scholarly journals Risk Factors of Carpal Tunnel Syndrome in Food-Packing Workers Karanganyar

2017 ◽  
Vol 11 (3) ◽  
Author(s):  
Haris Setyawan

Carpal tunnel syndrome (CTS) occurs when the median nerve, which runs from the forearm into the hand, suffers pressure or squeezed in the wrist. The results may be pain, weakness, or numbness in the hand and wrist, radiating up to the arm. This study aimed to examine the risk factors i.e age, sex, work period and repetitive movements toward CTS complaints among food-packing workers in Karanganyar. The study was conducted in October to December 2014 that used analytic observational design with cross sectional study. Samples were 50 of 67 food-packing workers in Jaten Karanganyar industrial area as taken by using simple random sampling technique. Data were analyzed using chi square and multivariate logistic regression. Results showed that age and sex had significant relation with CTS and age was the most influential factor 24 times to increase the risk of CTS (p value = 0.057, Exp. B = 24.965).AbstrakCarpal tunnel syndrome (CTS) terjadi ketika saraf median, yang membentang dari lengan bawah ke tangan, mengalami tekanan atau terpuntir di pergelangan tangan. Hasilnya mungkin sakit, kelemahan atau mati rasa di tangan dan pergelangan tangan, yang memancar ke lengan tangan. Penelitian ini bertujuan untuk mengkaji faktor risiko usia, jenis kelamin, masa kerja dan gerakan repetitif terhadap keluhan CTS pada pekerja pengepakan makanan di Karanganyar. Penelitian ini dilaksanakan pada bulan Oktober – Desember 2014 menggunakan desain observational analitik dengan penelitian potong lintang. Sampel terdiri dari 50 orang dari total 67 pekerja pengepak makanan di kawasan industri Jaten Karanganyar yang diambil dengan menggunakan teknik simple random sampling. Data penelitian diolah menggunakan uji kai kuadrat dan regresi logistik multivariat. Hasil penelitian menunjukkan bahwa usia dan jenis kelamin signifikan berhubungan dengan keluhan CTS, dan usia merupakan faktor yang paling berpengaruh 24 kali lipat untuk meningkatkan risiko terjadinya CTS (nilai p = 0.057, Exp. B = 24.965).

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Beibei Feng ◽  
Kedi Chen ◽  
Xiaoxia Zhu ◽  
Wing-Yuk Ip ◽  
Lars L. Andersen ◽  
...  

Abstract Background Carpal tunnel syndrome (CTS) is a common cause of pain, numbness and tingling in the wrist and hand region and is associated with repetitive wrist and hand use in office workers. However, scarce knowledge exists about the epidemiology of clinically confirmed CTS among Chinese office workers. This study aimed to investigate the prevalence of wrist/hand symptoms and CTS in office workers in China and to identify associated risk factors. Methods A cross-sectional survey was carried out in a metropolitan city in China involving 969 respondents (aged 17–49 years) from 30 workplaces. A questionnaire was distributed to each participant to collect their demographic, work-related physical and psychosocial factors, and wrist and hand symptoms. The wrist and hand pain/numbness symptoms were marked on a body chart and the nature and intensity of symptoms, nocturnal symptoms, as well as aggravating activities were also recorded. Clinically confirmed CTS cases were screened based on the history, Phalen’s test, Tinel Sign and skin sensation testing among symptomatic respondents. Logistic regression was employed to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for the occurrence of self-reported wrist and hand symptoms and clinically confirmed CTS. Results The clinically confirmed CTS prevalence was 9.6%. The prevalence of wrist and hand symptoms were 22 and 15%, respectively. Frequently working in pain was associated with higher odds of CTS. Multivariate modelling adjusted for age and gender showed that prolonged computer use time and working without breaks were associated with presence of wrist/hand symptoms (adjusted ORs: 1.11 (95% CI 1.02–1.22) and 1.88 (95% CI 1.12–3.14)). Educational level was inversely associated with CTS and smoking was associated with wrist/hand complaints (adjusted OR: 2.20 (95% CI 1.19–4.07)). Conclusions The prevalence of work-related clinically confirmed CTS symptoms among young office workers in China is high. Frequently working in pain is closely associated with clinically confirmed CTS. Intense computer use and no breaks at work are associated with wrist and hand symptoms.


