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Manual handling as risk factor of low back pain among workers Harrianto, Ridwan; Samara, Diana; Tjhin, Purnamawati; Wartono, Magdalena
Universa Medicina Vol 28, No 3 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.170-178

Abstract

Disorders of the musculoskeletal system constitute a considerable health problem in industrialized societies. Low back pain (LBP) remains a common and costly problem among the workers. Workplace injuries, primarily musculoskeletal disorders, are a persistent problem for nursing. A cross-sectional study was conducted to investigate prevalence of LBP as well as the potential risk factors associated with LBP. These potential risk factors include individual characteristics, job duration, type of work, and manual handling knowledge and practice. Seventy-six subjects consisting of 30 nurses and 46 administrative workers were recruited into the study. Symptoms of LBP cases were assessed by means of a simple questionnaire, and the diagnosis of LBP was confirmed by clinical examination. The study showed that the overall point prevalence rate of LBP was 42.1%, while the overall 12-month prevalence rate was 69.7%. Occupational group and manual handling practice were independent predictors for point prevalence of LBP. Nursing occupation significantly increased the risk of point prevalence rate of LBP by 2.703 (95% C.I. OR 1.046 – 6.984) compared to administrative workers. Nurses with frequent manual handling practice had a 2.917-fold higher risk of developing a point prevalence of LBP, although this risk was statistically not significant (OR=2.917;95% C.I. 0.094-3.003). The study indicates that an association exists between manual handling practice and LBP prevalence.
Musculoskeletal pain and posture decrease step length in young adults Rachmawati, Maria Regina; Samara, Diana; Tjhin, Purnamawati; Wartono, Magdalena; Bastian, Yefta
Universa Medicina Vol 28, No 2 (2009)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2009.v28.92-99

Abstract

Pain of the musculoskeletal system, especially low back pain, is one of the most frequent problems with a high risk of disability. The aim of this research study was to determine the existence of an association between low back pain on one hand,  posture and step length on the other. This cross-sectional study was conducted on 77 healthy young adult subjects. Step length was measured with the Biodex Gait Trainer 2 (230 VAC). The study results indicate that 62.3% of the young adult subjects had suffered from low back pain. There was no significant association between gender and pain. In male subjects no significant association was found between pain on one hand and mean difference in step length and posture on the other. However, in female subjects with abnormal posture, there was a highly significant difference in left step length between subjects with back pain and those without (p=0.007).  The results of a multiple regression analysis indicate that posture has the greatest influence on left step length (B=4.135; 95% Confidence Interval 0.292-7.977). It is recommended that in the examination of low back pain an assessment be made of posture, step length and difference in step lengths.
PENYULUHAN DAN PEMERIKSAAN HIPERPLASIA PROSTAT TERHADAP LANSIA PRIA di CIANGSANA dan NAGRA Krismanuel, Hari; Tjhin, Purnamawati; Agil, Nadifa; Suparjo, Tjhang; Alvina, Alvina
Jurnal Pengabdian Masyarakat Trimedika Vol. 1 No. 1 (2024)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v1i1.19014

Abstract

Prostate hyperplasia is a condition in which there is hyperplasia of the stromal and epithelial cells of the prostate gland. This condition can be experienced by around 20% of men aged 41-50 years, 50% of men aged 51-60 years, up to more than 90% of men aged >80 years. As human life expectancy increases, the number of elderly people in society increases. This causes more and more elderly men to experience prostate hyperplasia. This condition is also experienced by people in the Ciangsana and Nagrak area. Meanwhile, the level of public knowledge regarding the symptoms and signs of prostate hyperplasia is still lacking. This situation causes a lack of public awareness about seeking treatment and increases the anxiety experienced by sufferers. The aim of this PKM is to increase public knowledge of the symptoms and signs of prostate hyperplasia and to screen for prostate hyperplasia among elderly men aged 60 years or more in the Ciangsana and Nagrak areas. This PKM method uses an education, preceded by a pre-test before education and a post-test after education. After that, a digital rectal examination is carried out to diagnose Prostate Hyperplasia. The data obtained consisted of pre-test and post-test results as well as data on Prostate Hyperplasia sufferers from counseling participants. The conclusion obtained in the form of Prostate Hyperplasia education increases the knowledge and level of awareness of counseling participants and the percentage of Prostate Hyperplasia sufferers from male elderly participants in Ciangsana and Nagrak is quite high (64.52%). The implication of this PKM is that people can detect early symptoms and signs of Prostate Hyperplasia and immediately go to a health facility.
PENINGKATAN PENGETAHUAN TENTANG KESEHATAN TELINGA DAN PENDENGARAN PADA PETUGAS KEBERSIHAN UMUM KELURAHAN RAWA BUAYA Melati, Tiara; Tjhin, Purnamawati; Abdillah, Fauzan; Nugroho, Dwi Agustawan; Riyadi, Vicky
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 1 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i1.21926

