The Relationship Between Physiotherapy and Rehabilitation Students’ Self-Esteem and Event Participation and Satisfaction

The aim of this study was to examine the relationship between physiotherapy and rehabilitation students’ self-esteem and their demographic characteristics, events participation, and satisfaction. In this cross-sectional study, 421 students (68.2% female, 31.6% male) who were accessible and volunteer among 673 students studying in different classes of Dokuz Eylül University School of Physical Therapy and Rehabilitation were included. The demographic characteristics of the students were written. Their participation in social and scientific events, and student clubs was determined. Students’ satisfaction in terms of academic success, choice of profession, education and studying in the department were asked. The self-esteem of the students was determined with the Coopersmith Self-Esteem Scale-Short Form. Students were aged between 18 and 32 years old (median = 20 years, interquartile range 19/21). 86.5% of students had high self-esteem. There was no difference in terms of self-esteem between the groups according to gender (p=0.361) and classes (p=0.655). It was seen that there was a positive significant weak correlation between the economic status reported by the students and their self-esteem (Kendall’s tau-b r = 0.080, p=0.044). Social events (Kendall’s tau-b r=0.132, p=0.001), scientific events (Kendall’s tau-b r=0.132, p=0.019) and student club participation (Kendall’s tau-b r=0.136, p=0.001) were found to have a statistically significant positive weak correlation with self-esteem. The students who were satisfied with their education (p=0.001), academic success (p=0.000), career choice (p=0.001), and studying in School of Physical Therapy and Rehabilitation (p=0.000) were found to have significantly higher self-esteem than the students who weren’t satisfied. In this study, it was concluded that choosing the profession that students would be satisfied with, keeping students’ satisfaction high, and organizing the ideal variety of activities and club activities that they can participate in may be important for the development of self-esteem.

Assessment of validity and reliability of the Tuberculosis Related Stigma Scale in Colombian patients

ObjectiveTo know the dimensionality and internal consistency of the Tuberculosis-Related Stigma Scale in patients living with tuberculosis in Santa Marta, Colombia. Method: One hundred and twenty-two patients between the ages of 18 and 75 participated (M=40.3, SD=14.9), 63.9% were men, 44.3% were single, 69.7% had low income, 80.3% had pulmonary tuberculosis, and 13.1% had co-infection with HIV. The Tuberculosis-Related Stigma Scale was applied; it is composed of two subscales: perceived and internalized stigma. The internal structure was explored by confirmatory factor analysis (EFA). Internal consistency was measured with Cronbach’s alpha and McDonald’s omega. Besides, the differential functioning of the scales according to gender was explored with Kendall’s tau-b coefficient.ResultsCFA did not show excellent goodness-of-fit indicators for the perceived stigma scale (Satorra-Bentler’s chi-square of 184.48, degree of freedom of 44, p=0.001, RMSEA of 0.16, 95%CI 0.14 - 0.19, CFI of 0.77, TLI of 0.72, and SRMR of 0.08) and internalized (Satorra-Bentler’s chi-square of 189.14, degree of freedom of 54, p=0.001; RMSEA of 0.14, 95%CI 0.12 - 0.17, CFI of 0.82, TLI of 0.78, and SRMR of 0.07). The alpha and omega coefficients were 0.89 and 0.91 for both scales, respectively. Non-gender differential functioning was observed; Kendall’s tau-b were between 0.00 and 0.15.ConclusionsThe Tuberculosis-Related Stigma Scale has an excellent internal consistency but poor goodness-of-fit indicators of unidimensionality. Evaluating the scale’s psychometric performance is recommenced in future research.

P-L13 Proposed sampling methodology for improved accuracy of hepatic burden assessment in neuroendocrine tumours

