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All Journal Jurnal Kesehatan Masyarakat Indonesia Medula Juke Jurnal Pengabdian Pada Masyarakat Jurnal Dunia Kesmas Jurnal Medika Malahayati Jurnal 'Aisyiyah Medika NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN JURNAL PENELITIAN PERAWAT PROFESIONAL Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) Buguh: Jurnal Pengabdian Kepada Masyarakat Action Research Literate (ARL) Journal of Language and Health Prosiding Konferensi Nasional PKM-CSR Jurnal Ilmu Medis Indonesia JCOMENT (Journal of Community Empowerment) Conferences of Medical Sciences Dies Natalis Journal Medical Informatics Technology Media Ilmiah Kesehatan Indonesia Majority JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Jurnal Ilmu Kedokteran dan Kesehatan Indonesia JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine International Journal of Health Science Jurnal Studi Multidisiplin Ilmu
Winda Trijayanthi Utama, Winda Trijayanthi
Faculty Of Medicine, University Of Lampung
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Laporan Kasus: Nyeri Punggung Bawah Akibat Kerja pada Pekerja Pemanen Sawit Salsabila Nurislami; 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.v16i2.1751

Abstract

Work-related diseases in the agricultural sector have shown a rising trend in recent years. Heavy physical activities involving non-ergonomic postures, heavy lifting, and repetitive movements increase the risk of injuries and musculoskeletal disorders. Low back pain is one of the most common musculoskeletal complaints among workers in this sector. This case report aims to analyze low back pain in an oil palm harvester using the application of the seven-step occupational diagnostic approach. The seven-step occupational diagnosis was applied to determine the causal relationship between occupational exposure and the patient’s symptoms. Clinical diagnosis and management were conducted in accordance with clinical guidelines.The patient was an oil palm harvester with recurrent episodes of low back pain. Occupational analysis showed that the patient worked in prolonged non-ergonomic postures—standing with neck extension, frequent forward bending, and repetitive heavy lifting—for 15 years, with daily work durations of 8–10 hours. Based on the seven-step occupational diagnostic assessment, the patient’s condition was classified as an occupational disease. Management included pharmacological therapy and ergonomic education. This case highlights that non-ergonomic working postures, the use of non-ergonomic tools, repetitive movements, and heavy lifting significantly contribute to the development of low back pain among agricultural workers. Pharmacological treatment must be accompanied by preventive strategies through ergonomic education. This case report underscores the importance of physicians’ competency in establishing occupational diagnoses and providing comprehensive management for workers with occupational diseases
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.
Perbandingan Absolute Lymphocyte Count (ALC) Antara Pasien Terkonfirmasi Dengan Probable Covid 19 Di RSUD Pesawaran Kurniawan, Denny Andika; Utama, Winda Trijayanthi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1763

Abstract

Coronavirus Disease 2019 (COVID-19) is a broad group of viruses known to cause diseases with a diverse clinical spectrum, ranging from mild symptoms to severe disorders in humans. These viruses are zoonotic, meaning they can be transmitted from animals to humans, posing a major challenge in infection control efforts. In addition, variations in immune responses in each individual cause the clinical picture of Covid-19 to vary greatly, including changes in laboratory parameters such as absolute lymphocyte count (ALC). This study was conducted to analyze the differences in ALC values in patients with a confirmed diagnosis of Covid-19 compared to patients categorized as probable Covid-19 at the Pesawaran Regional General Hospital. The study design used an observational analytical method with a cross-sectional approach. Data processing and analysis were performed using an independent t-test to assess the difference in means between the two groups. The total sample consisted of 45 patients, namely 20 patients with confirmed Covid-19 and 25 patients with probable Covid-19. The results showed that the mean ALC value in the confirmed group was 1,241.5/µL, while in the probable group it reached 1,812.59/µL. These findings indicate a statistically significant difference between the mean ALC of the two groups, with a p-value of 0.0001. This difference also supports the findings of previous studies that lymphopenia is more commonly found in patients with verified Covid-19 infection. Thus, this study confirms that Covid-19 confirmation status is associated with changes in ALC, which can be a supporting clinical parameter in the evaluation and monitoring of patient conditions.
Perbedaan Tingkat Pengetahuan Tentang Diabetes Melitus Dengan Kadar Gula Darah Sewaktu Pasien DM Tipe 2 Saribu, Samintola Dolok; Utama, Winda Trijayanthi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1806

