. Muliani
Departemen Anatomi, Fakultas Kedokteran Universitas Udayana

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PREVALENSI DAN DERAJAT NYERI LEHER AKIBAT PENGGUNAAN TELEPON GENGGAM PADA MAHASISWA PSSKPD FK UNUD BERUMUR 18-23 TAHUN Agus Indra Yudhistira Diva Putra; I Nyoman Gede Wardana; . Yuliana; . Muliani
E-Jurnal Medika Udayana Vol 10 No 10 (2021): Vol 10 No 10(2021): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2021.V10.i10.P03

Abstract

Latar Belakang: Nyeri leher merupakan persepsi sakit yang melibatkan regio servicalis meliputi struktur tulang belakang berupa diskus invertebralis, ligamentum, otot, facet joint dan sistem nervus yang disebabkan oleh trauma repetitif dan akumulatif dari penggunaan leher yang berlebihan. Salah satu pencetus trauma tersebut adalah penggunaan telepon genggam berlebihan. Global Burden Disease menyatakan nyeri leher merupakan salah satu masalah muskuloskeletal keempat yang menyebabkan penderitaan hidup akibat disabilitas Tujuan: Studi ini bertujuan untuk mengetahui prevalensi derajat nyeri leher akibat telepon genggam dan hubungan variabel berupa jenis kelamin, usia, durasi, frekuensi, tingkat angkatan, dan posisi menggunakan telepon genggam pada mahasiswa PSSKPD FK UNUD 18-23 tahun. Metode: Studi ini menggunakan rancangan studi analitik crossectional. Sampel terdiri dari 194 orang berdasarkan kriteria inklusi dan eksklusi. Sampel mengisi kuesioner demografi dan kuesioner NDI yang disebarkan secara daring. Analisa data menggunakan uji chi-square, fishers exact, dan pearson correlation yang dianalisissoftware SPSS 22. Hasil: Mayoritas mahasiswa mengalami derajat nyeri leher ringan akibat telepon genggam (93.3%) dan derajat nyeri leher berat (6.7%). Hasil uji statistik didapatkan terdapat hubungan signifikan antara jenis kelamin (p=0.03) dengan nyeri leher akibat telepon genggam (p<0.05). kata kunci: derajat nyeri leher, mahasiswa kedokteran, telepon genggam
Prevalensi kejadian nyeri leher pada siswa SD Negeri 3 Mas, Desa Mas, Kecamatan Ubud yang menggunakan tas punggung Ni Made Hita Husmarika; Muliani muliani; Yuliana yuliana
Bali Anatomy Journal Vol 2 No 1 (2019): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.821 KB) | DOI: 10.36675/baj.v2i1.19

Abstract

Background: The incidence of neck pain abroad and in Indonesia is relatively high. The incidence of neck pain is caused by physical influence, one of them is the use of a backpack which is especially experienced by elementary school students. Aim: This study aimed to determine the prevalence of neck pain in students of SD Negeri 3 Mas, Mas, Ubud who using backpacks. Method: This study was descriptive cross-sectional study. The sampling technique use total sampling. The subjects were 79 students of SD Negeri 3 Mas, Mas, Ubud who met the inclusion and exclusion criteria. Inclusion criteria included students were willing and using backpacks while the exclusion criteria were students with infectious diseases or traumatic bone or muscle. Research data are primary data obtained from questionnaires and direct measurements by researchers. Results: Prevalence of neck pain in students of SD Negeri 3 Mas, Mas, Ubud using backpacks was 45.6%. The proportion of neck pain is more frequent in students with bag weight <10% body weight (47.0%), students who use backpacks >30 minutes (high duration) with any transportation (100%), non-obese students (46.6%) and female students (50.0%).
Prevalensi penderita Bunion pada guru dan pegawai wanita di delapan SMA Negeri di Denpasar yang menggunakan sepatu hak tinggi Putu Paramita Primadevi Pramana; Yuliana Yuliana; Muliani Muliani
Bali Anatomy Journal Vol 2 No 1 (2019): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (694.007 KB) | DOI: 10.36675/baj.v2i1.20

