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"Latar belakang: Pekerjaan dengan pola kerja gilir, khususnya yang irregular, dapat mengganggu irama sirkadian dan kualitas tidur yang kemudian berdampak pada fungsi kognitif. Meskipun penting, penelitian tentang kerentanan domain kognitif terkait pola kerja gilir masih terbatas. Kualitas tidur dan fungsi kognitif menjadi kritis dalam konteks pelayanan kesehatan di rumah sakit, di mana keputusan dan tindakan harus dilakukan dengan cepat dan tepat dalam menunjang keselamatan pasien. Metode: Penelitian ini merupakan penelitian analitik observasional dengan potong lintang untuk mengetahui hubungan pola kerja gilir dengan gangguan fungsi kognitif. Untuk mengukur kualitas tidur, digunakan Pittsburgh Sleep Quality Index bahasa Indonesia (PSQI-Ina), sementara fungsi kognitif dan domain kognitif diukur menggunakan Oxford Cognitive Screen (OCS) bahasa Indonesia (OCS-Ina), sebuah instrument kognitif untuk pasien stroke, yang sudah tervalidasi. Besar sampel minimal pada penelitian ini dihitung dengan rumus Slovin berjumlah 72 sampel. Korelasi, analisis komponen utama,analisis demografi dan regresi digunakan untuk mengkarakterisasi hubungan antara PSQI-Ina,OCS-Ina dan variabel penelitian lainnya. Hasil: Sebanyak 83 tenaga kesehatan masuk ke dalam kriteria inklusi dan diikutsertakan dalam penelitian. Hasil memperlihatkan sebanyak 16 responden (19,3%) mengalami gangguan fungsi kognitif pada domain Atensi serta 2 responden (2,4%) mengalami gangguan di 2 domain kognitif (Atensi dan Pengelolaan Angka). kesejahteraan.

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Background: Irregularities in shift work, especially those marked by unpredictability, can disrupt circadian rhythms and compromise sleep quality, consequently adversely affecting cognitive function. Despite its pivotal significance, there is a shortage of research on the susceptibility of cognitive domains associated with irregular shift work. The connection between sleep quality and cognitive function becomes especially crucial in the healthcare service domain, particularly within the confines of hospitals. In such environments, where decisions and actions require swift and accurate execution, the interplay between sleep quality and cognitive function is critical to ensuring the safety and well-being of patients. Methods: The objective of this research is to conduct an analytical observational study with a cross-sectional design, aiming to examine the correlation between shift work patterns and cognitive function impairment. The study utilizes the Pittsburgh Sleep Quality Index in Bahasa Indonesia (PSQI-Ina) to measure sleep quality. Cognitive function and cognitive domains are assessed using the Indonesian Oxford Cognitive Screen (OCS-Ina), a validated cognitive instrument for stroke patients. The minimum sample size for the research was determined, resulting in a calculated sample size of 72 participants. Correlation analysis, principal component analysis, demographic analysis, and regression analysis are employed to characterize the relationships between PSQI-Ina, OCS-Ina, and other relevant research variables. Results: A total of 83 healthcare workers meeting the inclusion criteria were included in the study. Results indicated that 16 respondents (19.3%) experienced cognitive function impairment in the Attention domain, and 2 respondents (2.4%) experienced impairment in two cognitive domains (Attention and Number). Healthcare workers engaged in secondary employment were found to have a 12.8 times higher risk of experiencing cognitive impairment (OR 12.8; CI 95% 1.7-91; p = 0.011). Similarly, healthcare workers with poor sleep quality (PSQI score >5) faced a 40.3 times higher risk of cognitive impairment (OR 40.3; CI 95% 2.2-708.1; p = 0.011). Likewise, healthcare workers working in irregular shift patterns had a 5.4 times higher risk of experiencing cognitive impairment (OR 5.4; CI 95% 0.1-26.6; p = 0.036). Conclusions: There is a correlation between shift work patterns and cognitive function impairment in the workplace. Hospitals should prioritize ergonomic shift work schedules, emphasizing speed and clockwise rotations, to support the well-being of their healthcare workers."

