cover
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
The Indonesian Journal of Community and Occupational Medicine
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 61 Documents
Application of the New Asthma-Specific Job Exposure Matrix: A Study in Quebec Apprentice Cohort Exposed to Isocyanates Bilge Akgündüz; Stephie Pierre; Lama Saab; Nicole Le Moual; Denyse Gautrin; Catherine Lemiere; Suarthana Eva; Hormoz Nassiri Kigloo
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.v2i2.61.83-8

Abstract

Background: Recently, the first asthma-specific Job Exposure Matrix (JEM) was updated to occupational asthma-specific JEM (OAsJEM). Our study aimed to evaluate the association between continued exposure to isocyanates and incident work-related chest symptoms in former car-painting apprentices and to compare the associations using the first and new OAsJEMs.Methods: We used data from an inception cohort of male car-painting apprentices. Post-apprenticeship exposure to isocyanate during follow-up was evaluated using the first asthma-specific JEM (“exposed”=1 or “not exposed”=0) and the new OAsJEM (high=2, medium=1, and none=0). Association between occupation exposure to isocyanate and incidence of work-related rhinoconjunctival and chest symptoms were evaluated through cox regression models, adjusted for age, smoking, wheezing, and non-specific bronchial hyperresponsiveness. Results: The agreement between the two JEMs (exposed vs non-exposed to isocyanate) was perfect (kappa coefficient=0.946, p<0.001). There were only five subjects who were classified as non-exposed based on the first JEM, but had a medium exposure to isocyanate based on the new OAsJEM. Exposure to isocyanate increased the risk of occupational chest symptoms in the high-exposure category (hazard ratio [HR] 2.7, 95% CI 1.1 – 6.6) and the medium category (HR 2.9, 95% CI 0.3 – 30.0) compared to the reference group based on the new OAsJEM, whereas an HR of 2.5 (95% CI 1.0-6.2) was observed from the first JEM. Both JEMs yielded an inconclusive association between exposure to isocyanates and the risk for work-related rhino-conjunctivitis. Conclusion: The asthma-specific JEM and OAsJEM consistently showed that isocyanate exposure increased the risk of incident work-related chest symptoms.
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.
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.
Impact of Indonesian Healthcare Worker in Stunting Eradication Ray Wagiu Basrowi; Charisma Dilantika; Nova Lidia Sitorus; Mikhael Yosia
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.v2i2.66.107-13

Abstract

Even though the number of cases has reduced yearly, stunting is still a significant condition affecting Indonesian children. The fight against stunting includes attention to sensitive and specific interventions addressing the direct and indirect causes of stunting. Healthcare workers, as front liners, play a significant role in the intervention and eradication of stunting and are actively involved in the prevention, education, advocation, and data gathering surrounding stunting. Though vital, the role of healthcare workers in the fight against stunting and its impacts have never been discussed extensively, partly due to the vast variation of healthcare workers and layers of medical services (from primary care to advance hospitalization) included in the care for stunting. This review aims to look at available literature resources that fully describe the numerous roles and the impact healthcare workers had on eradicating stunting in Indonesia. While the healthcare roles in providing intervention of stunting (e.g., medical doctors in the prescription of ONS) is essential, it is crucial to equip healthcare (and the community) with sufficient knowledge of stunting.
Role of Supervisor Support in Promoting Mental Health at the Workplace Nuri Purwito Adi; Kiminori Odagami; Tomohisa Nagata
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.v2i2.67.73-4

