Arriz Akbar Sukadi
Occupational Medicine Specialist Program, Faculty of Medicine, Universitas Indonesia, Indonesia

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Parkinson’s in Farmers, Could it be Caused by the Paraquat Herbicide Exposure? Arriz Akbar Sukadi; Dewi Yunia Fitriani; Levina Chandra Khoe
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 1 (2022): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i1.44.58-65

Abstract

Many studies have been carried out to assess the safety of the widespread use of pesticides in agriculture with diseases in farmers. A 52-year-old female farmer suffered Parkinson’s after working 27 years using paraquat herbicide. This study was conducted to obtain answers about the impact of paraquat exposure on the incidence of Parkinson’s in farmers through evidence-based case reports (EBCR) derived from a literature review.The review was conducted through the search and selection method of articles in PubMed, ProQuest, and Cochrane Library to answer research questions. The article search process used the keywords “paraquat AND Parkinson AND farmer”. Article selection was carried out using predetermined inclusion and exclusion criteria. In the initial search, 35 articles were retrieved and through the selection process three articles of the meta-analysis systematic review were selected.Selected articles from Tangamornsuksan and Vaccari show a statistically significant association between paraquat exposure and the incidence of Parkinson’s disease (PD) in workers, with a pooled OR of 1.70 and 1.24. Meanwhile, Yan’s study shows that duration of exposure to pesticides increases the risk of PD. The result showed a 5 and 10 years of duration exposure to pesticide were associated with a 5% and 11% augment in the risk of PD. All studies applied validation to reduce bias and heterogeneity effects or inadequate statistical methods.Based on the results of this evidence-based case report, it shows that the epidemiological studies taken can prove the possibility that Parkinson’s disease in this farmer is caused by exposure to paraquat.
Illness Fatality in Welding Process (Case Report) Arriz Akbar Sukadi; 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.v2i2.63.102-6

Abstract

Cardiac arrest is a condition where there is a sudden cessation of cardiac activity, causing a person to become unresponsive to calls/stimuli. If there is no immediate corrective action (Cardiopulmonary Resuscitation and/or defibrillation), this condition will be fatal and can progress to sudden death. A 32-year-old young man who had just worked welding pipes while working at PT.X experienced a cardiac arrest, where there was no breathing and no pulse. It is known that there are several exposures that can be found during the welding process, so it is necessary to carry out an investigation to assess the possible causes of the condition, whether it is due to occupational factors or pre-existing diseases in workers. This case study report focuses on exploring the possible causes of cardiac arrest in this young worker in accordance with his duties as a welder and recommendations for what needs to be done to prevent similar incidents from happening in the future. This case study will also help in creating awareness regarding the need for Daily Check Up monitoring in high-risk workers such as welders.