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All Journal The Indonesian Journal of Community and Occupational Medicine
Nuri Purwito Adi
Occupational Medicine Division, Department of Community Medicine, Faculty of Medicine, Universitas Indonesia
Health Professions Medicine & Pharmacology

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Effectiveness of PPE For Prevention of Occupational Ocular Injury Iwan Susilo Joko; Dewi S Soemarko; Nuri Purwito Adi
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 2 (2021): ijcom
Publisher : ILUNI MKK FKUI and PRODI 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.
Return to Work in Driver with Diabetes Mellitus Type 2 on Oral Anti Diabetic with a History of Hypoglycaemia Parmitasari; Dewi S. Soemarko; Muhammad Ikhsan Mokoagow; Nuri Purwito Adi
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 2 (2022): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i2.64.96-101

Abstract

Background: Patients with type 2 diabetes might be vulnerable to hypoglycemia, especially those treated with insulin secretagogues such as sulfonylurea and glinide, or insulin. Hypoglycemia compromises driving performance, causes slower response times, and reduces cognitive function. A return-to-work assessment needs to be done after a history of severe hypoglycemia or intractable episodes requiring hospitalization before resuming driving.Case presentation: A-44-year-old man, a commercial vehicle driver with a history of Oral antidiabetic drugs (OAD), was admitted to the hospital with severe hypoglycemia and pre-renal acute kidney failure. After being hospitalized for seven days, the patient was planned to be discharged and intended to return to work as a driver in a car rental company after recovery.Discussion: In determining return-to-work status, a proper analysis is needed in the form of seven steps to establish the return-to-work status. Job description, job demand, current medical status, disability, risk, and tolerance must be discussed before determining fit to work status. References related to how severe hypoglycemia relates to driving tasks could be valuable information in deciding fit-to-work status.Conclusion: Return-to-work assessment has concluded that the patient is temporarily unfit as a commercial vehicle driver for six weeks. Education regarding hypoglycemia, including recognizing symptoms early, how to treat promptly, and avoid further devastating accident should be discussed thoroughly between patient and physician. Close monitoring by Occupational Medicine Specialists in hypoglycemia state and symptoms as a return-to-work- program would be a valuable step.
Co-Authors Dewi S. Soemarko Dewi Sumaryani Soemarko Iwan Susilo Joko Muhammad Ikhsan Mokoagow Parmitasari