Abstract

Gangguan pendengaran merupakan salah satu gangguan kesehatan pada telinga yang sering terjadi. Lebih dari 5% penduduk dunia membutuhkan rehabilitasi gangguan pendengaran dan 80% terjadi pada negara dengan ekonomi lemah dan menengah. Gangguan pendengaran dapat terjadi akibat kurangnya kesehatan telinga seperti pada kasus sumbatan kotoran telinga atau infeksi seputar telinga. Gangguan pendengaran juga umum terjadi akibat pajanan bising yang terkait okupasi, termasuk pada pekerja petugas kebersihan yang bekerja di luar ruang, dalam hal ini Petugas Penanganan Prasarana dan Sarana Umum Kelurahan Rawa Buaya, Jakarta Barat. Tujuan kegiatan adalah untuk meningkatkan pengetahuan dan kesadaran petugas kebersihan tentang kesehatan telinga dan pendengaran. Metode yang dilakukan adalah dengan kuesioner sebelum dan sesudah pemberian penyuluhan melalui ceramah dan tanya jawab interaktif. Hasil yang didapatkan adalah terdapat pengaruh yang signifikan terkait peningkatan pengetahuan peserta tentang gangguan pendengaran akibat bising melalui penyuluhan (p<0.001). Sebagian besar peserta telah memiliki pengetahuan yang baik terkait kesehatan telinga dan gangguan pendengaran. Peningkatan pengetahuan peserta diharapkan dapat diikuti dengan perubahan perilaku seperti tidak membersihkan liang telinga dengan cotton bud, melakukan pemeriksaan rutin telinga minimal 6 bulan sekali, dan menggunakan Alat Pelindung Diri bila bekerja pada area yang terpapar bising. Perlu dilakukan upaya tindak lanjut dengan memberdayakan penggunaan Alat Pelindung Diri sebagai upaya pencegahan gangguan pendengaran akibat bising pada pekerja luar ruang.
UPAYA PENINGKATAN PENGETAHUAN DAN KETERAMPILAN BANTUAN HIDUP DASAR PADA KASUS KEGAWATDARURATAN BAGI MASYARAKAT UMUM Wratsangka, Raditya; Krishna Murthi, Aditya; Tungka, Endrico Xavierees; Tjhin, Purnamawati; Primaresti, Arella Fina; Diwa, Puti Maharan
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 1 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i1.21939

Abstract

Sudden cardiac arrest is one pf the leading causes of death that can be prevented through proper initial treatment. this study aims to improve the understanding and skills of the community, especially church officers, in providing Basic Life Support (BLS) through training held on September 14, 2024 at the Hall of the Maria Bunda Karmel Church, West Jakarta. This activity was attended by 70 participants and included materials on cardiac arrest, cardiopulmonary resuscitation (CPR), and handling other emergency cases. The methods used included pre-test and post test to evaluate the increase in participants knowledge. The results showed that after the training, there was a significant increase in knowledge regarding signs of cardiac arrest and first aid procedures, with 100% of respondents being able to identify and provide appropriate assistance. The conclusion of this study emphasizes the importance of regular BLS training to improve community preparedness in dealing with emergency situations, which in turn can reduce morbidity and mortality due to cardiac arrest.
PENYULUHAN PENCEGAHAN HEMORRHOIDS PADA LANSIA Krismanuel, Hari; Tjhin, Purnamawati; Supardjo, Tjhang
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 1 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i1.22057