Abstract

Background: High school’s female teachers and staff are often using high heels that can cause health problem, bunion. Aim: This study aims to determine the prevalence of bunion sufferers among female teachers and employees in eight public high schools in Denpasar who use high heeled shoes. Method: This study was a cross-sectional descriptive study, involve 80 samples. In collecting data the writer used questionnaires and feet photos. The data was taken in 8 public high schools in Denpasar. Data were analyzed with SPSS 24. Result: Of the 80 samples, 25 suffered from bunion. The proportion of patients with underweight is 0%, normal is 31.1%, overweight is 33.3%, obesity is 37.5%. Patients with heels <4cm 14.3%, 4 - 7 cm 43.2%, and >8 cm 100%. Patients with stiletto heel’s type is 50%, moderate is 29.9%, wide is 28.6%. Patients with usage period >12 years is 38.9%, ≤ 12 years is 25%. Patients with usage duration >3 hours is 31.6%, ≤ 3 hours is 0%. Patients with risk activities is 32.9%, without is 14.3%. Patients with pain complaints is 26.7%, without is 37.1%. Conclusion: the prevalence of bunion sufferers is 31.25%. The proportion sufferers based on nutritional status dominated by obesity, based on the height of the heels dominated by the height of > 8 cm, based on heels type dominated by narrowed type, based on usage period dominated by >12 years, based on usage duration dominated by >3 hours, based on risk activities dominated by patients who have risky activities, based on complaints of pain dominated by patients who didn’t feel pain.
Prevalensi dan karakteristik keluhan muskuloskeletal pada petani di Desa Aan Kabupaten Klungkung tahun 2018 Luh Dindi Ayu Surya Kanti; Muliani Muliani; Yuliana Yuliana
Bali Anatomy Journal Vol 2 No 1 (2019): Bali Anatomy Journal (BAJ)
Publisher : Department of Anatomy, Medical Faculty, Universitas Udayana, Bali-Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.492 KB) | DOI: 10.36675/baj.v2i1.22

Abstract

Background: Aan village is one of the villages where most of the people work as farmers. Farmer is one type of work that has a high risk of experiencing health and safety problems, one of which is musculoskeletal disorders. Aim: This study aimed to determine the prevalence and characteristics of musculoskeletal disorders among farmers in Aan Village, Klungkung Regency. Method: This researchs was a descriptive cross-sectional study. The population in this study was farmers in the Aan village, Banjarangkan, Klungkung, Bali. Data collection is done by filling in the NBM questionnaire by 80 respondents who were determined using simple random sampling technique. The study was conducted in May-September 2018. Results: The prevalence of farmers who experienced musculoskeletal disorders was 80%, and often felt in the right knee 40%, left knee 37.5%, waist 30.1%, right shoulder 15.1%, and left shoulder 12.6%. The age most experienced by musculoskeletal disorders is 46-55 years by 30%, which occurred in men (88%) and women (13%). Musculoskeletal disorders are more often experienced by farmers who have the last primary education (34%), not smoking (66%), have been a farmer for >10 years (89%), work >8 hours a day (55%), and work with the position of turning the body and holding back (100%). Conclusion: The prevalence of farmers who experience musculoskeletal disorders was 80%. Musculoskeletal disorders mostly occur in the right knee, left knee, waist, right shoulder, and left shoulder. Musculoskeletal disorders are more experienced by farmers aged 46-55 years, male farmers, having the last primary school education, not smoking, have been a farmer for >10 years, working >8 hours a day, and work with the position of turning the body and holding back.
Perbandingan kapasitas vital paru dan FEV1 antara atlet olahraga aerobik dan nonatlet: sebuah tinjauan sistematik Anak Agung Ratih Kusumadewi Wiraputri; I Nyoman Gede Wardana; Yuliana Yuliana; Muliani Muliani
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2531.344 KB) | DOI: 10.15562/ism.v12i1.914

Abstract

Introduction: Physical exercise, such as aerobic exercise, depends on the aerobic energy generation process or requires oxygen. One way to determine the benefits of physical activity in individuals is to look at the differences in lung function in the group who regularly exercise (athletes) with the sedentary group. This review will discuss further the comparison of vital lung capacity and Forced Expiratory Volume in 1 sec (FEV1), which is presented in the form of a systematic review.Methods: A search for journals published from 2015-2020 was conducted on the CENTRAL, ProQuest, Pubmed, and ScienceDirect databases that compared cardiorespiratory endurance values in athletes and non-athletes. The preparation of this systematic review is based on guidelines for writing systematic reviews by Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA).Results: The literature search results in 30 studies. These studies were analyzed based on the intervention or exposure to see the description and differences of lung function characteristics, especially vital capacity and FEV1 in aerobic and non-athletic athletes.Conclusion: Aerobic sports athletes tend to have better lung function than non-athletes, where lung function is assessed based on the higher FVC and FEV1 values in aerobic athletes. Several studies that showed insignificant differences on the lung function of aerobic athletes and non-athletes were caused by differences in the anthropometric characteristics of each group, which was a confounding factor in the study.  Pendahuluan: Latihan fisik seperti olahraga aerobik merupakan aktivitas fisik yang bergantung pada proses pembentukan energi secara aerob dan dapat memberikan efek positif terhadap sistem kardiovaskular dan respirasi. Salah satu cara untuk mengetahui manfaat aktivitas fisik pada individu adalah dengan melihat perbedaan fungsi paru pada kelompok yang rutin berolahraga (atlet) dengan kelompok sedenter. Dalam tinjauan ini akan dibahas lebih jauh mengenai perbandingan kapasitas vital paru dan Forced Expiratory Volume in 1 sec (FEV1) yang disajikan dalam bentuk tinjauan sistematik.Metode: Pencarian jurnal yang membandingkan nilai daya tahan kardiorespirasi pada atlet dan nonatlet yang diterbitkan dari tahun 2015-2020 melalui database CENTRAL, ProQuest, Pubmed, dan ScienceDirect. Penyusunan systematic review ini didasarkan pada pedoman penulisan tinjauan sistematik oleh Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).Hasil: Hasil pencarian literatur berupa 30 studi yang relevan dan kemudian dianalisis berdasarkan pada intervensi atau paparan yang dilakukan untuk melihat gambaran serta perbedaan karakteristik fungsi paru khususnya kapasitas vital dan FEV1 pada atlet aerobik dan nonatlet.Simpulan: Atlet olahraga aerobik cenderung mempunyai fungsi paru yang baik jika dibandingkan dengan non-atlet, dimana fungsi paru ini dinilai berdasarkan lebih tingginya nilai FVC dan FEV1 pada atlet aerobik. Beberapa studi yang menunjukkan hasil tidak signifikan terhadap fungsi paru atlet aerobik dan nonatlet disebabkan oleh adanya perbedaan karakteristik antropometri dari masing-masing kelompok dimana hal ini merupakan faktor perancu dalam penelitian.
Asam urat serum tinggi dan risiko mortalitas kardiovaskular: sebuah tinjauan sistematik penelitian kohort Anak Agung Gede Bilwa Bhavendra; Yuliana Yuliana; Muliani Muliani; I Nyoman Gede Wardana
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.193 KB) | DOI: 10.15562/ism.v12i1.945