"ABSTRAK Prevalensi obesitas meningkat di seluruh dunia termasuk Indonesia. Obesitas merupakan faktor risiko dari berbagai penyakit yang dapatmenyebabkan turunnya performa dan produktifitas pekerja. Salah satu faktor yangdihubungkan sebagai faktor risiko obesitas adalah kerja gilir. Kerja gilir lazimdigunakan oleh pekerja dibidang pelayanan kesehatan seperti perawat. Penelitianini bertujuan untuk menilai pengaruh kerja gilir terhadap risiko berat badan berlebihdan obesitas serta faktor-faktor lain yang mempengaruhinya pada perawat di rumahsakit.Metode: Penelitian ini menggunakan desain comparative cross sectionalmembandingkan IMT 43 perawat kerja gilir dengan 43 perawat bukan kerja gilir.Dilakukan penilaian terhadap faktor-faktor risiko yang dinilai dapat meningkatkanrisiko berat badan berlebih dan obesitas antara lain jenis kelamin, usia, statusperkawinan, riwayat obesitas dalam keluarga, kebiasaan olahraga, riwayat merokok,jumlah jam tidur dan asupan kalori.Hasil: Prevalensi berat badan berlebih dan obesitas pada perawat kerja gilir dirumah sakit adalah 69.8% dan prevelensi berat badan berlebih dan obesitas padaperawat bukan kerja gilir di rumah sakit adalah 48.4%, ditemukan hubunganbermakna antara kerja gilir dengan berat badan berlebih-obesitas dengan OR =2.418 (1.000 ? 5.851). Faktor risiko yang meningkatkan risiko berat badan berlebihdan obesitas adalah kerja gilir, jumlah jam tidur kurang dari 7 jam dan asupan kalorberlebih. Kesimpulan: Dari semua faktor, asupan kalori berlebih merupakan faktor risiko dominan dengan OR = 4.473 (1.781-11.235).ABSTRACT The prevalence of obesity is increasing worldwide, including inIndonesia. Obesity is a risk factor for many diseases that can cause a decline in theperformance and productivity of workers. One factor that is associated with obesityis shift work. Shift work is commonly needed for health care workers, includingnurses. This study aimed to assess the association of shift work with overweightand obese as well as other related factors among hospital nurses.Method: This study used a comparative cross-sectional design comparing the BodyMass Index (BMI) of 43 nurses working shifts with 43 nurses who only workregular hours. An assessment was conducted of the risk factors that are consideredincreasing the risk of being overweight and obese among others gender, age, maritalstatus, family history of obesity, exercise habits, smoking history, number of hoursof sleep and calorie intake.Results: The prevalence of being overweight and obese in hospital nurses on shiftwork was 69.8% and in nurses not on shift work at the hospital was 48.4%. Asignificant relationship between shift work with overweight-obesity with OR =2.418 (1.000-5.851) was found. Risk factors that increase the risk of overweightand obesity were shift work, number of hours of sleep less than 7 hours and intakeof excessive calories.Conclusion: Of all the factors, excessive caloric intake is the dominant risk factor with OR = 4.473 (1.781-11.235).;Background: The prevalence of obesity is increasing worldwide, including inIndonesia. Obesity is a risk factor for many diseases that can cause a decline in theperformance and productivity of workers. One factor that is associated with obesityis shift work. Shift work is commonly needed for health care workers, includingnurses. This study aimed to assess the association of shift work with overweightand obese as well as other related factors among hospital nurses.Method: This study used a comparative cross-sectional design comparing the BodyMass Index (BMI) of 43 nurses working shifts with 43 nurses who only workregular hours. An assessment was conducted of the risk factors that are consideredincreasing the risk of being overweight and obese among others gender, age, maritalstatus, family history of obesity, exercise habits, smoking history, number of hoursof sleep and calorie intake.Results: The prevalence of being overweight and obese in hospital nurses on shiftwork was 69.8% and in nurses not on shift work at the hospital was 48.4%. Asignificant relationship between shift work with overweight-obesity with OR =2.418 (1.000-5.851) was found. Risk factors that increase the risk of overweightand obesity were shift work, number of hours of sleep less than 7 hours and intakeof excessive calories.Conclusion: Of all the factors, excessive caloric intake is the dominant risk factor with OR = 4.473 (1.781-11.235).;Background: The prevalence of obesity is increasing worldwide, including inIndonesia. Obesity is a risk factor for many diseases that can cause a decline in theperformance and productivity of workers. One factor that is associated with obesityis shift work. Shift work is commonly needed for health care workers, includingnurses. This study aimed to assess the association of shift work with overweightand obese as well as other related factors among hospital nurses.Method: This study used a comparative cross-sectional design comparing the BodyMass Index (BMI) of 43 nurses working shifts with 43 nurses who only workregular hours. An assessment was conducted of the risk factors that are consideredincreasing the risk of being overweight and obese among others gender, age, maritalstatus, family history of obesity, exercise habits, smoking history, number of hoursof sleep and calorie intake.Results: The prevalence of being overweight and obese in hospital nurses on shiftwork was 69.8% and in nurses not on shift work at the hospital was 48.4%. Asignificant relationship between shift work with overweight-obesity with OR =2.418 (1.000-5.851) was found. Risk factors that increase the risk of overweightand obesity were shift work, number of hours of sleep less than 7 hours and intakeof excessive calories.Conclusion: Of all the factors, excessive caloric intake is the dominant risk factor with OR = 4.473 (1.781-11.235)."