Abstract

Semakin meningkatnya usia harapan hidup manusia, menyebabkan semakin banyaknya golongan lansia di dalam masyarakat. Ketika usia individu semakin tua, mereka menghadapi berbagai tantangan kesehatan, dan satu masalah umum pada lansia adalah haemorrhoids. Hemorrhoids adalah pembesaran simtomatik dan perpindahan ke distal dari bantalan anus normal. Gejala paling sering dari hemorrhoids adalah perdarahan rectum yang berhubungan dengan pergerakan usus. Insidens hemorrhoids yang memerlukan hemorrhoidectomy di antara para lansia meningkat. Ini menunjukkan kurangnya pengetahuan dan pemahaman terhadap penyebab meningkatnya hemorrhoids pada para lansia dan tindakan pencegahannya. Karenanya diperlukan upaya-upaya untuk mengatasi kesenjangan pengetahuan dan pemahaman yang terkait dengan hemorrhoids melalui penyuluhan untuk pencegahan dan penanganan yang efektif. Tujuan PkM ini adalah untuk meningkatkan pemahaman masyarakat di Kelurahan Krendang terhadap penyebab hemorrhoids pada para lansia untuk pencegahan dan penanganan yang efektif. Metode PkM ini menggunakan metode penyuluhan diikuti sesi tanya jawab. Hasilnya peserta yang hadir sebanyak 30 peserta (sesuai dengan rencana). Para lansia dengan antusias mengikuti penyuluhan dan mengajukan banyak pertanyaan pada saat sesi tanya jawab. Mereka puas dan dapat memahami materi penyuluhan dan penjelasan yang diberikan penyuluh. Kesimpulan yang didapatkan adalah penyuluhan tentang Pencegahan Hemorrhoids pada lansia meningkatkan pengetahuan dan pemahaman peserta penyuluhan. Implikasi dari PkM ini para lansia dapat mendeteksi dini gejala dan tanda hemorrhoids, dapat melakukan pencegahan terhadap terjadinya hemorrhoids dan melakukan tindakan proaktif/ efektif. 
PENTINGNYA MENJAGA KESEHATAN UMUM DAN REPRODUKSI WANITA SEMASA HIDUP Wratsangka, Raditya; Murthi, Aditya Krishna; Tungka, Endrico Xavierees; Tjhin, Purnamawati; Venantius, Alvin
Jurnal Pengabdian Masyarakat Trimedika Vol. 2 No. 2 (2025)
Publisher : Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/abdimastrimedika.v2i2.22888

Abstract

The life course approach emphasizes the importance of maintaining health form adolescence to elderly, including sexual and reproductive health, non-communicable diseases, and mental health. Promotive and preventive efforts in the form of health education are still needed as one of the most realistic steps to help optimize women's health status. This community service activity was carried out on November3, 2024 to 68 Catholic women from various age groups who are members of the Indonesian Catholic Women's Association. The activities carried out were in the form of health education with the topic " Becoming a Healthy woman form Age to Age" and collecting questionnaire data. The results showed that after participating in this activity, the level of awareness improved regarding the importance of implementing a healthy lifestyle and routine health checks as a promotive and preventive effort to prevent disease in adult to elderly women. The conclusion of this activity is that health education needs to be carried out continuously to avoid misinformation in effort's to maintain women's health so that women's health status can reach optimal levels in various age groups. 
The Wellbeing of Medical Students: A Comprehensive Review of Psychological, Academic, and Social Determinants Tjhin, Purnamawati; Sicat, Alvin S; A. Padua, Shirley; Sutrisman, Henny; Simanjuntak, Rosmerry; Kusumo, Bayu; Prihartanto, Adrianus; Ramadhona, Rossa
The Future of Education Journal Vol 4 No 5 (2025)
Publisher : Lembaga Penerbitan dan Publikasi Ilmiah Yayasan Pendidikan Tumpuan Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61445/tofedu.v4i5.557