2017 ◽  
Vol 7 (2) ◽  
pp. 93
Author(s):  
Deny Kurniawan ◽  
Ratna Yuliawati ◽  
Ari Hamdani

The rehabilitation centers BNN Tanah Merah incerease in rehabilitated drug users since 2013 from 5 people to 68 people in 2016. This study is intend to research is to determine correlation between a family situation with drugs relapse behavior to resident in Rehabilitation centers BNN Tanah Merah Samarinda. This research using Cross Sectional research design and the sampling technique used probability sampling with simple random sampling type.This research using a Chi Square statistic test. Based on the result, a good family situation respondents but still experience the relapse are 18.9% and a bad family situation respondents and still experience the relapse are 19,0%. Statistically obtained p-value 1.00 (p<0.05). it can be concluded that there is no correlation between a Family Situation with drugs relapse behavior to resident at Rehabilitation centers BNN Tanah Merah Samarinda.Keywords : Family situation, Relapse, Drugs, Resident.  


2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ester Verninde ◽  
I Gede Mustika ◽  
Purwaningtyas Kusumaningsih

ABSTRAK<br />Sumber daya manusia (SDM) adalah salah satu factor utama yang diperlukan dalam melaksanakan pembangunan nasional. Dua diantaranya yang berperan penting yaitu factor kesehatan dan gizi. Tingkat prestasi pada anak SD di pengaruhi oleh faktor internal dan eksternal. Tujuan penelitian ini adalah untuk mengetahui pengaruh kebiasaan sarapan, pedidikan ibu dan status gizi terhadap tingkat prestasi anak kelas IV dan V SD Inpres Weetebula II. Desain Cross Sectional yang dilakukan pada bulan Mei-Juni 2018 dengan teknik pengambilan sampel menggunakan probability sampling dengan cara simple random sampling pada siswa kelas IV dan V (37 responden). Data kebiasaan sarapan menggunakan kuesioner, pendidikan ibu menggunakan data sekolah, status gizi menggunakan pengukuran antropometri, sedangkan tingkat prestasi menggunakan nilai raport. Hasil penelitian ini menunjukkan bahwa kebiasaan sarapan pagi terhadap status gizi berpengaruh (nilai p=0,000), pendidikan ibu terhadap status gizi tidak berpengaruh (nilai p=0,520), status gizi tidak berpengaruh terhadap tingkat prestasi (nilai p=0,638), kebiasaan sarapan berpengaruh terhadap tingkat prestasi (nilai p=0,044), pendidikan ibu tidak berpengaruh terhadap tingkat prestasi (nilai p=0,334). Penelitian ini menunjukkan ada pengaruh antara kebiasaan sarapan terhadap status gizi dan tingkat prestasi dan tidak ada pengaruh antara kebiasaan sarapan, pendidikan ibu dan status gizi terhadap tingkat prestasi.<br />Kata kunci :kebiasaan sarapan, pendidikan ibu, status gizi dan tingkat prestasi. Siswa SD<br />ABSTRACT Human resources (HR) are one of the main factors needed in carrying out national development. Two of them have important roles, namely health and nutrition factors. The level of achievement in elementary school children is influenced by internal and external factors. The purpose of this study was to determine the effect of breakfast habits, maternal education and nutritional status on the level of achievement of grade IV and V children of SD Inpres Weetebula II. Cross Sectional Design conducted in May-June 2018 with a sampling technique using probability sampling by means of simple random sampling for students in grades IV and V (37 respondents). Data on breakfast habits using questionnaires, maternal education using school data, nutritional status using anthropometric measurements, while the achievement level uses report cards. The results of this study indicate that the habit of breakfast to nutritional status has an effect (p value = 0,000), maternal education on nutritional status has no effect (p value = 0.520), nutritional status does not affect the level of achievement (p value = 0.638), influential breakfast habits towards the level of achievement (p value = 0.044), maternal education does not affect the level of achievement (p value = 0.334). This study shows that there is an influence between breakfast habits on nutritional status and level of achievement and no influence between breakfast habits, maternal education and nutritional status on achievement levels.<br />Keywords: breakfast habits, maternal education, nutritional status and level of achievement. Elementary students


2015 ◽  
Vol 1 (2) ◽  
pp. 61 ◽  
Author(s):  
Chori Elsera ◽  
Wiwin Rohmawati ◽  
Parmiyati Parmiyati

