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Yoga versus neuromuscular coordination exercise in improving fall predictor parameters and nerve growth factor levels among adult population: a randomized controlled trial Wahyuni, Nila; Adiputra, Nyoman; Adiatmika, I Putu Gede; Sundari, Luh Putu Ratna; Indrayani, Agung Wiwiek; Vittala, Govinda
Public Health and Preventive Medicine Archive Vol. 12 No. 1 (2024)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2024.v12.i1.p04

Abstract

Background and purpose: The incidence of fracture-related falls in young adults has been increased and the population with walking disorders has an increased risk of falling. It is very important to improve fall predictor parameters early in adulthood to reduce the risk of falling and injury in the future. This study aims to explore the differences of effectiveness between yoga and neuromuscular coordination exercise in improving several fall predictor parameters and Nerve Growth Factor (NGF) levels. Methods: This study was a randomized controlled trial involving 30 participants who met the inclusion and exclusion criteria. Participants were divided into two groups randomly. Group one was given yoga training intervention and group two was given neuromuscular coordination exercise. Participants` gait speed measurements were carried out using Shuttle Run Test. Participants` agility measurements were carried out using Hexagonal Obstacle Test. Participants` visual and auditory reaction time measurements were carried out using Whole Body Measuring equipment II type TKK – 1264 B. NGF measurement used the ELISA technique. Results: Paired sample Wilcoxon test showed yoga training was effective in improving all fall risk predictor parameters and NGF with p<0.05, but neuromuscular coordination exercise only showed improvement in one fall predictor parameter, namely speed. The unpaired sample Mann Whitney test proved that yoga training was significantly more effective with p<0.05 compared to neuromuscular coordination exercise in improving fall risk parameters, namely agility, visual reaction time, auditory reaction time, but not more effective in improving speed gait and NGF level. Conclusion: The We conclude that yoga training is the most effective exercise in improving fall risk parameters, namely agility, visual and auditory reaction time. Yoga training is a promising intervention in improving various aspects of fall risk.
Effects of yoga exercise in reducing the risk of knee osteoarthritis and fibulin-3 levels among overweight population: a randomized controlled trial Wahyuni, Nila; Adiatmika, I Putu Gede; Vittala, Govinda; Nova Mahendra, Agung
Public Health and Preventive Medicine Archive Vol. 11 No. 2 (2023)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2023.v11.i2.p04

Abstract

Background and purpose: One of the main risk factors for knee osteoarthritis is overweight. The purpose of this study is to determine the effectiveness of yoga exercise in reducing the risk of knee osteoarthritis and fibulin-3 levels in overweight populations. Methods: This study was a randomized controlled trial involving 24 participants who met the inclusion and exclusion criteria. Participants were randomly divided into two groups: group one was given yoga exercise intervention and group two was given neuromuscular coordination exercise as the control group. Risk of knee osteoarthritis measurements were carried out using The Western Ontario and McMasters University Osteoarthritis Index (WOMAC). Fibulin-3 measurement used ELISA technique using human fibulin-3 kit, FBLN3 BT-LABkit 96T E4667Hu. Results: Participants of both groups were comparable, except for age where the control group is slightly older. Pre and post-test comparison showed improvement in pain, stiffness, physical function, total WOMAC score, and fibulin-3 levels in both groups. While, the post-test comparison between the two groups showed that yoga group has better scores on all indicators compared to the control groups which was statistically significant (p≤0.001). Conclusion: Both interventions are effective in reducing the risk of knee osteoarthritis and fibulin-3 levels, but yoga showed better result. We recommend yoga training to reduce the risk of knee osteoarthritis compared to conventional training. Future research is needed to measure other knee osteoarthritis biomarkers that describe the pathological process of knee osteoarthritis.
- Relationship between smartphone usage and insomnia among medical student of faculty of medicine Udayana University Siringoringo, Daniel Sulung Utama; Juhanna, Indira Vidiari; Wahyuni, Nila; Dinata, I Made Krisna
E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i03.P17

