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"Pekerja di sektor perkantoran, khususnya industri penerbitan, seperti editor buku, setter, desainer grafis, dan staf administrasi rentan mengalami gangguan muskuloskeletal (MSD) akibat posisi kerja statis, penggunaan komputer yang intensif, dan desain workstation yang kurang ergonomis. Namun, penelitian mengenai ergonomi di industri penerbitan di Indonesia masih terbatas dan perlu dikaji lebih lanjut. Penelitian ini bertujuan untuk menganalisis faktor-faktor risiko ergonomi yang memengaruhi keluhan gangguan muskuloskeletal pada editor buku, setter, desainer grafis, dan staf administrasi di Penerbit X tahun 2025 serta memberikan rekomendasi kegiatan. Penelitian ini menggunakan metode kuantitatif dengan desain studi cross sectional. Pengambilan sampel dilakukan dengan metode proportional random sampling. Jumlah sampel yang didapatkan yaitu 86 orang. Untuk mengukur keluhan gangguan muskuloskeletal menggunakan kuesioner Nordic Body Map (NBM), dan untuk mengukur postur kerja menggunakan Rapid Rapid Office Strain Assesment (ROSA). Analisis data menggunakan uji Chi-square dengan nilai p <0,05. Hasil penelitian didapatkan bahwa terdapat 54,7% responden mengalami keluhan gangguan muskuloskeletal. Keluhan terbanyak yang dirasakan responden yaitu daerah leher (85%), bahu (69%), punggung bawah (67%), punggung atas (60%), dan pergelangan tangan (52%). Sebagian besar skor ROSA responden <5, tetapi masih ada responden yang mendapatkan skor ≥5 (26,7%). Penelitian ini menunjukkan adanya hubungan yang signifikan antara usia responden (>28 tahun) dan keluhan gangguan muskuloskeletal, dengan nilai p = 0,041. Selain itu, terdapat hubungan yang signifikan antara postur kerja dan keluhan gangguan muskuloskeletal (p = 0,016). Masa kerja responden (>5 tahun) juga berhubungan dengan keluhan gangguan muskuloskeletal (p = 0,004). Selanjutnya, ditemukan pula hubungan antara kepuasan kerja responden dan keluhan gangguan muskuloskeletal, dengan nilai p = 0,034. Berdasarkan temuan tersebut, dapat disimpulkan bahwa keluhan gangguan muskuloskeletal pada pekerja di Penerbit X berhubungan dengan usia, postur kerja, masa kerja, dan kepuasan kerja.

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Office workers, particularly those in the publishing industry such as book editors, setters, designers, and administrative staff, are prone to experiencing musculoskeletal disorders (MSDs) due to static working postures, intensive computer use, and poorly designed workstations. However, research on ergonomics in the publishing industry in Indonesia remains limited and requires further investigation. This study aims to analyze ergonomic risk factors that influence musculoskeletal complaints among book editors, setters, designers, and administrative staff at Publisher X in 2025, and to provide recommended interventions. This research employs a quantitative approach with a cross-sectional study design. Samples were selected using proportional random sampling, resulting in a total of 86 respondents. Musculoskeletal complaints were measured using the Nordic Body Map (NBM) questionnaire, while working postures were assessed using the Rapid Office Strain Assessment (ROSA) method. Data were analyzed using the Chi-square test with a significance level of p < 0.05. The results showed that 54.7% of respondents reported musculoskeletal complaints. The most frequently reported areas of discomfort were the neck (85%), shoulders (69%), lower back (67%), upper back (60%), and wrists (52%). Although most respondents had ROSA scores of less than 5, there were still some respondents with scores ≥5 (26.7%). This study found a significant association between respondents' age (>28 years) and musculoskeletal complaints, with a p-value of 0.041. Additionally, there was a significant relationship between working posture and musculoskeletal complaints (p = 0.016). The respondents’ length of service (>5 years) was also significantly associated with musculoskeletal complaints (p = 0.004). Furthermore, job satisfaction was found to be significantly related to musculoskeletal complaints (p = 0.034). Based on these findings, it can be concluded that musculoskeletal complaints among workers at Publisher X are associated with age, working posture, length of service, and job satisfaction."

