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Journal : Medula

Inovasi Kedokteran Komunitas Dalam Pelatihan Keselamatan Kerja Di Bidang Pertanian Berbasis Teknologi Melalui Permainan Digital Tasya Alifia Hanin; Fitria Saftarina; Dewi Nur Fiana
Medula Vol 12 No 4 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i4.484

Abstract

The Occupational Health and Safety sector is currently in training methods to minimize the risk of injury and increase safety at work. Various work sectors have implemented a more active method of delivering training materials, namely through the application of digital games. Digital games are considered successful in some sectors of work, but are limited in agriculture. This is because in the agricultural sector this tends to occur with the same movement and flow. Therefore, this literature aims to understand how to deal with various occupational risks as long as game-based safety in the field can be applied in the agricultural sector. Literature search through Pubmed, Scopus, PsycINFO, and Web of Science with a focus on “serious games” and “gamification” as safety training methods. As a result, digital games that can be applied are through computer technology, with games in the form of increasing levels, points, and challenges being the most popular attraction. During the game, the positive feedback generated and after the game is proven to improve the skills and safety of workers. Therefore, digital games can be developed as an effective, satisfying, and interesting training method for workers in the agricultural sector.
Perbedaan Kekuatan Otot Genggam Tangan Antara Atlet Calisthenics Dengan Pekerja Konstruksi Bangunan Wibowo, Gatra Hadimuti; Fiana, Dewi Nur; Fauzi, Ahmad; Berawi, Khairunnisa
Medula Vol 14 No 4 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i4.1011

Abstract

Physical activity has an important role in increasing muscle strength. High intensity physical activity can build muscle mass ,endurance and increase muscle strength compared to low intensity physical activity. One way to determine the strength of the hand or upper extremity muscles can be measured by the strength of the hand grip muscles. In this study, researchers wanted to look at the differences in hand grip muscle strength between calisthenics athletes and building construction workers. The research was conducted with a cross sectional approach using total sampling techniques. Data was taken in November 2023 at Saburai Field and Unila Bandar Lampung with 40 calisthenics athletes and 40 building construction workers who met the inclusion and exclusion criteria. Data was obtained by measuring using a Camry dynamometer. Data were analyzed using the Independent T-test. The result showed that there was a significant difference between the hand grip muscle strength of calisthenics athletes and building construction workers with a p value of 0.000. It concluded that there was a significant difference between the hand grip muscle strength of calisthenics athletes and building construction workers.
Physiotherapy for Children with Cerebral Palsy Verizka, Talitha; Berawi, Khairun Nisa; Happy, Terza Aflika; Oktarlina, Rasmi Zakiah; Fiana, Dewi Nur
Medula Vol 14 No 9 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i9.1336

Abstract

Cerebral cortex has a motoric area which function in controlling muscle movement. When this area does not develop properly or damaged, cerebral palsy can occur. Cerebral palsy is a disorder of the motoric area of the brain which causes a dysfunction on muscle activities. Eventually, this will lead to limitation of daily activities. Disorder can occur in prenatal, perinatal, or postnatal period. There are four types of cerebral palsy which are spastic, dyskinetic, ataxic, and mixed cerebral palsy. Patient with cerebral palsy experience changes in production of force, balance, and gait as well as a decreased in production of volunteer force. The most dominant sign is balance disorder, but sensoric deficiency could also be seen. In diagnosing cerebral palsy, Levine criteria called POSTER can be used. A child is said to have cerebral palsy when four out of six categories are fulfilled. The aim of treatment of cerebral palsy is to increase functionality, improve capability, and sustain health. Treatment should be done as early as possible and intensive to achieve maximum output. Aside from pharmacological and surgical treatment, mechanic aids, and management of associated medical condition, treatment of cerebral palsy includes physiotherapy. Physiotherapy helps to improve gross motor quality in children with cerebral palsy. Although there are no medicines that can cure cerebral palsy, physiotherapy approach can be done includes re-patterning movement, neurodevelopmental technique (NDT), body weight support treadmill training, atlanto-occipitalisi mobilisation, and standing frame exercise.
Challenges and Strategies in Dealing Children with Autism Spectrum Disorder: A Literature Review Nisa, Lutfi Khoirun; Perdani, Roro Rukmi Windi; Graharti, Risti; Wardhani, Dyah Wulan Sumekar Rengganis; Fiana, Dewi Nur; Rahmayani, Fidha
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1356

