Community Health and Preventive Medicine Commons^™

Validity And Reliability Of The Indonesian Version Of Expanded Nursing Stress Scale (Enss) As A Job-Stress Assessment Tool For Nurses, Hasto Harsono, Herqutanto Herqutanto, Suryo Wibowo, Aria Kekalih, Astrid Sulistomo

Occupational and Environmental Medicine Journal of Indonesia

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: …

The Association Between Mental Workload And Nonspecific Chronic Low Back Pain Among Operators Of An On Shore Oil And Gas Company In South Sumatera, Ardi Artanto, Suryo Wibowo, Nuri Purwito Adi

Occupational and Environmental Medicine Journal of Indonesia

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: …

The Effectiveness Of Education Through Web-Based Seminar In Increasing Knowledge About The Early Detection And Reporting Of Occupational Diseases, Keyne Christa Monintja, Dewi Sumaryani Soemarko, Dewi Yunia Fitriani, Herqutanto Herqutanto, Suryo Wibowo

Occupational and Environmental Medicine Journal of Indonesia

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 …

Analysis Of Knowledge Of Hospital Manager About Occupational Tuberculosis And Associated Factors, Aditya Agung Prasetyo, Suryo Wibowo, Muhammad Ilyas, Ahmad Fuady, Feni Fitriani Taufik

Occupational and Environmental Medicine Journal of Indonesia

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 …

Psychosocial Factors In The Workplace, Suryo Wibowo

Occupational and Environmental Medicine Journal of Indonesia

-

Obesity, Overweight Rates, And Related Factors Among Adults In The Rustic Realm Of Western India, Monika Patel, Jimmy Kagathara, Eshwar Kumar Gupta, Nancy Kagathara, Jitesh Mehta, Dipesh Parmar

Makara Journal of Health Research

Background: Obesity and overweight pose significant challenges in developing countries, underscoring the need for evidence-based prevention strategies. This study focuses on assessing the prevalence and associated factors of overweight and obesity in the rural areas of Jamnagar district, Gujarat, India.

Methods: Data collection encompassed six tehsils within Jamnagar district, with primary health center selection via simple random sampling. Individual selection employed the consecutive sampling approach. Statistical analysis was conducted using SPSS software. Regression analysis was employed to identify the independent factors linked to overweight and obesity.

Results: The analysis included 408 participants, revealing a higher obesity prevalence …

Attitudes Toward Caring For Older Adults Among Undergraduate Nursing Students At A Public University In Kuala Lumpur, Malaysia, Azera Hasra Ismail, Siti Zuhaida Hussein, Aslina Mohamed Yasi, Nurul Izzati Ishak, Nurul Nazira Mohd Yazar, Nur Syafiqah Sabri

Makara Journal of Health Research

Background: The growing number of elderly members of the population is expected to increase the demand for more dedicated nursing students committed to providing excellent care. This study aims to determine prevailing attitudes toward the care of older adults among undergraduate nursing students at a public university in Kuala Lumpur, Malaysia.

Methods: This is a quantitative cross-sectional survey of 107 undergraduate nursing students enrolled at a public university in Kuala Lumpur, Malaysia. The students were recruited using stratified random sampling. The respondents’ attitudes toward caring for older adults were measured using 14 items from the Geriatrics Attitudes Scale …

Item Generation In The Development Of A Questionnaire For Predicting Multidrug Therapy Compliance In Leprosy, Yulia Siskawati, Sali Rahadi Asih, Aria Kekalih, Sri Linuwih Menaldi, Herqutanto Herqutanto, Kusmarinah Bramono

Journal of General - Procedural Dermatology and Venereology Indonesia

Background: Lengthy therapeutic regimens in leprosy are prone to defaults, contributing to more antibiotic-resistant Mycobacterium. Intervening patients’ medical habits midway would be more complicated than understanding their perception of undergoing such regimens in advance. We study the factors considered relevant to leprosy patients’ compliance to construct a novel self-reporting questionnaire that can predict the patients’ adherence before initiating multidrug therapy.