"Penelitian ini bertujuan untuk menganalisis kelelahan dan faktor risiko kelelahan (fatigue) pada pekerja konstruksi di Proyek A PT XYZ tahun 2025. Faktor terkait pekerjaan yang diteliti mencakup waktu kerja, beban kerja, shift kerja dan lingkungan kerja. Sedangkan, faktor tidak terkait pekerjaan yang diteliti mencakup usia, status gizi, kualitas tidur, kuantitas tidur, kebiasaan merokok, konsumsi kafein, dan commuting time (waktu perjalanan). Penelitian ini menggunakan pendekatan kuantitatif dengan desain studi cross sectional dan dilaksanakan pada Februari – Juni 2025 di Proyek A PT XYZ. Pengumpulan data dilakukan melalui kuesioner yang mencakup identitas responden, Fatigue Assessment Scale for Construction Workers (FASCW), NASA Task Load Index (NASA TLX) dan Pittsburgh Sleep Quality Index (PSQI). Jumlah responden dalam penelitian ini adalah sebanyak 78 orang. Hasil penelitian menunjukkan bahwa 36 responden (46,2%) mengalami kelelahan, sedangkan 42 responden (53,8%) tidak mengalami kelelahan. Berdasarkan analisis inferensial menggunakan uji Chi-Square, diketahui bahwa terdapat hubungan yang signifikan antara shift kerja (p-value = 0,024; OR = 0,227) dan usia (p-value = 0,024; OR = 3,000) dengan kelelahan pada pekerja konstruksi di Proyek A PT XYZ.

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This study aims to analyze fatigue and the risk factors associated with fatigue among construction workers at Project A, PT XYZ, in 2025. Work-related factors examined include working hours, workload, work shifts, and work environment. Meanwhile, non- work-related factors analyzed include age, nutritional status, sleep quality, sleep quantity, smoking habits, caffeine consumption, and commuting time. This research employs a quantitative approach with a cross-sectional study design, conducted from February to June 2025 at Project A, PT XYZ. Data collection was carried out using a questionnaire covering respondent identity, the Fatigue Assessment Scale for Construction Workers (FASCW), NASA Task Load Index (NASA TLX), and Pittsburgh Sleep Quality Index (PSQI). The total number of respondents in this study was 78. The results showed that 36 respondents (46.2%) experienced fatigue, while 42 respondents (53.8%) did not. Based on inferential analysis using the Chi-Square test, a significant relationship was found between work shifts (p-value = 0.024; OR = 0.227) and age (p-value = 0.024; OR = 3.000) and fatigue among construction workers at Project A of PT XYZ."

"Sindrom metabolik menurut Joint Interim Statement (JIS) merupakan kumpulan faktor risiko yang saling terkait untuk penyakit kardiovaskular dan diabetes tipe 2 yang ditandai oleh adanya 3 dari 5 faktor risiko, yaitu obesitas sentral, kadar trigliserida tinggi, HDL kolesterol rendah, hipertensi, dan hiperglikemia. Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko sindrom metabolik yang terdiri dari faktor lingkungan (lokasi kerja, tempat tinggal), faktor perilaku (kebiasaan merokok, aktivitas fisik, pola makan, durasi tidur), dan faktor gentik (usia, riwayat penyakit keluarga) dengan kejadian sindrom metabolik pada pekerja tambang di PT XY Kalimantan Timur. Metode penelitian yang digunakan adalah studi cross sectional dengan pendekatan kuantitatif. Data primer dikumpulkan melalui kuesioner secara online dan data komponen sindrom metabolik diperoleh dari hasil Medical Check Up (MCU). Hasil analisis menunjukkan bahwa dari 105 responden, 22 responden (21%) mengalami sindrom metabolik. Faktor risiko yang berhubungan secara signifikan dengan sindrom metabolik pada pekerja tambang di PT XY adalah usia (p-value = 0,001), sedangkan lokasi kerja, tempat tinggal, kebiasaan merokok, aktivitas fisik, pola makan, durasi tidur, dan riwayat penyakit keluarga tidak berhubungan secara signifikan dengan sindrom metabolik pada pekerja tambang di PT XY.

