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"ABSTRAKLatar belakang: Migren vestibular (MV) merupakan salah satu penyebab tersering vertigo berulang. Beberapa penelitian telah melaporkan karakteristik klinis dan hasil abnormal pemeriksaan cervical Vestibular Evoked Myogenic Potential (cVEMP) pada pasien MV. Indonesia belum memiliki penelitian mengenai hal tersebut. Oleh karena itu penelitian ini diharapkan menjadi acuan untuk pengembangan pemahaman MV dan pemeriksaan cVEMP di Indonesia.Metode: Penelitian ini merupakan studi potong-lintang yang melibatkan 18 subyek MV dan 25 subyek normal. Fungsi vestibular dinilai secara klinis dan menggunakan cVEMP. Seluruh subyek dengan MV menjalani pemeriksaan selama periode bebas serangan/interiktal.Hasil: Keluhan utama migren atau gejala vestibular terbagi merata (50%). Karakteristik sakit kepala lebih banyak dengan intensitas berat (66,7%), berdenyut (100%), unilateral (61,1%), fotofobia (83%), fonofobia (94,4%), mual dan/atau muntah (88,9%), dan diperberat aktivitas (100%). Karakteristik gejala vestibular lebih banyak non-spinning vertigo (50%). Hasil pemeriksaan cVEMP didapatkan amplitudo yang lebih rendah pada MV (128,84µV [55,01-623,52]). Proporsi absennya gelombang cVEMP lebih tinggi pada MV (55,6%). Terdapat korelasi positif kuat antara frekuensi serangan MV dengan latensi n1 cVEMP.Kesimpulan: Abnormalitas pemeriksaan cVEMP didapatkan pada pasien MV. Absennya gelombang cVEMP dan penurunan amplitudo merupakan hal yang dapat ditemukan pada pasien MV.

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ABSTRACTBackground: Vestibular migraine (MV) is one of the most common cause of recurrent vertigo. Several studies have reported clinical characteristics and abnormal results of cervical Vestibular Evoked Myogenic Potential (cVEMP) in VM. Indonesia does not have research on this matter. Therefore this research is expected to be a reference fordeveloping VM understanding and cVEMP examination in Indonesia.Methods: This research is a cross-sectional study involving 18 VM subjects and 25 healthy subjects. Vestibular function is assessed clinically and by using cVEMP. All VM subjects underwent examination during the interictal period.Results: The chief complaint either migraine nor vestibular symptoms were evenly distributed (50%). More headache with severe intensity (66,7%), throbbing (100%), unilateral (61,1%), photophobia (83%), phonophobia (94,4%), nausea and/or vomiting (88,9%), and aggravation by routine physical activity (100%). Characteristics of vestibular symptoms are more non-spinning vertigo (50%). cVEMP revealed loweramplitudes in VM (128,84µV [55,01-623,52]). The proportion of absence of cVEMP waves is higher in VM (55,6%). There is a strong positive correlation between the frequency of VM attacks with cVEMP n1 latency.Conclusions: Abnormality of cVEMP are found in VM patients. The absence of cVEMP waves and decreases in amplitude can be found in VM patients."

"Menstrual cup merupakan cangkir menstruasi yang berbentuk seperti corong minyak dengan ukuran lebih kecil yang terbuat dari silikon berstandar medis dan aman bagi tubuh. Penggunaan menstrual cup membuat vagina seolah-olah dimasuki oleh segel vakum menimbulkan berbagai pandangan yang mempengaruhi pengambilan keputusan untuk menerima dan mencobanya. Penelitian ini menggunakan desain studi eksploratif dengan pendekatan kualitatif dan dengan teknik pengambilan data secara Focus Group Discussion (FGD) dan Wawancara Mendalam (WM). Hasil pada penelitian ini menunjukkan persepsi sebagian besar informan dalam melihat bentuk dan penggunaan menstrual cup dianggap berisiko dan memberikan rasa ngilu, nyeri, perih dan luka pada organ intim. Sikap mahasiswi yang belum menikah tidak jauh berbeda dengan mahasiswi yang sudah menikah dan memiliki riwayat melahirkan. Sebagian besar informan menyikapi penggunaan menstrual cup sebagai pengganti pembalut dengan menerimanya karena menstrual cup dianggap lebih efektif dibandingkan dengan pembalut karena tidak menimbulkan rasa lembab, gatal, dan kebocoran. Niat untuk menggunakan menstrual cup telah diungkapkan oleh sebagian informan namun masih membutuhkan waktu lama, sebab belum memiliki keberanian untuk menggunakan menstrual cup sebagai pengganti pembalut. Persepsi, sikap, dan niat yang mendasari pengambilan keputusan pada mahasiswi di Kota Padang dalam menyikapi menstrual cup sebagai pengganti pembalut