"Ditemukan hubungan antara gangguan menstruasi dengan kerja gilir pada beberapa penelitian sebelumnya. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor-faktor pekerjaan dalam kerja gilir dengan gangguan menstruasi di antara perawat.Dengan metode kros-seksional, data dikumpulkan dari 214 perawat dengan kerja gilir, dengan usia maksimal 35 tahun, diilihat gangguan menstruasi perawat di RSUP Persahabatan dan hubungannya dengan faktor pekerjaan dalam kerja gilir. Melalui analisis univariat didapatkan 66.4% perawat dengan kerja gilir mengalami gangguan menstruasi. Dari beberapa faktor baik individu maupun pekerjaan, pada analisis multivariat ditunjukkan tiga faktor yang memiliki hubungan signifikan yang dominan terhadap gangguan menstruasi, antara lain tingkat stress kerja dengan stressor pengembangan karir yang dapat meningkatkan risiko gangguan menstruasi sampai 2 kali lipat (CI 95% 1.127-3.685), sedangkan lama menjalani kerja gilir lebih dari 5 tahun sebagai faktor yang menurunkan risiko gangguan menstruasi sebesar 47% (CI 95% 0.294-0.964). Disimpulkan bahwa terdapat hubungan antara faktor pekerjaan dalam kerja gilir dengan gangguan menstruasi.

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There are association between mentrual disorder and shift work in several study previously. This study aimed to evaluate the association between works factor in shift work and menstrual disorder among nurses.Cross-sectional methods was conducted and data collected from 214 nurses with shift work and maximum age at35 years. Number of menstrual disorder among Persahabatan Teaching General Hospital nurses’s and its association with works factors in shift work. There were 66.4% nurses with shift work had menstrual disorder(s). From many factors both individual and work factors, in multivariate model shown two factors that has a robust significant association with menstrual disorder, i.e works stres level with career development stressor that could double the risk of menstrual disorder (CI 95% ). However working in shift work for more than 5 years was factor that could lower the risk of mentrual disorder by 47% (CI 95% 0.294 - 0.964). It concluded that there are association between work factor in shift work with menstrual disorder."

