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Association Between Breakfast and Dysmenorrhea in Female College Students at Faculty of Medicine, Pelita Harapan University Agnes, Agnes; Rivami, Dwi Savitri
Medicinus Vol 13, No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i2.8106

Background: Breakfast is an activity of eating and drinking that usually takes place after waking up until 9 A.M. and can fulfill 20-25% of daily nutritional needs. Unsupervised skipping breakfast can affect women's ovarian and uterus dysfunction. Dysmenorrhea is one of the diseases that can reduce productivity and quality of life in women. Previous studies have found a high incidence of dysmenorrhea in female college students who didn't have breakfast. Currently, there isn't much data regarding the association between breakfast and dysmenorrhea in female college students in Indonesia.Aim: The aim of this study is to discover the association between breakfast and dysmenorrhea in female college students of Faculty of Medicine at Pelita Harapan University.Methodology: This study is an unpaired analytical comparative categoric design study with a cross-sectional method. Data was collected from 60 college students of Faculty of Medicine at Pelita Harapan University using breakfast questionnaire, WaLLID score for dysmenorrhea, IPAQ-SF and PSS-10 were used to control the confounding variables. The data was analyzed using SPSS 23.Results: Among 60 samples were collected, the majority of female college students didn't have breakfast habit by 55%. There are 76.7% of female students who suffer dysmenorrhea, 91.7% have moderate and severe stress levels, 85% have high physical activity, and 70% of female college students have normal nutritional status. The results of the analysis showed that the p value > 0.05 for the association between breakfast with dysmenorrhea.Conclusion: There is no significant association between breakfast and dysmenorrhea.

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

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.

Prevalence and Risk Factors of Occupational Contact Dermatitis in Healthcare Workers Enggalhardjo, Muljani; Setiawan, Alan Dwi; Christianto, Putra Niko Laksamana Oceano
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.v13i3.8886

Background: Occupational contact dermatitis (OCD) is prevalent among healthcare workers, especially during the COVID-19 pandemic. Symptoms include dryness, itchiness, and redness, with hands being the most affected. Risk factors include frequent hand washing, increased glove use, allergies, and lack of health and safety training. This review emphasizes the need for targeted prevention strategies and awareness programs.Methods: We conducted a systematic review using PubMed, focusing on studies involving healthcare workers and OCD. Keywords included "occupational contact dermatitis," "contact dermatitis," "healthcare workers," and "risk factors for OCD." Data were collected using a structured, interviewer-administered questionnaire, including the Nordic Occupational Skin Questionnaire (NOSQ-2002).Result: The review included 2,706 healthcare workers. Hand dermatitis was the most common, affecting 22% of participants. Key risk factors were a personal history of allergies, frequent hand washing, high glove usage, and insufficient health and safety training.Conclusions: This review identifies significant risk factors for OCD among healthcare workers, highlighting the need for interventions focused on reducing hand washing frequency, managing glove use, and improving health and safety training.

Hydrodilatation and Intra-articular Steroid Injection are Both Effective in Management of Frozen Shoulder: A Case Series Butarbutar, John Christian Parsaoran; Riantho, Albert; Fidiasrianto, Kevin; Rizky, Dio Asgira
Medicinus Vol 13, No 2 (2024): February
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v13i2.8107

Background: Frozen shoulder is a common problem in general orthopaedic practice, affecting about 2% of the population. Intra-articular corticosteroids (IA) and hydrodilatation have been reported as more effective among other conservative treatments. However, it is unclear which treatment is superior for frozen shoulder, and the hydrodilatation procedure leads to more discomfort in patients since it involves stretching of joint capsule. In this case series, we present 10 cases of frozen shoulder that were treated with hydrodilatation or IA steroid injection. The purpose of this study is to show the effectiveness of hydrodilatation and IA steroid injection in managing patient with frozen shoulder.Methods: This study was a retrospective case series of patients who received IA steroid injection or hydrodilatation. Five patients underwent IA steroid injection, and another five patients underwent hydrodilatation. The American Shoulder and Elbow Score (ASES) was used to evaluate each patient before and six months after treatment.Result: Hydrodilatation and IA steroid injection showed significant improvement in ASES score assessed at 6-month follow-up.Conclusions: Hydrodilatation and IA steroid injection are both effective to treat frozen shoulder in long term follow up.

