HUBUNGAN KELELAHAN KERJA DENGAN KECELAKAAN KERJA PADA PEKERJA DI PT. PERTAMINA GEOTHERMAL ENERGY AREA LAHENDONG KOTA TOMOHON

Kecelakaan kerja merupakan suatu peristiwa tidak diharapkan tetapi tidak terjadi kebetulan melainkan ada penyebabnya. Faktor yang menyebabkan kecelakaan kerja ada dua yaitu faktor manusia dan faktor lingkungan. Kelelahan merupakan salah satu faktor manusia penyebab kejadian kecelakaan kerja. Tujuan dilakukannya penelitian ini yakni untuk mengetahui hubungan kelelahan kerja dengan kecelakaan kerja pada pekerja di PT. Pertamina Geothermal Energy Area Lahendong. Jenis penelitian menggunakan survei analitik dengan desain cross sectional. Populasi dalam penelitian ini berjumlah 60 pekerja lapangan dari bagian HSSE, maintenance dan operation, dengan sampel ditentukan dengan menggunakan teknik total sampling. Penelitian ini dilaksanakan pada Juni - November 2022. Instrumen yang digunakan yaitu kuesioner kecelakaan kerja serta Kuesioner Alat Ukur Perasaan Kelelahan Kerja (KAUPK2). Analisis data menggunakan analisis univariat dan analisis bivariat. Hasil penelitian diperoleh dengan uji statistik yaitu nilai p = 0.348 (p > 0.05), artinya kelelahan kerja tidak berhubungan dengan kecelakaan kerja pada pekerja di PT. Pertamina Geothermal Energy Area Lahendong Kota Tomohon. Hal ini karena faktor penyebab kecelakaan kerja di PT. Pertamina Geothermal Energy Area Lahendong bukan diakibatkan oleh kelelahan kerja melainkan dari faktor lain yaitu pekerja yang kurang hati-hati dan kurang teliti dalam bekerja, alat pelindung diri (APD) tidak digunakan saat bekerja serta kecelakaan yang disebabkan oleh mesin

Comprehensive HIV care and Anti-Retroviral Therapy in a conflict setting-outcomes, experiences, and lessons learned from Bukavu, Democratic Republic of Congo

2006 AIDS Conference in Toront

Use of facility assessment data to improve reproductive health service delivery in the Democratic Republic of the Congo

Background: Prolonged exposure to war has severely impacted the provision of health services in the Democratic Republic of the Congo (DRC). Health infrastructure has been destroyed, health workers have fled and government support to health care services has been made difficult by ongoing conflict. Poor reproductive health (RH) indicators illustrate the effect that the prolonged crisis in DRC has had on the on the reproductive health (RH) of Congolese women. In 2007, with support from the RAISE Initiative, the International Rescue Committee (IRC) and CARE conducted baseline assessments of public hospitals to evaluate their capacities to meet the RH needs of the local populations and to determine availability, utilization and quality of RH services including emergency obstetric care (EmOC) and family planning (FP). Methods: Data were collected from facility assessments at nine general referral hospitals in five provinces in the DRC during March, April and November 2007. Interviews, observation and clinical record review were used to assess the general infrastructure, EmOC and FP services provided, and the infection prevention environment in each of the facilities. Results: None of the nine hospitals met the criteria for classification as an EmOC facility (either basic or comprehensive). Most facilities lacked any FP services. Shortage of trained staff, essential supplies and medicines and poor infection prevention practices were consistently documented. All facilities had poor systems for routine monitoring of RH services, especially with regard to EmOC. Conclusions: Women's lives can be saved and their well-being improved with functioning RH services. As the DRC stabilizes, IRC and CARE in partnership with the local Ministry of Health and other service provision partners are improving RH services by: 1) providing necessary equipment and renovations to health facilities; 2) improving supply management systems; 3) providing comprehensive competency-based training for health providers in RH and infection prevention; 4) improving referral systems to the hospitals; 5) advocating for changes in national RH policies and protocols; and 6) providing technical assistance for monitoring and evaluation of key RH indicators. Together, these initiatives will improve the quality and accessibility of RH services in the DRC - services which are urgently needed and to which Congolese women are entitled by international human rights law

Defining biomarkers to predict symptoms in subjects with and without allergy under natural pollen exposure.

Background: Pollen exposure induces local and systemic allergic immune responses in sensitized individuals, but nonsensitized individuals also are exposed to pollen. The kinetics of symptom expression under natural pollen exposure have never been systematically studied, especially in subjects without allergy.Objective: We monitored the humoral immune response under natural pollen exposure to potentially uncover nasal biomarkers for in-season symptom severity and identify protective factors.Methods: We compared humoral immune response kinetics in a panel study of subjects with seasonal allergic rhinitis (SAR) and subjects without allergy and tested for cross-sectional and interseasonal differences in levels of serum and nasal, total, and Betula verrucosa 1-specific immunoglobulin isotypes; immunoglobulin free light chains; cytokines; and chemokines. Nonsupervised principal component analysis was performed for all nasal immune variables, and single immune variables were correlated with in-season symptom severity by Spearman test.Results: Symptoms followed airborne pollen concentrations in subjects with SAR, with a time lag between 0 and 13 days depending on the pollen type. Of the 7 subjects with nonallergy, 4 also exhibited in-season symptoms whereas 3 did not. Cumulative symptoms in those without allergy were lower than in those with SAR but followed the pollen exposure with similar kinetics. Nasal eotaxin-2, CCL22/MDC, and monocyte chemoattactant protein-1 (MCP-1) levels were higher in subjects with SAR, whereas IL-8 levels were higher in subjects without allergy. Principal component analysis and Spearman correlations identified nasal levels of IL-8, IL-33, and Betula verrucosa 1-specific IgG 4 (sIgG 4) and Betula verrucosa 1-specific IgE (sIgE) antibodies as predictive for seasonal symptom severity.Conclusions: Nasal pollen-specific IgA and IgG isotypes are potentially protective within the humoral compartment. Nasal levels of IL-8, IL-33, sIgG 4 and sIgE could be predictive biomarkers for pollen-specific symptom expression, irrespective of atopy