 1.4 (95% CI = 0.64-3.2); p =0.39), respectively. Systematic review by Liu (2021), showed no significant difference in asthma prevalence between ICU and non-ICU patients (RR, 1.19; 95% CI, 0.92-1.54; P =0 .17; I2 = 48.6%;). Cohort study by Choi, et al (2020) showed asthma was not a predictive factor for ICU admission in COVID-19 patients (OR 0.656 (95%CI= 0.295 – 1.440); p value =0.302). Contrary, cohort study by Jin, MMed, et.al (2020) showed that COVID-19 patients with asthma had a higher proportion of ICU admission than those who do not have. Conclusion COVID-19 workers with asthma does not have a higher risk of ICU admission.

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