Methods: According to the Delphi methods, we conducted three rounds of interviews with twenty-three respondents from various backgrounds, including dermatologists, government officials, healthcare workers, and patients with leprosy, to infer the associated factors of the included items. Each …

Prediction Of Factors For Patients With Hypertension And Dyslipidemia Using Multilayer Feedforward Neural Networks And Ordered Logistic Regression Analysis: A Robust Hybrid Methodology, Wan Muhamad Amir W Ahmad, Mohamad Nasarudin Bin Adnan, Norhayati Yusop, Hazik Bin Shahzad, Farah Muna Mohamad Ghazali, Nor Azlida Aleng, Nor Farid Mohd Noor

Makara Journal of Health Research

Background: Hypertension is characterized by abnormally high arterial blood pressure and is a public health problem with a high prevalence of 20%–30% worldwide. This research combined multiple logistic regression (MLR) and multilayer feedforward neural networks to construct and validate a model for evaluating the factors linked with hypertension in patients with dyslipidemia.

Methods: A total of 1000 data entries from Hospital Universiti Sains Malaysia and advanced computational statistical modeling methodologies were used to evaluate seven traits associated with hypertension. R-Studio software was utilized. Each sample's statistics were calculated using a hybrid model that included bootstrapping.

Results: Variable …

Smallholder Farmers’ Health, Occupational Nutrition, And Sustainable Agriculture, Jen Fuk Liem

Occupational and Environmental Medicine Journal of Indonesia

Smallholder Farmers’ Health, Occupational Nutrition, and Sustainable Agriculture

Brominated Flame Retardants: A Literature Review Of The Toxicity Mechanisms, Clinical Manifestations, And Current Treatments, Yacobus Christian Prasetyo, Eti Nurwening Sholikhah

Occupational and Environmental Medicine Journal of Indonesia

Brominated flame retardants (BFRs) are organohalogen compounds that can inhibit fire formation and delay its spread in manufacturing materials. BFRs are known to be toxic for the environment and humans. BFRs could persist for years prolonging potential exposure and toxicity to living beings. Indonesia had begun to reduce the use, even though some of toxic BFRs are still illegally circulating. This review aims to describe some aspects of BFRs toxicity including the mechanism, its clinical manifestations, and the current possible treatments. Toxicity after BFRs exposure includes endocrine, neurodevelopmental, and genotoxicity. The toxicity is manifested into some clinical conditions such as …

The Vigilance Screening Tool In The Workplace: Scoping Review, Iwan Sugiarta, Dewi Yunia Fitriani, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

VIGILANCE SCREENING TOOLS IN THE WORKPLACE: SCOPING REVIEW

ABSTRACT

Background: Vigilance performance examination is currently used widely in many disciplines, neurophysiology, sleep medicine, psychology to its application to workers whose daily activities require prime vigilance. A more objective inspection of vigilance has not yet become a routine screening examination for workers to detect decreased vigilance as part of a fit-to-work assessment, but only in the form of research / study using a partial sampling technique. The aim is to provide an overview of vigilance screening tools in the workplace, its terminologies and how the process of maintaining quality such …

Examining The Chelating Effectiveness Of Dimercaptosuccinic Acid And Ethylenediaminetetraacetic Acid Calcium Disodium In Patients With Lead Poisoning : An Evidence-Based Case Report, Heru Alfares, Reza A. Rafsanzani, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

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 …

Correlation Of Plasma Melatonin Concentration And Alertness Level Among Female Nurses In Jakarta Indonesia, Andreas Kresna, Liem Jen Fuk, Indah Suci Widyahening, Dewi Sumaryani Soemarko, Dewi Yunia Fitriani

Occupational and Environmental Medicine Journal of Indonesia

Background

Working in shift especially night shift could alter alertness level, increase fatigue, and working accident. One of the factors that affect the circadian rhythm were melatonin. Melatonin was a hormone that regulate the wake and sleep cycle that have an impact on alertness levels. This study was aimed to find correlation between plasma melatonin and alertness level.

