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Contact Name
Ray Wagiu Basrowi MKK
Contact Email
ray.basrowi@gmail.com
Phone
+628119621313
Journal Mail Official
mucht412@gmail.com
Editorial Address
Sekretariat ILUNI MKK FKUI dan Program Studi Magister Kedokteran Kerja (MKK) Departemen Ilmu Kedokteran Komunitas, Fakultas Kedokteran Universitas Indonesia Jl. Pegangsaan Timur No.16, RT.1/RW.1, Pegangsaan, Kec. Menteng, Kota Jakarta Pusat, Daerah Khusus Ibukota Jakarta 10310
Location
Kota depok,
Jawa barat
INDONESIA
IJCOM
Published by Universitas Indonesia
ISSN : -     EISSN : 2798723X     DOI : https://doi.org/10.53773/ijcom.v1i2
Core Subject : Health,
IJCOM publishes original research articles, expert opinion, consensus, literature and systematic review as well as commentary focusing on various streams of community health sciences and occupational medicine including health and safety sciences and researches, community and occupational nutrition, community and public health, clinical epidemiology, marine and aviation medicine, public health administration, health management, health economics, health promotion, medical sociology/anthropology, social and family medicine. IJCOM also open for special edition and supplement volume publication
Articles 27 Documents
The influence of sitting work position and sitting time for the risk of hemorrhoid in female production workers at the hand-rolled cigarette factory Abadiyah, Izzatul; Soemarko, Dewi Sumaryani; Herqutanto2; Wibowo, Suryo; Roestam, Ambar
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 1 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (639.878 KB) | DOI: 10.53773/ijcom.v1i1.1.3-14

Abstract

Introduction: According to medical check up results of the hand-rolled cigarette factory PT. X in 2018, a hemorrhoid prevalence of 33% was found. Several studies have tried to show an association between individual factors such as age, family history, constipation, obesity, pregnancy, fiber consumption, and defecation position in research subjects in clinics and hospitals. Nevertheless, the effects of sitting work position and sitting time on the risk of hemorrhoid is yet to be revealed. This study aims to prove the effect of these factors on the increased risk of hemorrhoids. Methods: An observational study with a 1:1 unmatched case control design with 300 female workers as subjects. The risk factors related with hemorrhoids were obtained from primary and secondary data. Cases were workers diagnosed with hemorrhoids and controls were workers who were not diagnosed with hemorrhoids during a medical check-up 2018. Data analysis was performed using univariate and bivariate analysis. Results: The mean ages of the subjects were 42.49±3.05 years old (cases) and 42.83±3.02 years old (controls), with most education level was a junior high school in both groups. Bivariate analysis pointed out that sitting work position and sitting time did not have a significant relationship with the incidence of hemorrhoids. Meanwhile, consumption of less fruit (OR=3.84;95%CI 1.87-7.91) and less vegetable (OR=2.41;95%CI 1.36-4.28) increased the risk of hemorrhoid compared to sufficient vegetables and fruit consumption. Conclusion: Sitting work position and sitting time were not associated with an increased risk of hemorrhoids. Meanwhile, consumption of less vegetable and fruit increased the risk of hemorrhoids.
The Importance of Journal Publication in Community and Occupational Medicine in Indonesia Wagiu Basrowi, Ray
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 1 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (151.452 KB) | DOI: 10.53773/ijcom.v1i1.2.1-2