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Menstrual cup is an object that is shaped like an oil funnel with a smaller size made of medical-standard silicone and is safe for the body. The use of a menstrual cup makes it seem as if the vagina is being entered by a vacuum seal, causing various views that influence the decision to accept and try it. This study uses an explorative study design with a qualitative approach and with data collection techniques by Focus Group Discussion (FGD) and In-depth Interviews (WM). The perception of most of the informants in seeing the shape and use of menstrual cups is considered risky and gives aches, pains, sores and wounds to the intimate organs. The attitude of unmarried female students is not much different from that of married female students who have a history of giving birth, some informants think that menstrual cups damage the hymen and cause trauma in using them. Most of the informants responded to using menstrual cups as a substitute for sanitary napkins by accepting them because menstrual cups are considered more effective than sanitary napkins because they do not cause dampness, itching, and leakage. The intention to use a menstrual cup has been expressed by some informants but it still takes a long time, because they do not have the courage to use a menstrual cup as a substitute for sanitary napkins. There are various perceptions, attitudes, and intentions that underlie the decision making of female students in the city of Padang in responding to menstrual cups as a substitute for sanitary napkins"

"Pendahuluan : Gangguan menstruasi berhubungan dengan banyak faktor determinan diantaranya adalah faktor antropometri, aktivitas fisik, gaya hidup dan makanan. Saat pandemi COVID 19 terdapat perubahan pola hidup dan pola makan akibat pergerakan masyarakat yang terbatas sebagai upaya untuk memutus rantai penularan dan proses belajar yang hanya dapat diakses dari rumah masing masing. Belum diketahui apakah perubahan pola aktivitas dari siswi yang berkaitan dengan belajar dari rumah dapat mengakibatkan gangguan menstruasi. Sehingga kami melakukan penelitian untuk melihat apakah terdapat hubungan antara perubahan pola hidup tersebut dan gangguan menstruasi pada populasi remaja SMA di Jakarta selama pandemi.Metode Penelitian : Studi survey deskriptif terhadap remaja SMA yang dilanjutkan dengan analisis perbandingan internalHasil : Penelitian dilakukan dari November 2020 – Januari 2021 di 6 SMA di Jakarta, total sebanyak 923 remaja wanita berusia 14 – 19 tahun berpartisipasi dalam penelitian ini yang kemudian dibagi menjadi 2 kelompok berdasarkan gangguan menstruasi mereka. Gangguan menstruasi 591 (64%) dan tanpa gangguan menstruasi 332 (36%). Dibandingkan dengan kelompok remaja wanita tanpa ganguan menstruasi maka kelompok remaja wanita dengan gangguan menstruasi menunjukkan aktivitas fisik yang kurang (<600 MET) (OR = 0,79, 95% IK = 0,129 – 1,069) lingkar pinggang > 73,25 cm (OR = 8,87, 95% IK = 5,61 – 14,01), asupan kalori > 1665 cal (OR = 4,94, 95% IK = 3,04 – 8,01) dan asupan lemak > 38,5 gram (OR = 54,18, 95% IK = 32,74 – 89,68). Sedangkan skor akne tinggi ( p = 0,327), kualitas tidur kurang (p=0,211), indeks massa tubuh tinggi (p=0,459), asupan vitamin B1 dan B6 rendah (p=0,291), asupan serat rendah (p=0,093), asupan besi rendah (p=0,249) dan kurangnya waktu tidur (p=0,962) tidak berhubungan dengan gangguan menstruasi. Kesimpulan : Penurunan aktivitas fisik, pola makan yang kurang baik, besarnya lingkar pinggang mempengaruhi gangguan menstruasi dan asupan lemak yang tinggi merupakan faktor penentu utama terjadinya gangguan menstruasi siswi SMA di Jakarta selama pandemi COVID 19

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Background: Menstrual disorders are associated with many determinant factors including anthropometry, physical activity, lifestyle and food intake. During the COVID 19 pandemic there were changes in lifestyle and eating habit due to limited movement of people in an effort to break the chain of transmission and learning process that can only be accessed from their homes. It is not yet known whether changes in activity patterns of students related to learning from home can result in menstrual disorders. So we conducted a study to see if there is a link between these lifestyle changes and menstrual disorders in the high school youth population in Jakarta during the pandemic.