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Metabolic syndrome, according to the Joint Interim Statement (JIS), is a cluster of interrelated risk factors for cardiovascular disease and type 2 diabetes, characterized by the presence of at least three out of five specific conditions: central obesity, elevated triglyceride levels, low HDL cholesterol, hypertension, and hyperglycemia. This study aims to analyze the relationship between risk factors for metabolic syndrome, including environmental factors (work location and place of residence), behavioral factors (smoking habits, physical activity, eating pattern, and sleep duration), and genetic factors (age and family history of disease), with the incidence of metabolic syndrome among mine workers at PT XY, East Kalimantan. A cross-sectional study design with a quantitative approach was employed. Primary data were collected through online questionnaires, while data on metabolic syndrome components were obtained from Medical Check-Up (MCU) results. The analysis revealed that among 105 respondents, 22 (21%) had metabolic syndrome. Among the assessed risk factors, only age was significantly associated with the incidence of metabolic syndrome (p = 0.001). Other factors, such as work location, place of residence, smoking habits, physical activity, eating pattern, sleep duration, and family history of disease, showed no significant association."

"Latar Belakang: Sindrom metabolik (SM) merupakan kumpulan faktor risiko yang meningkatkan kemungkinan terjadinya penyakit kardiovaskular dan diabetes melitus tipe 2. Prevalensi SM pada perawat di berbagai negara bervariasi, namun penelitian di Indonesia masih terbatas. Penelitian ini bertujuan untuk menganalisis faktor risiko SM pada perawat di Rumah Sakit X. Metode: Desain penelitian cross-sectional dengan pendekatan kuantitatif. Data diperoleh dari MCU 268 perawat di RS X pada Oktober-November 2024. Variabel yang diteliti meliputi faktor perilaku (kebiasaan merokok, konsumsi alkohol, aktivitas fisik) dan genetik (usia, jenis kelamin, riwayat penyakit keluarga). Analisis data dilakukan secara deskriptif dan inferensial menggunakan uji Chi Square. Hasil: Sebanyak 7 perawat (2,6%) mengalami SM, obesitas sentral (48,9%) dan tekanan darah tinggi (25,4%) sebagai parameter yang paling dominan. Analisis statistik menunjukkan hubungan signifikan antara jenis kelamin laki-laki dengan sindrom metabolik (p-value = 0,004; OR = 7,154). Tidak ditemukan hubungan signifikan antara kebiasaan merokok, konsumsi alkohol, aktivitas fisik, usia, atau riwayat penyakit keluarga dengan sindrom metabolik (p-value > 0,05). Kesimpulan: Jenis kelamin laki-laki merupakan faktor risiko signifikan terhadap kejadian SM pada perawat di RS X. Penelitian lanjutan diperlukan dengan cakupan faktor risiko yang lebih luas dan sampel yang lebih besar untuk memperkuat temuan ini.

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Background: Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that increase the risk of cardiovascular disease and type 2 diabetes mellitus. Although its prevalence among nurses has been explored globally, limited data exist in Indonesia.

Objective: This study aimed to assess the association between risk factors and the presence of MetS among nurses at Hospital X.

Methods: A cross-sectional study was conducted involving 268 nurses who underwent medical check-ups from October to November 2024. Variables included behavioral factors (smoking, alcohol consumption, physical activity) and genetic factors (age, sex, family history). Data were analyzed descriptively and inferentially using Chi-square tests.

Results: MetS was identified in 7 nurses (2.6%). Central obesity (48.9%) and elevated blood pressure (25.4%) were the most prevalent components. A significant association was found between male sex and MetS (p = 0.004; OR = 7.154). No significant associations were observed for smoking, alcohol use, physical activity, age, or family history (p > 0.05).

Conclusion: Male gender is a significant risk factor for MetS among nurses in this setting. Future studies with larger samples and broader variables are recommended to strengthen and generalize these findings."