Methods

A cross-sectional study was conducted on 40 female night shift nurses. Individual characteristics were obtained by self-administered questionnaire. Plasma melatonin concentrations and alertness level was collected twice at night time (11 pm – 00 am) and at morning (7 am − …

Engaging Mothers And Community Health Workers: An Online Maternal And Children’S Health Education In Kampung Lio, Indonesia, Shafira Aurelia, Dheanita Nissrina Andini, Garry Soloan, Vahira Waladhiyaputri, Dewi Friska

ASEAN Journal of Community Engagement

To raise awareness and understanding of maternal and children’s health, a team from Faculty of Medicine, Universitas Indonesia, Indonesia, conducted a program called Tinggi Cerdas. It is a community development program in Kampung Lio, Depok, West Java. This article evaluates the impacts of activity related to the participant’s awareness and knowledge about maternal and children’s health. The program was developed and conducted as an online program due to the COVID-19 pandemic situation, from September to December 2021. The program was developed with four different topics through online communication, equipped with an educational booklet for the mothers and a PrimaKu® application …

Pva-Sansevieria Trifasciata Fraction Films As Absorbers Of Electromagnetic And Thermal Radiation On Smartphones, Nabiila Rahmani, Gustini Syahbirin, Akhiruddin Maddu, Purwantiningsih Sugita, Auliya Ilmiawati

Makara Journal of Science

Technological developments have prompted the production of highly advanced smartphones. However, various advanced features cause smartphones to heat up quickly and emit more electromagnetic radiation, which harms human health. Smartphone protection is needed to solve these issues. This study aims to create a film from the S. trifasciata plant based on polyvinyl alcohol (PVA) to reduce electromagnetic and thermal radiation on smartphones. S. trifasciata plants were macerated with acetone and partitioned with n-hexane, dichloromethane, ethyl acetate, and water. The films were made by mixing PVA with the four fractions. Among the four layers of film, the PVA + water …

The Importance Of Occupational Health Service In The Era Of Vuca And The Dissemination Of Related Research Results, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Worldwide have been facing the era of dynamic life with the rapidly changing global situation for decades. This era is colored by volatility, uncertainty, complexity, and ambiguity (VUCA) situation that is aggravated by the COVID-19 pandemic. We have all experienced the VUCA situation with the COVID-19 Pandemic that has lasted over 2 years. The United Nations Development Programme (UNDP)1 report should be a common reference for dealing with situations that are not just uncertain but also called “uncertainty complexes”. So-called because its dimensions take on a new form that has never been seen before in human history. The complexity of …

A Work-Related Thyrotoxic Periodic Paralysis In A Worker Exposed To Heat Stress: A Case Report, Shanti Puji Lestari, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Thyrotoxic Periodic Paralysis (TPP) is an uncommon disorder, characterized by the triad of acute hypokalemia, muscle paralysis, and thyrotoxicosis. Attacks are typically transient, last hours to days, and may be triggered by many conditions, including exposure to heat stress in both indoor and outdoor activities. Indoor workers, especially those working around furnaces, ovens, smelters, and boilers, are at a higher heat stress risk, even higher risk if they have other individual factors such as obesity, dehydration, slower heat acclimation, consume certain medications and presence of underlying diseases. A 48-year-old man presented a sudden onset weakness in all four limbs, associated …

A Cohort Retrospective Study Of Framingham Score And Ecg Abnormality Among Coal Mining Workers, Faizal Ablansah Anandita, Isman Firdaus, Rino Alvani Gani, Retno Asti Werdhani, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Introduction. ECG is widely used for detecting cardiovascular disease in coal mine worker’s medical check-up. As the study has proven, coal mine workers have a double cardiovascular risk from their workplace hazard and their own medical risks as individuals. An early detection and risk assessment method is needed to predict ECG abnormalities in the future. This study will analyze the relationship between ECG abnormality and Framingham Risk Score on coal mine workers’. Methods. We examine ECG result from medical check-up of male coal worker during 2018 and 2021. Using Minnesota Code, we determine ECG abnormality categories in the 2021 result, …

The Effect Of Physical Training Program For Fitness Improvement On Sickness Absence Of Workers At A Chemical Company In Indonesia, Anita Johan, Aria Kekalih, Nuri Purwito Adi, Ambar W. Roestam, Dewi S. Soemarko

Occupational and Environmental Medicine Journal of Indonesia

Introduction. Sickness absence, which can be caused by an unhealthy lifestyle, is an important productivity parameter for the company. Therefore, there are many wellness programs developed in the workplace in an effort to improve workers’ health, fitness, and productivity. The aim of this study was to assess the effect of a physical training program for fitness improvement (VO2 max value) on sickness absence. Methods. This study was conducted by observing the results of the workers' physical training program in the chemical company during 2018, using a cohort retrospective design. SPSS Statistics version 22.0 was used for analysis, with the chi-square …