Abstract

Diabetes mellitus (DM) is a degenerative disease characterized by elevated blood sugar levels or hyperglycemia. The incidence of DM continues to increase every year, influenced by various factors such as suboptimal recovery, the need for continuous consumption of antidiabetic drugs, uncontrolled blood sugar levels, and low patient knowledge about the disease. This condition can worsen complications and reduce the quality of life of patients. This study was conducted to determine the difference in the level of knowledge about diabetes mellitus with blood sugar levels in type 2 diabetes mellitus patients at Dr. H. Abdul Moeloek Regional General Hospital in Lampung Province. This study used a descriptive method with a cross-sectional study design. Sampling was conducted using non-probability sampling, specifically consecutive sampling, with instruments in the form of questionnaires to measure knowledge levels and random blood sugar level tests. Data were analyzed using the chi-square test to see the relationship between variables. A total of 35 respondents participated in this study, with 11.4% in the good knowledge category, 14.3% in the adequate category, and 74.3% in the poor category. The average blood sugar level of the respondents was 285 mg/dL. The statistical test results showed a p-value of 0.003, indicating a significant difference between the level of knowledge about diabetes mellitus and fasting blood sugar levels. Thus, this study concluded that the level of patient knowledge has a significant relationship with fasting blood sugar levels in type 2 DM patients.
Low Back Pain Pada Petani Karet: Sebuah Tinjauan Pustaka Pratama, Redi Bintang; Utomo, Muhammad Aditya; Utama, Winda Trijayanthi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1818

Abstract

 Low Back Pain (LBP) is one of the most common musculoskeletal disorders experienced by agricultural workers, including rubber farmers, due to heavy physical demands, repetitive activities, and non-ergonomic work postures. The high prevalence of LBP among rubber farmers has the potential to reduce work productivity, increase the risk of disability, and negatively impact quality of life. This study aims to review the literature related to the incidence, prevalence, risk factors, and prevention and management efforts for Low Back Pain in rubber farmers. The method used is a literature review by searching for scientific articles through the Google Scholar, PubMed, ScienceDirect, and Garuda databases. The articles included were original studies in Indonesian and English published in the last ten years and discussed LBP in rubber farmers or agricultural workers with similar work characteristics. The results of the study showed that the prevalence of LBP among rubber farmers was relatively high, ranging from 33% to more than 70%. The main risk factors include heavy workloads, non-ergonomic work postures, repetitive work activities, prolonged standing or bending, and working without ergonomic training. Individual factors such as age, length of service, body mass index, and smoking habits also contribute to an increased risk of LBP. Recommended LBP prevention and management efforts include applying ergonomic principles at work, regulating work and rest times, occupational health education, stretching and back muscle strengthening exercises, and controlling individual risk factors. The conclusion of this literature review indicates that LBP among rubber farmers is a multifactorial occupational health problem that requires ergonomic interventions and continuous occupational health promotion.
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.
Efektivitas Amoxicillin dan Piperacillin Terhadap Klebsiella pneumoniae pada Kasus Infeksi Saluran Pernapasan Akut di RSUD Dr. H. Abdul Moeloek Periode 2019 – 2023 Azalia, Nadhira; Soleha, Tri Umiana; Larasati, Ratri Mauluti; Utama, Winda Trijayanthi
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1846

Abstract

Acute respiratory tract infection (ARI) is one of the leading causes of morbidity that often requires antibiotic therapy, with Klebsiella pneumoniae being one of the most commonly found bacterial pathogens and known to have a high level of antibiotic resistance. Irrational use of antibiotics can accelerate the development of resistance, so the effectiveness of antibiotics needs to be evaluated periodically. Amoxicillin and piperacillin are commonly used antibiotics in the management of ARTI. This study aimed to evaluate the effectiveness of amoxicillin and piperacillin against Klebsiella pneumoniae in cases of ARTI at Dr. H. Abdul Moeloek General Hospital from 2019 to 2023. This study is an observational analytical study with a cross-sectional design using secondary data in the form of culture results and antibiotic sensitivity tests from patient medical records. The sampling technique used total sampling with a total of 106 Klebsiella pneumoniae isolates. Data analysis was performed using the Chi-Square test. The results showed that the resistance rate of Klebsiella pneumoniae to amoxicillin was 92.5% with a sensitivity of 7.5%. In contrast, piperacillin showed a higher sensitivity of 58.5% although resistance was still found at 41.5%. Statistical tests showed a significant relationship between the type of antibiotic and the level of bacterial sensitivity (p-value < 0.001). The conclusion of this study indicates that piperacillin is more effective than amoxicillin in the management of ARI caused by Klebsiella pneumoniae and can be considered in the selection of empirical antibiotic therapy.
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.  
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 Azalia, Nadhira Azelia Nusadewiarti Azhar, Hafidz Sirojudhin Azmi, Aulia Salma Azzahra, Herina Balqis, Gasela Zalianti Bawono, Aloysius Krishartadi Damar Bayu Anggileo Pramesona Daulay, Suryani Agustina 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 Kurniawan, Denny Andika Kurniawaty, Evi Kusuma, Febriyani Dyah Larasati, Ratri Mauluti 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 Pratama, Redi Bintang 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 Sany Setiawan Saribu, Samintola Dolok 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 Sutarto Sutarto Sutyarso Sutyarso Syazili Mustofa Syifa Rahmi Fadhila TA Larasati Tasya Nadia Putri Tri Umiana Soleha Tri Umiana Soleha Tyaradhia Ranita Eltidar Utomo, Muhammad Aditya W, Sofyan Musyabiq Waluyo Rudiyanto Wardani, Nanda Fitri Widjaja, Jovan Zahra, Tsurayya Fathma