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Carpal Tunnel Syndrome Pada Petani : Tinjauan Pustaka Azzahra, Herina; Utama, Winda Trijayanthi
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1755

Abstract

Carpal Tunnel Syndrome (CTS) is a compression neuropathy resulting from increased pressure on the median nerve within the carpal tunnel, characterized by pain, paresthesia, and numbness affecting the thumb to the third finger. CTS represents one of the most common musculoskeletal disorders, particularly among workers engaged in repetitive hand movements, forceful manual tasks, or prolonged non-ergonomic wrist postures. Globally, its prevalence varies across populations and may reach 7–20% among industrial workers. In Indonesia, CTS remains an underreported condition and is often regarded as an iceberg phenomenon due to limited clinical detection and reporting. CTS may be idiopathic or secondary to conditions such as pregnancy, obesity, hypothyroidism, and diabetes mellitus. Diagnosis is primarily clinical, supported by provocative tests such as Phalen’s test, Tinel’s sign, and the wrist extension test, as well as neurophysiological assessments including electromyography and nerve conduction studies. Radiological imaging may assist in excluding other structural causes. Management consists of conservative measures such as activity modification, wrist exercises, splinting, and the use of analgesics or anti-inflammatory agents. In moderate to severe cases, surgical decompression through division of the transverse carpal ligament is required to reduce pressure on the median nerve. Preventive strategies focus on improving workplace ergonomics, controlling comorbid conditions, and providing education regarding safe hand-use practices.
Literature Review: Kepatuhan Penggunaan Alat Pelindung Diri (APD) Pada Perawat sebagai Upaya Universal Precaution: Michelle Safna Andari, Fitria Saftarina, Muhammad Maulana, Winda Trijayanthi Utama Andari, Michelle Safna; Saftarina, Fitria; Maulana, Muhammad; Utama, Winda Trijayanthi
Jurnal Kedokteran Universitas Lampung Vol. 9 No. 2 (2025): JK Unila
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila.v9i2.pp297-305

Abstract

Kepatuhan penggunaan Alat Pelindung Diri (APD) merupakan elemen penting dalam universal precautions untuk mencegah paparan infeksi dan melindungi perawat di fasilitas pelayanan kesehatan. Penelitian ini bertujuan menganalisis tingkat kepatuhan perawat terhadap penggunaan APD serta faktor-faktor yang memengaruhinya berdasarkan tinjauan literatur terbaru. Melalui penelusuran artikel menggunakan pendekatan PRISMA, lima studi yang memenuhi kriteria inklusi menunjukkan bahwa tingkat kepatuhan perawat berada pada kisaran 56,1% hingga 91,7%. Faktor internal yang memengaruhi kepatuhan meliputi pengetahuan, sikap, dan kompetensi, sedangkan faktor eksternal mencakup ketersediaan APD, penerapan standar operasional prosedur, pengawasan, dan dukungan dari program Pencegahan dan Pengendalian Infeksi (PPI). Ketersediaan sarana dan fasilitas tercatat sebagai determinan paling dominan dalam meningkatkan kepatuhan. Temuan ini menegaskan bahwa peningkatan kepatuhan penggunaan APD membutuhkan pendekatan multidimensional melalui penyediaan APD yang memadai, pelatihan berkelanjutan, dan penguatan budaya keselamatan demi meminimalkan risiko infeksi okupasional pada perawat.
Faktor-Faktor yang Mempengaruhi Status Hidrasi Pekerja PT.X Lampung Putra, Ruchpy Cahya; Winda Trijayanthi Utama; Anisa Nuraisa Jausal; Sutarto
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 2 (2025): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.2 (2025)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i2.972