Abstract

Background: Smartphones are not only used as a communication tool, smartphone have become inseparable from human life around the world. Smartphone usage is always increases. The Central Statistics Agency of Indonesia noted that in 2018 as many as 62.41% of the Indonesian had used mobile phones and mobile phone users in Indonesia increases 3% per year. Beside the positive effects, smartphones also have many negative effects if used excessively. One of the negative effects of excessive smartphone use is insomnia. Aim: Knowing the relationship between smartphone use and the incidence of insomnia among students of Faculty of Medicine, Udayana University. Methods: The method used in this study was an analytical cross-sectional study. Samples selected using simple random sampling method, there are 79 respondents participated in this study and the questionnaires distributed with google form. The data were processed and tested for analysis using the chi-square method. Results: After going through the process of exclusion and drop out, the final number of samples was 75. From 75 samples, 35 samples (46.7%) use smartphone excessively, and 25 samples (33.3%) have insomnia. The results of the bivariate analysis showed a significant relationship between smartphone use and the incidence of insomnia among students of Faculty of Medicine, Udayana University (p = 0,014). Conclusion: There is a relationship between smartphone use and the incidence of insomnia among students of Faculty of Medicine, Udayana University (p = 0,014). Keywords: Smartphone, Insomnia, Medical Students
THE RELATIONSHIP OF POST TRAUMATIC STRESS DISORDER FACTORS WITH PSYCHOSOMATIC SYMPTOMS TO LONG COVID PATIENTS AT RSUD TABANAN Putra Pramanda, I Made Krishna; Purnawati, Susy; Wahyuni, Nila; Primayani, I Dewa Ayu Inten Dwi
E-Jurnal Medika Udayana Vol 13 No 07 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i07.P15

Abstract

Long COVID is a disease in COVID-19 patients who have recovered, but still experience symptoms for longer than normal COVID-19 patients. The main contributing factor to the emergence of long-lasting symptoms is Post Traumatic Stress Disorder (PTSD). PTSD is a stress-related mental disorder and may arise following exposure to a serious and unpleasant traumatic event or injury. The World Health Organization (WHO) has recognized Long COVID as a significant health problem and has initiated research efforts. The aim of the research is to determine the relationship between Post Traumatic Stress Disorder factors and psychosomatic symptoms of Long COVID patients at RSUD Tabanan Regional. This research is an observational analytic with a cross-sectional design. Sample collection was carried out on COVID-19 patients who had been declared cured and allowed to go home at the RSUD Tabanan who had met the inclusion and exclusion criteria. The sampling technique is purposive random sampling, with a minimum sample size calculated using the Lemeshow formula, namely 73 respondents. Data was collected using an offline questionnaire. This study aims to determine the age and gender characteristics, the magnitude of the incidence, and the relationship between Post Traumatic Stress Disorder factors and psychosomatic symptoms of Long COVID patients. The research results showed that a small number of respondents, 29 people (39.73%) experienced PTSD during COVID, and 44 people (60.27%) did not experience PTSD. The results of the analysis of the psychosomatic symptoms of Long COVID patients showed that the majority of respondents, 59 (80.82%) had long-lasting symptoms, and 14 (19.18%) patients did not have long-lasting symptoms. After being tested using the bivariate Spearman correlation test, the result was P value = 0.001 < ? (0.050), meaning that there was a significant relationship between the Post Traumatic Stress Disorder factor and the psychosomatic symptoms of Long COVID patients at the RSUD Tabanan.
HUBUNGAN ANTARA PENGETAHUAN NUTRISI DENGAN OBESITAS PADA MAHASISWA PENDIDIKAN DOKTER FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Janice, Elisabeth; Tirtayasa, Ketut; Juhanna, Indira Vidiari; Wahyuni, Nila
E-Jurnal Medika Udayana Vol 12 No 3 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2023.V12.i03.P18

Abstract

Background. Obesity is one of problems that are often found in students due to the lifestyle of students who are less active. Changes in student lifestyles to become sedentary have an impact on eating patterns, or the consumption of people who are more likely to choose fast food, high-calorie, and high-fat foods. Nutrition knowledge is known to affect a person's diet. Diet itself certainly affects the type of food and the amount of food consumed every day. People with high nutrition knowledge will be able to regulate their daily diet and avoid one of the risks of obesity. Purpose. To know the relationship between nutritional knowledge and obesity. Method. Type of research used is an analytical cross sectional research method to analyze the relationship between nutrition knowledge and BMI among medical students in Udayana University. Results. The samples that were collected were 98 people, the results obtained in this study showed that 53.1% of students had a normal BMI and 48% of students had low nutritional knowledge. Based on this study, it was found that the p value was 0.588 and it can be concluded that there is no relationship between nutritional knowledge and obesity
HUBUNGAN TINGKAT STRESS DENGAN DERAJAT DISMENORE PRIMER PADA MAHASISWI PROGRAM STUDI SARJANA KEDOKTERAN FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA Nurharta, Desak Made Pratista Sari Mahadevi; Wahyuni, Nila; Dinata, I Made Krisna
E-Jurnal Medika Udayana Vol 13 No 4 (2024): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2024.V13.i04.P17