Research Method : Descriptive survey study of high school adolescents followed by internal comparison analysis

Results: The study was conducted from November 2020 – January 2021 at 6 high schools in Jakarta, a total of 923 teenage girls aged 14 - 19 years participated in this study which was then divided into 2 groups based on their menstrual disorders. Menstrual disorders 591 (64%) and without menstrual disorders 332 (36%). Compared to the group of adolescent women without menstruation, the group of adolescent women with menstrual disorders showed less physical activity (<600 MET) (OR = 0.79, 95% IK = 0.129 – 1.069) waist circumference > 73.25 cm (OR = 8.87, 95% IK = 5.61 – 14.01), caloric intake > 1665 cal (OR = 4.94, 95% IK = 3.04 – 8.01) and fat intake > 38.5 grams (OR = 54.18, 95% IK = 32.74 – 89.68). While the high acne score

( p = 0.327), low sleep quality (p= 0.211), high body mass index (p=0.459), low intake of vitamin B1 and B6 (p = 0.291), low fiber intake (p = 0.093), low iron intake (p = 0.249) and low sleep duration (p = 0.962) are not related to menstrual disorders.

Conclusion: Decreased physical activity, poor diet, large waist circumference affect menstrual disorders and high fat intake is the main determining factor of the occurrence of menstrual disorders of high school students in Jakarta during the COVID 19 pandemic"

"Penelitian ini bertujuan untuk mengetahui pengaruh pengelolaan marah dengan pendekatan kognitif perilaku pada penderita nyeri kepala tegang Tension Type Headache . Ditemukan bahwa penderita nyeri kepala tegang memliki kecenderungan menahan emosi marah secara berlebihan. Selain itu, ditemukan bahwa para penderita nyeri kepala tegang berpotensi mengalami penurunan produktivitas dan waktu untuk bekerja. Penelitian ini merupakan penelitian kuasi- eksperimental dalam bentuk within-subject design, dengan satu kelompok partisipan yang terdiri dari 6 subyek. Masing-masing partisipan mengikuti sesi sebanyak lima kali, disertai satu kali pra-sesi dan satu kali sesi post test. Selanjutnya, analisis dilakukan dengan cara membandingkan data kuantitatif dan kualitatif dari hasil pre-test dan post-test. Hasil penelitian ini menunjukkan bahwa pengelolaan emosi marah dengan pendekatan kognitif dapat mengurangi gejala nyeri kepala pada penderita Tension Type Headache. Seluruh partisipan menunjukkan pengurangan perilaku menahan marah Anger Expression-In dalam STAXI-2 dan penurunan gejala nyeri kepala secara frekuensi, durasi dan intensitas.

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The purpose of this research is to the effect of anger management by using cognitive behavioral approach in Tension Type Headache TTH sufferers. Tension Type Headache sufferers tend to suppress their anger exceedingly. Tension Type Headache also can decreased productivity and amount of time to work the individual who has Tension Type Headache. This research is a form of quasi experiment, one group consists of six participants. Each participants attended five sessions, followed by one pre session and one post test session. After that, the analysis will be done by comparing quantitative and qualitative data from the result of the pre test and post test session. Results suggest that anger management by using cognitive behavioral approach reduced symptoms in Tension Type Headache sufferers. All participant reduced their Anger Expression In STAXI 2 and reported a decreasing in the frequency, intensity and duration of their headaches."