Mother's knowledge about prevention of diarrhea can cause diarrhea deteriorate that leads to death or getting better, depend on the management of diarrhea that mother do. The purpose of the present study is to find out the relationship between mother's knowledge on diarrhea prevention against treatment of diarrhea in children 1-5 years. This research method is a survey research with cross sectional approach and point-time models.The population of the study is all mothers who have children 1-5 years old in April 2015 amounted to 235 people. The sampling technique used was simple random sampling by lottery technique. The data is analyzing by Kendall tau. The results of the research are 22 respondents (46.8%) have good knowledge and management of diarrhea in children 1-5 years, 13 respondents (27.7%) have quite good knowledge and management of diarrhea in children 1-5 years, one respondent (2, 1%) lack of knowledge and management of diarrhea in children 1-5 years. There is a relationship between mother's knowledge on diarrhea prevention against treatment of diarrhea in children 1-5 years old at Jemowo village in 2015 with a p-value = 0.000 (p <0.05). The conclusion from this study showed there was relationship between mother's knowledge on diarrhea prevention against treatment of diarrhea in children 1-5 years old at Jemowo village in 2015. It is expected for mothers to increase knowledge and increase awareness in the prevention and treatment of diarrhea.


2018 ◽  
Vol 5 (1) ◽  
pp. 32-42
Author(s):  
Miftakhur OksitosinRohmah ◽  
Nita Dwi Astikasari ◽  
Iriyanti Weto

Child development is an increasing skill for structure and function of the more complex body in an orderly and predictable pattern, as a result of the maturation process, involving the process of differentiation of the body's cells, tissues, organs and organ systems develop in such a way that each can fulfill its function. One aspect of development that needs attention is language development and speech. Speech and language disorders are one of the most common problems in children. Purpose of this study was to analize of parenting parents to speech delay in children aged 3-5 years. Design of this study was observational analytic with cross sectional approach. Population of this study all parents of children aged 3-5 years, with Simple Random Sampling technique obtained a sample of 32 respondents. Data analysis using Chi Square test. The results showed almost half of the respondents had a parenting pattern in the permissive category, which was 15 respondents (46.9%) and most of the respondents had speech delay in the category of suspected late talk, ie 20 respondents (62.5%). Result analysis using Chi Square test shows p-value = 0,025 <a= 0,05, so H0 is rejected and H1 accepted which means there was relation of parenting pattern to speech delay in children aged 3-5 years.  Keywords:  Parenting, Speech Delay, Children Age 3-5 Years ABSTRAK  Perkembangan anak merupakan bertambahnya kemampuan (skill) dalam struktur dan fungsi tubuh yang lebih kompleks dalam pola yang teratur dan dapat diramalkan, sebagai hasil dari proses pematangan, menyangkut adanya proses diferensiasi dari sel-sel tubuh, jaringan tubuh, organ-organ dan sistem organ yang berkembang sedemikian rupa sehingga masing-masing dapat memenuhi fungsinya . Salah satu aspek perkembangan yang memerlukan perhatian adalah perkembangan bahasa dan bicara. Gangguan bicara dan bahasa merupakan salah satu masalah yang sering terjadi pada anak-anak. Tujuan penelitian ini adalah menganalisis hubungan pola asuh orang tua dengan keterlambatan bicara pada anak usia 3-5 tahun. Desain penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Populasi penelitian ini seluruh orang tua anak usia 3-5 tahun, dengan teknik Simple Random Sampling diperoleh sampel 32 responden. Analisa data menggunakan uji Chi Square. Hasil penelitian menunjukkan hampir setengah responden memiliki pola asuh dalam kategori permisif, yaitu 15 responden (46,9%) dan sebagian besar responden memiliki keterlambatan bicara dalam kategori dicurigai terlambat bicara, yaitu 20 responden (62,5%). Hasil analisa menggunakan uji Chi Square menunjukkan nilai p-value = 0,025 <a = 0,05, sehingga H0 ditolak dan H1 diterima yang berarti ada hubungan pola asuh orang tua terhadap keterlambatan bicara pada anak usia 3-5 tahun.  Kata Kunci: Pola Asuh, Keterlambatan Bicara, Anak Usia 3-5 Tahun