Abstract

Latar Belakang: Iklim kerja panas merupakan risiko kesehatan okupasional signifikan yang dapat mengganggu termoregulasi dan menyebabkan dehidrasi. Kegagalan dalam mengganti cairan yang hilang akibat keringat berlebih dapat meningkatkan suhu inti tubuh dan memicu penyakit akibat panas. Penelitian ini bertujuan untuk mendeskripsikan paparan iklim kerja panas, tingkat asupan cairan, dan status hidrasi di kalangan pekerja industri. Metode: Penelitian observasional deskriptif dengan desain cross-sectional ini dilakukan pada Agustus–November 2025 di departemen cannery, PT. X, Lampung. Sebanyak 100 pekerja berpartisipasi melalui random sampling. Data iklim kerja diukur menggunakan Heat Stress Monitor (ISBB/WBGT), asupan cairan diukur dengan kuesioner, dan status hidrasi dinilai secara objektif melalui Berat Jenis Urin (BJU) menggunakan refraktometer. Hasil: Mayoritas pekerja (80%, n=80) teridentifikasi terpapar iklim kerja panas di atas Nilai Ambang Batas (NAB). Terkait perilaku hidrasi, 41% pekerja (n=41) memiliki asupan cairan yang tidak adekuat (<2.000 ml/hari). Meskipun demikian, sebagian besar pekerja (62%, n=62) ditemukan memiliki status hidrasi normal (BJU <1.026), sementara 38% (n=38) teridentifikasi mengalami dehidrasi. Kesimpulan: Terdapat prevalensi dehidrasi yang substansial (38%) di lokasi penelitian. Temuan bahwa mayoritas pekerja terpapar panas tinggi (80%) namun mayoritas tetap terhidrasi (62%) menunjukkan kemungkinan peran protektif dari asupan cairan yang adekuat (ditemukan pada 59% pekerja) dan proses aklimatisasi panas. Intervensi kesehatan kerja harus difokuskan pada edukasi untuk memperkuat kebiasaan minum (faktor individu) guna mengatasi 38% pekerja yang masih dehidrasi. 
Physiological Response of the Body to Heat Exposure in Workers Desta Bulan Cahyarani; Winda Trijayanthi Utama; Maya Ganda Ratna; Sutarto Sutarto
International Journal Of Health Science Vol. 5 No. 3 (2025): November : International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i3.6240

Abstract

Heat is a prevalent and serious physical health risk for employees in a range of indoor and outdoor work settings. Heat stress at work alters physiological processes and has a variety of detrimental consequences on people's health and wellbeing. This study aimed to explore the physiological responses and impacts of heat exposure in outdoor workers. This study employed a literature review approach using Google Scholar, Wiley, and Pubmed databases. The results will be described through descriptive narratives and tables. Workers exposed to heat experience increased physiological reactions, including increased body temperature, heart rate, and blood pressure, especially those engaging in intense physical activity outdoors. Heat-related symptoms such as fatigue, excessive sweating, headaches, and muscle cramps can also occur in heat-exposed workers. These increased and altered physiological responses emphasize the importance of implementing preventative measures, such as managing work hours, maintaining hydration, and maintaining good health, to avoid heat-related illnesses and maintain workplace productivity.
Literature Review: Faktor Risiko yang Berhubungan dengan Kejadian Miopia Muhammad Nadhif Rafii; Rani Himayani; Rekha Nova Iyos; Winda Trijayanthi Utama
Jurnal Studi Multidisiplin Ilmu Vol 2 No 2 (2024): Mei
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/jasmi.v2i2.4262

Abstract

Purpose: This study aims to review various risk factors associated with the occurrence of myopia based on existing literature. The factors contributing to the development of myopia include genetic, environmental, and individual habits. Limitations: Although this article provides a broad overview of the risk factors associated with the occurrence of myopia, there are several limitations that need to be considered. The studies reviewed in this review come from various geographical contexts and populations, which may limit the generalization of findings to specific groups or locations. Contribution: This article makes a significant contribution to the understanding of risk factors affecting the occurrence of myopia. By analyzing various existing studies, this article presents a comprehensive picture of the relationship between genetic, environmental, and lifestyle factors and the occurrence of myopia. Keywords: Myopia, Myopia Risk Factors, Refractive Errors How to Cite: Rafii ,M.N., Himayani, R., Iyos, R.K., Utama, W.T. (2024). Literature Review: Faktor Risiko yang Berhubungan dengan Kejadian Miopia.Jurnal Studi Multidisiplin Ilmu, 2(2), 65-69.  
HIPERTENSI PADA DIABETES MELLITUS: SEBUAH TINJAUAN PUSTAKA Heironimus Billy Febriyan; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1729

