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Soemarko, Dewi S
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Effectiveness of PPE For Prevention of Occupational Ocular Injury Joko, Iwan Susilo; Soemarko, Dewi S; Adi, Nuri Purwito
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 2 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (157.747 KB) | DOI: 10.53773/ijcom.v1i2.7.63-71

Abstract

Background: One of the risk factors for Chronic Lymphocytic Leukemia (CLL) is chemical exposure at work. The aim is to determine the relationship between patient who work as a farmer and vegetable seller with the incidence of CLL.Case presentation: A-69-year-old man who has been working as a vegetable seller since 15 years and a chili farmer since 4 years ago. The patient was diagnosed with CLL. In his work as a vegetable seller and chili farmer, the patient gets five hazards ranging from physical, chemical, biological, ergonomic and psychosocial hazards so it is necessary to analyze whether there is a relationship between the patient’s work and the current CLL disease.Discussion: There are seven steps needed in the enforcement of occupational diseases. In addition, additional examinations are needed to determine the biomarkers of pesticides that can cause disease. This requires control for farmers and vegetable sellers who may be exposed to pesticides found in vegetables and chilies. Conclusion: Vegetable seller and farmer have potential hazards, especially chemicals contained in pesticides which have a risk relationship with the incidence of CLL. However, to cause CLL, sufficient doses are required which are influenced by occupation, intensity of use and the type of specific chemical without the need for a long duration of exposure.
Occupational Stress and its Relation to Grave’s Disease Mutiara, Ade; Soemarko, Dewi S; Widyahening, Indah S
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 2 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.386 KB) | DOI: 10.53773/ijcom.v1i2.14.72-7

Abstract

Background: Graves’ disease is an autoimmune thyroid gland disease that causes increased activity of the thyroid hormones. But, the mechanism by which the autoantibodies are generated is still unclear. Some theory suggests that daily life stress may be a risk factor that triggers Graves’ disease. The aim of this report is to enrol a systematically searching in order to get an answer about the risk factor of the Grave’s disease and the prevention measure.Methods: In this case report, a 47-year-old career woman with prominent occupational stress was diagnosed with Graves’ disease. Literature searching was done on database such as Pubmed, Cochrane Library, and Science Direct with occupational stress, stressful life event, and Graves’ disease as the keywords. One article was selected and critically appraised. Results: One case-control study showed that patients with Graves’ disease had odds ratio (OR) of having stressful life events as big as 8.59; 95%CI = 2.35-20.80, and the number needed to harm (NNH) is 2.35.Conclusion: Occupational stress is a prominent risk factor for developing Graves’ disease. However, this is based on one article
Chronic Lower Back Pain and Its Relationship with Vibration Exposure and Sitting Duration; A Cross-Sectional Study Among Commercial Motorcycle Driver Siagian, Bernath; Roestam, Ambar W; Soemarko, Dewi S; Hirawan, Sudadi; Widyahening, Indah S; Wibowo, Suryo
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 3 (2022): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v1i3.30.154-61

Abstract

Background: Lower back pain (LBP) complaints are a health issue that may lead to restrictions on work activities. Motorcycles vibrations and long sitting duration on the motorcycles can cause chronic lower back pain complaints. Base motorcycles drivers receive motorcycles vibration exposure while riding a motorcycle. With the large number of base motorcycles drivers in Indonesia, the specific health problems (LBP complaints) in this group need to be examined.Methods: This research method uses a cross sectional study design to examine the relationship of motor vibration exposure and length of sitting to chronic low back pain with sampling technique used is Consecutive sampling. Consecutive sampling is a way of taking samples by selecting samples that meet the inclusion criteria until a certain time period so that the number of samples is met. The sampling period in this study is 2 days. The variables that measured were chronic lower back pain complaints, vibration, long sitting time, age, IMT, smoking, and working time. Data analysis using SPSS Statistics version 25.0. Results: A total of 95 subjects were included in this study. Based on Fisher’s test, the result of the correlation of chronic lower back pain complaints with motor vibrations > 0.5 m/s2 was obtained p = 0.102; OR = N / A). While for long sitting time of >4 hours result in p = 0.717; OR 0.85; CI 95% = 0.34-2.09. There is no difference in age-related chronic lower back pain complaints. At age> 35 years of age p = 0.722; OR 1.57; CI 95% = 0.31-7,9. No significant association between IMT and chronic lower back pain was found. In the IMT group> 25, p = 0.103 was obtained; OR 2.14; 95% CI = 0.85-5.36. There was no significant difference in chronic lower back pain complaints based on smoking status, where smoking group had p = 0.451; OR 1,45; CI 95% = 0.55-3.78. According to the Fisher test, there was no difference in chronic lower back pain complaints based on working age, where groups with> 4 years of work had a p = 0.908 value; OR 1.07; CI 95% = 0.31-3.91. Conclusion: In this study the hypothesis was rejected. There is no association between motorcycles vibration exposure and the occurrence of chronic lower back pain complaints in the base motorcycles driver in Bekasi city. There is no association long sitting time with the occurrence of chronic lower back pain complaints in the base motorcycles driver in Bekasi city.
The Association between Heat Exposure and Hydration Status Among Production Workers in Fish Processing Company Sutarto, Tenny; Soemarko, Dewi S; Ichsan, Slamet
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 3 (2022): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v1i3.33.146-53

Abstract

Background: Hot work environment can cause various subjective and objective complaints for workers. When workers perform activities under hot work environment, their body will react by balancing the amount of heat received by the body from outside the body and the loss of water in the body. Hydration status is the condition achieving the balance between water intake and water discharge from the body. Bad hydration status or de-hydration can cause various changes in the body physiological functions. This study was intended to see the association between heat exposure and hydration among production workers in Fish Processing Company Sawangan, Depok.Method : A cross sectional study with 88 respondents, selected as a total sampling. The study was conducted on November 2017 until January 2018. Data analysis were used by SPSS version 20.0.Result: There is no significant difference between the specific gravity of urine before and after working (p=0.076). However, 37.5% of the workers had dehydration. There is a significant association between the work environment temperature and hydration status (p=0.002), and also between water intake and status of hydration (p=0.013). Work environment temperature is the most dominant risk factor to influence dehydration (p=0.000; OR= 9.305; 95%CI=2.727-31.748)Conclusions: There is a significant association between heat exposure and hydration status (p=0.000; OR=9.305). The number of workers that were exposed to heat and experienced dehydration is 33 people (37.5%). Water intake turns to be the individual factor that influences the status of hydration of the workers exposed to heat. The work factor that influences the hydration status of the workers is the work environment temperature.