Abstract

World mental health day is celebrated on October 10th annually. This year (2022) theme is “make mental health and wellbeing for all a global priority”.1 Mental health problem is one of the emerging health problems in the world. World Health Organization (WHO) stated that estimated 15% of working-age adults have a mental disorder at any point in time. Japan reported increasing number of mental health problem registered to the workers’ compensation in 2021. The number is keep increasing each year.2 The problem is existed not only in developed country but also in the developing country. Data of Basic Health Research of Indonesia mentioned mental health problem was suffered by more than six percent of population in reproductive ages and about 19% of Indonesian youth have had suicidal thought.3 Mental health is defined as a state of mental wellbeing that enables people to cope with the stress’s life, to realize their ability, to learn well and work well, and to contribute to their communities. Poor mental health will lead to a negative impact on cognitive, behavioral, emotional, social, relational wellbeing and functioning, physical health, and personal identity and wellbeing related to work.4 Mental health problem is directly related with certain caused that usually identify as stressor or psychosocial factor. Stressors are existed at the workplaces and responsible for some mental health problems among workers. Since the caused may exist in the workplace, a proper promotion in the workplace to reduce or eliminate the impacts is necessary. In occupational health setting, the current concepts widely developed and implemented to draw the condition related to burnout, mental health and work performance is job-demand resource model. Job demand-resource model draw the balance of “demand”, which play as a negative side, and “resource”, which play as a positive side. If the balance is good and resources are much than demands, workers wellbeing are good. Job demands are similar with stressor or psychosocial factors at the workplace, it may identify more detail such as: quantitative and qualitative workloads, role ambiguity, emotional demands and others. While resources are factors in the workplace that reduce the demands, enhance productivity and achieving work goal.5 Tummers et al concluded that leadership can affect demand and resources balance in some routes. Leadership can directly affect demands and resources. When leader provide motivation, support and autonomy, it will lead to improving job resources, while a bad leader may become anger, irritable, and perform harassment that increase demands. These conditions might directly alter demands and resources among employees. Leadership can also moderate link between resources and motivation and the link between demands and strain. Within job demand-resources model, a good job resources condition will lead to good motivation among employees and in the opposite, too much job demands will lead to job strain, mental stress and some other physical health complaints. Leaders can stimulate employee to use their resources to become more proactive and lead to better engagement with their work or modify workload to reduce demands toward better physical and mental conditions.6 Therefore, in those cases, leader might moderate the link between resources and motivation as well as demands and strain and acts positively to promote attitude of employees related with motivation such as work engagement or modify job demands in order to minimize strain and mental stress so employee will keep being healthy. Van Hees et al confirmed that supervisor may play important role in supporting employee with mental health issues. Their intervention study concluded that supervisor can be guided to take a role in maintaining good environment for employee and resulted improvement in the mental health problem.7 In the other hand, supervisor need to be supported by the organization or the employer. Shanock et al stated that in order for supervisors to be able to provide appropriate support, the organization needs to provide support to the supervisors themselves.8 Supervisor usually plays many roles and keep busy with their duties and responsible. As an executive, supervisors must perceive that they receive a proper support from their directors or company’s owner so that they can act properly as a good supervisor. We might conclude that either declare as a leader or supervisor, supervisor play important role in creating proper environment to ensure positive resources and reduce demands at the workplace. In more practical ways, supervisor can act to boost positive resource by maintaining good communication, support and coaching to the employee and reduce demands by regularly monitor workload, emotional demands, and organizational flow. This action will maintain the balance of demands and resources, create creativity of the employee, increase job crafting, reduce self-undermining and lead to better health status, work engagement and productivity. But supervisor need to be supported by their supra-ordinates in order to act properly. Therefore, support from both, supervisors and the directors or owners are very important and need to be prioritized in the workplace to promote mental health and wellbeing of the employee. And by doing it, we’re also echoing our mental health day theme this year (2022) through our communities.
The Effect of Nutrition Counseling and RESTTM Diet also Occupational Factors on Weight Loss among Hospitals Nurses with Excessive Weight Nutritional Status (Study in The Occupational Health Hospital of West Java Province) Novi Oktaviani; Astrid Sulistomo; Agus Sugiharto,; Dian Novita Chandra; Amilya Agustina
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 3 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i3.69.124-31

Abstract

Background: Nurse has a risk to get an excessive weight nutritional status that can increase the risk of serious health problems, such as heart disease, hypertension and diabetes mellitus. The intervention of nutrition counseling and diet are expected to lose weight in people with excessive weight nutritional status. This study aimed to determine the effectiveness of nutrition counseling and the implementation of Rendah Energi, Seimbang dan Teratur (REST) diet on weight loss among hospital nurses with excessive weight nutritional status in the hospital.Methods: The study was conducted at Occupational Health Hospital of West Java with 22 nurses as study subjects with excessive weight nutritional status, implemented nutrition counseling intervention, a RESTTM Diet and also used the Bouchard questionnaire, OSI-RTM questionnaire and food record sheets.Results: The greatest average weight loss after receiving nutrition counseling and implementing a RESTTM Diet occurred in the 12th week of the last observation. It was 2.6 kg with 95% CI=1.3-3.9 kg. Based on the bivariate test showed gender had a significant effect on the average weight loss. The male nurses had greater average weight loss than female nurses (p=0.038). The average weight loss of male nurses was 3.1 ± 1.7kg and female nurses 1.6 ± 1.3kg. Meanwhile, the effect of occupational factors on weight loss after receiving nutrition counseling and implementing the RESTTM Diet did not show a significant effect, such as job position (p=0.948), the number of working hours (p=0.220), work shift schedule (p=0.692) and work stress (p=0.813).Conclusions: There was an effect of nutrition counseling and RESTTM Diet during 12 weeks on weight loss among the hospital nurses with excessive weight nutritional status in the hospital.
Development of FRAMES (Fatigue Risk Assessment with Medical Advise) Application: Self-Assessment Application for Pilots Retno Wibawanti; Amilya Agustina; Retno Asti Werdhani
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 3 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i3.71.132-5

