The incidence of contact dermatitis in Indonesia varies greatly and affects most workers. Epidemiological studied showed the incidence of Occupational Contact Dermatitis (OCD) was 0.5–1.9 cases/1000 workers/year. Aircarft Filling Depot Project at Juanda Airport is a construction project that is working on hydrant system and topping up development. This study was aimed at identifying risk factors of OCD among the project workers. A cross sectional design was used on 47 workers whom randomly selected during period May-June 2017. Data was collected using a questionnaire with the researcher’s guide. Occupational Contact Dermatitis is diagnosed by general practitioner that located in Naval Hospital (RUMKITAL) dr. Soekantyo Jahja Surabaya. Occupational contact dermatitis risk factors were analyzed using Chi-square test, followed by multiple logistic regression test. Of 47 workers, 21 (43.8%) experienced OCD. The use of personal protective equipment (PPE), duration of contact, personal hygiene, and history of skin diseases were associated with OCD (p < 0.01), whereas the type of work was not related to OCD (p = 0.491). The most dominant factor causing OCD was personal hygiene (OR = 9.659), followed by duration of contact (OR = 8.576), and history of skin disease (OR = 3.420). In conclusion, factors of use of PPE, length of contact, personal hygiene, and history of skin relationship with DKAK, while the type of work is not related to DKAKKeywords: aircraft filling depots project, occupational contact dermatitis, risk factor

Background: Medical education is considered as being stressful which may cause stress, anxiety, and depression. The student support program is designed to help students of the Faculty of Medicine Universitas Pembangunan Nasional Veteran Jakarta (FMUPNVJ) build resilience to the stress through education and coping skills training. This study aimed to evaluate this supportive program on stress, anxiety, and depression levels, as well as academic performance.Methods: This study used a one-group pretest-posttest design. Thirty of third-semester students who were randomly chosen and had psychological problems according to the criteria were offered to join the program. The program used problemfocused coping and emotion-focused coping methods in eight sessions for four weeks. Before and after the program, students were evaluated using the Depression Anxiety Stress Scale-42 questionnaire and their academic performance based on block exam results.Results: Wilcoxon test showed a decrease in levels of anxiety (p = 0.003) and depression (p = 0.004) after the program. There was no difference in stress levels before and after the program (p = 0.073), but there were a tendency stress levels of the subject to be lower after the program. Wilcoxon test showed an increase in the practice exam result (p = 0.000). There was no difference in theory exam results before and after the program (p = 0.358), but there was a tendency that the exam result to be higher after the program.Conclusion: The student support program has an indication for overcoming psychological problems and improving the academic performance of FMUPNVJ students.

Antiretroviral fixed-dose combination (FDC ARV) has been used in HIV patient therapy. The therapy is recommended to be monitored using a viral load (VL), reflecting the amount of HIV in the blood. Since 2015, the VL testing has been carried out at Pengayoman Cipinang Hospital. However, the evaluation of adherence to the FDC antiretroviral therapy on VL has never been conducted. This study aims to determine the relationship between the adherence level to the FDC ARVs and VL at Pengayoman Cipinang Hospital in 2015-2018. The study used a cross-sectional design and a random sampling technique. The sample size was 70, and data generated from the medical record. Kruskal Wallis test showed no differences in the level of adherence in the group based on gender, education level, marital status, employment status, and the risk factor for HIV. However, there was a significant difference in the age group. Cross-tab data showed virological failure (VL> 400 copies/ml) was found in 1.8% of patients with good adherence, 75% of patients with moderate adherence, and 100% of patients with poor adherence. The Chi-square test showed a significant relationship between adherence to FDC ARV and VL (p=0.000). It can be concluded that there was a significant relationship between the level of adherence in taking ARV FDC and viral load.