"KORELASI ANTARA KADAR VITAMIN D DENGAN FUNGSI KOGNITIF PADA SISWA SMA DI DEPOK, JAWA BARATThia Juniaty Manik1, Novi Silvia Hardiany2, Erfi Prafiantini1 1. Departemen Ilmu Gizi, Rumah Sakit Umum Pusat Nasional dr. Cipto Mangunkusumo, Fakultas Kedokteran Universitas Indonesia2. Departemen Biokimia dan Biologi Molekuler, Fakuktas Kedokteran Universitas IndonesiaE-mail :tjmanik@gmail.com AbstrakKeberhasilan dalam pendidikan tidak hanya ditentukan oleh sistem pendidikan, tetapi juga kemampuan kognitif para siswa. Siswa dengan kemampuan kognitif tinggi akan dapat menyerap pelajaran dengan baik. Nutrisi yang dikonsumsi merupakan faktor penting yang berkontribusi pada pengembangan daya kognitif. Penelitian-penelitian sebelumnya telah menghubungkan mikronutrien vitamin D dengan berbagai hasil yang berkaitan dengan kesehatan. Namun, hanya sedikit yang meneliti hubungan vitamin D dengan fungsi kognitif dan hasilnya masih belum konklusif terutama pada remaja. Penelitian ini mengeksplorasi hubungan vitamin D dengan fungsi kognitif pada siswa sekolah menengah atas di Kota Depok. Sebanyak 64 siswa dari 4 SMA di Kota Depok, menjalani tes fungsi kognitif. Hasil utama yang dinilai adalah tes kognisi untuk fleksibilitas kognitif BCST test , planning tower test , dan working memory digit span backward test . Hasil sekunder adalah status sosial ekonomi, asupan vitamin D, skor paparan sinar matahari, kadar haemoglobin, skor family assessment device, skor strenght and difficulties dan aktivitas fisik siswa. Tiga jenis tes yang digunakan adalah : BCST test, Tower Hanoi test, dan Digit backward test. Dari 64 subyek yang ikut penelitian ini 62,5 mengalami kekurangan vitamin D

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Success in education is not only determined by the education system, but also the cognitive power of the students. The students with high cognitive abilities will be able to absorb the lessons well. Nutrition consumed is one of the important factors that contributes to cognitive power development. Previous studies have linked micronutrient vitamin D to various health related outcomes. However, only few examined the correlation of vitamin D to cognitive function, and the result is still inconclusive especially in adolescent. This study explores the correlation of vitamin D to cognitive function in high school students. A samples of 64 adolescents from 4 high schools in Depok City, underwent cognitive function tests. The main outcomes assessed were cognitive flexibility, planning, and working memory test. The secondary outcomes were social economic status, dietary intake of vitamin D, sun light exposure score, haemoglobin level, family assessment device, strenght and difficulties score and physical activity. Sixty four participants 62,5 were vitamin D deficiencies "

"Kurang tidur dapat memberikan dampak buruk bagi pekerja terutama pekerja shift Penelitian ini dilakukan untuk mengetahui hubungan antara kualitas tidur dengan produktivitas kerja Desain penelitian menggunakan deskriptif korelasi dengan pendekatan cross sectional dan melibatkan 114 pekerja shift di PT MWT Cikarang Instrumen yang digunakan adalah the Pittsburgh Sleep Quality Index PSQI dan kuisioner produktivitas kerja.Hasil penelitian menunjukkan 63 3 pekerja dengan kualitas tidur baik memiliki tingkat produktivitas tinggi Hasil uji Chi Square menyatakan terdapat hubungan yang bermakna antara kualitas tidur dengan produktivitas kerja p 0 026 0 05 Hasil penelitian dapat dijadikan masukan bagi perawat kesehatan kerja dalam menjalankan perannya sebagai edukator dan advokat.

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Lack of sleep can have a negative impact for workers especially shift workers This study aimed to examine the relationship between sleep quality with work productivity This study used a correlation descriptive design with cross sectional approach and involved 114 shift workers at PT MWT Cikarang The instrument used the Pittsburgh Sleep Quality Index PSQI and work productivity questionnaire.