Background Hepatic burden is a significant confounder in the assessment of impact of primary tumour resection in metastatic small bowel neuroendocrine tumours (SI-NET). For SI-NET metastatic hepatic burden >10% disease replacement or > 5 hepatic metastases are known prognostic markers, though nomograms and scores do not adequately account for this. Most trials do not adequately account for hepatic burden when assessing the survival difference between SI-NET primary tumour resection and no resection. We propose a sampling methodology to more accurately assess metastatic liver burden in SI-NET and correlate with delayed resection vs. upfront primary tumour resection at a specialist NET surgical unit. Methods Patients referred for metastatic SI-NET between January 2003 and February 2020 were identified from a prospective dataset. The earliest CT scan after diagnosis was used. The axial, coronal and sagittal slice position limits of the whole liver were recorded. These limits allowed equitable slice position of the liver, with 8 equally distributed axial, 4 equally distributed coronal and 4 equally distributed sagittal slices. Each slice was used to define the liver and metastatic area as assessed using liver CT windows. Liver burden was estimated as percentage total metastatic area summed from all 8 axial, 4 coronal and 4 sagittal slices. Results 157 total patients were on the collated data base and 46 patients were identified with an appropriate CT. Liver burden was positively skewed. Liver burden was significantly higher for delayed resection vs. upfront resection in all planes of assessment (axial: 11.61% vs. 0.14%, p = 0.003; coronal: 13.46% vs. 0.33%, p = 0.006; sagittal: 10.46% vs. 0.16%, p = 0.008). All planar assessments correlated well with one another (all Kendall’s tau ≥0.851, all p < 0.001). Liver metastatic burden correlated with total liver volume (Kendall’s tau 0.549-0.573, all p < 0.001). Conclusions Hepatic burden differs between resection groups in a small sample at our centre, highlighting the unmeasured confounders favouring primary tumour resection via positive bias. Therefore, hepatic burden needs quantifying in prospective studies that assess primary tumour resection in SI-NET. This is to ensure comparable groups after randomisation. Our method provides an assessment of this metastatic SI-NET liver burden.

Hubungan Faktor Risiko Dental Ergonomi dengan Keluhan Subjektif Musculoskeletal Disorders (MSDs) pada Dental Assistant

One of the hazards in dentistry is dental ergonomic. A working problem that can be caused by ergonomic hazards is Musculoskeletal Disorders (MSDs). The dental assistant is one of the jobs that have a risk for the occurrence of abnormalities in the musculoskeletal system. Based on the preliminary study on dental assistants that work in Pontianak City showed that 85% of people had musculoskeletal complaints on the legs, 71,4% had complaints on the calf, and 57,1% had complaints on the shoulder and upper back. The aim of this research is to find out the correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs) on dental assistants. The type of this research was a quantitative study with an analytical observational approach using a cross-sectional design. The research was conducted in Pontianak City in August 2021. The population of this research is 48 respondents and the samples were chosen using the total sampling technique. The instrument that used in this research were collected from the risk factors of dental ergonomics and Nordic Body Map (NMB) questionnaires which were later analyzed using Kendall's tau-b test. The result of this research is risk factors of dental ergonomics in the low category is 54,20%. The subjective complaints of Musculoskeletal Disorders (MSDs) in the low category is 68,80%. Based on Kendall's tau-b test showed that P. Value is 0,601 > 0,05 it means that there is no correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs). The conclusion of this research is there is no correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs) on dental assistants. For further research is expected to examine other risk factors that can cause subjective complaints of Musculoskeletal Disorders (MSDs). Salah satu unsur bahaya dalam dunia kedokteran gigi adalah dental ergonomi. Masalah kerja yang dapat ditimbulkan akibat bahaya ergonomi adalah Musculoskeletal Disorders (MSDs). Pekerjaan dental assistant merupakan salah satu pekerjaan yang memiliki risiko untuk terjadinya keluhan pada sistem musculoskeletal. Hasil studi pendahuluan pada dental assistant yang bekerja di wilayah Kota Pontianak menunjukkan bahwa 85% responden mengalami keluhan musculoskeletal pada bagian kaki, 71,4% pada bagian betis, dan 57,1% pada bagian bahu dan punggung atas. Tujuan penelitian ini adalah untuk mengetahui hubungan antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs) pada dental assistant. Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan observasional analitik menggunakan rancangan cross-sectional. Penelitian ini dilakukan di Kota Pontianak pada bulan Agustus 2021. Populasi dalam penelitian ini adalah 48 responden dan pengambilan sampel menggunakan teknik total sampling. Instrumen dalam penelitian ini menggunakan kuesioner faktor risiko dental ergonomi dan kuesioner Nordic Body Map (NBM). Analisis data menggunakan uji Kendall’s Tau-B. Hasil dari penelitian ini adalah faktor risiko dental ergonomi berada pada kategori rendah (54,20%). Keluhan subjektif Musculoskeletal Disorders (MSDs) berada pada kategori rendah (68,80%). Hasil analisis data menunjukkan nilai P. Value sebesar 0,601 > 0,05 sehingga tidak terdapat hubungan antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs). Kesimpulan dari penelitian ini adalah tidak terdapat hubungan yang bermakna antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs) pada dental assistant. Penelitian selanjutnya diharapkan dapat mengkaji faktor-faktor risiko lain yang dapat menyebabkan keluhan subjektif Musculoskeletal Disorders (MSDs).

