scholarly journals Hubungan Aktivitas Duduk Lama Dengan Keluhan Musculoskeletal Pada Punggung Bawah: Critical Review

2021 ◽  
Vol 2 (3) ◽  
pp. 150-161
Author(s):  
Rahayu Gita Junita ◽  
Arif Pristianto ◽  
Arin Supriyadi ◽  
Taufik Eko Susilo

Latar belakang Duduk dengan waktu yang lama dapat meningkatkan ketegangan pada otot punggung serta pinggul dan menimbulkan ketegangan pada persendian dalam posisi statis untuk waktu yang lama. Otot punggung mengalami kontraksi yang berlebihan, kemudian untuk menahan dan mempertahankan posisi duduk, otot menjadi spasm atau tightness. Nyeri pada punggung bawah adalah kondisi musculoskeletal yang paling umum ditemukan. Tujuan Penelitian ini bertujuan untuk meriview artikel penelitian terdahulu tentang hubungan aktivitas duduk lama dengan keluhan musculoskeletal pada punggung bawah. Metode Metode penelitian menggunakan critical review dan pencarian data dilakukan untuk mengidentifikasi metode cross sectional observational menggunakan mesin pencarian literatur seperti pubmed central (PMC) dan google scholar, kemudian dilanjutkan dengan mengidentifikasi jenis quartile (Q1-4) menggunakan mesin pencarian scimago journal and country rank (SJR) dan penilaian dengan quality assessment tool for observational cohort and cross-sectional study. Hasil Didapatkan hasil sebanyak 9 artikel yang digunakan sebagai landasan penelitian yang disesuaikan dari kriteria inklusi, dilakukan review artikel, disesuaikan dengan kaidah what, who, where, when hingga dinilai dengan quality assessment tool for observational cohort and cross-sectional study. Kesimpulan Penelitian menunjukkan adanya hubungan yang signifikan pada aktivitas duduk lama dengan keluhan musculoskeletal pada punggung bawah.Kata Kunci Aktivitas duduk lama, gangguan muskuloskeletal, nyeri punggung bawah.

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.


2018 ◽  
Vol 213 (2) ◽  
pp. 484-489 ◽  
Author(s):  
Benjamin Walter Jack Spencer ◽  
Tania Gergel ◽  
Matthew Hotopf ◽  
Gareth S. Owen

BackgroundConsent to research with decision-making capacity for research (DMC-R) is normally a requirement for study participation. Although the symptoms of schizophrenia and related psychoses are known to affect decision-making capacity for treatment (DMC-T), we know little about their effect on DMC-R.AimsWe aimed to determine if DMC-R differs from DMC-T in proportion and associated symptoms in an in-patient sample of people with schizophrenia and related psychoses.MethodCross-sectional study of psychiatric in-patients admitted for assessment and/or treatment of schizophrenia and related psychoses. We measured DMC-R and DMC-T using ‘expert judgement’ clinical assessment guided by the MacArthur Competence Assessment Tool for Clinical Research, the MacArthur Competence Assessment Tool for Treatment and the legal framework of the Mental Capacity Act (2005), in addition to symptoms of psychosis.ResultsThere were 84 participants in the study. Half the participants had DMC-R (51%, 95% CI 40–62%) and a third had DMC-T (31%, 95% CI 21–43%) and this difference was statistically significant (P < 0.01). Thought disorder was most associated with lacking DMC-R (odds ratio 5.72, 95% CI 2.01–16.31, P = 0.001), whereas lack of insight was most associated with lacking DMC-T (odds ratio 26.34, 95% CI 3.60–192.66, P = 0.001). With the exception of improved education status and better DMC-R, there was no effect of sociodemographic variables on either DMC-R or DMC-T.ConclusionsWe have shown that even when severely unwell, people with schizophrenia and related psychoses in in-patient settings commonly retain DMC-R despite lacking DMC-T. Furthermore, different symptoms have different effects on decision-making abilities for different decisions. We should not view in-patient psychiatric settings as a research ‘no-go area’ and, where appropriate, should recruit in these settings.Declaration of interestNone.