Deciphering Developmental Epileptic Encephalopathies (DEE): Unravelling the Key Signs Suryawijaya, Evlyne Erlyana; Lokito, Shania
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.v13i3.8882

Background: Epilepsy, a chronic neurological disorder affecting over 50 million people worldwide, is marked by recurrent seizures and loss of consciousness. It is categorized based on EEG features, etiologies, and comorbidities. Developmental Encephalopathy (DE) involves developmental delays and early-onset seizures without causing developmental regression. In contrast, Epileptic Encephalopathy (EE) features severe epilepsy syndromes where frequent seizures result in developmental delays or regression.Methods: This review explores the clinical definitions, epidemiology, and diagnostic criteria for DE, EE, and DEEs. It covers their etiologies, clinical features, diagnostic methods, and treatment strategies, including genetic, structural, metabolic, and immune-related factors.Results: DE features developmental impairment with epilepsy, while EE involves severe epilepsy causing cognitive and behavioral dysfunction. DEEs are marked by early-onset severe epilepsy and EEG abnormalities that worsen developmental impairments. Essential diagnostic tools include EEG, neuroimaging, and genetic testing. Effective management requires personalized interventions to control seizures and address cognitive deficits.Conclusion: DEEs are a complex epilepsy subset with major developmental and cognitive challenges. Early diagnosis and targeted treatments are crucial for improving outcomes. Ongoing research into DEEs' genetic and pathophysiological mechanisms is key to enhancing understanding and management.

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

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.

Deciphering Developmental Epileptic Encephalopathies (DEE): Unravelling the Key Signs Suryawijaya, Evlyne Erlyana; Lokito, Shania
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.v13i3.8882

Background: Epilepsy, a chronic neurological disorder affecting over 50 million people worldwide, is marked by recurrent seizures and loss of consciousness. It is categorized based on EEG features, etiologies, and comorbidities. Developmental Encephalopathy (DE) involves developmental delays and early-onset seizures without causing developmental regression. In contrast, Epileptic Encephalopathy (EE) features severe epilepsy syndromes where frequent seizures result in developmental delays or regression.Methods: This review explores the clinical definitions, epidemiology, and diagnostic criteria for DE, EE, and DEEs. It covers their etiologies, clinical features, diagnostic methods, and treatment strategies, including genetic, structural, metabolic, and immune-related factors.Results: DE features developmental impairment with epilepsy, while EE involves severe epilepsy causing cognitive and behavioral dysfunction. DEEs are marked by early-onset severe epilepsy and EEG abnormalities that worsen developmental impairments. Essential diagnostic tools include EEG, neuroimaging, and genetic testing. Effective management requires personalized interventions to control seizures and address cognitive deficits.Conclusion: DEEs are a complex epilepsy subset with major developmental and cognitive challenges. Early diagnosis and targeted treatments are crucial for improving outcomes. Ongoing research into DEEs' genetic and pathophysiological mechanisms is key to enhancing understanding and management.

Characteristics of High-Risk Behaviours Related to Alcohol and Illicit Drug Use and their Associated Factors among Adolescents in Middle and High School Widjaja, Melanie; Latief, Abdul; Sekartini, Rini
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.v13i3.8883

Background: Use of narcotics, psychotropic and addictive substances (NPA) in adolescents has become one of the major social problems we are facing in society and it gives a negative impact. This study was done to determine the characteristics and factors that influence high-risk behaviour of NPA use in adolescents in middle and high school, also introducing CRAFFT questionnaire as an early screening tool for alcohol an illicit drugs use.Methods: Quantitative study (validated questionnaire) was conducted among 514 subjects aged 12-18 years old. CRAFFT questionnaire was used to detect a high-risk behavior of alcohol and illicit drugs use and self-reported questionnaire used to determine the risk factors of NPA.Result: Most participants (19,6%) were involved in high-risk behaviour of alcohol and illicit drugs, with the majority was males (12,4%). This study showed smoking behaviour (23,8%), drinking alcohol (15,8%) and illicit drugs use (13,6%). The type of drugs being used were cannabis (52,7%), tramadol (15,2%), dextromethorphan (10,7%) and methamphetamine (6,3%). CRAFFT questionnaire has a good internal consistency with Cronbach’s Î± 0,73. Education level, authoritarian parenting style, unharmonious parents, peer pressure or threat, and extracurricular activities were factors that influenced high-risk behavior of alcohol and illicit drug useConclusions: Early detection, comprehensive treatment, and intervention of risk factors of NPA use are needed. CRAFFT can be use as one of the screening tools for detection of alcohol and illicit drugs use in adolescents.

