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All Journal Medicinus : Jurnal Kedokteran Acta Neurologica Indonesia
Samudra, Edeline
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Medicine & Pharmacology Neuroscience Public Health

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Factors Associated with Low Back Pain in Pre-Clinical Students in the Faculty of Medicine at Pelita Harapan University: Original Research Samudra, Edeline; Kalumpiu, Jane Florida
Medicinus Vol 13, No 3 (2024): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i3.8881

Abstract

Background: Low back pain is one of the most common health problems globally, including in Indonesia, and can result in limitations on a person's activities. While low back pain is typically associated with adults and the elderly, its prevalence is also notably high among students, particularly medical students. Despite the various factors contributing to low back pain, there is limited data on its prevalence and associated factors in Indonesia.Methods: A cross-sectional study was conducted at the Faculty of Medicine, Pelita Harapan University, utilizing consecutive sampling. Data were collected using the Nordic Musculoskeletal Questionnaire, Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Perceived Stress Scale (PSS).Results: Out of 179 students, 144 (80%) experienced low back pain, while 35 (20%) did not. Among students with low back pain, 1.4% had psychological history, 7.3% had history of spinal problems, 0.7% had family history, 15.3% were obese, 75% had poor sleep quality, 8.3% had high-risk physical activity, 6.9% had a high-risk position, and 7.6% had a high-risk stress level. While other factors showed no significant association with low back pain, sleep quality demonstrated a significant association with a p-value of 0.022 (OR 2.52, CI 1.18-5.43).Conclusion: There is a significant association between sleep quality and low back pain in pre-clinical medical students at UPH, while other factors did not exhibit significant correlations.
Factors Associated with Low Back Pain in Pre-Clinical Students in the Faculty of Medicine at Pelita Harapan University: Original Research Samudra, Edeline; Kalumpiu, Jane Florida
Medicinus Vol. 13 No. 3 (2024): June
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i3.8881

Abstract

Background: Low back pain is one of the most common health problems globally, including in Indonesia, and can result in limitations on a person's activities. While low back pain is typically associated with adults and the elderly, its prevalence is also notably high among students, particularly medical students. Despite the various factors contributing to low back pain, there is limited data on its prevalence and associated factors in Indonesia.Methods: A cross-sectional study was conducted at the Faculty of Medicine, Pelita Harapan University, utilizing consecutive sampling. Data were collected using the Nordic Musculoskeletal Questionnaire, Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQ), and Perceived Stress Scale (PSS).Results: Out of 179 students, 144 (80%) experienced low back pain, while 35 (20%) did not. Among students with low back pain, 1.4% had psychological history, 7.3% had history of spinal problems, 0.7% had family history, 15.3% were obese, 75% had poor sleep quality, 8.3% had high-risk physical activity, 6.9% had a high-risk position, and 7.6% had a high-risk stress level. While other factors showed no significant association with low back pain, sleep quality demonstrated a significant association with a p-value of 0.022 (OR 2.52, CI 1.18-5.43).Conclusion: There is a significant association between sleep quality and low back pain in pre-clinical medical students at UPH, while other factors did not exhibit significant correlations.
Epilepsy As A Rare Intracranial Complication of Pansinusitis: A Case Series Samudra, Edeline; Ketaren, Retno Jayantri
Acta Neurologica Indonesia Vol. 4 No. 01 (2026): Acta Neurologica Indonesia
Publisher : Departemen Neurologi Fakultas Kedokteran Universitas Indonesia

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Abstract

Introduction: Epilepsy is a condition characterized by recurrent and unpredictable seizures with an underlying mechanism that remains incompletely understood. A hallmark feature is over-synchronized neuronal discharge due to the loss of inhibitory control over glutamatergic neurons, with neuroinflammation being a potential contributing factor. Case Report: We report two cases of epilepsy in patients with a history of pansinusitis. A 14-year-old male experienced a first-onset generalized seizure, while a 23-year-old female presented with recurrent focal-to-bilateral seizures. CT scans revealed pansinusitis, predominantly affecting the bilateral frontal sinuses with bilateral ostiomeatal complex blockage in one patient, and the maxillary sinuses with an open bilateral ostiomeatal complex in the other patient. No evidence of intracranial infection or other epilepsy causes were found, suggesting epilepsy as an intracranial complication (IC) of pansinusitis. One patient was managed with medication, while the other underwent functional endoscopic sinus surgery. (FESS), revealing sinonasal polyps on histology. Discussion: ICs, including epilepsy, are rare but serious complications of pansinusitis and can lead to disabling neurological sequelae. The most common source of IC is frontal sinusitis, followed by ethmoid, sphenoid, and maxillary sinusitis. ICs occur via direct infection spread through dehiscent bone or through natural pathways, such as the olfactory foramina. Neuroinflammation can activate microglia and trigger reactive astrogliosis, leading to inflammatory cascades, neurotransmitter imbalances, and ion channel dysfunction. Conclusion: We have presented rare cases of epilepsy as an IC of pansinusitis, highlighting the need for thorough evaluations in epilepsy patients without known intracranial infections, including investigations for other potential infectious sources.
Co-Authors Jane Florida Kalumpiu, Jane Florida Ketaren, Retno Jayantri