Abstract

Research in community and occupational medicine field has grown rapidly in the last decade. In European countries such as Netherland, the contribution of authors in occupational health journal has even doubles in the past five years.1 Knowledge of community and occupational health medicine; which includes community, and occupational health and medicine, epidemiology, community nutrition, and health economics, is constantly growing, hence increase the need of journal submissions and reference searches. In this digital era, the role of web has greatly reduced the barriers for publishing and communicating scientific and research works outcome.2 Journals online in open access (OA) platform is one of many strategic methods with high impact and relevancy. With peer-reviewed method prior of publication, this model of publishing can be freely accessed.3 In Indonesia, there are still only few of open accessed journal publications in the field of community and occupational medicine. We understand the urge and importance of providing publication platform in this field, therefore The Association of Alumni of Occupational Medicine Magister Faculty of Medicine Universitas Indonesia (ILUNI MKK FKUI) launches The Indonesian Journal of Community and Occupational Medicine (IJCOM) as an open access journal for the expansion of community and occupational medicine-related knowledge and acts as a media for authors to publish their researches. IJCOM is the peer-reviewed, world scale scientific journal of community, occupational clinical, and epidemiology, community nutrition, and health economics. As the official journal of ILUNI MKK FKUI we committed to facilitate authors, academicians, students and health care professionals to share their science work in community and occupational medicine, as well as other related field includes epidemiology, community nutrition, family medicine, health economics and other public health research works. This Journal also act as the platform to provide learnings and recommendations in community and occupational medicine and related data for the development of good health practice for Indonesian community and the world. We do realize that this first issue is a baby step for a greater future. We will definitely put our utmost effort and energy to develop and grow this journal to meet all the requirements of national accredited journal and ultimately a reputable international journal standard.
Relationship of Night Shift Work and Breast Cancer Fernando, Arnold; Ilyas, Muhammad; Widyahening, Indah Suci
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 1 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (263.904 KB) | DOI: 10.53773/ijcom.v1i1.3.15-22

Abstract

Background. Breast cancer is the most common cancer among women worldwide. 80% of breast cancer that has been identified in Indonesia has progressed into an advanced stage of malignancy. In 2007, the International Agency for Research on Cancer concluded: shift-work that involves circadian disruption is probably carcinogenic to humans (Group 2A) Aim. This study aims to justify the association between night shift work and breast cancer. Methods. Searching literature for the evidence-based has been conducted with a clinical question through "PICO" method. Then continued with literature searching using the electronic database "PubMed" and "google scholar" search engine. The keyword is "shift work" "night shift" "breast cancer" and combined with MeSH terms and Boolean operation. The inclusion criteria are research on humans, and the exclusion is inaccessible studies, case report studies, and retracted articles. Result. All of the ten prospective studies that have been combined, the weighted average RR was 0.99 (95% CI = 0.95 to 1.03) for any night shift work compared with none. There was no statistically significant heterogeneity across studies (P = .052). ). But if based on a study of more than 20 years, the RR was 1.01 (95% CI = 0.93 to 1.10). And if based on a study of more than 30 years, the combined RR was 1.00 (95% CI = 0.87 to 1.14, P heterogeneity = 0.067. Confidence intervals for the incidence rate ratios on this study are narrow, even for 20 or more years of night shift work (RR = 1.01, 95% CI = 0.93 to 1.10), so these findings exclude a moderate association of breast cancer incidence with long duration night shift work Conclusion. There are insignificant associations between night shift work and breast cancer.
Relationship Between Shift Work and the Risk of Prostate Cancer: An Evidence Base Case Report Suhadi, Irwan; Widyahening, Indah; Ilyas, Muhammad
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 1 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.24 KB) | DOI: 10.53773/ijcom.v1i1.4.23-31

Abstract

Prostate cancer has been associated with jobs that involve some degree of work at night. In 2007, the International Agency for Research on Cancer (IARC) concluded that shift work involving circadian disruption was probably carcinogenic in humans. Exposure to artificial LAN (Light at Night) suppresses pineal melatonin secretion and subsequently leads to an increase of sex hormones, which in turn could increase the susceptibility to hormone-dependent cancers. Disruption of the circadian rhythm regulated by several clock genes controlling apoptosis and cell proliferation, repeated phase shifting leading to internal desynchronisation and defects in the regulation of the circadian cell cycle, and also sleep deprivation alters immune function. In this case, the authors assessed the relationship between workers in a manufacture company who had worked shift work for 30 years and an increased risk of prostate cancer. This case takes evidence base from several journals that support this hypothesis while doing a critical appraisal to determine its validity and applicability.
Effect of Methyl Ethyl Ketone (MEK) Organic Solvent Exposure on Incidence of Neurotoxicity in Shoe Manufacturing Workers Episana, Denta Aditya; Kekalih, Aria; Fuk, Liem Jen
The Indonesian Journal of Community and Occupational Medicine Vol. 1 No. 1 (2021): ijcom
Publisher : ILUNI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.383 KB) | DOI: 10.53773/ijcom.v1i1.5.32-40