The result showed that 63 3 shift worker with good sleep quality had high productivity level Based on Chi Square test there was a significant relationship between sleep quality and work productivity p 0 026 0 05 The results can be used as consideration for occupational health nurses in their role as an educator and advocate."

"Latar belakang: Sebuah penelitian di Rumah Sakit (RS) Norwegia (2012) menemukan 67,7% perawat dengan pola kerja gilir 3-rotasi mengalami insomnia. Banyak penelitian dilakukan tentang kerja gilir dan hubungannya dengan kesehatan, sehingga pola rotasi yang direkomendasikan tersedia, tetapi masih ada pola lain diterapkan, termasuk oleh pekerja rumah sakit. Pola kerja gilir iregular memiliki risiko terjadinya insomnia lebih besar. Penelitian ini bertujuan mengetahui hubungan pola kerja gilir 3-rotasi dengan insomnia pada pekerja RS. Metode: Penelitian ini menggunakan desain komparatif potong-lintang. Data sekunder dari 234 pekerja RS dengan pola kerja gilir 3-rotasi regular dan iregular diikutertakan dalam penelitian ini, yang memenuhi kriteria inklusi. Variabel yang dianalisis adalah faktor individu, seperti usia, jenis kelamin, status perkawinan dan higiene tidur juga faktor pekerjaan, seperti profesi, masa kerja, dan unit kerja. Hasil: Prevalensi insomnia klinis pada pekerja RS dengan pola kerja gilir 3-rotasi adalah 29.9%. Ketika insomnia ringan (pra-klinis) diikutsertakan, maka prevalensi insomnia adalah 55.5%. Variabel berhubungan dengan insomnia adalah: pola kerja gilir 3-rotasi (ROsesuaian 0.34; IK 95% 0.18 - 0.66), pekerjaan sampingan (ROsesuaian 0.46; IK 95% 0.22 - 0.99;), indeks higiene tidur (ROsesuaian 8.84; IK 95% 4.41 - 17.74). Variabel lain tidak berhubungan secara signifikan dengan insomnia preklinis-klinis. Kesimpulan: Prevalensi insomnia preklinis-klinis adalah 55.5% di antara pekerja RS dengan pola kerja gilir 3-rotasi. Indeks higiene tidur adalah faktor paling dominan terkait dengan insomnia (ROsesuaian 8.84). Background: A study in the Norwegian Hospital (2012) found 67.7% of nurses with 3-rotational shift work patterns had insomnia. Many studies exist on shift work and it’s association with health, there fore recommended shift patterns are available, but still other patterns are implemented, including among hospital workers. Irregular shift work patterns have a greater risk of insomnia. This study aims to determine association of 3-rotational shift work patterns with insomnia in hospital workers. Method: This study used a cross-sectional comparative design. Secondary data from 234 hospital workers with regular and irregular 3-rotational shift work patterns were included in the study, who meet the inclusion criteria. Variables analyzed were individual factors, like age, gender, marital status and sleep hygiene also occupational factors, like profession, work period and work unit. Results: The prevalence of clinical insomnia in hospital workers with 3-rotational shift work patterns was 29.9%. When light insomnia (pre-clinical) were included, the prevalence of insomnia was 55.5%. Variables associated with light - severe insomnia were: 3-rotational shift work patterns (ORadj 0.34; 95% CI 0.18 - 0.66), side jobs (ORadj 0.46; 95% CI 0.22 - 0.99), sleep hygiene index (ORadj 8.84; 95% CI 4.41 - 17.74). Other variables were not significantly related to insomnia. Conclusion: Prevalence of insomnia preclinical - clinical was 55.5% among hospital workers with 3-rotational shift work. Sleep hygiene index is the most dominant factor associated with insomnia (ORadj 8.84). "