Abstract

Hypertension in patients with diabetes mellitus is a significant clinical problem because it increases the risk of cardiovascular and renal complications. The pathophysiology of this condition involves interactions between insulin resistance, activation of the renin–angiotensin–aldosterone system (RAAS), endothelial dysfunction, and oxidative stress, which trigger vasoconstriction, sodium retention, and increased vascular stiffness. Various clinical guidelines, including those of the American Diabetes Association (ADA), set a blood pressure target of <130/80 mmHg to reduce the risk of long-term complications. Evidence from clinical trials such as ABCD shows that intensive blood pressure control provides benefits in terms of the progression of retinopathy, albuminuria, and stroke risk. This article was compiled using a narrative review approach by examining the latest literature from international journals and clinical guidelines related to hypertension in diabetes. Sources were selected based on relevance, recency, and strength of evidence. The analysis was descriptive to summarize pathophysiology, blood pressure target recommendations, treatment options, and the role of lifestyle changes. Management of hypertension in diabetes requires a combination of pharmacological therapy and lifestyle modifications. ACE inhibitors and ARBs are the first choice due to their renal protective benefits, while calcium antagonists and thiazide diuretics are used as adjunctive therapy. Lifestyle interventions such as salt restriction, increased fruit and vegetable consumption, regular physical activity, weight loss, and alcohol restriction provide moderate blood pressure lowering effects and improve metabolic health. A comprehensive approach encompassing metabolic, pharmacological, and lifestyle management is crucial for reducing morbidity and mortality in patients with diabetes and hypertension.
RESIKO KECELAKAAN KERJA PADA TENAGA KESEHATAN DAN PENCEGAHANNYA: SEBUAH TINJAUAN LITERATUR Naisya Midary Mutia Pratiwi; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1730

Abstract

Healthcare workers represent an occupational group with a high risk of work related accidents, including biological exposure, injuries caused by sharp objects, exposure to hazardous chemical substances, and musculoskeletal disorders associated with ergonomic hazards. These risks are influenced by high workload, suboptimal use of personal protective equipment, and the incomplete implementation of safety procedures in healthcare settings. This study aims to identify the main types of hazards commonly experienced by healthcare workers and to analyze prevention strategies recommended in previous studies. The method used was a literature review by selecting relevant national and international scientific articles related to occupational accidents, needle stick injuries, chemical hazards, and ergonomic risks among healthcare workers. Selected articles were analyzed using a systematic literature review approach, focusing on key findings, contributing factors, and prevention recommendations reported in each study. The results indicate that needle stick exposure is the most frequently reported occupational accident among healthcare workers. In addition, chemical exposure from substances such as cytotoxic drugs and disinfectants, as well as musculoskeletal complaints caused by non ergonomic working techniques, are also commonly identified. Dominant contributing factors include inadequate occupational safety and health training, inconsistent use of personal protective equipment, weaknesses in healthcare facility risk management, and high workload. In conclusion, occupational accidents among healthcare workers are multifactorial and require comprehensive preventive measures through improved training, provision of safe working facilities, compliance with standard operating procedures, and strengthening of a safety culture in healthcare services.  
LOW BACK PAIN PADA TENAGA KESEHATAN DI RUANG OPERASI: SEBUAH TINJAUAN LITERATUR Poppy Monika Sari; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1732