Abstract

Background: Shoe manufacturing factory workers in developing countries are daily exposed to complex mixtures of organic solvents. Chemical exposure occurs through inhalation / respiration and skin which can affect many physiological systems. The main chemical exposure to organic solvents in shoe manufacturing comes from the process of gluing and cleaning process by using organic solvents on footwear in the assembling section. Methyl ethyl ketone is one type of organic solvent which, when entering into the body through inhalation routes can cause irritation of the nose, throat, lungs and chest becomes congested. Acute neurotoxicity is a collection of symptoms in the central nervous system (central nervous system depression, psychomotor disorders, narcosis, drowsiness, headache, dizziness, dyspepsia, and nausea). Method: The research design was a prospective cohort research consisting of 45 people for each high MEK exposed group and low exposed to MEK. Data collection was done by interview, physical examination, MEK level measurement of pre-shift urine and end-shift work, and filling out questionnaires Form Acute symptoms rating questionnaire at the beginning of work shift (07.00), 2 hours after work (09.00), break (12.00), 2 hours after break (15.00), and end of work shift (16.00). Result: The incidence of acute neurotoxicity symptoms in the MEK-high exposed group based on the Acute Symptoms questionnaire was 51.1%. Age factor with symptoms of acute neurotoxicity in workers at PT. X with p value = 0.432, gender factor with p value = 0.162, education factor with p value = 0.897, nutritional status factor with p value = 0.865, alcohol habit factor with p value = 0.181, coffee drinking habit factor with p value = 0.265, and smoking habit factor with p value = 0.968, work duration factor with symptoms of acute neurotoxicity at worker in PT. X with p value = 0.533, and the use factor of personal protective equipment (PPE) with p value = 0.470. In this research, symptoms of acute neurotoxicity were dominant are fatigue (80%), headache (77.8%), nausea (71.1%), dizziness (66.7%), and feeling of intoxication (53.3%). Conclusion: There are no subject and occupational factors that have a significant effect to the symptoms of acute neurotoxicity. Conducting isolation of other work areas for workers exposed to chemicals that because of high potential to harm other workers in the vicinity. Reassessing the hazard risk of using MEK substitutes with other chemicals that are of lower risk or replace with water-based solvents. Provide PPE eligible to all workers exposed to chemicals and workers around them. A PPE fit test is used for workers to feel comfortable while wearing it, giving strict sanctions to workers who do not consistently use personal protective equipment.
A Correlation of Asthma with Ammonia Exposure and Other Risk Factors among Informal Workers of Poultry Farmers Sukadi, Arriz Akbar; Dewi Sumaryani Soemarko; Faisal Yunus
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 (140.019 KB) | DOI: 10.53773/ijcom.v1i2.6.56-62

Abstract

Objective: To determine the prevalence of asthma and its corelation with ammonia exposure among informal workers of poultry farmers.Method: This study design was a cross-sectional analytic to 69 respondents using questionnaires, field observation, physical examination, spirometry measurement, and peak flowmeter test to diagnose work-related asthma and measurement of ammonia level in air environment of farm. All variable were bivariate tested by using Chi-square test or Fischer test. The variables which have p value <0,25 were included into multivariate analysis by using binary logistic regression.Results: The prevalence of asthma in poultry farmers was 21,74%. In bivariate analysis, there was a significant corelation between working periode (p = 0,035 with OR = 7,00) and smoking habit (p = 0,018 with OR = 5,603) with asthma. There was no significant corelation between age, sex, nutritional status, work location, education level and marital status with asthma. The result of measurement of ammonia level in the poultry farm enclosure on average is 2,329 ppm. Multivariate analysis was performed on several risk factors that fulfilled the requirement p <0,25 ie working periode, smoking habit, nutritional status, and work location. From the results of mutivariate found that workers with a history of smoking habits have the strongest corelation p = 0,013 with OR 17,305.Conclusion: The prevalence of asthma in poultry farmers was 21,74%. There was no significant corelation between ammonia exposure in the work environment with asthma. But there was a significant corelation between working periode and smoking habit with asthma.
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.
Allergic Contact Dermatitis Among Healthcare Workers Exposed to Glutaraldehyde Wijaya, Rita I; Muhammad Ilyas
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 (152.035 KB) | DOI: 10.53773/ijcom.v1i2.8.94-100

