A cross-sectional study was conducted on 40 women weavers of Samarinda sarongs to identify the prevalence and risk factors of musculoskeletal disorders (MSDs). A Nordic body map, rapid upper limb assessment and anthropometric tools were used to plot the MSD severity, work posture and anthropometric dimensions of the weavers, respectively. The age, education background, working period and prolonged sitting position distributions of the weavers were collected by direct interview. Pearson's product-moment correlation was applied to identify correlations between the MSD prevalence and other parameters. An MSD prevalence of 80.5% was found among the women weavers, with the MSDs categorized as low, moderate and high in 15.0, 75.0 and 7.5% of the respondents, respectively. The MSD prevalence was significantly correlated with education background (p = 0.025), working period (p = 0.015), prolonged sitting hours (p = 0.032), work posture (p < 0.001) and weavers’ anthropometry (p < 0.001).

Musculoskeletal disorder remains to be a health and safety problem. One of measuring instrument often use to assess musculoskeletal disorders worldwide is the Nordic musculoskeletal questionnaire (NMQ). This questionnaire translated into various languages and tested for its validity and reliability. However, it has limitations, such as the difficulty of application in countries that do not speak English. This study aims to test the validity and reliability of the Indonesian version of NMQ in women weavers working using traditional handlooms in East Kalimantan Indonesia from March to May 2018. The validity of items obtained ranges 0.501 (min.) to 0.823 (max.), and Cronbach's alpha reliability was 0.726. In conclusion, the NMQ in Indonesian version has satisfactory psychometric properties with adequate validity and reliability. UJI VALIDITAS DAN RELIABILITAS NORDIC MUSCULOSKELETAL QUESTIONNAIRE (NMQ) VERSI INDONESIA UNTUK MENGUKUR GANGGUAN MUSKULOSKELETAL PADA PENENUN TRADISIONAL WANITAGangguan muskuloskeletal masih menjadi masalah kesehatan dan keselamatan kerja. Salah satu alat ukur yang sering dipakai untuk mengkaji gangguan muskuloskeletal di seluruh dunia adalah Nordic musculoskeletal questionnaire (NMQ). Kuesioner ini telah diterjemahkan ke berbagai bahasa di dunia dan terbukti valid serta reliabel, tetapi memiliki keterbatasan di antaranya sulit diaplikasikan di negara yang tidak menggunakan bahasa Ingris sebagai bahasa sehari-hari. Penelitian ini bertujuan menguji validitas dan reliabilitas NMQ versi bahasa Indonesia pada penenun tradisional wanita di Kalimantan Timur periode Maret sampai Mei 2018. Didapatkan hasil uji validitas item berkisar antara 0.501 (min.) sampai 0.823 (maks.) dan indeks reliabilitas Cronbach's alpha sebesar 0.726. Simpulan, NMQ versi bahasa Indonesia cukup valid dan reliabel untuk mengukur gangguan muskuloskeletal.

Introduction: Specific work characteristics have placed nurses as one of the professions with a high level of work-related stress. If not managed properly, work-related stress can cause adverse effects. Signs of stress can be seen in people's behavior, thinking or physical symptoms. One of a subjective measurement tool that is widely used to measure work-related stress is the Hamilton Anxiety Rating Scale (HAM-A), however, the literature that discusses the results of the HAM-A translation, validity and reliability test in the nurse profession is still limited. This study aims to translate HAM-A into the Indonesian version, then test its validity and reliability in nurses.Methods: A Cross-sectional study with stratified random sampling method was conducted on 98 nurses from July to August 2018. The English version of HAM-A consists of 14 items has been a translation into Indonesian version. Pearson Product Moment Correlation was used to evaluate the construct validity and Cronbach's alpha scores were used to assess the internal consistency reliability of the Indonesian version of HAM-A.Results: Item construct validity based on the Pearson correlation ranged from 0.529 to 0.727, Cronbach’s alpha reliability was obtained at 0.756.Conclusion:The Indonesian version of the HAM-A fulfills the criteria of a reliable (fair acceptable criteria) and valid (good criteria) assessment tool to assess the work-related stress in the nursing profession.