"Di Amerika diperkirakan lebih dari 20 juta orang terpajan bising 85 dB atau lebih. Departemen tenaga kerja di Amerika mengestimasi bahwa 19,3 % dari pekerja di manufacturing dan utilities terpajan kebisingan dengan intensitas 90 dBA atau lebih 34,4 % terpajan kebisingan pada level di atas 85 dBA, dan 53,1% terpajan kebisingan pada level di atas 80 dBA. Frechet mendapatkan data bahwa 55% daerah industri di Quebec-Canada mempunyai tingkat kebisingan di atas 85 dB dan menurut survei prevalensi NIHL (Noise Induced Hearing Loss) atau gangguan pendengaran akibat bising bervariasi antara 40 - 50%. Gangguan pendengaran sebagai penyakit akibat kerja yang paling sering terjadi di berbagai industri membutuhkan perhatian dari banyak pihak. Gangguan pendengaran yang dialami seseorang akan berpengaruh pada produktivitas kerja dan kualitas hidup pekerja tersebut, sehingga pengendalian bising sangat penting untuk dilaksanakan di semua industri. Pelaksanaan program pengendalian bising atau Hearing Conservation Program di PT. X perlu dievaluasi sesuai dengan ketentuan yang ada, agar dapat diketahui hal-hal yang dapat diperbaiki untuk mewujudkan Hearing Conservation Program yang efisien, efektif, dan memadai.

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United States estimated that more than 20 million people exposed to noise 85 dB or more. Department of labor in the United States estimates that 19.3% of workers in manufacturing and utilities exposed to noise with intensity 90 dBA or more than 34.4% exposed to noise levels above 85 dBA, and 53.1% exposed to noise levels above 80 dBA. Fréchet have shown that about 55% of industrial areas in Quebec-Canada has a noise level above 85 dB and, according to survey the prevalence of NIHL (Noise Induced Hearing Loss), or noise induced hearing loss varies between 40-50%. Hearing loss as occupational diseases is the most often occur in various industries require attention from many parties. Hearing loss will affect the worker?s productivity and quality of life of workers, so that noise control is very important to be implemented in all industries. Implementation of noise control program or a Hearing Conservation Program at the PT. X needs to be evaluated in accordance with existing provisions, in order to know the things that could be improved to realize the Hearing Conservation Program that is efficient, effective, and adequate."

"Teddy bears left by their owners in a hospital for sick children become "The Bear Brigade" - who can be seen by the children there but not by any parents or staff. Royalties from the sale of this collection of short stories are being donated to The Royal Hospital for Sick Children in Edinburgh"

"Gangguan menstruasi terjadi akibat disregulasi hormon yang terjadi dalam tubuh dan memberikan dampak pada wanita usia produktif, termasuk mahasiswi kedokteran. Ada beberapa faktor yang mempengaruhi terjadinya gangguan menstruasi, dan stress psikologis merupakan salah satu penyebabnya. Beberapa studi menunjukkan bahwa mahasiswi kedokteran rentan mengalami tingkat stress yang tinggi, dan hal tersebut berhubungan dengan kejadian gangguan menstruasi. Terdapat sedikit studi yang membahas mengenai hubungan antara gangguan menstruasi dengan tingkat stress pada populasi mahasiswi kedokteran di Indonesia. Studi ini bertujuan untuk mencari prevalensi gangguan menstruasi pada mahasiswi kedokteran dan hubungannya dengan tingkat stress. Kuesioner dibagikan untuk mengumpulkan data cross-sectional dari subjek yang telah memenuhi kriteria inklusi dan eksklusi. Subjek dibagi menjadi populasi klinik dan preklinik, dan data akan dibagi menjadi data karakteristik subjek, parameter menstruasi, dan juga parameter nyeri haid. Terdapat proporsi yang besar terhadap tingkat pendarahan abnormal (59.0%) dan nyeri haid (67.0%). Terdapat hubungan yang bermakna antara tingkat stress dan tingkat kehilangan darah (p = 0.049). Studi analisis data menunjukkan hubungan bermakna antara stress psikologis dengan gangguan menstruasi yang ditandai dengan tingkat pendarahan abnormal.