"Secara umum industri petrokimia merupakan industri dengan tingkat potensi bahaya kecelakaan proses sangat berbahaya bagi para pekerja, masyarakat dan lingkungan sekitar. PT. XYZ sebagai perusahaan produsen Pupuk Urea (NH₂)₂CO merupakan salah satu pabrik petrokimia di Indonesia dimana dalam menjalankan proses bisnis PT XYZ tidak terlepas dari berbagai ancaman risiko bahaya proses yang tinggi baik dari hulu (proses pengolahan bahan baku gas alam menjadi bahan baku setengah jadi) hingga hilir (proses produksi Pupuk). Maka dari itu dibutuhkan suatu sistem manajemen khusus untuk mengidentifikasi, mitigasi, mengendalikan hingga merepson bahaya dari semua aktifitas maupun proses produkti di tempat kerja. Process Safety Management (PSM) merupakan suatu sistem manajemen keselamatan berbasis proses proaktif dalam mengidentifikasi, mitigasi, mengendalikan serta merespon bahaya dari semua aktifitas ataupun proses produksi di tempat kerja yang banyak digunakan industry petrokimia yang diimplementasikan PT XYZ di salah satu pabriknya yaitu pabrik 2B. Tujuan dari penelitian ini untuk menganalisis tingkat maturitas penerapan PSM pada pabrik 2B PT XYZ yang terdiri dari 14 elemen yaitu Process Safety Information (PSI), Process Hazard Analysis (PHA), Operating Procedure (OP), Employee Participation (EP), Training (TRA), Contractor (CTR), Pre Startup Safety Review (PSSR), Mechanical Integrity (MI), Permit To Work (PTW), Management Of Change (MOC), Incident Investigation (II), Emergency Response and Planning (ERP), Compliance Audit (CA), dan Trade Secret (TS) dimana tingkat maturitas penerapan PSM penting bagi organisasi agar dapat mengetahui kelemahan dan kelebihan dari setiap elemen yang telah mereka terapkan agar dapat mengidentifikasi dan menetapkan tindakan yang dapat dilakukan untuk meningkatkan penerapan elemen PSM sehingga dapat menurunkan potensi kecelakaan proses. Dalam melakukan penilaian tingkat maturitas PSM penelitian menggunakan metode mix methode analisis deskriptif semi kualitatif dengan melakukan pendekatan sumber informasi kunci yang diperoleh melalui kuesioner, wawancara, observasi lapangan dan tinjauan dokumen perusahaan dengan jumlah sample 93 orang. Hasil penelitian didapatkan penilaian terhadap 14 elemen PSM di pabrik 2B PT XYZ berada pada commited to excellence dimana dari 14 elemen tersebut hanya terdapat 4 elemen berada pada level compliant.

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Commonly, petrochemical industry is the type of industry with a high level of potential process accident hazards that can affect workers, the community and the surrounding environment. PT. XYZ as a producer of Urea Fertilizer (NH₂)₂CO is one of the petrochemical industry in Indonesia and their business processes cannot be separated from upstream process hazards (processing natural gas raw materials into semi-finished raw materials) to downstream process hazards (fertilizer production process). Therefore, a special management system is needed to identify, mitigate, control and respond to hazards from all products and processes activity in the workplace. Process Safety Management (PSM) is a proactive process-based safety management system in identifying, mitigating, controlling and responding to hazards from all activities or production processes in the workplace that are widely used by the petrochemical industry which is implemented by PT XYZ in one of its factories, it’s 2B plants. The purpose of this study is to analyze the maturity level of PSM implementation at PT XYZ's 2B plants which consists of 14 elements, namely Process Safety Information (PSI), Process Hazard Analysis (PHA), Operating Procedure (OP), Employee Participation (EP), Training (TRA). ), Contractor (CTR), Pre Startup Safety Review (PSSR), Mechanical Integrity (MI), Permit To Work (PTW), Management Of Change (MOC), Incident Investigation (II), Emergency Response and Planning (ERP), Compliance Audit (CA), and Trade Secret (TS) where the maturity level of PSM implementation is to be able to identify the advantages and disadvantages of each element implemented in order to identify and determine actions that can be taken to improve the implementation of PSM elements so as to reduce the potential for the accident process. In conducting research to assess PSM implementation maturity level, the research uses a mixed method of semi-qualitative descriptive analysis by approaching the sources of information obtained through questionnaires, interviews, and observations field and research company documents with a sample of 93 people. The results of the assessment research on 14 PSM elements at PT XYZ's 2B factory are committed to excellence where from these 14 elements there are only 4 elements at the compliant level."