Introduction: Specific work characteristics have placed nurses as one of the professions with a high level of work-related stress. If not managed properly, work-related stress can cause adverse effects. Signs of stress can be seen in people's behavior, thinking or physical symptoms. One of a subjective measurement tool that is widely used to measure work-related stress is the Hamilton Anxiety Rating Scale (HAM-A), however, the literature that discusses the results of the HAM-A translation, validity and reliability test in the nurse profession is still limited. This study aims to translate HAM-A into the Indonesian version, then test its validity and reliability in nurses.Methods: A Cross-sectional study with stratified random sampling method was conducted on 98 nurses from July to August 2018. The English version of HAM-A consists of 14 items has been a translation into Indonesian version. Pearson Product Moment Correlation was used to evaluate the construct validity and Cronbach's alpha scores were used to assess the internal consistency reliability of the Indonesian version of HAM-A.Results: Item construct validity based on the Pearson correlation ranged from 0.529 to 0.727, Cronbach’s alpha reliability was obtained at 0.756.Conclusion:The Indonesian version of the HAM-A fulfills the criteria of a reliable (fair acceptable criteria) and valid (good criteria) assessment tool to assess the work-related stress in the nursing profession.

Background: Diphtheria remains a health problem, especially in developing countries. In November 2017, the Indonesian Ministry of Health stated that there was a diphtheria outbreak in Indonesia. East Kalimantan is one of the provinces that experienced this disease outbreak. This study analyzes the risk factors for diphtheria outbreak in children aged 1-10 years. Methods: A case-control study was conducted on 37 respondents. Research variables consist of immunization status against diphtheria, pertussis and tetanus (DPT), nutritional status, children mobility, source of transmission, physical home environment (natural lighting, ventilation area, occupancy density, wall and floor type), knowledge of diphtheria and attitudes towards the diphtheria prevention program. Results: We found that the most of the children who had diphtheria had been immunized against DPT. Additionally the nutritional status of children (p=0.049), mobility (p=0.000) and the source of transmission (p=0.020) were significantly associated with diphtheria. Conclusions: Child/parent mobility (OR=8.456) is the main risk factor for diphtheria outbreak. It is recommended to limit the mobility of children to travel to areas that are experiencing increased cases of diphtheria, improve the nutritional status, and further research on the effectiveness of diphtheria vaccine.

Gangguan muskuloskeletal merupakan masalah kesehatan kerja di seluruh dunia, baik pada pekerja sektor formal maupun informal dan telah menimbulkan kerugian yang cukup besar baik bagi dunia usaha maupun bagi pekerja. Salah satu upaya pencegahan gangguan muskuloskeletal adalah dengan pemberian pelatihan peregangan otot di tempat kerja (muscle streching exercise). Kegiatan pengabdian masyarakat bagian Kesehatan dan Keselamatan Kerja Fakultas Kesehatan Masyarakat Universitas Mulawarman dilaksanakan di Kelurahan Tenun Kota Samarinda yang merupakan ikon pariwisata Kota Samarinda Kalimantan Timur. Sasaran pengabdian masyarakat adalah penenun tradisional sarung Samarinda yang berjumlah 75 orang. Kegiatan dimulai dengan pengukuran gangguan muskuloskeletal dengan instrumen Nordic Body Map, kemudian penjelasan tujuan dan manfaat kegiatan, pemberian peregangan otot di tempat kerja disela-sela kegiatan menenun 2 kali setiap minggu selama 1 bulan, dan diakhiri dengan pengukuran kembali gangguan muskuloskeletal. Sebelum pelaksaan intervensi, gangguan muskuloskeletal pada penenun didapatkan kategori rendah (49,4%), kategori menengah (32,5%), kategori tinggi (15,5%). Evaluasi 2 minggu pertama didapatkan gangguan muskuoskeletal kategori rendah (81,8%) dan kategori menengah (15,6%), dan evaluasi 2 minggu kedua didapatkan hasil gangguan musculoskeletal kategori sangat rendah (32,2%), rendah (44,2) dan menengah (20,8%). Disimpulkan, peregangan otot di tempat kerja dapat menurunkan keluhan gangguan muskuloskeletal walaupun belum semuanya teratasi. Kegiatan ini sangat bermanfaat bagi penenun tradisional sarung Samarinda dalam rangka pencegahan kejadian gangguan muskuloskeletal yang lebih parah