"Pengunaan internet saat ini sangat diminati semua kalangan karena bisa diakses kapanpun dan dimanapun. Internet saat ini penting untuk bidang pendidikan, komunikasi, informasi, bahkan mencari hiburan. Dampak negatif berupa gangguan adiksi pada internet dapat terjadi apabila salah dari cara penggunaan internet. Sebanyak 2% orang dewasa di dunia mengalami gangguan adiksi terhadap internet sedangkan 8,4% remaja laki-laki dan 4,5% remaja perempuan Asia telah mengalami adanya gangguan prilaku akibat adiksi internet. Mahasiswa juga tidak luput dari gangguan ini, terdapat 9,8% mahasiswa yang mengalami adiksi terhadap internet mengalami masalah kognitif, juga 12% mahasiswa kedokteran yang mengalami adiksi internet menunjukan performa akademik dibawah rata-rata. Masalah ini menjadi perhatian diseluruh dunia, namun tidak ada penelitian di Indonesia yang mennjelaskan mengenai kasus adiksi ini. Penelitian cross-sectional ini dilakukan di tiga fakultas kedokteran di Jakarta. Subjek penelitian adalah mahasiswa pre-klinik sebanyak 189 orang yang dipilih secara acak, kemudian digunakan kuesioner IAT, RSES, SCL-90. Dikelompokan menjadi empat kelompok adiksi lalu diuji RAVLT untuk menilai tingkat kognitif. Dari total responden 56,6% mengalami adiksi ringan, 20,1% adiksi sedang dan mayoritas adalah perempuan, umumnya mengakses media sosial dengan durasi sehari lebih dari enam jam. Didapatkan hubungan yang bermakna antara adiksi internet dengan gangguan kognitif (p=0,00), adiksi internet dengan gejala psikopatologi (p=0,007), dan adiksi internet dengan self-esteem (p=0,002). Sehingga dapat disimpulkan bahwab terdapat hubungan adiksi internet dengan adanya gangguan kognitif, gejala psikopatologi, dan penurunan self-esteem. Screening test dan edukasi mengenai penggunaan internet dibutuhkan untuk mencegah mahasiswa menjadi adiksi.  

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The use of the internet is currently very popular among all people because it can be accessed anytime and anywhere. The internet is currently important in the fields of education, communication, information, even entertainment. But the negative impact of addiction disorders on the internet often occur. As many as 2% of adults in the world experience addiction disorders to the internet while in Asia 8.4% male and 4.5% female adolescents have experienced behavioral disorders due to internet addiction. As students there are 9.8% who experience addiction to the internet experiencing cognitive problems, also 12% of medical students who experience internet addiction show academic performance below the average. Its become a worldwide problem but no reasearch in Indonesia describe the followed cases.  This cross-sectional study was conducted in three medical faculties in Jakarta. The research subjects were 189 pre-clinic students randomly selected, then IAT, RSES, SCL-90 questionnaires were used. Grouped into four addiction groups then tested RAVLT to assess cognitive levels. Of the total respondents 56.6% experienced mild addiction, 20.1% were moderate addiction and the majority were women, generally accessing social media with a duration of more than six hours a day. Significant correlation was found between internet addiction and cognitive impairment (p=0.00), internet addiction with psychopathological symptoms (p=0.007), and internet addiction with self-esteem (p=0.002). It can be concluded that there is a correlation between internet addiction and cognitive impairment, psychopathological symptoms, and a decrease in self-esteem. Screening test and education about using of internet are needed to prevent student becoming addicted."