"Tenaga kesehatan senantiasa dihadapkan dengan tuntutan kerja dan bahaya risiko psikososial yang berpengaruh terhadap kesehatan mental seperti distress kerja, kondisi tersebut dapat bermanifestasi terhadap kesejahteraan tenaga kesehatan dan kualitas pelayanan pasien. Tahun 2024, diketahui terdapat tenaga kesehatan di RSUD Balaraja yang memiliki derajat distress sedang hingga berat terkait upaya kerja. Tesis ini bertujuan menganalisis hubungan faktor risiko psikososial serta faktor individu dan distress kerja pada tenaga kesehatan yang bekerja di RSUD Balaraja Kabupaten Tangerang Tahun 2025. Desain penelitian adalah cross-sectional dengan pendekatan kuantitatif pada total 140 tenaga kesehatan (dokter, perawat, farmasi, dan tenaga kesehatan lain seperti bidan, perekam medis, fisioterapis, analis kesehatan, radiografer, dsb.) Distress kerja diukur menggunakan instrumen distress dari DASS-21 yang dikategorikan menjadi “Normal-Ringan” dan “Sedang-Berat”. Faktor risiko psikososial (berdasarkan model Effort-Reward Imbalance, COPSOQH III dan NIOSH Generic Stress Scale) dan faktor individu diukur melalui kuesioner. Hasil penelitian ditemukan 14,3% responden dengan distress kerja sedang-berat. Analisis inferensial menunjukan hubungan signifikan antara faktor psikososial dengan distress kerja. Variabel yang berhubungan dengan distress kerja diantaranya ketidakseimbangan kerja-rumah (OR=17,34; 95% CI 3,84–78,41; p<0,001), komitmen kerja berlebihan (OR=14,48; 95% CI 3,21–65,31; p<0,001), upaya kerja yang tinggi (OR=6,44; 95% CI 2,03–20,44; p=0,001) dan penghargaan kerja yang tidak baik (OR=4,14; 95% CI 1,31–13,10; p=0,02). Tidak ditemukan hubungan statistik yang signifikan antara faktor individu dan distress kerja (p >0,05). Faktor individu yang perlu diberi perhatian yakni pada variable status single dan perilaku tidak sehat (kurang aktifitas fisik, merokok, minum kopi, dan minum alkohol.) Kesimpulan adalah distress kerja pada tenaga kesehatan di RSUD Balaraja secara dominan berasosiasi dengan faktor psikososial yang bersifat organisasional dan dapat dimodifikasi. Intervensi berbasis prioritas terutama untuk perbaikan area kritis diantaranya ketidakseimbangan antara kehidupan kerja-rumah serta komitmen berlebihan. Rekomendasi difokuskan pada kebijakan organisasional sehingga tercipta budaya kerja yang sehat, suportif dan positif, diantaranya adalah, pertama, pemberian pelatihan sesuai kompetensi, edukasi pengelolaan distress dan manajemen waktu serta fleksibilitas pemilihan waktu libur atau cuti; Kedua, evaluasi beban kerja agar tidak berlebihan dan lebih merata, fit to work bagi tenaga kesehatan pasca dengan keterbatasan fisik atau pemulihan dari sakit, komunikasi dan transparansi sistem penghargaan maupun kompensasi kepada seluruh tenaga kesehatan, termasuk dalam pemberian insentif dan kebijakan upah kerja lembur dalam rangka keseimbangan upaya kerja dan penghargaan kerja yang lebih baik; Ketiga, evaluasi tugas kerja dan beban kerja oleh manajemen secara periodik yang disertai adanya keterlibatan karyawan dalam pengambilan keputusan. Rekomendasi lain adalah kegiatan senam rutin 150 menit per minggu, kelompok konseling kesehatan mental dan perilaku tidak sehat, serta perbaikan sistem antrian pasien rawat jalan dengan pemberlakuan kode booking kunjungan ulang atau fast track untuk pasien kontrol merupakan strategi yang dapat diambil untuk peningkatan kesehatan kerja dan upaya penurunan distress kerja bagi tenaga kesehatan di RSUD Balaraja.