Hubungan Faktor Risiko Dental Ergonomi dengan Keluhan Subjektif Musculoskeletal Disorders (MSDs) pada Dental Assistant

One of the hazards in dentistry is dental ergonomic. A working problem that can be caused by ergonomic hazards is Musculoskeletal Disorders (MSDs). The dental assistant is one of the jobs that have a risk for the occurrence of abnormalities in the musculoskeletal system. Based on the preliminary study on dental assistants that work in Pontianak City showed that 85% of people had musculoskeletal complaints on the legs, 71,4% had complaints on the calf, and 57,1% had complaints on the shoulder and upper back. The aim of this research is to find out the correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs) on dental assistants. The type of this research was a quantitative study with an analytical observational approach using a cross-sectional design. The research was conducted in Pontianak City in August 2021. The population of this research is 48 respondents and the samples were chosen using the total sampling technique. The instrument that used in this research were collected from the risk factors of dental ergonomics and Nordic Body Map (NMB) questionnaires which were later analyzed using Kendall's tau-b test. The result of this research is risk factors of dental ergonomics in the low category is 54,20%. The subjective complaints of Musculoskeletal Disorders (MSDs) in the low category is 68,80%. Based on Kendall's tau-b test showed that P. Value is 0,601 > 0,05 it means that there is no correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs). The conclusion of this research is there is no correlation between risk factors of dental ergonomics and subjective complaints of Musculoskeletal Disorders (MSDs) on dental assistants. For further research is expected to examine other risk factors that can cause subjective complaints of Musculoskeletal Disorders (MSDs). Salah satu unsur bahaya dalam dunia kedokteran gigi adalah dental ergonomi. Masalah kerja yang dapat ditimbulkan akibat bahaya ergonomi adalah Musculoskeletal Disorders (MSDs). Pekerjaan dental assistant merupakan salah satu pekerjaan yang memiliki risiko untuk terjadinya keluhan pada sistem musculoskeletal. Hasil studi pendahuluan pada dental assistant yang bekerja di wilayah Kota Pontianak menunjukkan bahwa 85% responden mengalami keluhan musculoskeletal pada bagian kaki, 71,4% pada bagian betis, dan 57,1% pada bagian bahu dan punggung atas. Tujuan penelitian ini adalah untuk mengetahui hubungan antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs) pada dental assistant. Jenis penelitian ini adalah penelitian kuantitatif dengan pendekatan observasional analitik menggunakan rancangan cross-sectional. Penelitian ini dilakukan di Kota Pontianak pada bulan Agustus 2021. Populasi dalam penelitian ini adalah 48 responden dan pengambilan sampel menggunakan teknik total sampling. Instrumen dalam penelitian ini menggunakan kuesioner faktor risiko dental ergonomi dan kuesioner Nordic Body Map (NBM). Analisis data menggunakan uji Kendall’s Tau-B. Hasil dari penelitian ini adalah faktor risiko dental ergonomi berada pada kategori rendah (54,20%). Keluhan subjektif Musculoskeletal Disorders (MSDs) berada pada kategori rendah (68,80%). Hasil analisis data menunjukkan nilai P. Value sebesar 0,601 > 0,05 sehingga tidak terdapat hubungan antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs). Kesimpulan dari penelitian ini adalah tidak terdapat hubungan yang bermakna antara faktor risiko dental ergonomi dengan keluhan subjektif Musculoskeletal Disorders (MSDs) pada dental assistant. Penelitian selanjutnya diharapkan dapat mengkaji faktor-faktor risiko lain yang dapat menyebabkan keluhan subjektif Musculoskeletal Disorders (MSDs).