Latar belakang: Prevalensi dismenore diperkirakan berkisar antara 45–95 persen dan 10–25 persen diantaranya merupakan dismenore primer berat. Dismenore dapat menimbulkan sejumlah masalah, antara lain limitasi aktivitas, penurunan prestasi akademik, dan kesulitan tidur. Saat ini, terdapat kecenderungan penggunaan herbal dan pengobatan alternatif untuk mengatasi dismenore primer. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh madu terhadap tingkat nyeri dismenore dan kualitas hidup mahasiswi Fakultas Kedokteran Universitas Pembangunan Nasional Veteran Jakarta (FKUPNVJ). Metode: Penelitian menggunakan one group pretest-posttest design. Sebanyak 30 subjek yang ditentukan dengan consecutive sampling  diminta minum madu sebanyak dua sendok makan yang dimulai dari dua hari sebelum menstruasi hingga hari ketiga menstruasi. Data diambil menggunakan kuesioner, Numeric Rating Scale, Verbal Multidimensional Scoring System, dan Brief Pain Inventory. Hasil: Hasil uji Wilcoxon menunjukkan madu dapat menurunkan intensitas nyeri (p = 0,000) dan grade dismenore (p = 0,001). Selain mengurangi derajat nyeri, madu dapat mengurangi lama waktu nyeri menstruasi dari 2 hari menjadi 1 hari (p = 0,001). Hasil uji Wilcoxon juga menunjukkan madu dapat mengurangi gangguan dismenore terhadap aktivitas secara umum, suasana hati, kemampuan berjalan, pekerjaan, hubungan dengan orang lain, tidur, dan menikmati hidup (p ≤ 0,001). Kesimpulan: madu dapat menurunkan tingkat nyeri dan meningkatkan kualitas hidup mahasiswi FKUPNVJ dengan dismenore primer.  Kata kunci: dismenore primer, kualitas hidup, madu, mahasiswi

Musculoskeletal disorders (MSDs) are a global problem. In Indonesia, the prevalence of MSDs that disrupts activities reaches 9.2% in office workers with complaints of the neck by 68%, upper back 62%, and lower back 60%. In developing countries, MSDs are the most common occupational diseases found in 40-95% of lecturers. In 2020, the COVID-19 pandemic in Indonesia resulted in the government implementing work from home (WFH) which caused 66.3% of workers to experience musculoskeletal pain. This can be caused by not fulfilling sleep which is a physiological need. It was found that 41.9% of adults experienced sleep disturbances which affected the emergence of MSDs complaints. This study aimed to determine the relationship between sleep quality and musculoskeletal complaints. This is an analytical study using a cross-sectional design towards the lecturers and educational staff at the Faculty of Medicine Universitas Pembangunan Nasional Veteran Jakarta. A sample size of 84 people was taken using the purposive sampling technique. Data were collected online using the PSQI for sleep quality and NMQ for musculoskeletal. The data were analyzed using SPSS software.The results showed that the majority of respondents were female (54.8%), had poor sleep quality (94%), and experienced musculoskeletal complaints (73.8%). The results of the Fisher test showed a significant relationship between sleep quality and musculoskeletal complaints (p = 0.016; OR = 13.5). Conclusion: The low quality of sleep in lecturers and educational staff increase the risk of developing musculoskeletal disorders.

Low Back pain (LBP) merupakan sindroma klinis yang ditandai dengan nyeri pada regio punggung bawah dengan atau tanpa disertai nyeri tungkai. Pembatik berisiko mengalami LBP. McKenzie Exercise dan William’s Flexion Exercise merupakan back exercise yang mudah dilakukan. Penelitian ini bertujuan membandingkan efektivitas McKenzie Exercise dan William‘s Flexion Exercise untuk menurunkan intensitas LBP pada pembatik. Penelitian menggunakan two-group pretest-posttest design. Sebanyak 20 orang pembatik di Kampung Batik Giriloyo dipilih dengan teknik purposive sampling. Subjek penelitian dibagi menjadi dua, yaitu kelompok yang melakukan McKenzie Exercise dan kelompok yang melakukan William’s Flexion Exercise. Kedua kelompok melakukan latihan tersebut dengan frekuensi tiga kali seminggu selama dua minggu. Sebelum dan sesudah latihan, intensitas LBP diukur menggunakan Numeric Rating Scale.  Uji Wilcoxon digunakan untuk mengetahui apakah terdapat perbedaan intensitas LBP sebelum dan sesudah latihan. Uji Mann-Whitney digunakan untuk mengetahui apakah terdapat perbedaan efektivitas McKenzie Exercise dan William’s Flexion Exercise  dalam menurunkan intensitas LBP. Analisis data menunjukkan intensitas LBP  pada kedua kelompok sebelum melakukan back exercise adalah 5 (4-6). Pada kelompok yang melakukan McKenzie Exercise maupun kelompok yang melakukan William’s Flexion Exercise didapatkan penurunan intensitas LBP menjadi 2 (1-3). Terdapat perbedaan intensitas LBP sebelum dan sesudah latihan pada kelompok McKenzie Exercise (p = 0,004) dan pada kelompok William Flexion Exercise (p = 0,004). Tidak ada perbedaan penurunan intensitas LBP antara kelompok McKenzie Exercise dan kelompok William’s Flexion Exercise (p = 0,328). Low Back Pain (LBP) is a clinical syndrome that consists of pain at the lower back region with or without limb pain. Batik workers were at risk of LBP. McKenzie Exercise and William’s Flexion Exercise are an easy back exercise. This study was aimed to compare the effectiveness of McKenzie Exercise and William’s Flexion Exercise for reducing LBP among batik workers. This study used a two-group pretest-posttest design. A total of 20 batik workers in Kampung Batik Giriloyo were selected by purposive sampling technique. The research subjects were divided into two, namely the group doing the McKenzie Exercise and the group doing the William’s Flexion Exercise. Both groups did the exercise three times a week for two weeks. Before and after the exercise, the intensity of LBP was measured using the Numeric Rating Scale. The Wilcoxon test was used to determine whether there were differences in LBP intensity before and after exercise. The Mann-Whitney test was used to determine whether there was a difference in the effectiveness of the McKenzie Exercise and William's Flexion Exercise in reducing LBP intensity. Data analysis showed LBP intensity in both groups before doing back exercise was 5 (4-6). In the group that did the McKenzie Exercise and the group that did the William’s Flexion Exercise, the LBP intensity decreased to 2 (1-3). There were differences in LBP intensity before and after exercise in the McKenzie Exercise group (p = 0.004) and the William’s Flexion Exercise group (p = 0.004). There was no difference in the decrease in LBP intensity between the McKenzie Exercise group and the William’s Flexion Exercise group (p = 0.328).

