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Universa Medicina
Published by Universitas Trisakti
ISSN : 19073062     EISSN : 24072230     DOI : -
Core Subject : Health, Science,
Universa Medicina (univ.med) is a four-monthly medical journal that publishes new research findings on a wide variety of topics of importance to biomedical science and clinical practice. Universa Medicina Online contains both the current issue and an online archive that can be accessed through browsing, advanced searching, or collections by disease or topic
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Articles 4 Documents
Search results for , issue " Vol 29, No 2 (2010)" : 4 Documents clear
Accommodative insufficiency as cause of asthenopia in computer-using students Amalia, Husnun; Suardana, Gusti G.; Artini, Widya
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.78-83

Abstract

To date the use of computers is widely distributed throughout the world and the associated ocular complaints are found in 75-90% of the population of computer users. Symptoms frequently reported by computer users were eyestrain, tired eyes, irritation, redness, blurred vision, diplopia, burning of the eyes, and asthenopia (visual fatigue of the eyes). A cross-sectional study was conducted to determine the etiology of asthenopia in computer-using students. A questionnaire consisting of 15 items was used to assess symptoms experienced by the computer users. The ophthalmological examination comprised visual acuity, the Hirschberg test, near point accommodation, amplitude accommodation, near point convergence, the cover test, and the alternate cover test. A total of 99 computer science students, of whom 69.7% had asthenopia, participated in the study. The symptoms that were significantly associated with asthenopia were visual fatigue (p=0.031), heaviness in the eye (p=0.002), blurred vision (p=0.001), and headache at the temples or the back of the head (p=0.000). Refractive asthenopia was found in 95.7% of all asthenopia patients with accommodative insufficiency (AI), constituting the most frequent cause at 50.7%. The duration of computer use per day was not significantly associated with the prevalence of asthenopia (p=0.700). There was a high prevalence of asthenopia among computer science students, mostly caused by refractive asthenopia. Accommodation measurements should be performed more routinely and regularly, maybe as screening, especially in computer users.
Type IV collagen as marker of fibrosis in nonalcoholic liver disease Alvina, Alvina
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.114-122

Abstract

Currently nonalcoholic fatty liver disease (NAFLD) and nonalcoholic steatohepatitis (NASH) are medical problems associated with the increasing prevalence of diabetes mellitus, obesity, hypertension and hypertriglyceridemia, usually designated as the metabolic syndrome associated with insulin resistance. One study demonstrated an increase in NAFLD prevalence of around 17-33% and in NASH prevalence of 5.7-16.5%. NAFLD comprises a range of mild to severe conditions, from simple steatosis to steatohepatitis, hepatic fibrosis and cirrhosis. The diagnosis of hepatic fibrosis is important for prognosis, stratification for treatment, and monitoring of treatment efficacy. Ultrasonography (USG) is a simple method for detecting fatty infiltrates in the liver. USG has a sensitivity of 82-89% and a specificity of 93%, but cannot differentiate between hepatic steatosis and fibrosis. The gold standard for evaluation of hepatic fibrosis is liver biopsy, which however is a painful and invasive procedure. Currently determination of serum type IV collagen has been suggested as an alternative to liver biopsy among the non-invasive methods for evaluation of hepatic fibrosis, as its serum concentration is closely correlated with advanced hepatic fibrosis in NASH. Type IV collagen is one of the components of basement membrane and its serum concentration is indicative of degradation of the extracellular matrix.
Prevalence of headache and impact on anxiety in adults Febriannie, Angela; Sanusi, Renobulan; Fahdiyani, Reny; Dwianasari, Riani
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.84-89

Abstract

Headache is an extremely common symptom that may have profound impact on peoples’ functioning and quality of life. The two most common primary headache disorders, migraine and tension-type headache, have an annual prevalence of respectively 11% and 40% in adults. The objective of this study was to estimate the prevalences of headache and anxiety in primary care patients and the impact of headache on anxiety in these patients. A cross-sectional study was conducted on 140 adult patients attending a primary health center. Outcome measures included headache impact test scores and Zung-self rating anxiety scale. The mean age of the respondents was 34.6 ± 5.2 years (range 22 - 44 years). Sixty one respondents (43.6%) in the preceding month had suffered from headaches that affected their lives, and 91 respondents (65.0%) had anxiety symptoms and a raw anxiety score of more than 40. There was a significant association between headaches affecting the lives of the respondents and the anxiety resulting from the headache (p=.0001). Among 16 respondents with attacks of headaches that severely affected their lives, 87.5% were disturbed by anxiety. In conclusion, there was a relatively high proportion of patients in the primary care setting experiencing headaches that potentially affected their lives and had an impact on their anxiety. It may be appropriate to encourage patients to inform their health-care providers about their headaches and to encourage providers to identify patients with frequent headaches.
Impact of smoking and obesity on rheumatic disease in persons of productive age Tana, Lusianawaty; Mutiatikum, Daroham
Universa Medicina Vol 29, No 2 (2010)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2010.v29.96-103

Abstract

Arthritis is a disease of the joints that causes pain and musculoskeletal stiffness, and may cause limitation of joint movement. Age, obesity, smoking behavior, and occupation are risk factors for rheumatic diseases. The objective of the present study was to evaluate the role of body mass index (BMI), smoking behavior, and occupation on rheumatic disease among persons of productive age in Indonesia. A cross-sectional study was conducted using National Basic Health Research data. The inclusion criterion was age 15-64 years. Rheumatic disease diagnosis was based on interview results and was defined as the presence of a history of rheumatic disease diagnosed by health professionals and/or rheumatic symptoms in the past 12 months. The study sample consisted of 609.097 persons who fulfilled the inclusion criterion. Compared to persons with normal BMI, rheumatic disease was more prevalent in the overweight (OR 1.25; 95%CI 1.21—1.29) and the obese (OR 1.52; 95%CI 1.47—1.56), but less prevalent in the underweight (OR 0.91; 95%CI 0.88—0.93). Compared to non-smokers, rheumatic disease was more prevalent in every day smokers (OR 1.65; 95%CI 1.60—1.70), occasional smokers (OR 1.41; 95%CI 1.35—1.47), and ex-smokers (OR 1.85; 95%CI 1.76—1.95). Measures for prevention of rheumatic disease are needed, e.g. through education to increase knowledge about the impact of smoking and obesity on rheumatic disease.

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