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Healthcare workers are constantly faced with work demands and psychosocial hazards that affect their mental health, such as work related distress. This condition can manifest in the well-being of healthcare workers and the quality of patient care. In 2024, it was found that a number of healthcare workers at Balaraja Regional General Hospital (RSUD) experienced moderate to severe distress related to their work effort. This thesis aims to analyze of risk factors associated with work-related distress to healthcare workers of RSUD Balaraja, Tangerang Regency In 2025. This study used cross-sectional design with a quantitative approach, involved total 140 healthcare workers as respondens (doctors, nurses, pharmacists, and other health care workers such as midwife, medical recorders, physichal therapist, health analysts, radiographer, etc.) Work related distress was measured using a standardized instrument based on distress scale from DASS 21 and categorized as "Normal-Mild" and "Moderate-Severe". Psychosocial risk factors (based on the Effort-Reward Imbalance model, COPSOQ III, and the NIOSH Generic Job Stress Questionnaire) and individual factors were measured through a questionnaire. The results showed that 14.3% of respondents experienced moderate-to-severe work related distress. Inferential analysis indicated an association between psychosocial factors and work related distress, included work-life imbalance (OR=17.34; 95% CI 3.84–78.41; p<0.001), overcommitment (OR=14.48; 95% CI 3.21–65.31; p<0.001), high effort (OR=6.44; 95% CI 2.03–20.44; p=0.001), and low reward (OR=4.14; 95% CI 1.31–13.10; p=0.02). No statistical significant association was found between individual factors and work related distress (p > 0.05). Individual factors that may warrant attention include single marital status and unhealthy bahaviors (lack of physical activity, smoking, and consumption of coffee or alcohol.) The conclusion is that work related distress among healthcare workers at RSUD Balaraja is predominantly associated with modifiable, organizational psychosocial factors. Priority-based interventions are needed, especially to improve critical areas such as work-life imbalance and overcommitment. Recommendations focus on organizational policies to create a healthy, supportive, and positive work culture. These include provide competency-based training, education on distress and time management, and offer flexibility in scheduling holiday or day off; Second, conduct workload evaluations to prevent overload and ensure equitable distribution. Implement "fit-to-work" assessments for healthcare workers with physical limitations or recovering from illness. Ensure transparent communication regarding reward and compensation systems for all staff, including incentives and overtime pay policies, to achieve a better effort-reward balance. Third, reviewing workload policies for better distribution and prevention of excessive demands, providing competency-based training, and offering distress management, priority management, and coping mechanisms to restore work-life balance. Other recommendations include group exercise sessions, aiming for 150 minutes per week, Establish counseling groups for mental health support and to address unhealthy behaviors, improve the outpatient queuing system by implementing “a booking code system” for return visits or “a fast-track pathway." Furthermore, promoting a healthy work culture and controlling overcommitment through periodic evaluation of job tasks and workload by management, with input from employees, is advised. These strategies can be adopted to enhance occupational health and reduce work-related distress among healthcare workers at RSUD Balaraja."

"PT BCY, sebagai perusahaan yang bergerak di bidang pengeboran dan kerja ulang sumur minyak, memiliki risiko tinggi terhadap kecelakaan kerja. Data dari departemen Healthy Safety and Environment (HSE) PT BCY menunjukkan bahwa selama periode 2019–2024, terjadi beberapa insiden kecelakaan kerja yang menyebabkan cedera serius hingga fatal. Kinerja Keselamatan PT BCY Sepanjang 2019-2024 tercatat terdapat 26 kasus, perusahaan telah menerapkan standar keselamatan kerja. Menganalisis faktor-faktor yang memengaruhi kecelakaan kerja di PT BCY antara tahun 2019 – 2024 dengan metode HFACS.Penelitian ini menggunakan metode penelitian deskriptif analitik dengan metode gabungan. Data sekunder yang digunakan berupa rekaman kejadian kecelakaan dan laporan investigasi atas 26 kejadian kecelakaan dan hampir celaka di PT BCY. Data sekunder tersebut kemudian diklasifikasikan sesuai dengan empat (4) tahapan kegagalan di metode HFACS, yaitu unsafe acts, precondition of unsafe acts, unsafe supervision, dan organizational influence. Data primer melalui kuesioner kemudian dinalisis menggunakan uji bivariat untuk memvalidasi persepsi responden terhadap temuan dari data sekunder. Berdasarkan analisis HFACS, faktor Preconditions for Unsafe Act merupakan yang paling banyak teridentifikasi (77 identifikasi), diikuti Unsafe Acts (60 identifikasi), Organizational Influences (38 identifikasi), dan Unsafe Leadership (36 identifikasi). Disimpulkan Faktor yang berhubungan dengan kecelakaan kerja adalah Organizational Influences: Resources Management, Organization Culture, Organizational Process, pada Faktor Unsafe Leadership: Inadequate Leadership, Planned Inappropriate Operations, Failed to correct problem, pada faktor Preconditions for Unsafe Act: Lingkungan Fisik, Lingkungan Teknik, Kondisi Mental, Kondisi Fisiologis, Keterbatasan Fisik, Kesiapan Pekerja, untuk Faktor Unsafe Acts: Skill based error, Decision Error, dan Routine Violations. Sedangkan Faktor yang tidak berhubungan signifikan adalah Leadership Violations, Kegagalan Mengelola Pekerjaan, dan Exceptional Violations.