Adiksi telpon pintar meningkatkan paparan blue light yang bersifat merusak kornea dan lapisan air mata sehingga dapat mempengaruhi refleks berkedip dan sekresi air mata. Penelitian ini bertujuan untuk mengetahui hubungan antara adiksi telepon pintar dengan refleks berkedip dan kuantitas air mata pada mahasiswa Fakultas Kedokteran Universitas Pembangunan Nasional Veteran Jakarta. Penelitian menggunakan desain potong lintang. Sebanyak 88 subjek dengan kriteria menggunakan telpon pintar, tidak memakai softlens dan obat tetes mata serta tidak memiliki riwayat operasi mata, alergi mata, dan Sindroma Sjorgen, ditentukan menggunakan teknik simple random sampling. Data diambil menggunakan kuesioner smartphone addiction scale, rekaman video, dan Schirmer I Test. Hasil penelitian didapatkan subjek berusia 20 (18-23) tahun, 76,1% perempuan dan 45,5% menggunakan telpon pintar lebih dari 6 jam sehari. Sebanyak 52,3% subjek mempunyai adiksi telepon pintar dengan frekuensi refleks berkedip 11 (3-32) kali/menit dan kuantitas air mata 30,5 (4-35) mm dalam 5 menit. Hasil uji Mann-Whitney menunjukkan tidak ada hubungan antara adiksi telepon pintar dengan refleks berkedip (p = 0,537), tetapi ada hubungan antara adiksi telepon pintar dengan kuantitas air mata (p = 0,011).

Pada pasien human immunodeficiency virus (HIV) positif, terapi antiretroviral (ARV) dapat berkontribusi terhadap kejadian ginekomastia. Ditemukan dua kasus ginekomastia pada pasien HIV di RS Pengayoman Cipinang antara tahun 2017-2019. Pada penelitian ini digunakan data yang diambil secara retrospektif dari rekam medis dan dianalisis menggunakan algoritma Naranjo. Kasus pertama, Tn. X, 34 tahun, diterapi dengan fixed-dose combination (FDC) berisi Tenofovir+Lamivudine+Efavirenz (TDF+3TC+EFV). Setelah dua tahun, kedua payudaranya membesar tanpa disertai nyeri. Terapi dengan TDF+3TC+EFV dilanjutkan selama 11 bulan, tetapi ukuran payudaranya tidak bertambah besar. Kasus kedua Tn. Y, 36 tahun, diterapi dengan Duviral (AZT+3TC)+EFV. Setelah 36 bulan, payudara kanan mulai membesar, tetapi tidak nyeri. Terapi dengan Duviral +EFV dilanjutkan selama dua tahun. Namun, ukuran payudara semakin membesar hingga diameternya 5 cm, keras, nyeri, tidak keluar air susu, dan tidak ada pembesaran kelenjar di ketiak. Oleh karenanya, EFV disubstitusi dengan Neviral. Setelah 12 bulan diterapi dengan Duviral+Neviral, terjadi regresi ginekomastia. Total skor Naranjo menunjukkan Tn. Y mungkin (probable) mengalami ginekomastia akibat EFV, sedangkan Tn. X cukup mungkin (possible) mengalami ginekomastia akibat EFV. Oleh karenanya, perlu dipertimbangkan substitusi EFV bagi pasien untuk menghindari penurunan tingkat kepatuhan minum obat akibat distres karena ginekomastia.