The Analysis Of Risk Factors Affecting The Proportion Of Standard Threshold Shift Among Manufacturing Workers, Firly Ratsmita, Muhammad Ilyas, Liem Jen Fuk, Dewi S. Soemarko, Levina Chandra

Occupational and Environmental Medicine Journal of Indonesia

Introduction. About 82% of cases of hearing loss due to employment occur in workers in the manufacturing sector. The prevalence of hearing loss has a permanent impact that can be detected by standard threshold shift (STS). The aim of the study was to determine the relationship between individual and occupational risk factors on the proportion of STS. Methods. The research was a cross-sectional study on employees with noise exposure. The independent variables include individual factors such as age, history of hypertension, history of diabetes mellitus, smoking, body mass index, and occupational factors such as the history of chemical exposures, working …

Could Hypertension In Radiographers Associated With Low Ionizing Radiation Exposure? An Evidence-Based Case Report, Rita I. Wijaya, Levina C Khoe, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Low-dose ionizing radiation exposure (

Development Of Food-Based Recommendation And Nutrient-Dense Meal For Female Shift Workers In West Java, Indonesia, Shanti Puji Lestari, Nuri Purwito Adi, Umi Fahmida, Dian Kusuma Dewi, Muchtaruddin Mansyur

Occupational and Environmental Medicine Journal of Indonesia

Introduction. Some manufacturing industries employ not only male workers but also female workers, who are required to undergo shift work. Given the altered eating habits as well as metabolic and endocrine profiles of shift workers, this will affect their nutritional needs. Considering that anemia that occurs in female workers is primarily nutritional anemia, this becomes a challenge in the field of occupational nutrition, especially in terms of preparing food for female workers in accordance with their nutritional needs. The aim of the study is to develop a set of FBR for female shift workers using the Linear Programming (LP) approach. …

Cross-Sectional Study On Overweight And Obesity Associated With Fast-Food Consumption In Bangladesh, Farhana Sultana, Shafayet Ahmed Siddiqui, Md. Ashraful Islam, Mohammad Hamid Al Muktadir, Md. Shalahuddin Millat, Muhammed Mohibul Islam, Abu Montakim Tareq, Nahida Afroz, Mahabuba Rahman, Mohammad Nurul Amin, Talha Bin Emran

Makara Journal of Health Research

Background: This study aimed to investigate the risk factors and status of fast-food consumption among students in Bangladesh.

Methods: This cross-sectional study was conducted from March to November 2020. A total of 654 samples were collected from several schools, colleges, and universities during this study period.

Results: About 60.1% and 39.9% of the students were male and female, respectively. Of the students, 53.1% considered fast food as unhealthy (p < 0.001), but only 47.7% were leading a sedentary lifestyle. A significant outcome of overweight and pre-obesity was observed for student institutions, consumption frequency, daily fast-food consumption, and sedentary lifestyle (p < 0.001). In addition, positive association was observed for fast-food consumption more than three times and less than three times per week (OR and 95% CI: 11.13 [7.52–16.47], p < 0.001), higher social class and lower class (OR and 95% CI: 2.18 [1.31–3.62], p = 0.003), fast food preference and other foods (OR and 95% CI: 1.55 [1.11–2.15], p = 0.009), and sedentary and heavily active lifestyle (OR …

Association Between Social Support And Three Types Of Loneliness Among Rural Older Adults In Johor, Malaysia, Siti Zuhaida Hussein, Norazilah Khalip, Selamah Ismail, Mohammad Fariq Hatta

Makara Journal of Health Research

Background: Social support plays a vital role in ensuring the well-being and quality of life of older people.

Methods: This cross-sectional survey was conducted among 380 older adults residing in a rural district in Johor, Malaysia. A proportional stratified random sampling was used to examine the relationship between social support and three types of loneliness. The data were collected using the Short-Form Social and Emotional Loneliness Scale for Adults and Lubben Social Network Scale–6, with p < 0.05 considered as statistically significant. Data analysis was performed using the Statistical Package for the Social Sciences Statistics 26.0 for Windows.