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PT BCY, as a company operating in oil well drilling and workover, carries a high risk of work related accidents. Data from PT BCY's Health, Safety, and Environment (HSE) department indicates that during the 2019–2024 period, there were several work related accident incidents leading to serious and even fatal injuries. PT BCY's safety performance throughout 2019-2024 recorded 26 cases despite the company having implemented work safety standards. The objective of this research was to analyze the factors influencing work related accidents at PT BCY between 2019 and 2024 using the Human Factor Analysis and Classification System (HFACS) method. This study employed a descriptive analytic research design with a mixed-methods approach. Secondary data consisted of accident records and investigation reports for 26 accident and near-miss incidents at PT BCY. This secondary data was then classified according to the four (4) stages of failure in the HFACS method: unsafe acts, preconditions for unsafe acts, unsafe supervision, and organizational influences. Primary data was collected through questionnaires and then analyzed using bivariate tests to validate respondents' perceptions against the findings from the secondary data. Based on the HFACS analysis, "Preconditions for Unsafe Act" was the most frequently identified factor (77 identifications), followed by "Unsafe Acts" (60 identifications), "Organizational Influences" (38 identifications), and "Unsafe Leadership" (36 identifications). It was concluded that the factors significantly related to work accidents were: For "Organizational Influences": Resource Management, Organization Culture, and Organizational Process. For "Unsafe Leadership": Inadequate Leadership, Planned Inappropriate Operations, and Failed to Correct Problem. For "Preconditions for Unsafe Act": Physical Environment, Technical Environment, Mental Condition, Physiological Condition, and Personnel Readiness. For "Unsafe Acts": Skill-based Error, Decision Error, and Routine Violations. Conversely, factors that did not show a significant relationship were Leadership Violations, Physical Limitations, Failure to Manage Work, and Exceptional Violations"