"Satpam dengan kerja gilir berisiko mengalami insomnia.Penelitian Didi Purwanto (2005) pada pekerja pabrik semen Citeureup?Bogor,didapatkan prevalensi insomnia sebesar 48,1% pada pekerja gilir dan prevalensi tersebut hampir dua kali lebih tinggi dibandingkan pekerja non gilir.Tujuan penelitian ini adalah untuk mengetahui prevalensi insomnia dan faktor?faktor yang meningkatkan risiko kejadian insomnia pada satpam dengan kerja gilir di PT.X.Desain penelitian menggunakan cross sectional yang melibatkan 107 satpam dengan kerja gilir.Pengambilan data menggunakan beberapa kuesioner, diantaranya kuesioner Sleep Hygiene Index, kuesioner Stress Diagnostic Survey, kuesioner Insomnia Rating Scale-KSPBJ, serta wawancara menggunakan instrumen MINI.Prevalensi insomnia pada satpam dengan kerja gilir di PT.X adalah 81,9%.Hasil penelitian menunjukkan sikap higiene tidur buruk meningkatkan risiko terjadinya insomnia hampir 10 kali lebih tinggi dibandingkan dengan sikap higiene tidur baik (OR=9,820, 95%CI=1,185?81,413).Usia lebih tua, masa kerja lebih lama, pola kerja gilir iregular dan stres kerja sedang-tinggi tidak terbukti meningkatkan risiko kejadian insomnia pada satpam dengan kerja gilir (p>0,05).Saran bagi satpam yang menjalani kerja gilir adalah dapat menerapkan sikap higiene tidur dengan baik.Bagi manajemen PT.X, disarankan penyuluhan berkala setiap tiga bulan sekali mengenai gangguan kesehatan akibat kerja gilir terutama insomnia dan evaluasi kesehatan pada satpam yang mengalami insomnia setiap satu hingga tiga bulan sekali.

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Security squad who undergo shift work,are at risk for insomnia.Study at cement factory Citeureup-Bogor,2005 by Didi Purwanto found the prevalence of insomnia on shift workers is 48,1% and this prevalence is almost two times higher than non-shift workers.The aim of this research are to know prevalence of insomnia and to determine factors that increase the risk of insomnia on security squad with shift work at PT. X.

Design of research is cross sectional which involved 107 squad of security unit with shift work.Retrieving data used several questionnaires,including Sleep Hygiene Index questionnaire,Stress Diagnostic Survey questionnaire and Insomnia Rating Scale-KSPBJ questionnaire,as well as interview were conducted using MINI instrument.

The prevalence of insomnia on security squad with shift work at PT.X is 81.9%.The result is poor sleep hygiene behavior increases the risk of insomnia is almost 10 times higher than good sleep hygiene behavior (OR=9.820, 95%CI=1.185-81.413).Elder age,longer working lives,pattern of irregular shift work,and medium-high work stresses are not determine to increase the risk of insomnia on security squad with shift work (p> 0.05).

Suggest to security squad who undergo shift work should implement sleep hygiene behavior well.For PT.X management,counseling about the health problems caused by shift work,especially insomnia is recommended regularly every three months and taking health evaluation at security squad who have insomnia every one to three months."

"Penelitian ini bertujuan mencari hubungan pajanan formaldehida yang ada di industri kain ban dengan gangguan fungsi kognitif yang dinilai dengan kuesioner Mini Mental Status Examination (MMSE). Pengukuran formaldehid lingkungan sebesar 0,4 ppm berada dibawah nilai ambang batas namun perhitungan semikuantitatif dalam kategori sedang dan tinggi. Hasil uji potong lintang antara kelompok terpajan dan tidak terpajan pada 124 responden laki-laki, didapatkan 23,4% mengalami gangguan fungsi kognitif terdiri dari 8,1% pada pekerja yang tidak terpajan dan 15,3% pada pekerja yang terpajan formaldehida. Variabel yang paling berpengaruh adalah pajanan formaldehid lingkungan OR 2,46 (95% CI 1,007-6,005) dan kondisi prehipertensi dan hipertensi OR 3,64 (95% CI 1,338 - 9,903). Selain secara statistik dan mekanisme biologi bermakna, pemantauan dan intervensi yang dilakukan untuk kedua variabel tersebut juga lebih mampu laksana.