Results: More than half of the older adults in this rural area received social support from their family and friends. The …

Role Of Community Leaders In Managing Covid-19 Pandemic In Indonesia, Nur Alvira Pascawati, Tri Baskoro Tunggul Satoto, Annisa Rizqa Alamri

ASEAN Journal of Community Engagement

Community leaders must understand their role in controlling COVID-19, such as monitoring misleading information and providing socialization, education, protection, monitoring, and evaluation activities in the community, due to the numerous limitations of local governments in managing large populations during this crisis. This study aimed to describe the role of Yogyakarta community leaders in increasing community engagement in managing the Covid-19 pandemic. This study uses a quantitative method with a cross-sectional approach, and the study sample includes all community leaders as many as 31 people at the levels of neighborhood and hamlet. The data analysis process uses frequency distribution values. Results …

Prevalence And Risk Factors Of Hypertension And Diabetes Mellitus Among The Indonesian Elderly, Prisilia Oktaviyani, Salman Salman, Marlynda Happy Nurmalita Sari, Melisa Frisilia, Munazar Munazar, Ana Satria, Maretalinia Maretalinia

Makara Journal of Health Research

Background: Epidemiological and demographic transitions lead to the emergence of non-communicable diseases (NCD) among the elderly. This study aimed to examine the risk factors of hypertension and diabetes mellitus (DM) among the elderly by using secondary data (Basic Health Research 2018).

Methods: Secondary data from Basic Health Research (N = 88,911) were used. Cut-off values for measurement were WHO standard of 126 mg/dl for fasting and 200 mg/dl for non-fasting for DM and 140 mmHg for systole and 90 mmHg for diastole for hypertension. Univariate, bivariate, and multivariate (binary logistic regression) analyses were conducted using STATA version 15. …

Investigating The Links Between Body Composition And Female University Students’ Night Eating Habits And Sleep Quality, Hanisah Rosli, Arimi Fitri Mat Ludin, Amanda Priscilla Lim, Vimalah Vallavan, Lew Sze Yuen, Norizatul Hidayah Yusop, Nur Athirah Razali, Amerull Daneal Amran, Nurfarahin Asmadi, Mohd Sham Othman

Makara Journal of Health Research

Background: Malaysia has the highest prevalence of obesity among Southeast Asian countries, and the current number is expected to increase further. In particular, the rate of obesity is reportedly increasing among females and young adults in Malaysia. Modern lifestyle habits, which include night eating and poor sleep quality, have been shown to increase the risk of obesity and high body fat. This study aims to determine the link between female university students’ body composition and their night eating habits and sleep quality.

Methods: Body composition was measured using a Bioelectrical Impedance Analysis (BIA) analyzer. Night eating syndrome and …

Exploring The Experience Of Stigma Among People Living With Hiv In Bali, Indonesia: Qualitative Phenomenological Study, Jufri Hidayat, Xuan-Yi Huang, Hung-Ru Lin, Shiow-Jing Wei, Miao-Yen Chen, Satriya Pranata

Makara Journal of Health Research

Background: Human immunodeficiency virus (HIV)-related stigma continues to be a serious problem for people living with HIV (PLWH). This study aimed to explore stigma experience among PLWH in Bali, Indonesia.

Methods: This research was a qualitative descriptive phenomenological study. With the help of a local clinician–researcher and the staff of the United Nations Program on AIDS Commission, Bali, 10 participants were recruited by purposive sampling and participated in semi-structured interviews via WhatsApp online audio from April to December 2021. Data were analyzed using Colaizzi’s process.

Results: The following three themes emerged: (1) experiencing discrimination, (2) getting stronger …

Identification Of Community Knowledge On Lead Contamination And Analysis Of Lead Level In Fish, Sita Nurwulan, Sophi Damayanti, Lia Amalia

Pharmaceutical Sciences and Research

Poisoning is an event of human exposure to poisonous substances that are harmful to the body at certain doses. Lead is a heavy metal that can cause toxicity, including neurotoxic effects, hypertension, digestive system disorders, bone and tooth growth disorders, immune system disorders, infertility, and fetal disorders. Fish is a source of nutrients that are often consumed by people, however can also accumulate lead. This study aimed to analyze the lead level in fish and identify the community knowledge level regarding lead contamination in fish. Identification of community knowledge levels regarding lead. Identification of community knowledge levels regarding lead contamination …