Abstract

Background: Primary dysmenorrhea is pain or tenderness during menstruation without any gynecological abnormalities. The main contributory cause to primary dysmenorrhea is an increase in prostaglandin production, one of which can be brought on by stress. Stress is the response of the human body to stressors and can be a defense system of the human body. It has been determined from numerous research that stress is relatively common among medical students. The stress experienced by female students can cause disturbances in the endocrine system so that it can be a trigger or a factor in aggravating the degree of dysmenorrhea. Objective: This study aims to determine the relationship between stress levels and the degree of primary dysmenorrhea in students of the Medical Undergraduate Study Program, Faculty of Medicine, Udayana University. Methods: This study used an observational analytic research study with a cross sectional design. By using total sampling, 81 students from the Medical Education Study Program at the Faculty of Medicine at Udayana University, year 2020, were selected as the research sample. Data on stress were obtained from filling out the PSS-10 questionnaire and data on primary dysmenorrhea were obtained from the NRS. Analysis of research data using chi-square test to determine the correlation between stress and primary dysmenorrhea. Results: The results of the study showed that there was no relationship between stress and primary dysmenorrhea with a p-value of 0,79. Conclusion: The conclusion of this study is that there is no significant relationship between stress levels and the degree of primary dysmenorrhea in students of the Medical Undergraduate Study Program, Faculty of Medicine, Udayana University. Keywords : Stress, stress level, dysmenorrhea, primary dysmenorrhea
Pengaruh Kompensasi dan Pengembangan Karir terhadap Kinerja Karyawan PT Trijaya Anugrah Kreasi Kabupaten Bogor Wahyuni, Nila; Eka, Priehadi Dhasa
Jurnal Ilmiah PERKUSI Vol. 4 No. 4 (2024): PERKUSI
Publisher : Universitas Pamulang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32493/j.perkusi.v4i4.43981

Abstract

Tujuan dari penelitian ini adalah untuk mengetahui pengaruh kompensasi dan pengembangan karir terhadap kinerja karyawan pada PT Trijaya Anugrah Kreasi Kabupaten Bogor. Populasi dalam penelitian ini adalah seluruh karyawan PT Trijaya Anugrah Kreasi Kabupaten Bogor yang berjumlah 50 karyawan. Penentuan jumlah sampel yang diambil sebagai responden dengan menggunakan sampel jenuh yaitu menggunakan seluruh populasi menjadi sampel. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah Angket (Quesioner) dan wawancara. Teknik analisis yang digunakan dalam penelitian ini adalah uji validitas, uji reliabilitas, uji asumsi klasik, analisis regresi, koefisien korelasi, koefisien determinasi dan uji hipotesis. Hasil penelitian ini adalah kompensasi berpengaruh positif dan signifikan terhadap kinerja karyawan dengan nilai koefisien determinasi sebesar 44,1% dan uji hipotesis diperoleh t hitung > t tabel atau (6,158 > 2,011). Pengembangan karir berpengaruh positif dan signifikan terhadap kinerja karyawan dengan nilai koefisien determinasi sebesar 61,1% dan uji hipotesis dperoleh t hitung > t tabel atau (8,685 > 2,011). Kompensasi dan pengembangan karir secara simultan berpengaruh positif dan signifikan terhadap kinerja karyawan dengan persamaan regresi Y = 9,530 + 0,981X1 + 0,746X2. Nilai koefisien determinasi sebesar 61,4% sedangkan sisanya sebesar 38,6% dipengaruhi oleh faktor lain. Uji hipotesis diperoleh nilai F hitung > F tabel atau (75,423 > 3,20).
Relationship between leg muscle explosive power and lay-up shoot ability wahyu, I Made Wahyu Pranatha Putra; Dewi, Anak Ayu Nyoman Trisna Narta; Wahyuni, Nila; Ruma, I Made Winarsa
Physical Therapy Journal of Indonesia Vol. 5 No. 1 (2024): January-June 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i1.168