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This study aims to find the relationship between formaldehyde exposure in the tire cord industry and cognitive function assessed by Mini Mental Status Examination questionnaire (MMSE). Measurement of environmental formaldehyde is 0.4 ppm and below TWA value, but the calculation of semiquantitative in medium and high category result. A cross-sectional methode done between exposed and unexposed groups in 124 male respondents. The result is 23.4% had cognitive impairment, unexposed group 8,1% and exposed group 15,3%. Most influent variable are environment formaldehyde exposure OR 2,46 (95% CI 1,007-6,005) and Prehypertention and Hypertention Condition OR 3,64 (95% CI 1,338-9,903). The variabels are statistically and biological mechanism significant, also reliable to do monitoring and intervention."

"ABSTRAKLatar belakang: Sindrom dispepsia fungsional merupakan gejala gastrointestinalyang bersifat kronis atau rekuren dan tidak dapat dijelaskan, karena abnormalitasbiokimia atau struktural pada evaluasi menggunakan pemeriksaan diagnostikstandar tidak menunjukkan adanya abnormalitas. Pada penelitian ini ingindiketahui apakah pekerja rumah sakit yang bekerja dengan sistem kerja gilirberhubungan dengan sindrom dispepsia fungsional dibandingkan dengan pekerjayang tidak bekerja secara gilir.Metode: Desain studi yang digunakan adalah komparatif potong lintang yangmembandingkan antara pekerja dengan sistem kerja gilir dengan pekerja bukandengan sistem gilir. Data yang digunakan adalah data primer (kuesioner danwawancara), dan data sekunder (rekam medis serta data kepegawaian). Subjekterdiri dari 218 pekerja (109 pekerja gilir dan 109 pekerja bukan gilir).Hasil penelitian: Prevalensi dispepsia fungsional pada pekerja rumah sakitJakarta adalah 42,2%. Pada analisis multivariat didapatkan bahwa kerja gilir(OR=2,22 (1,212-4,086) p=0,010), usia (OR=0,39 (0,209-0,752) p=0,005), polamakan (OR=1,90 (1,045-4,455) p=0,035), dan status perkawinan (OR=2,49(1,097-5,651) p=0,029) mempunyai hubungan bermakna dengan dispepsiafungsional.Pembahasan: Kerja gilir, usia, pola makan, dan status perkawinan merupakanfaktor risiko sindrom dispepsia fungsional. Usia dan jenis kelamin menjadi faktorprotektif. Usia menjadi faktor protektif karena adanya mekanisme adaptasidispepsia. Jenis kelamin sebagai faktor protektif mungkin disebabkan padaperempuan tingkat kesadaran terhadap kesehatan lebih tinggi yang menyebabkanangka mortalitas lebih kecil daripada laki-laki

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ABSTRACTBackground: Functional dyspepsia syndrome is a gastrointestinal symptoms thatare chronic or recurrent and can not be explained, because the biochemical orstructural abnormalities in the evaluation using standard diagnostic examinationshowed no abnormalities. In this study, we want to know whether the hospitalworkers who worked shift work system associated with the syndrome offunctional dyspepsia compared with workers who do not work in shifts.Method: The study design used was a comparative cross-sectional comparingbetween workers with shift work system to workers who work not with the shiftsystem. The data used are primary data using questionnaires and interviews, andsecondary data through medical records and employment data. Subjects consistedof 218 employees (109 workers with shift work and 109 workers without shiftwork).Results: The prevalence of functional dyspepsia at Jakarta hospital workers was42.2%. On multivariate analysis, it was found that shift work (Adj. OR=2.22(1.212-4.086) p=0.010), age (Adj. OR=0.39 (0.209-0.752) p=0.005), diet (Adj.OR=1.90 (1,045-4.455) p=0.035) and marital status (Adj. OR=2.49 (1.097-5.651)p=0.029) had a significant relationship with functional dyspepsia.Discussion: Shift work, age, diet, and marital status are risk factors syndromefunctional dyspepsia. Age and sex becomes a protective factor. Age becomes aprotective factor for their adaptation mechanism of dyspepsia. Gender as aprotective factor may be due to the level of awareness of women's health ishigher that causes of mortality rate is smaller than the male"