Abstract

Background: One of the health problems that can be caused by glutaralaldehyde is allergic contact dermatitis (ACD). However, the causal relationship between glutaraldehyde and DKA is still unclear, so it is necessary to look for some evidence regarding this relationship. The search for evidence is also equipped with a seven-step assessment of occupational diseases therefore it can assist occupational medicine doctors who find patients with ACD and have a history of exposure to glutaraldehyde. Methods: Literature search using Pubmed, Scopus and JSTOR databases. The keywords used are ‘healthcare worker OR healthcare personnel’, ‘glutaraldehyde’ and ‘allergic contact dermatitis. Article selection was performed using the defined inclusion and exclusion criteria. Selected articles will be critically reviewed based on etiological studies from the Oxford Center of Evidence-Based Medicine. Result: It was in six selected articles that met the inclusion and exclusion criteria. The main finding after a critical review was that glutaraldehyde may increase the risk of ACD. Conclusion: There is a relationship between 1% glutaraldehyde exposure and the incidence of ACD in health workers. To establish the diagnosis of occupational diseases in health workers who are exposed to glutaraldehyde, seven steps of diagnosis of occupational diseases are used.
Chronic Kidney Disease Among Workers Exposed To Perfluorooctanoic Acid (PFOA) Ilyas, Muhammad; Kresna, Andreas
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 (226.401 KB) | DOI: 10.53773/ijcom.v1i2.9.101-6

Abstract

Background: Perfluorooctanoic acid (PFOA), a class of perfluorocarbons, are synthetic environmental contaminants. Their long biological half-lives and their poor ability to metabolize likely add to any chronic health effects they may pose, such as chronic kidney disease (CKD). The causal relationship between PFOA and CKD is still unclear, so it is necessary to look for some evidence regarding this relationship. The search for evidence is also complemented by a seven-step occupational disease assessment to establish occupational diseases. Aim: This study aims to justify chronic kidney disease of workers exposed to perfluorooctanoic acid can be diagnosed as occupational diseases.Methods: Searching literature for the evidence-based has been conducted with a clinical question through “PICO” method. Then continued with literature searching using the electronic database “PubMed”, “JSTOR”, and “Scopus” search engine. The keyword is “PFOA” “perfluoroalkyl substances” “perfluorooctanoic acid” “chronic kidney” “chronic kidney disease” “CKD” and combined with MeSH terms and Boolean operation. The inclusion criteria are research on humans, English language, and the exclusion is retracted articles.Result: From the five literatures obtained, there are differences in results. A study of workers exposed to perfluorooctanoic acid in a DuPont chemical plant with chronic kidney disease was (Standardized Mortality Ratios (SMR) = 3.11, 95% CI: 1.66, 5.32). Study in China found that perfluorooctanoic acid is not associated with renal function and higher risk of CKD (OR = 0.73, 95% CI: 0.57, 0.95; p=0.019).Conclusion: There are insignificant associations between perfluorooctanoic acid and chronic kidney disease.
Diabetes Mellitus Among Workers Exposed to Perfluorooctanoic acid Spadini Putri; Muhammad Ilyas
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 (282.036 KB) | DOI: 10.53773/ijcom.v1i2.10.107-13

Abstract

Background: One of the health problems that can be caused by Perfluorooctanoic acid (PFOA) is Diabetes mellitus (DM). However, the causal relationship between Perfluorooctanoic acid and DM is still unclear, so it is necessary to look for some evidence regarding this relationship. The search for evidence is also equipped with a seven-step assessment of occupational diseases therefore it can assist occupational health doctors who find patients with DM and have a history of exposure to glutaraldehyde. Methods: Literature search using Pubmed, Cochrane and JSTOR databases. The keywords used are “PFOA” OR “perfluoroalkyl substances” OR “perfluorooctanoic acid” AND “diabetes mellitus”. Article selection was performed using the defined inclusion and exclusion criteria. Selected articles will be critically reviewed based on etiological studies from the Oxford Center of Evidence-Based Medicine. Result: It was in 5 selected articles that met the inclusion and exclusion criteria. The main finding after a critical review was that PFOA may increase the risk of DM. Conclusion: There is a relationship between PFOA and the incidence of DM in health workers. To establish the diagnosis of occupational diseases in health workers who are exposed to PFOA, seven steps of diagnosis of occupational diseases are used.

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