Abstract

Low Back Pain is one of the most common musculoskeletal complaints among Healthcare Workers, especially nurses, and directly affects quality of life, work performance, and productivity. The high physical demands of healthcare services increase the risk of Low Back Pain through multiple factors. Individual factors include age, body mass index, level of physical activity, and a history of back injury. Occupational factors involve non-ergonomic working postures, patient lifting and transfer activities, repetitive movements, prolonged working hours, and heavy workloads. This study aims to review the literature related to risk factors, impacts, and the effectiveness of preventive interventions for Low Back Pain among Healthcare Workers. The method used is a literature review of scientific articles retrieved from relevant international databases, focusing on Healthcare Workers as the primary population. The review results show that more than half of Healthcare Workers in various countries report experiencing Low Back Pain, with occupational factors identified as the main contributors. Reported impacts include increased absenteeism, decreased work performance, and a higher risk of developing chronic musculoskeletal disorders. Preventive interventions such as workplace ergonomic modifications and posture education demonstrate more consistent effectiveness in reducing the incidence of Low Back Pain compared to physical activity-based interventions or stretching exercises alone. Stretching exercises provide limited benefits when not combined with ergonomic improvements. Therefore, prevention of Low Back Pain among Healthcare Workers requires an integrated approach that combines education, application of ergonomic principles, and systematic workload management to reduce prevalence and mitigate its negative impact.
DAMPAK BURNOUT PADA TENAGA KESEHATAN: TINJAUAN LITERATUR TENTANG FAKTOR PENCETUS DAN STRATEGI PENCEGAHAN Ni Putu Swastini; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1737

Abstract

Burnout is a common work-related stress syndrome among healthcare workers, characterized by emotional exhaustion, depersonalization, and reduced professional achievement. This condition has a negative impact on service quality, worker health, and patient safety. Factors contributing to burnout include personal characteristics, sociodemographic factors, work environment conditions, high workload, and lack of organizational support. This study aims to review the literature on the factors that trigger burnout in healthcare workers and effective prevention strategies at the individual and organizational levels. The study used a literature review design with a search of articles in the PubMed, ScienceDirect, and Google Scholar databases using the keywords “burnout,” “healthcare workers,” “risk factors,” and “prevention strategies.” The articles included were publications from the last ten years, in Indonesian and English, and relevant to the research objectives. Data were synthesized narratively to identify risk factors and prevention strategies for burnout. Factors contributing to burnout included individual factors (age, gender, personality type), working conditions (high workload, overtime, interaction with patients), and organizational environment (managerial support, work culture). Effective prevention strategies combine individual interventions, such as mindfulness, CBT, and coping training, with organizational interventions, including supportive leadership, flexible policies, open communication, and empowerment of healthcare workers. Preventing burnout in healthcare workers requires a holistic approach that integrates individual and organizational strategies. Management and leadership support that emphasizes employee well-being is key to reducing burnout and improving the quality of healthcare services.
DRY EYE SYNDROME PADA PEKERJA KANTOR: TINJAUAN PUSTAKA Tyaradhia Ranita Eltidar; Winda Trijayanthi Utama
Medula Vol 16 No 2 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i2.1779