Relationship Between Breast Milk Feeding and COVID-19 Incidence in Children Aged 0-2 Years at Siloam Hospital Kelapa Dua During The Pandemic Setiawan, Jovanicha P.; Rivami, Dwi Savitri
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.v13i3.8884

Background: The COVID-19 pandemic has claimed more than 6 million lives worldwide, and children are not spared from its danger. Breast milk is known to protect babies from various kinds of infections. Until now there are few data regarding the relationship between breastfeeding and the incidence of COVID-19 in children aged 0-2 years in Indonesia. This study aims to further examine the relationship between breastfeeding and the incidence of COVID-19 in children aged 0-2 years. Siloam Hospitals Kelapa Dua (SHKD) was chosen as a location because it was one of the referral hospitals for treating COVID-19 for pediatric patients in Tangerang that can be accessed by the researcher.Methods: This study was conducted using a cross-sectional study method on a sample of children aged 0-2 years from the medical record database of Siloam Hospitals Kelapa Dua for the period 2020 to 2022.Result: Upon calculation, it was found that the p-value is 0,154 (p>0,05). From 61 sample, 37,7% of the samples were breastfed and 44,3% was COVID-19 positive.Conclusions: No significant relationship was found between breastfeeding and COVID-19 infection among children aged 0-2 years old in SHKD.

Anemia and Erythropoietin Use Among Hemodialysis Chronic Kidney Disease Patients at Rumah Sakit Umum Siloam Tjiang, Margaret Merlyn; Caroline, Elliscia; Siregar, Jeremia Immanuel
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.v13i3.8885

Background: Chronic kidney disease (CKD) affects an estimated 8-16% of the population and is increasing in prevalence. Anemia, a common and significant complication of CKD, is primarily caused by reduced erythropoietin production, which is essential for red blood cell production. Erythropoietin, a kidney-produced hormone, stimulates bone marrow to produce red blood cells. This study examines trends in the use of erythropoiesis-stimulating agents (ESAs) and the management of anemia in dialysis CKD patients before and after the implementation of ESA reimbursemen.Methods: This cohort study was conducted at Rumah Sakit Umum Siloam, Tangerang, Indonesia, from February to July 2017. Patients who received blood transfusions or iron supplements during the study were excluded. Data collected included age, gender, dry weight, history of diabetes mellitus, hypertension, hemodialysis adequacy, and nutritional status. Statistical analysis with a 95% confidence interval (CI) was used to assess the association between hemoglobin levels (Hb) and erythropoietin use.Results: Sixty patients completed the study. The proportion of anemic patients (Hb <10 g/dL) increased from 22 (36.7%) to 28 (46.7%) after erythropoietin administration. A mean dose of 6000 IU/week (CI: 4679 to 7321 IU/week) was effective in achieving target hemoglobin levels, while a dose of 4131 IU/week (CI: 3479 to 4782 IU/week) was sufficient to maintain them. Additionally, a dosage of 103.31 IU/kg/week increased hemoglobin by 1 g/dL in anemic patients.Conclusions: Erythropoietin use should be optimized given the increasing prevalence of anemia. A dosage of 103.31 IU/kg/week is recommended to achieve target hemoglobin levels, while 4131 IU/week is suggested for maintaining hemoglobin within the target range.

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Julius July

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Kota tangerang,

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Abstract

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Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

Contact Name Julius July

Contact Email -

Phone -

Journal Mail Official -

Editorial Address -

Location Kota tangerang, Banten INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Julius July

Contact Email
-

Phone
-

Journal Mail Official
-

Editorial Address
-

Location
Kota tangerang,

Banten

INDONESIA