Abstract

Background: Lay-up shoot is one of the basic techniques that a basketball athlete must master to be a winner. The shooting technique involves jumping and dribbling the ball as close as possible into the ring. This study aimed to describe the relationship between leg muscle explosive power and lay-up shoot ability. Methods: This research was a descriptive study with a correlational design that used a total sampling technique that targeted all students who were basketball club members at Public Senior High School 8 Denpasar concerning inclusion and exclusion criteria. A vertical jump test measured leg muscle explosive power, and the lay-up shoot ability was measured by doing a lay-up shoot ten times. Results: The results showed a relationship between leg muscle explosive power and the lay-up shoot ability of the students. Most students have above-average legs, muscle explosive power, and good lay-up shooting skills. The better the leg's muscle explosive power, the better the lay-up shoot ability, which shows that the leg muscle explosive power is positively correlated with the lay-up shoot ability Conclusion: This study found a significant relationship between leg muscle explosive power and ability lay-up shoot students at the basketball club Public Senior High School 8 Denpasar.
Duration of playing mobile legends on the incidence of De Quervain syndrome among e-sport players Pradnyadewi, Putu Premanatara; Dewi, Anak Ayu Nyoman Trisna Narta; Wahyuni, Nila; Nugraha, Made Hendra Satria
Physical Therapy Journal of Indonesia Vol. 5 No. 1 (2024): January-June 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i1.186

Abstract

Background: The development of e-sports in Indonesia is influenced by favorable economic aspects such as commercial and marketing activities, but it also poses physiological problems such as game addiction, physical injuries, and social disorders. This study analyzed the relationship between the duration of playing mobile legends and de Quervain's syndrome (DQS) incidence in e-sport players. Methods: This study used a descriptive-analytic cross-sectional approach. The inclusion criteria were mobile legend esports players who had been in the game for at least one year, while the exclusion criteria were injuries in the wrist. The sampling technique used was total sampling, with the research location in Denpasar City, Bali. Data was collected in April 2023 using a personal data questionnaire, and a sample with DQS was determined using the Finkelstein test. The study's 150 subjects were analyzed using IBM SPSS 26 software. Results: The results of data analysis and hypothesis test showed that there was a significant association between the duration of playing mobile legends and the incidence of DQS among e-sport players in the city of Denpasar (p= 0.001) Conclusion: Playing mobile legends for more than 2.25 hours a day potentially increases the risk of DQS, while shorter playing durations correlate with lower risks.
Relationship between hemoglobin level and incidence of primary dysmenorrhea among high school students Gede Reyna Janapriya; Antari, Ni Komang Ayu Juni; Wahyuni, Nila
Physical Therapy Journal of Indonesia Vol. 5 No. 2 (2024): July-December 2024
Publisher : Universitas Udayana dan Diaspora Taipei Medical University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/ptji.v5i2.213

Abstract

Background: Adolescence is a transitional phase from childhood to adulthood, characterized by significant physical and psychological changes. In women, this phase is characterized by menstruation that occurs regularly. Menstruation is often accompanied by lower abdominal pain known as dysmenorrhea. One of the factors that contribute to the occurrence of dysmenorrhea is the hemoglobin (Hb) level in the blood. Lack of oxygen can affect the pain threshold mechanism, thus increasing the intensity of pain felt during menstruation. This study aimed to identify the relationship between hemoglobin levels and the incidence of primary dysmenorrhea in female students at Public Senior High School 1 Semarapura, Klungkung, Bali. Methods: The research method used a cross-sectional study conducted in the Klungkung area in May 2024. The sample of this study was taken by purposive sampling as many as 103 people, consisting of second-year of senior high school female students aged 16-18 years. The study samples were female adolescents who met certain inclusion and exclusion criteria, including 16-18 years old, already having menstruation, active as a student at Public Senior High School 1 Semarapura, willing to be a research subject and signed informed consent, having moderate to heavy physical activity levels, normal, mild, or moderate stress levels, menarche age ≥ 11 years, menstrual duration not more than 7 days. Exclusion criteria included students with BMI in the underweight or obese category and who were menstruating at the time of the study. Hemoglobin levels were measured using a digital Hb meter, while the incidence of primary dysmenorrhea was measured using the WaLIDD Score. Results: Data analysis using Spearman's rho hypothesis test showed a very strong correlation between hemoglobin levels and the incidence of primary dysmenorrhea with a correlation coefficient (r) of -0.752 and a value of p = 0.000 (p < 0.05). This unidirectional relationship indicates that the lower the hemoglobin level, the higher the intensity of dysmenorrhea pain felt. Conclusion: This study concludes that there is a significant relationship between hemoglobin levels and the incidence of primary dysmenorrhea in female students of a public high school in Bali.