Author(s):  
Juliana Widyastuti Wahyuningsih

Abstrak Menurut WHO setiap tahunnya kira-kira 3% (3,6juta) dari 120 juta bayi baru lahir mengalami asfiksia. Menurut SDKI tahun 2012 angka kematian bayi sebesar 34 kematian/1000 kelahiran hidup. AKB di Sumatera Selatan tahun  adalah 44,59 per 1000 kelahiran hidup. Sedangkan AKB di kota Palembang 2016 sebesar 44 per kelahiran hidup. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor apa saja yang berhubungan dengan kejadian asfiksia pada bayi baru lahir di Rumah Sakit PT Graha Pusri Medika Palembang. Penelitian ini menggunakan metode survey analitik dengan pendekatan Cross Sectional. Populasi dalam penelitian ini adalah semua ibu yang bersalin di Rumah Sakit PT Graha Pusri Medika Palembang, yang berjumlah 1014 responden. Penelitian ini dilakukan pada tahun 2018. Sampel dalam penelitian ini adalah sebagian ibu yang bersalin di Rumah Sakit PT Graha Pusri Medika Palembang berjumlah 287 responden. Sampel penelitian diambil secara random sampling dengan teknik Simple random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian menunjukkan bahwa ada hubungan yang bermakna antara KPSW dengan kejadian asfiksia dengan P value (0,006), ada hubungan yang bermakna antara persalinan SC dengan kejadian asfiksia dengan P value (0.009). Saran bagi rumah sakit dapat dijadikan masukan dalam mengupayakan pengembangan tatalaksana asuhan kebidanan dalam meningkatkan mutu pelayanan kesehatan terutama pada kasus-kasus yang berhubungan dengan kejadian asfiksia. Kata Kunci                 : Kejadian Asfiksia ABSTRACT According to WHO every year approximately 3% (3.6 million) of the 120 million newborns increase asphyxia. According to the IDHS in 2012 the infant mortality rate was 34 deaths / 1000 live births. The IMR in South Sumatra in the year is 44.59 per 1000 live births. Where as AKB in Palembang city in 2016 is 44 per live birth. The purpose of this study was to study what factors are associated with the incidence of asphyxia in newborns at PT Graha Pusri Medika Palembang Hospital. This study uses an analytical survey method using Cross Sectional. The population in this study were all mothers who gave birth at PT Graha Pusri Medika Palembang Hospital, which examined 1014 respondents. This research was conducted in 2018. The sample in this study was that some mothers who gave birth at PT Graha Pusri Medika Palembang Hospital added 287 respondents. The research sample was taken by random sampling with Simple random sampling technique. Data analysis using Chi-Square statistical test. The results showed that there was a relationship between Premature rupture of membranes and the incidence of asphyxia with a P value (0.006), there was a relationship involving between SC labor and the incidence of asphyxia with a P value (0.009). Suggestions for hospitals can be used to seek the development of midwifery care in improving the quality of health services related to cases related to asphyxia. Keywords : asphyxia accident


2018 ◽  
Vol 3 (2) ◽  
pp. 37-44
Author(s):  
Muthoharoh ◽  
Sarinah Basri K ◽  
Tating Nuraeni

CTS merupakan gangguan umum yang berhubungan dengan pekerjaan, disebabkan oleh gerakan berulang dan posisi yang menetap pada jangka waktu lama. Beberapa faktor diketahui menjadi risiko terjadinya CTS, seperti gerakan berulang dengan kekuatan, tekanan pada otot, postur kerja yang tidak ergonomik dan lain-lain. Penelitian ini menggunakan Cross Sectional dengan jumlah sampel 40 karyawan di dua SPBE bagian Filling Hall area. Fisher Exact Test digunakan untuk analisis data uji statistik. Variabel yang diteliti adalah masa kerja, gerakan repetitive dan postur kerja. Dalam pengumpulan data peneliti menggunakan kuesioner, lembar observasi RULA dan test pemeriksaan fisik. Hasil uji statistik menggunakan Fisher Exact Test untuk masa kerja dan postur kerja didapatkan nilai P-Value = 0,029 dan 0,041. Karena nilai P -Value < 0,05 sehingga Ho ditolak, artinya ada hubungan antara masa kerja dan postur kerja dengan kejadian CTS . sedangkan untuk gerakan repetitive hasil uji statistik menggunakan Fisher Exact Test didapatkan nilai P-Value = 0,464. Karena nilai P-Value >0,05 sehingga Ho diterima, artinya ada hubungan antara gerakan repetitive dengan kejadian CTS.