2020 ◽  
Vol V (I) ◽  
pp. 1-8
Author(s):  
Husna Khalid ◽  
Muhammad Rauf ul Hassan ◽  
Iqra Aurangzeb Khan ◽  
Huma Farooq ◽  
Zafar Iqbal

To assess the knowledge and awareness of osteoporosis and its risk factors among female university students in Mirpur Azad Kashmir. A cross-sectional study was carried out in female university students in Mirpur Azad Kashmir using a self-administered questionnaire. Knowledge and awareness of osteoporosis was assessed using OKAT (Osteoporosis Knowledge Assessment Tool) and descriptive analysis by using SPSS (version 25). Pearson Chi-Square test (p < 0.05) was used to assess significance.Mean age of the participants was 22.45 + 1.279 years. Mean total score was 11.86 + 3.3. The overall score of knowledge was moderate (68.8%). There was a significantly high difference about risk factors, complications, and preventive measures of osteoporosis between the two groups (p = 0.000). Discipline and family history of disease were significantly associated with overall knowledge score. This study concluded that overall knowledge of osteoporosis among female students was moderate. A well-structured education programs must be added to curriculum to prevent osteoporosis in later stages.


Author(s):  
Marjan Drukker ◽  
Irene Weltens ◽  
Carmen F. M. van Hooijdonk ◽  
Emma Vandenberk ◽  
Maarten Bak

Background: Existing study quality and risk of bias lists for observational studies have important disadvantages. For this reason, a comprehensive widely applicable quality assessment tool for observational studies was developed.Methods: Criteria from three quality lists were merged into a new quality assessment tool: the observational study quality evaluation (OSQE). OSQE consists of a cohort, case–control, and cross-sectional version.Results: The OSQE cohort, the OSQE case–control, and the OSQE cross-sectional version include all items applicable to that type of study, for example, the representativeness of the study population, the validity of the independent and dependent variables, and the statistical methods used. Before scoring the OSQE, the rater is asked to define how to score items, in detail. A study can obtain a star for each item. Each item also has a veto cell. This cell can be checked when poor quality with respect to that specific item results in a low quality of the study despite stars on other items. Although stars add to a sum score, the comment field is the most important part of the OSQE.Conclusion: The OSQE presented in the current article provides a short, comprehensive, and widely applicable list to assess study quality and therewith risk of bias.


2021 ◽  
Author(s):  
Lucas Oliveira J e Silva ◽  
Graciela Maldonado ◽  
Tara Brigham ◽  
Aidan F Mullan ◽  
Audun Utengen ◽  
...  

BACKGROUND The development of an author-level complementary metric could play a role in the process of academic promotion through objective evaluation of scholars’ influence and impact. OBJECTIVE The objective of this study was to evaluate the correlation between the Healthcare Social Graph (HSG) score, a novel social media influence and impact metric, and the h-index, a traditional author-level metric. METHODS This was a cross-sectional study of health care stakeholders with a social media presence randomly sampled from the Symplur database in May 2020. We performed stratified random sampling to obtain a representative sample with all strata of HSG scores. We manually queried the h-index in two reference-based databases (Scopus and Google Scholar). Continuous features (HSG score and h-index) from the included profiles were summarized as the median and IQR. We calculated the Spearman correlation coefficients (ρ) to evaluate the correlation between the HSG scores and h-indexes obtained from Google Scholar and Scopus. RESULTS A total of 286 (31.2%) of the 917 stakeholders had a Google Scholar h-index available. The median HSG score for these profiles was 61.1 (IQR 48.2), and the median h-index was 14.5 (IQR 26.0). For the 286 subjects with the HSG score and Google Scholar h-index available, the Spearman correlation coefficient ρ was 0.1979 (<i>P</i>&lt;.001), indicating a weak positive correlation between these two metrics. A total of 715 (78%) of 917 stakeholders had a Scopus h-index available. The median HSG score for these profiles was 57.6 (IQR 46.4), and the median h-index was 7 (IQR 16). For the 715 subjects with the HSG score and Scopus h-index available, ρ was 0.2173 (<i>P</i>&lt;.001), also indicating a weak positive correlation. CONCLUSIONS We found a weak positive correlation between a novel author-level complementary metric and the h-index. More than a chiasm between traditional citation metrics and novel social media–based metrics, our findings point toward a bridge between the two domains.