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Menstrual disorder happens as hormonal dysregulation occurred inside the body and it affects women in productive age, including medical students. There are many factors that influence the occurrence, and psychological stress is one of them. Studies shows that medical students are prone to high level of stress, and it correlates with the occurrence of menstrual disorder. There are few researches that discuss correlation between menstrual disorder and level of stress on Indonesian medical students’ population. This study aims to find the prevalence of menstrual disorder among female medical student and its correlation with psychological stress. Questionnaire were distributed to collect cross-sectional data from subjects who had fulfilled inclusion and exclusion criteria. Subjects will be divided into clinical and preclinical population and the data will be classified into subjects’ characteristics, menstruation parameters, and dysmenorrhea parameters. There are large proportions of subjects who experienced abnormal blood loss (59.0%) and dysmenorrhea (67.0%). There was significant association between level of stress and amount of blood loss (p = 0.049). Study data analysis showed statistically significant association of psychological stress with menstrual disorder that is marked by abnormal blood loss."

"Data ILO 2 juta pekerja meninggal per tahun. 2021 ada 234 ribu kecelakaan kerja di Indonesia. Industri kimia 12% dari2 019-2021 kecelakaan kerja 80.607 kasus.Program Behavior-based safety (BBS) yaitu pendekatan keselamatan berdasarkan perilaku manusia. Pendekatan untuk meningkatkan kesadaran, keterlibatan, tanggung jawab karyawan menciptakan lingkungan kerja aman. program BBS di perusahaan apakah mampu meningkatkan tingkat kepatuhan karyawan, serta merubah perilaku keselamatan kerja. Penelitian dilakukan dengan metode penelitian kuantitatif jenis studi cross sectional. Data yang dikumpulkan memberikan gambaran hubungan antara variabel. Desain penelitian cross-sectional digunakan untuk mengumpulkan data mengenai program Behavior Based Safety (BBS), tingkat kepatuhan terhadap perilaku keselamatan kerja, dan perilaku keselamatan kerja di PT. X pada satu titik waktu tertentu. Data dikumpulkan melalui kuesioner yang diisi oleh respondenVariasi nilai tingkat kepatuhan mampu dijelaskan oleh variasi nilai program BBS sebesar 14,3%,sedangkan sisanya 85.7% dijelaskan oleh variasi variabel lain di luar model penelitian. Variasi nilai Perilaku keselamatan kerja karyawan mampu dijelaskan oleh variasi nilai Program BBS dan Tingkat kepatuhan sebesar 49.6%, sedangkan sisanya 50.4% dijelaskan oleh variasi variabel lain di luar model penelitian terdapat hubungan positif dan signifikan Program BBS terhadap Tingkat Kepatuhan. Ada hubungan positif dan signifikan antara Program BBS terhadap Perilaku Keselamatan Kerja. Ada hubungan positif dan signifikan antara Tingkat Kepatuhan terhadap Perilaku Keselamatan. Hubungan Program BBS terhadap Perilaku keselamatan kerja bersifat pengaruh langsung. Oleh karena itu, variabel intervening Tingkat Kepatuhan tidak memediasi hubungan Program BBS terhadap Perilaku Keselamatan Kerja.

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According to ILO data, 2 million workers die per year. In 2021 there will be 234 thousand work accidents in Indonesia. Chemical industry 12% from 2019-2021 work accidents 80,607 cases. Behavior-based safety (BBS) program, namely a safety approach based on human behavior. An approach to increasing employee awareness, involvement, and responsibility creates a safe work environment. Whether the BBS program in the company is able to increase employee compliance levels and change work safety behavior. The research was carried out using quantitative research methods, a type of cross sectional study. The data collected provides an overview of the relationship between variables. A cross-sectional research design was used to collect data regarding the Behavior Based Safety (BBS) program, the level of compliance with work safety behavior, and work safety behavior at PT. X at a certain point in time. Data were collected through questionnaires filled out by respondents. Variations in compliance level values were able to be explained by variations in BBS program values of 14.3%, while the remaining 85.7% were explained by variations in other variables outside the research model. Variations in employee safety behavior values can be explained by variations in BBS Program values and compliance levels of 49.6%, while the remaining 50.4% are explained by variations in other variables outside the research model. There is a positive and significant relationship between the BBS Program and Compliance Levels. There is a positive and significant relationship between the BBS Program and Work Safety Behavior. There is a positive and significant relationship between the level of compliance and safety behavior. The relationship between the BBS Program and work safety behavior has a direct influence. Therefore, the intervening variable Compliance Level does not mediate the relationship between the BBS Program and Work Safety Behavior"