Abstract

Introduction: Serum uric acid has been reported as a predictor of cardiovascular mortality, but there are many debates regarding this finding. This systematic review will analyze and discuss about serum uric acid as an indicator of cardiovascular mortality risk.Methods: A literature search was carried out on the PubMed and ProQuest databases for publication that focused on the association of serum uric acid and cardiovascular mortality risk within 2015-2020. The preparation of this systematic review is based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Results: In this review, four studies were relevant and met the selection criteria. All studies were prospective cohort studies. There were a total of 668,768 participants involved, with a slight female majority (55%). Participants involved in this study were aged 35 years or older. Three of the studies examined showed an association between high serum uric acid levels and cardiovascular disease mortality. Only one study did not show a statistically significant relationship. Each study used a different cut-off point for serum uric acid categories, making the uric acid indicator difficult to apply in clinical practice. The three studies conducted in Asia provide a more practical result that is relevant to the Indonesian population. In all three studies, results were consistent, showing elevated serum uric acid increases cardiovascular mortality risk.Conclusion: Serum uric acid level can predict the risk of death from cardiovascular disease. The study conducted in Asia is quite relevant to the Indonesian population, where the results of the study significantly and consistently found that high serum uric acid levels can increase the risk of cardiovascular mortality.  Pendahuluan: Asam urat serum dilaporkan dapat memperkirakan risiko dari mortalitas kardiovaskular, akan tetapi masih terdapat banyak perdebatan terkait temuan tersebut. Dalam tinjauan ini akan dibahas lebih jauh mengenai hubungan asam urat serum terhadap risiko mortalitas kardiovaskular yang disajikan dalam systematic review.Metode: Pencarian literatur dilakukan pada database PubMed dan ProQuest dengan mengidentifikasi jurnal yang diterbitkan dari tahun 2015-2020 yang berfokus pada topik asam urat serum dan hubungannya terhadap risiko mortalitas kardiovaskular. Penyusunan systematic review ini disusun berdasarkan pedoman Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA).Hasil: Dalam tinjauan ini terdapat 4 studi yang relevan dan memenuhi kriteria seleksi. Seluruh studi merupakan studi kohort prospektif. Terdapat total 668.768 partisipan yang terlibat dengan persentase perempuan sebesar 55%. Partisipan yang terlibat dalam studi ini berusia 35 tahun atau lebih. Tiga dari empat penelitian yang ditinjau menunjukan adanya hubungan antara kadar asam urat serum yang tinggi dengan kematian akibat penyakit kardiovaskular. Hanya satu penelitian yang tidak menunjukan hubungan yang bermakna secara statistik. Masing-masing penelitian menggunakan titik potong kategori asam urat serum yang berbeda-beda yang menyebabkan efektivitas indikator asam urat serum sulit untuk diaplikasikan. Tiga studi yang dilakukan di Asia memberikan gambaran yang lebih sesuai untuk aplikasi di Indonesia karena populasi partisipannya lebih mendekati keadaan populasi Indonesia.  Pada ketiga studi tersebut diperoleh hasil yang konsisten menunjukan peningkatan asam urat serum meningkatkan risiko mortalitas kardiovaskular.Kesimpulan: Kadar asam urat serum dapat dapat memperkirakan risiko mortalitas akibat penyakit kardiovaskular. Studi yang dilakukan di Asia, cukup relevan dengan populasi Indonesia, dimana hasil studi ini secara signifikan dan konsisten mendapatkan kadar asam urat serum yang tinggi dapat meningkatkan risiko mortalitas akibat penyakit kardiovaskular.