Midwifery ◽  
2020 ◽  
Vol 91 ◽  
pp. 102842
Author(s):  
Viki Verfaille ◽  
Monique C. Haak ◽  
Eva Pajkrt ◽  
Ank de Jonge ◽  
Jens Henrichs ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yen-Chih Chen ◽  
Pei-Yun Chen ◽  
Yu-Chen Wang ◽  
Tyng-Guey Wang ◽  
Der-Sheng Han

Abstract Background Sarcopenia and dysphagia are prevalent health issues as the elderly population continues to grow. However, whether sarcopenia, defined by either reduced handgrip strength or gait speed, would lead to pathological effects on swallowing function is still a matter of debate. Studies focusing on subclinical changes in the swallowing function in the sarcopenic elderly are lacking. This study evaluates the swallowing function in the sarcopenic elderly without dysphagia. Methods: A cross-sectional study was conducted including subjects recruited from the community. Ninety-four individuals aged 65 and older without dysphagia were divided into two groups: sarcopenia and nonsarcopenia. The swallowing assessment included tongue pressure measurement, hyoid displacement (HD), hyoid velocity (HV) measurement with submental ultrasonography, 100-ml water-swallowing test, and the 10-item Eating Assessment Tool (EAT-10). Results The average tongue pressure was 47.0 ± 13.7 and 48.6 ± 11.5 kPa in the sarcopenia and nonsarcopenia groups, respectively (p = 0.55), whereas the average HD during swallowing was 15.3 ± 4.4 and 13.0 ± 4.2 mm in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). The median of HV during swallowing was 19.5 (6.41–45.86) and 15.9 (3.7–39.7) mm/s in the sarcopenia and nonsarcopenia group (p < 0.05). The median of time needed for consuming 100 ml water was 12.43 (3.56–49.34) and 5.66 (2.07–19.13) seconds in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). The median of the EAT-10 score was 0 (0–2) and 0 (0–1) in the sarcopenia and nonsarcopenia groups, respectively (p < 0.05). Conclusions In elderly individuals, swallowing function was significantly impaired with sarcopenia before clinical symptoms become clear. However, tongue muscles exhibited resistance to sarcopenia. We observed compensative strategies in patients with sarcopenia, such as reduced swallowing speed and increased hyoid bone movement.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Aya Ashraf Sayed ◽  
Nayera Samy Mostafa ◽  
Salma Mohamed Samir El Said

Abstract Objectives To screen elderly participants for early Dementia in primary care in Egypt using a newly developed Early Dementia Questionnaire (EDQ) and comparing it with standard assessment tool, Mini Mental State Examination (MMSE). Design A cross-sectional study. Setting and Participants The study included 220 elder adults (both men and women) recruited from a primary healthcare center, the outpatient geriatric clinic at Ain Shams University hospitals and elderly clubs (Community dwelling) in Cairo Governorate, Egypt. Methods A cross-sectional study was conducted on a group of elderly patients using systematic random sampling. Elderly depression was excluded using the Geriatric Depression Scale (GDS). Diagnosed cases of dementia and other mental or psychiatric disorders and illiterate participants were excluded from the study. A face-to-face interview was done using EDQ with the participants to elicit symptoms of early dementia. The participants were then assessed with MMSE using variable cut-off points according to age and educational level. Results Prevalence of dementia among the study participants was 81.4% by EDQ and 19.5% by MMSE. The EDQ demonstrated a sensitivity of 97.7% with specificity of 22.6%. Positive predictive value of EDQ was 23.5% with the negative predictive value of 97.6%. A significant association was found between possible dementia, hypertension, Mini Nutritional Assessment and urinary incontinence. Conclusion The EDQ is more sensitive than MMSE for screening of early dementia.


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