2021 ◽  
pp. 51-53
Author(s):  
Surajit Lahiri ◽  
Subham Roy Choudhury ◽  
Subhajit Shyam

Gallstone disease and its complications are a major public health issue, equally affecting both the developed and the developing countries across the globe. The unmodiable risk factors are universally same. The modiable risk factors however, can vary from place to place depending upon social customs, lifestyle, food habits and preferences. This justies the need for regional studies to look for association of risk factors that can precipitate gallstone disease so that preventive programmes can be undertaken to reduce its incidence. The project was an institution-based observational cross-sectional study on 96 subjects to look for the risk factors associated with gallstone formation. The patients were chosen using simple random sampling technique as per the pre-decided inclusion and exclusion criteria. The data was collected through a pre-designed and pre-tested semi-structured questionnaire. For all the tests for the study, a p-value of < 0.05 was considered signicant. All the statistical signicance of the project was evaluated at a condence interval of 95%. Based on the objective of the study, further descriptive and inferential statistics was drawn. Our study showed a strong association between gallstone disease and the time elapsed between waking up in the morning and taking breakfast, with 88 subjects (91.66%) out of the possible 96 taking their breakfast over 2 hours (120 minutes) after waking up. Thus reduction in overnight fasting by advising people to take their breakfast within 2 hours (120 minutes) of waking up, can bring down the incidence of gallstone disease signicantly. Thus we propose awareness programmes to highlight this issue amongst the population at risk.


Author(s):  
Raja Kollu ◽  
Sindhu Vasireddy ◽  
Sreekanta Swamy ◽  
Nataraju Boraiah ◽  
H Ramprakash ◽  
...  

Introduction: Carpal Tunnel Syndrome (CTS) is the entrapment neuropathy which is diagnosed based on the clinical history, examinations and the electrophysiological findings. The Cross- sectional Area (CSA) measurement of the median nerve has emerged as an alternative to Nerve Conduction Studies (NCS) for diagnosis of CTS. This study was done to correlate NCS and Ultrasonography (USG) in clinically diagnosed CTS patients. Aim: To evaluate the diagnostic value of Cross-sectional Area (CSA) of median nerve at carpal tunnel inlet in patients with clinically and NCS confirmed Carpal Tunnel Syndrome (CTS) and to assess severity of the syndrome by NCS and its correlation with USG results. Materials and Methods: This was a hospital based, case-control study done on a total of 109 patients of CTS and analysed during the period from June 2017 to June 2019. Total 203 hands of the patients with abnormal NCS formed case group while 101 hands from healthy volunteers constituted the control group. All the patients underwent neurological evaluation by Boston Carpal Tunnel Questionnaire (BCTQ) and were divided into mild, moderate and severe according to the score. An electromyography machine was used to perform electrophysiological studies of both the limbs in all subjects. CTS was diagnosed electro-diagnostically based on the American Association of Neuromuscular and Electrodiagnostic Medicine (AANEM) guidelines and were classified as mild (Grades 1 and 2), moderate (Grades 3 and 4), and severe (Grades 5 and 6) grades using Bland’s electrophysiological grading scale. USG was performed for all the subjects and all the data of various investigations was analysed using Statistical Package for Social Sciences (SPSS) version 22.0 software. Chi-square test and Mann Whitney U-test were used as test of significance for qualitative data. Results: The mean age of subjects was 44.38±9.561 years. Strongly significant association was observed in BCTQ symptom, functional and total scores with NCS severity grading (p-value <0.001). Moderately significant association was found between BCTQ symptom and total scores with USG severity grading (p-value<0.02). Tunnel grade and NCS grade were found significantly correlated (p-value <0.001). The mean CSA cut-off value of 8.5 mm² at the inlet of carpal tunnel had a good sensitivity 86.21%, specificity 83.17%, Positive Predictive Value (PPV) 91.1% and Negative Predictive Value (NPV) 75%. Conclusion: The diagnostic accuracy of USG assessment and NCS was found to be correlated comparably and complement each other in all grades of CTS. USG, can be considered a preferable screening tool by the patients of CTS due to its painless nature and easy accessibility. It requires minimal time and many a times detects those structural abnormalities which have great therapeutic implications. In mild CTS cases, USG should always be combined with NCS for proper diagnosis as USG might give negative result.


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