Abstract

The wellbeing of medical students has emerged as a critical issue within medical education. High academic demands, prolonged study hours, and competitive environments contribute significantly to psychological distress, including depression, anxiety, and burnout. This systematic literature review synthesizes findings from 48 peer-reviewed studies published between January 2021 and April 2025 to explore the psychological, academic, and social determinants of wellbeing among medical students. Results indicate that maladaptive perfectionism, lack of emotional regulation, and inadequate support systems are key risk factors. Technological interventions, such as mobile-based mindfulness training and online counseling platforms, offer promising but limited solutions unless integrated into broader institutional frameworks. The review concludes by proposing a multidimensional model that combines curriculum reform, psychological resilience training, structured social support, and ethical use of technology to promote holistic student wellbeing.
Self-esteem as a risk factor of anxiety in senior high school students Pratama, Yoga Rizky; Tjhin, Purnamawati
Universa Medicina Vol. 43 No. 1 (2024)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2024.v43.69-75

Abstract

BackgroundAdolescence is a dynamic period of significant physical, emotional, and cognitive development, where individuals shape their identities and influence their mental health. Being vulnerable to various risk factors, including anxiety, adolescents often face mental disorders that can affect their overall well-being. With anxiety being a major concern in the global context as well as in Indonesia, this study aimed to determine self-esteem as a risk factor of developing anxiety among senior high school students. MethodsA cross-sectional study was conducted involving 162 senior high school students, using proportionate stratified cluster simple random sampling. Data were collected through the Rosenberg Self Esteem Scale and the Hamilton Anxiety Rating Scale questionnaires to measure self-esteem and anxiety levels, respectively. The full score for self-esteem was 10–40 points. The higher the score, the greater the self-esteem. Data was analyzed using multiple logistic regression. ResultsThe research findings indicate that adolescents experiencing anxiety amount to 51.9% and most of them indicated high self-esteem (61.1%). Multiple logistic regression test showed that low self-esteem (OR=2.21; 95% CI: 1.15-4.24) was the most influential risk factor of anxiety. However, there were no significant associations between anxiety and demographic factors such as gender, grade level, major of study, and parental income. ConclusionMost senior high school students experience anxiety, and lower self-esteem was the most influential risk factor of anxiety. The findings highlight the need for targeted interventions to boost self-esteem as a preventive measure against anxiety among senior high school students.
AIR POLLUTION AND THE RISK OF ACUTE EAR, NOSE, AND THROAT INFECTIONS: A CROSS-SECTIONAL STUDY IN WEST JAKARTA Tjhin, Purnamawati
Jurnal Biomedika dan Kesehatan Vol 8 No 3 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Air pollution, particularly in urban areas like West Jakarta, is a major public health concern. Long-term exposure to pollutants such as PM2.5 can lead to respiratory problems, including acute otolaryngologic infections. Outdoor workers, such as those involved in urban infrastructure maintenance, are more vulnerable to these conditions. This study aimed to assess the relationship between air pollution levels, mucociliary clearance function, and the prevalence of acute otolaryngologic infections among outdoor workers in West Jakarta. Methods: A cross-sectional study was conducted with 120 Public Infrastructure and Facility Maintenance (PPSU) workers from Cengkareng, Rawa Buaya, and Cengkareng Timur sub-districts. Air quality was measured using data from nearby monitoring stations, assessing PM2.5 levels and the Air Quality Index (AQI). Health assessments included mucociliary clearance testing, Eustachian tube patency evaluation, and the prevalence of acute otolaryngologic infections. Results: The average PM2.5 level was 57.58 μg/m³ (high risk for respiratory issues), and the AQI was 144.71 µg/m³ (unhealthy). Mucociliary clearance (Sakarin test) averaged 427.29 seconds, with a mean nasal cavity length of 63.76 mm. The prevalence of subjective acute rhinosinusitis was 24.2%, rhinopharyngitis 67.5%, and Eustachian tube dysfunction 71.7%. However, no significant correlation was found between air pollution exposure, mucociliary function, and acute otolaryngologic infections (p > 0.05). Conclusion: Despite high exposure to air pollution, no significant relationship was found between air pollution, mucociliary clearance, and acute otolaryngologic infections in PPSU workers. Further studies with larger sample sizes and longitudinal designs are needed. Keywords: Air pollution; acute otolaryngologic infections; mucociliary clearance, outdoor workers; PM2.5