Abstract

Introduction: Pilots have job characteristics that are at risk of causing fatigue. Since fatigue is not a disease, it is important to manage the risk factors. We developed a self-assessment application to manage the fatigue risk for pilots, including physical activity and sleeping difficulties. This application aims to increase pilots’ awareness as one of the health maintenance measures.Methods: The application was developed in collaboration with Garuda Indonesia Training Centre (GITC) to ensure suitable educational content for pilots. The users were asked to fill in data inquiring about their flight characteristics, the Checklist Individual Strength-20 for fatigue screening, General Physical Activity Questionnaire for physical activity, and Jenkins Sleep Scale for sleep difficulties. Afterward, a recommendation will be given based on the received input.Results: The application was able to screen fatigue risks, physical activities, and sleeping difficulties, and provide recommendations based on the questionnaire that was filled in, all adjusted to the user’s work characteristics. The finalized version was then available for download as an Android-based application for the pilots in GITC.Conclusion: The FRAMES is an Android-based self-assessment application for pilots. With the use of this application, hopefully, fatigue can be detected early in pilots, hence counteract measures may be implemented sooner to mitigate fatigue.
Scientific Misconduct in Asbestos-related Occupational Health Studies: A Literature Review on the Impact of Intellectual Dishonesty to Scientific Research : A Literature Review on the Impact of Intellectual Dishonesty to Scientific Research Dyah Ayu Pradnyaparamitha; Hirzi Salsabil Zulkarnain; Ray Wagiu Basrowi
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 3 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i3.73.143-9

Abstract

Introduction: The asbestos industry actively tries to delay adequate asbestos protection regulation in workplaces by systematic manipulation and scientific misconduct. This research aims to compile several of their efforts throughout the years to study their efforts and prevent them. Methods: A literature review was conducted to explore instances of scientific misconduct in occupational health studies related to asbestos in November 2022. The sources were taken from Google Scholar and PubMed. From the entire search, 6 relevant studies were reviewed. Results: Throughout the world, the asbestos industry has been responsible for delays in adequate asbestos regulations. Several systematic scientific misconduct regarding asbestos use happened in 1930s United States, as well as fraudulent research regarding asbestos in early 2000s Brasil. Scientific misconducts can directly influence the direction of occupational health research involving asbestos exposure, resulting in delays in adequate regulation implementation.Conclusions: The dangers of asbestos to workers exposed is already firmly established. The asbestos industry has been deliberately manipulating scientific data to sway corporate and public views to prolong the viability of asbestos production and daily use. They achieved this using industry-backed scientific discourse, direct manipulation of research data, as well as direct manipulation of research data publication.
Optimizing Workplace Support for Breastfeeding in Female Worker; A Narrative Review Febriansyah Darus; Ray Wagiu Basrowi; Erika Wasito; Melissa Stephanie Kartjito
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 3 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i3.75.136-42

Abstract

Introduction: The increasing participation of women in the labour market has led to a growing trend of female employment. This has a significant impact on women’s roles as mothers, particularly breastfeeding mothers. Objective: This review aims to discuss the benefits and challenges of breastfeeding faced by female workers in the workplace and how to counter itDiscussion: Breastfeeding in the workplace has several advantages for mothers, which may act as an incentive to combine breastfeeding and work. The advantages include reduced absenteeism, increased productivity, and decreased turnover rates. However, breastfeeding in the workplace presents several challenges, including the lack of research on the topic, the lack of support from employers, distance between home and work, the lack of lactation facilities on-site, and reduced milk production during work hours. This situation drives the development of a lactation promotion model that can support breastfeeding in the workplace. The lactation promotion model, comprised of seven major components, can be implemented in the workplace to increase exclusive breastfeeding and boost female worker productivity. Conclusion: It is recommended to give workers with under-6-month children the option of working part-time or returning home earlier and for companies to provide lactation support staff, educational materials, and peer support groups to help working mothers breastfeed at work. The role of company occupational doctors takes a very important place in this lactation promotion model to achieve high breastfeeding rate in female workers.
Breaking the Stigma: Increasing Comprehensive HIV Knowledge to End Discrimination Against People Living with HIV Faid Nawawi; Adi Nugroho; Isabella Revina Wibowo
The Indonesian Journal of Community and Occupational Medicine Vol. 2 No. 3 (2023): ijcom
Publisher : ILUNI MKK FKUI and PRODI MKK FKUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53773/ijcom.v2i3.76.120-3

Abstract

Human Immunodeficiency Virus (HIV) is a virus that infects white blood cells and reduces human immunity. Meanwhile, acquired immune deficiency syndrome (AIDS) is a group of symptoms caused by HIV infection that result in decreased immunity. According to UNAIDS data, the estimated number of people living with HIV in Indonesia (2021) reach 540,000, with approximately 200,000 being women and girls, and 19,000 being children. In Indonesia, the HIV prevalence rate is 0.3%, with a total of 27,000 new infections each year. According to more complete data, up to 26,000 people living with HIV died of AIDS. When compared to ten years ago, the percentage of new infections decreased by 47%, but the number of AIDS-related deaths increased by 88%. Overall, the number of HIV cases in Indonesia fluctuates, but on an upward trend. Nonetheless, the Indonesian government is committed to helping the world achieve its goal of ending AIDS by 2030.