RESPON TERHADAP PEMBELAJARAN BLENDED LEARNING DI ERA PANDEMI COVID 19 DENGAN TINGKAT STRES PADA MAHASISWA

Latar Belakang : Pandemi covid 19 memberikan dampak yang begitu besar ke segala aspek termasuk dalam dunia pendidikan. Pendidikan pada masa pandemi menggunakan pembelajaran blended learning karena adanya perubahan sistem pembelajaran, menyebabkan terjadi stres pada mahasiswa yang mempengaruhi respon mahasiswa serta tingkat stres yang dialami selama pandemi covid 19. Tujuan: untuk mengetahui hubungan respon mahasiswa terhadap pembelajaran blended learning diera pandemi covid 19 dengan tingkat stres pada mahasiswa semester 4 Stikes Widyagama Husada Malang. Metode: Penelitian ini menggunakan desain penelitian deskriptif korelasi dengan pendekatan cross sectional dengan jumlah sampel 50 responden yang telah diseleksi melalui teknik sampling total sampling dan analisis data menggunakan uji Kendall’s tau-b. Hasil: hasil penelitian ini menunjukan bahwa sebagian besar responden sebanyak (40.0%) menunjukan kurangnya respon terhadap pembelajaran blended learning dan sebagian kecil sebanyak (10.0%) menunjukan respon yang baik terhadap pembelajaran blended learning. Terdapat 33 responden yang menunjukan stres berkategori stres berat sebesar (66.0%) dan 4 responden yang menunjukan stres ringan sebesar (8.0%). Hasil uji Kendall’s tau-b didapatkan pvalue 0.000 (< 0.05) sehingga di terima H1 diterima atau signifikan. Hasil korelasi respon mahasiswa terhadap pembelajaran blended learning diera covid 19 dengan tingkat stres sebesar 0.503 berarti terdapat hubungan yang kuat dan positif antara kedua variabel. Kesimpulan: Ada hubungan respon mahasiswa terhadap pembelajaran blended learning dengan tingkat stres pada mahasiswa keperawatan semester 4 Stikes Widyagama Husada Malang.

Ultra-short Echo Time MR Imaging in Assessing Cartilage Endplate Damage And Association Between Its Lesion and Disc Degeneration For Chronic Low Back Pain Patients

Objective: To investigate the feasibility of ultra-short echo time (UTE) MRI in assessing cartilage endplate (CEP) damage and evaluating the relationship between total endplate score (TEPS) and lumbar intervertebral disc (IVD) degeneration.Materials and methods: 35 patients were measured for IVD using UTE imaging at 3T MR. Subtracted UTE images between short and long TEs were obtained to depict anatomy of CEP. The SNR and CNR were calculated to assess the image quality. A new grading criterion for endplate evaluation was developed based on Rajasekarank.S grading in this study. Two radiologists were employed to evaluate CEP and bony vertebral endplates (VEP) using new grading criterion and assess TEPS, independently. Cohen's kappa analysis was applied to evaluate the inter-observer agreement of endplate damage assessment between two radiologists, and the Kendall's TAU-B analysis was employed to determine the relationship between TEPS and IVD degeneration evaluated with Pfirrmann grading.Results: Well structural CEP was depicted on subtracted UTE images and confirmed by high SNR (33.0±2.92) and CNR values (9.4±2.08). Qualified subtracted UTE images were used by two radiologists to evaluate CEP and VEP damage. Excellent inter-observer agreement was confirmed by high value in Cohen's kappa test (0.839,P<0.001). Ensured by this, 138 endplates from 69 IVDs of 35 patients were classified into six grades based on the new grading criterion and TEPS of each endplate was calculated. In addition, the degeneration degree of IVDs were classified into five grades. Finally, using Kendall's TAU-B analysis, significant relationship was obtained between endplate damage related TEPS and IVD degeneration (r= 0.864,P<0.001).Conclusion: Ensured by high image quality, UTE imaging might be considered an effective tool to assess CEP damage. Additionally, further calculated TEPS has shown strong positive association with IVD degeneration, suggesting that the severity of endplate damage is highly linked with the degree of IVD degeneration.

Hubungan Intensitas Nyeri Dengan Status Fungsional Penderita Low Back Pain

LATAR BELAKANG : Selama masa pandemi, pemerintah menetapkan Pembatasan Sosial Berskala Besar (PSBB) untuk menurunkan kasus infeksi COVID-19 sehingga intensitas kejadian LBP lebih meningkat daripada sebelum karantina yang mencerminkan efek negatif dari peraturan tersebut. Hal tersebut disebabkan karena adanya perubahan gaya hidup yang signifikan seperti waktu yang dihabiskan untuk duduk meningkat, waktu berolahraga yang berkurang, dan persentase individu melaporkan lebih banyak mengalami stress selama karantina daripada sebelum ditetapkan PSBB. Studi saat ini melaporkan dampak nyeri punggung bawah yang mengakibatkan terganggunya status fungsional penderita disebabkan oleh kebutuhan biaya pengobatan setiap tahun dan keterbatasan kunjungan penderita ke layanan kesehatan, sehingga hal tersebut mengindikasikan penderita nyeri punggung bawah perlu dilakukan evaluasi seberapa besar ketidakmampuan fungsional yang terjadi dan faktor yang mempengaruhinya. TUJUAN : Untuk mengetahui hubungan intensitas nyeri dengan status fungsional penderita LBP di Poliklinik Saraf RSUP Dr. Wahidin Sudirohosudo. METODE : Observasi analitik dengan pendekatan cross sectional dan teknik pengambilan sampel adalah simple random sampling. Data menggunakan kuesioner Numerical Rating Scale dan Indeks Barthel. Penelitian dilakukan di RSUP Dr. Wahidin Sudirohusodo selama dua bulan yang dimulai dari Maret 2021 hingga April 2021. HASIL : Pada hasil analisis data sampel menggunakan uji korelasi kendall's tau-b , didapatkan nilai korelasi (-0,644) dengan nilai kemaknaan hubungan ( p.sig 0,000) menunjukkan korelasi antara intensitas nyeri dengan status fungsional. KESIMPULAN : Intensitas nyeri memiliki hubungan dengan status fungsional penderita Low Back Pain (LBP) di RSUP Dr. Wahidin Sudirohusodo. KATA KUNCI : Nyeri Punggung Bawah , NRS, Indeks Barthel