"Hipertensi merupakan penyakit penyerta yang paling umum ada pada penderita COVID-19. Faktor risiko seperti genetik, sosiodemografi, dan kondisi klinis awal diduga dapat memengaruhi kerentanan individu terhadap hipertensi dan COVID-19. Salah satu gen yang berhubungan dengan hipertensi adalah gen ACE. Penelitian ini bertujuan untuk mengkaji variasi genetik gen ACE dalam hubungannya dengan risiko kerentanan dan penanganan penyakit hipertensi dan COVID-19 menggunakan model populasi Palu-Sulawesi Tengah. Penelitian ini merupakan studi observasional dengan desain cross-sectional. Data faktor non-genetik diperoleh dari rekam medis dan kuesioner. Identifikasi variasi genetik dilakukan pada 4 lokasi pada gen ACE, yaitu rs1799752 (I/D) dengan metode PCR, dan rs4331 (A/G), rs4341 (G/C), dan rs4343 (G/A) dengan rhAmp SNP genotyping. Data faktor genetik dan non-genetik kemudian disusun menjadi model instrumen translasional. Studi melibatkan 136 subjek, dan analisis variasi genetik menunjukkan genotipe dominan untuk rs1799752 adalah II (50%), rs4331 adalah GG (51%), rs4341 adalah GG (100%), dan rs4343 adalah AA (65%). Varian alel D rs1799752, alel A rs4331, dan alel G rs4343 menunjukkan hubungan dengan kerentanan terhadap hipertensi, COVID-19, dan keparahan COVID-19. Analisis regresi menunjukkan bahwa jenis kelamin, usia, riwayat hipertensi, LDL, asam urat, glukosa darah, dan variasi genetik gen ACE adalah prediktor dalam menilai tingkat risiko hipertensi. Sementara itu, jenis kelamin, trigliserida, HDL, komorbiditas hipertensi, dan variasi genetik gen ACE adalah prediktor dalam menilai risiko terhadap kejadian COVID-19, sementara komorbiditas hipertensi, IMT, asam urat, dan variasi genetik gen ACE adalah prediktor dalam menilai risiko keparahan COVID-19. Asesmen prediksi instrumen translasional menunjukkan bahwa 31% dari kelompok hipertensi berisiko tinggi terhadap kejadian COVID-19 dan 46% memiliki berisiko sangat tinggi untuk mengalami keparahan yang lebih tinggi. Asesmen prediksi instrumen translasional hipertensi menunjukkan bahwa 22% subjek memiliki risiko sangat tinggi dan 23% diantaranya memerlukan penyesuaian pola terapi. Variasi gen ACE rs4331, rs1799752, dan rs4343, bersama dengan faktor risiko non-genetik, dapat digunakan sebagai prediktor untuk kejadian hipertensi, COVID-19, dan keparahan COVID-19. Variasi gen dan faktor non-genetik ini dapat dikembangkan menjadi model pengobatan presisi untuk mengevaluasi tingkat risiko dan penanganan individu terhadap hipertensi, COVID-19, dan keparahan COVID-19 di kalangan populasi Palu-Sulawesi Tengah secara translasional.

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Hypertension is the most common comorbidity in COVID-19 sufferers. Risk factors such as genetics, sociodemographics, and initial clinical conditions are thought to influence an individual's susceptibility to hypertension and COVID-19. One of the genes associated with hypertension is the ACE gene. This study examines the ACE gene's genetic variation in summary with the risk of developing hypertension and COVID-19 using the Palu-Central Sulawesi population model. This research is an observational study with a cross-sectional design. Data on non-genetic factors were obtained from medical records and questionnaires. Identification of genetic variations was carried out at 4 locations in the ACE gene, namely rs1799752 (I/D) using the PCR method, rs4331 (A/G), rs4341 (G/C), and rs4343 (G/A) using rhAmp SNP genotyping. Data on genetic and non-genetic factors are then compiled into a translational instrument model. The study involved 136 subjects, and analysis of genetic variations showed that the dominant genotype for rs1799752 was II (50%), rs4331 was GG (51%), rs4341 was GG (100%), and rs4343 was AA (65%). The variant D allele rs1799753, A allele rs4331, and G allele rs4343 showed an association with susceptibility to hypertension, COVID-19, and severity of COVID-19. Regression analysis showed that gender, age, history of hypertension, LDL, uric acid, blood glucose, and genetic variations of the ACE gene were predictors in assessing the level of hypertension risk. Meanwhile, gender, triglycerides, HDL, comorbid hypertension, and genetic variations of the ACE gene are predictors in determining the risk of COVID-19. In contrast, comorbid hypertension, BMI, uric acid, and genetic variations of the ACE gene are predictors in assessing the risk of COVID-19 severity. -19. The translational instrument prediction assessment showed that 31% of the hypertension group were at high risk of experiencing COVID-19, and 46% were at very high risk of experiencing higher severity. The translational instrument prediction assessment for hypertension showed that 22% of subjects had a very high risk, and 23% of them required adjustment of therapy patterns. ACE gene variations rs4331, rs1799752, and rs4343, together with non-genetic risk factors, can be used as predictors for the incidence of hypertension, COVID-19, and severity of COVID-19. These gene variations and non-genetic factors can be developed into a precision medicine model to evaluate the risk level and individual treatment of hypertension, COVID-19, and the severity of COVID-19 among the Palu-Central Sulawesi population in a translational."