Abstract

Autism Spectrum Disorder (ASD) is a complex neurodevelopmental disorder that affects children permanently. The exact cause of GSA is not yet known and affects more men than women with a ratio of 4:1. This autism disorder in children appears from birth or a few months after birth, but is often diagnosed when the child is less than 3 years old. Confirmation of GSA diagnosis can use two screening tools, namely DSM-5 and M-CHAT. The management that can be given to children with GSA can be pharmacological and non-pharmacological treatment. According to the World Health Organization (WHO) in 2022, 1 in 100 children in the world is diagnosed with autism. Children with GSA have many disorders that can affect their daily activities, both verbally and non-verbally. The main symptoms that are often encountered in children with GSA are difficulties in social interaction, problems in communication, including difficulty learning language or abnormalities in speech, and a tendency to be obsessive about maintaining a consistent daily routine and environment. The prognosis of GSA depends on the severity of each individual and the accompanying disease. This of course makes parents who have children with GSA will be faced with specific challenges in raising their children because children with GSA have different characteristics. Effective strategies that can be carried out to improve disorders in GSA children include the use of visual aids, the creation of a structured daily schedule, good interpersonal communication, the application of the Applied Behavior Analysis (ABA) method, integrated sensory therapy, occupational therapy, and play therapy. In addition, to overcome the stress experienced by parents of children with GSA, especially in mothers, it can be done by providing parenting education through psychoeducation.
Peran Shunt Ventrikuloperitoneal dalam Strategi Pengobatan Hidrosefalus Pada Anak : Literature Review Sari, Indah Purnama; Roro Rukmi Windi Perdani; Diana Mayasari; Intanri Kurniati; Fidha Ramayani; Rizki Hanriko; Dewi Nur Fiana
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1357

Abstract

Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid (CSF) within the brain's ventricles, presents a significant challenge in pediatric care. The increased intracranial pressure resulting from this CSF buildup can lead to severe neurological damage if left untreated. Ventricular peritoneal shunt (VP shunt) surgery remains a primary surgical intervention aimed at diverting excess CSF, thereby reducing intracranial pressure and mitigating the risk of irreversible neurological damage. This literature review provides a comprehensive review of the role of VP shunts in the management of pediatric hydrocephalus, encompassing a detailed examination of indications and contraindications for shunt placement, various surgical techniques employed, and the effective management of common post-operative complications such as infection, shunt malfunction (obstruction or overdrainage), and hemorrhage. We meticulously analyze current literature data to assess the effectiveness of VP shunts in improving neurological outcomes, fostering cognitive development, and enhancing the overall quality of life for children affected by hydrocephalus. The analysis will incorporate a review of long-term followup studies to evaluate the durability and efficacy of different shunt types and materials. Case studies and clinical experiences are integrated to provide a nuanced understanding of current clinical practices and to highlight the complexities often encountered in managing this condition. Furthermore, this literature review delves into recent advancements in shunt technology, including the development of programmable valves and less invasive surgical approaches. It also addresses the persistent challenges in optimizing hydrocephalus care, emphasizing the crucial need for a multidisciplinary approach involving neurosurgeons, pediatric neurologists, developmental pediatricians, and other healthcare professionals to ensure holistic and individualized patient care. The ultimate goal is to provide practical, evidence-based guidance for healthcare professionals in the effective and safe management of pediatric hydrocephalus using VP shunts, ultimately improving patient outcomes and quality of life.