Agreement of the mMRC and NYHA scales for assessing the impact of self-rated breathlessness in cardiopulmonary disease

BackgroundFunctional impact of breathlessness is assessed using the modified Medical Research Council (mMRC) scale in chronic respiratory disease and with the New York Heart Association Functional Classification (NYHA) scale in heart failure. We evaluated agreement between the scales and their concurrent validity with other clinically relevant patient-reported outcomes in cardiorespiratory disease.MethodsOutpatients with stable chronic respiratory disease or heart failure were recruited. Agreement between mMRC and NYHA was analysed using Cramer's V and Kendall's Tau B. Concurrent validity was evaluated using correlations with clinically relevant measures of breathlessness, anxiety, depression and health-related quality of life. Analyses were conducted in all participants and separately in chronic obstructive pulmonary disease (COPD) and heart failure.ResultsIn a total of 182 participants with cardiorespiratory disease, agreement between mMRC and NYHA was moderate (Cramer's V: 0.46; Kendall's Tau B: 0.57,) with similar results in COPD (Cramer's V: 0.46; Kendall's Tau B: 0.66) and in heart failure (Cramer's V: 0.46; Kendall's Tau B: 0.67). In the total population, the scales correlated in similar ways to the other patient-reported outcomes.ConclusionIn outpatients with cardiorespiratory disease, the mMRC and NYHA scales show moderate to strong correlations and similar associations with other patient-reported outcomes. This supports that the scales are comparable when assessing the impact of breathlessness on function and patient-reported outcomes.

HUBUNGAN KARAKTERISTIK INDIVIDU DENGAN TINGKAT PENGETAHUAN MASYARAKAT TENTANG PENYAKIT HIV/AIDS DI BEKASI

HIV/AIDS merupakan isu global dengan prevalensi besar. Pengetahuan akan HIV/AIDS perlu dimiliki oleh masyarakat sehingga pencegahan dan penularan HIV/AIDS dapat ditangani dengan baik. Tujuan penelitian ini adalah untuk diketahuinya hubungan karakteristik individu meliputi usia, jenis kelamin, pendidikan, pekerjaan, sumber informasi dengan pengetahuan masyarakat tentang penyakit HIV/AIDS di RW 07 Desa Setia Asih. Penelitian ini menggunakan desain deskriptif korelatif dengan pendekatan cross sectional. Populasi penelitian adalah masyarakat RW07 yang sudah menikah dan berumur 24 tahun. Pengambilan sampel menggunakan teknik total sampling yang didasarkan pada kriteria yang telah ditetapkan oleh peneliti, dengan jumlah responden sebanyak 160 warga. Analisis statistik menggunakan uji Chi-Square, Kendall’s Tau B dan C. Hasil penelitian menunjukkan sebanyak (36,3%) responden usia yang berusia 26-35 tahun memiliki pengetahuan baik, pada jenis kelamin perempuan (36,9%) memiliki pengetahuan baik, pada pendidikan SMA (21,3%) memiliki pengetahuan baik, sedangkan pada pekerjaan karyawan (20,6%) memiliki pengetahuan baik. Simpulan dari peneliti adalah tidak ada hubungan bemakna antara usia, jenis kelamin, pekerjaan,sumber informasi dengan pengetahuan, adanya hubungan antara pendidikan dengan pengetahuan dengan nilai p=value 0,034 (p< 0,05). Pendidikan yang cukup dapat meningkatkan pengetahuan masyarakat, sehingga dapat berdampak pada perilaku yang sehat.