Latar Belakang: Mahasiswa dihadapkan dengan berbagai kegiatan akademik dan non akademik hingga terkadang menyita waktu tidur, sementara waktu tidur yang cukup dibutuhkan untuk menjaga kestabilan emosi.
Tujuan: mengetahui hubungan antara kualitas tidur dengan masalah emosional (tingkat depresi, cemas, dan stres) mahasiswa pre-klinik Program Studi Pendidikan Dokter, Fakultas Kedokteran, Universitas Udayana.
Metode Penelitian: Studi cross-sectional dilakukan pada mahasiswa kedokteran pre-klinik di Fakultas Kedokteran Universitas Udayana. Responden melengkapi kuesioner data demografik, Pittsburgh Sleep Quality Index (PSQI), dan kuesioner Depression, Anxiety, and Stress Disorder Scale (DASS).
Hasil: Sebanyak 132 responden terlibat dalam studi ini dengan jenis kelamin laki-laki sebanyak 37,1% dan berjenis kelamin perempuan sebanyak 62,9%, dengan rentang usia 18-22 tahun. Indeks kualitas tidur secara umum memiliki korelasi positif dengan tingkat depresi (r=0,32; p<0,001), tingkat cemas (r=0,26; p=0,002), dan tingkat stres (r=0,36; p<0,001) mahasiswa.
Simpulan: Kualitas tidur secara umum berhubungan signifikan dengan tingkat depresi, cemas, dan stres mahasiswa kedokteran pre-klinik di Universitas Udayana, Bali. Penting bagi pihak institusi maupun badan kemahasiswaan guna menekankan program yang mendukung kualitas tidur dan kesehatan psikis mahasiswa.
Latar Belakang: Pandemi Corona Virus Disease 2019 (COVID-19) dengan penularannya yang sangat cepat di seluruh dunia berdampak terhadap perubahan pelayanan kesehatan di bidang neurologi sebagai upaya mendukung program pengendalian penyakit ini.
Tujuan: Merumuskan rekomendasi panduan pemeriksaan neurologis untuk pelayanan teleneurologi.
Diskusi: Penyesuaian dalam pelaksanaan pelayanan neurologi perlu segera dilakukan dengan mengadopsi metode pelayanan dengan telemedicine terutama dalam tata cara pemeriksaan pasien dengan pembatasan fisik dan sosial sebagai salah satu langkah pencegahan infeksi SARS-CoV-2.
Simpulan: Layanan teleneurologi perlu dikembangkan dalam pelayanan neurologi termasuk pengembangan prosedur pemeriksaan neurologis secara virtual.
Background: The COVID-19 pandemic affects various aspects of everyone's life. One of the impacts of the pandemic is psychological disorders, such as decreased sleep quality and anxiety. Until now, there has been no research to assess the relationship between these two conditions in university students during the pandemic era. Therefore, this study aims to evaluate the relationship between decreased sleep quality and anxiety disorders in Indonesia’s university students during the COVID-19 pandemic.Methods: The cross-sectional study was conducted from September to October 2021 on 376 university students, both domiciled in Bali and outside Bali. Data were collected using a questionnaire consisting of participant demographic data, sleep quality assessment using the Pittsburg Sleep Quality Index (PSQI), and measurement of anxiety levels using the Zung Self-Rating Anxiety Scale (SAS). Bivariate analysis was performed using the Pearson correlation test.Result: 294 of the 376 participants had high PSQI scores (>5) and experienced sleep disturbances. Meanwhile, 44 participants reported experiencing anxiety disorders, with detail of 41 participants having SAS scores in the low category and 3 participants having SAS scores in the moderate category. The relationship between the PSQI and SAS variables showed a correlation coefficient of 0.619 and was statistically significant.Conclusion : Decreased sleep quality is positively correlated with anxiety disorders experienced by university students during the COVID-19 pandemic. The author suggests research with larger parameters and population size to get more accurate results.
BackgroundStudies show that wearing personal protective equipment (PPE) for long periods of time can lead to discomfort such as headaches, which could affect the performance of healthcare workers. The aim of this study was to determine the prevalence and risk factors of headaches related to PPE in healthcare workers at a COVID-19 referral hospital.
MethodsA cross-sectional study was conducted involving 174 healthcare workers in a COVID-19 referral hospital in Bali. We conducted interviews using a questionnaire that consisted of three main parts: characteristics of the subjects, PPE usage, and PPE-associated headaches. A multiple logistic regression was used to analyze the data.
ResultsThe analysis results showed that the PPE-associated headaches had a prevalence of 63.8% and were gradual in onset, pressure-like in quality (46%), and mild in intensity (80.1%). PPE level III-associated headache was the most common type. The majority of the participants had headaches up to 6 hours after using the protective gear, but improving within 15-30 minutes of removal and/or after pharmacotherapy. A Chi-squared analysis showed a statistically significant association between duration of PPE use, working units, and PPE levels (p<0.05). A logistic regression analysis found a significant relationship between PPE level and headache occurrence (OR=4.826;95%CI: 2.433-9.572; p<0.001).
ConclusionThe frequency of PPE-associated headache was high and the PPE level was a risk factor of headache among healthcare workers. Better strategies are needed to reduce the duration of PPE exposure so that the work performance and quality of life of healthcare workers are not significantly affected.
Background: Schmorl’s node (SN) is described as intraosseous disc herniations which penetrate into the spinal canal, which is caused by the weakening of the cartilaginous endplate and subchondral bone. SN is usually detected on imaging which appears small, focal, and rounded with varying degrees of adjacent reactive sclerosis. Case Report: We present a rare case of symptomatic SN in 25-year-old male patient with complaints of discomfort and muscle strain in the back. These complaints were exacerbated by physical exercise. Severe tenderness was found at several levels of the thoracic vertebrae during palpation, where the trigger points were found in the lower trapezius muscle. Computerized tomography (CT) scan of the vertebra showed multiple bony lesions, noted as Schmorl’s nodes, at the inferior endplates of the T6-T11, and superior endplate of the T11 vertebra, in accordance to the location of severe pain during palpation. Conclusion: SN is associated with disc degeneration due to osteonecrosis process which leads to ischemia in the vertebral body. Microtrauma from excessive physical exercise could also contribute to the herniation through the weak points of the vertebral endplates. Knowledge and awareness of SN as one of the causes for acute or chronic back pain is essential for deciding early examination and diagnosis. Therefore, appropriate management could be delivered.
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