Abstract

An epidemiological study in the United States involving 75,000 adults reported that 5,051 individuals, or 6.73%, were diagnosed with Dry Eye Syndrome (DES), highlighting its growing importance as a public health issue, particularly among office workers with prolonged digital screen exposure. The extensive use of computers, smartphones, and tablets contributes to DES primarily through reduced blink frequency and incomplete blinking, which increase tear evaporation and lead to ocular surface dryness. Prolonged screen exposure may also induce oxidative stress and inflammation on the ocular surface, accelerating DES development. Workplace environmental factors, including air conditioning, artificial lighting, and low humidity, further elevate the risk, while blue light from screens may disrupt circadian rhythms, reduce tear production, and exacerbate symptoms. Poor ergonomic practices, such as improper screen positioning and prolonged near work, add visual strain and worsen Digital Eye Strain. A cross-sectional study in Bangladesh in 2023 found that daily screen time exceeding 8 hours, blink rates below 10 blinks per minute, and air-conditioned work environments significantly increased DES risk among office workers. Similar findings were reported in a 2024 cross-sectional study from India, which also identified screen distances of less than 50 cm and workplace humidity below 30% as risk factors. In addition, a cohort study in the Netherlands showed that professionals in legal, health, business, and administrative sectors had a higher risk of developing DES, which has been shown to reduce work productivity after symptom onset.
Co-Authors Aditia, Arianda Alghani, Sulthan Rafi Amanah, Nur Suci Amelia, Maya Rizky Amir, Anzela Ananda, Amallia Andari, Michelle Safna Andini Pramesti Ningrum Andriani, Silvia Anggraini, Dian Isti Anisa Adelia Anisa Nuraisa Jausal Annisa Auliya Dien Safitrie Arifah Putri Desenia Asep Sukohar Asyifa, Takhfa Nur Azelia Nusadewiarti Azhar, Hafidz Sirojudhin Azmi, Aulia Salma Azzahra, Herina Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Daulay, Suryani Agustina Denny Andika Kurniawan Desta Bulan Cahyarani Dharmesti, Rizky Aleyda Dian Pratiwi Dian Puspita Larasati Dita Ayu Permata Dewi Dwita Oktaria Dyah Wulan Sumekar Rengganis Wardani Elizabeth Mega Sinaga Eniwati Eniwati Evi Kurniawaty Fadhilah, Retno Suci Fadhillah, Paisal Faradhila Azqiah Cahyani Fatharanni, Mentari Olivia Fathia, Nauriel Ferdian, Ruben Fitri Maharani Fitria Saftarina Hafizh, Ahmad Fauzan Haq, Rais Amaral Heironimus Billy Febriyan Helmi Ismunandar Indika Poloriani Tunang Indriyani, Reni Intan Kusumaningtyas Intanri Kurniati Intanri Kurniati Iqbal Lambara Putra Istiqomah, Dinni Jovita, Hasna Laili Khairun Nisa Kurniawaty, Evi Kusuma, Febriyani Dyah Lariza Serafina Tobroni M. Yogie Fadli Maharani, Ardila Putri Maharani, Calista Putri Maharani, Raihan Syifa Maharani, Shella Marcellia, Selvi Maya Ganda Ratna Mersiana, Putri Febi Muhammad Aditya, Muhammad Muhammad Maulana Muhammad Nadhif Rafii Muhartono Muhartono Naisya Midary Mutia Pratiwi Nasser, Ghalib Abdul Ni Putu Swastini Noval Ramadirta Novita Carolia Novita Carolia Nurhardita, Fika Nuriah Nuriah Nurladira, Salsanisa Tisno Nurliwayka Qodri, Amari Oktadoni Saputra Oktafany, Oktafany Pamarta, Rachel Dwyana Poppy Monika Sari Prayogi, Norbertus Marcell Puspitasari, Ratna Dewi Putra, Ruchpy Cahya Putri Puspa Devi Putri, Asyifa Dinda Raehana, Nabila Salwa Raharjo, Shafana Azzahra Rani Himayani Rasmi Zakiah Oktarlina Ratna Dewi PS Ratna Dewi Puspita Sari Ratu Nirmala Wahyunindita Rekha Nova Iyos Reni Indriyani Reni Indriyani Reni Indriyani Reynhard Theodorus Xaverius Saragih Riandini, Sabrina Risti Graharti Rizal Effendi, R E Sahputra, Rahmat Tridhandy Salma Alya Ihsan Salsabila Alifiyah Setiawan Salsabila Dzakiyyah Zahra Salsabila Nurislami Samintola Dolok Saribu Sany Setiawan Satria Adi Nugraha Septia Eva Lusina Septiani, Linda Setiorini, Anggi Sheilla Amelia Vandela Shinta Nareswari, Shinta Silvia Andriani Sirait, Naomi Elfriede Situmorang, Cindy Miranda Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Stevani Febeline Steven, Nixon Suarto, Sutarto Suharmanto Suharyani Suharyani Suryawinata, Arli Sutarto Sutarto Sutarto Sutarto Sutarto Sutyarso Sutyarso Syazili Mustofa Syifa Rahmi Fadhila TA Larasati Tasya Nadia Putri Tri Umiana Soleha Tyaradhia Ranita Eltidar Utomo, Muhammad Aditya W, Sofyan Musyabiq Waluyo Rudiyanto Wardani, Nanda Fitri Widjaja, Jovan Zahra, Tsurayya Fathma