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).

Impaired cognitive functioning in stress-induced exhaustion disorder: a new tablet-based assessment

Background The adverse health effects of stress induced exhaustion disorder (SED) cause increasing concern in Western societies. This disorder is characterized by severe fatigue, decreased tolerance to further stress, and attention and memory lapses. Despite subjective complaints, individual cognitive deficits are not always detected in a clinical setting, which calls for the validation of more sensitive instruments. Aim The objective of this study was to investigate if a short, tablet-based serial naming task, MapCog Spectra (MCS) could be used as a marker for cognitive problems in SED. Participants The study comprised of 39 subjects (35 females, four males) with SED. Their mean age was 46,8 years (SD 10.1; range 30–60 yrs.). All participants were healthcare professionals, with a college or university degree, doctors, registered nurses, and psychologists. Methods The MCS was used to assess the number of aberrant pauses during serial naming of coloured geometrical shapes. The Coding, Matrix Reasoning, Digit Span, Symbol Search of the WAIS-IV, and RUFF 2&7 tests, were administered together with a short interview. Results Mean values were within normal reference limits for all tests, except for the MCS, which showed a significantly higher number of aberrant pauses (p < 0,001) in the SED group, compared to normal reference values. Although subjects performed within normal limits on the RUFF 2&7, a significant difference between individuals was found in the performance strategy of the participants. Conclusion Here we report that subjects with SED have performance deficits on the MCS, in terms of aberrant pause times, despite average performance on WAIS-IV tests measuring inductive reasoning, processing speed, working memory, and attention. We also demonstrate that subjects use different strategies to overcome their problems. These findings add to the growing evidence of cognitive deficits in SED and that the MCS might aid neuropsychologists in disentangling cognitive markers, important to substantiate the subjective complaints of affected individuals.

When Alterations in Social Cognition Meet Subjective Complaints in Autism Spectrum Disorder: Evaluation With the “ClaCoS” Battery

Background: Deficit in social communication is a core feature in Autism Spectrum Disorder but remains poorly assessed in classical clinical practice, especially in adult populations. This gap between needs and practice is partly due to a lack of standardized evaluation tools. The multicentric Research group in psychiatry GDR3557 (Institut de Psychiatrie) developed a new battery for social cognitive evaluation named “ClaCoS,” which allows testing the main components of social cognition: Emotion Recognition, Theory of Mind, Attributional Style, and Social Perception and Knowledge. It further provides an assessment of subjective complaints in social cognition.Methods: We compared the social cognition abilities of 45 adults with Autism Spectrum Disorder without intellectual disability and 45 neurotypically developed volunteers using the “ClaCoS” battery, in order to determine its relevance in the evaluation of social cognition impairments in autism. A correlational approach allowed us to test the links between subjective complaints and objectively measured impairments for the different components of social cognition.Results: As expected, the Autism Spectrum Disorder group showed deficits in all four components of social cognition. Moreover, they reported greater subjective complaints than controls regarding their social abilities, correlated to the neuropsychological assessments.Conclusion: The “ClaCoS” battery is an interesting tool allowing to assess social impairments in autism and to specify the altered components, for a better adjustment of tailored social cognition training programs. Our results further suggest that people with Autism Spectrum Disorder have a good social cognitive insight, i.e., awareness into social cognitive functioning, and may thus benefit from social cognitive training tools.

Association Between Lighting Level to Subjective Complaints of Visual Fatigue on Operators in the Auto Welder Section

Introduction: Good intensity of light dramatically affects the eyes. If there is less intensity of light. the eye muscles contract as much as possible to see objects or vice versa. If this happens continuously, it will cause damage to the eyes. Based on the preliminary study, it was found that as the auto welder operators have the task to observe the results of the auto welder engine to determine the quality of the welder, this type of work needs accuracy so that the right lighting intensity is required. This study aimed to determine the association between the lighting level and subjective visual fatigue complaints on operators in the auto welder section. Methods: The research method used was quantitative, with a cross- sectional approach and observational method. The samples in this study were 18 respondents from the total sampling technique. The instrument used was the Visual Fatigue Index (VTI) questionnaire. Moreover, the analysis of the study results used the one sample T-test statistical test to determine the association between the dependent and independent variables. Results: The one sample T-test results showed p-value = 0.012 < α = 0.05. This result showed an association between the lighting leveland subjective visual fatigue complaints on operators in the auto welder section. Conclusion: In this research, it was found that the majority of lighting levels that did not meet the standards had an association with subjective complaints of visual fatigue on the operators in the auto welder section.Keywords: auto welder, lighting, visual fatigue

The effectiveness of the photobioacoustic complex in children with somatoform autonomic dysfunction suffering from frequent acute recurrent infections

Purpose: To optimize the treatment of children with somatoform autonomic dysfunction suffering from frequent acute recurrent infections with the use of physiotherapy methods. Research methods: The study of 140 children with somatoform autonomic dysfunction suffering from frequent recurrent infections included the analysis of the data on developmental histories (form № 026/in «Children’s Medical Card for School» and form 112/ «History of Child Development»), clinical complaints, functional (ECG and cardiointerval recording) and vegetative indicators (Kerdo, Hildebrandt, Baevsky-Parin indices) before and after the use of the photobioacoustic complex, which includes: biofeedback bioacoustic impact on the head area and LLLR on the projection of the cubital area and thymus. The ECG was performed on the device of the «Shiller» company (Switzerland) with a computer console for cardiointerval recording. The vegetative indices were studied on the «Poly-Spectr» device of Neurosoft (Russia). LLLR was performed on the «Milta» (l=0,89 mcm) on the overhead projection area at a frequency of 80Hz for 5 minutes and on the projection zone of the thymus at a frequency of 1500 Hz for 3minutes, as responsible for immune support. The total duration is 8–9 minutes (children of 7–8 years — 5–8 minutes; children of 9–12 years — 8–9 minutes). Bioacoustic effects on the head area were performed on the hardware-computer complex of acoustic correction (biofeedback bioacoustic correction) «SINKHRO-S» (Russia). Results: Parasympathicotonia (VI) was identified in 35% (18,5% of boys, 16,4% of girls); sympathicotonia (SA) — in 54,1% (28,5% of boys, 25,7% of girls); a mixed type of vegetative dystonia — in 10,9% (4,4% of boys, 6,5% of girls). Subjective complaints of children with somatoform autonomic dysfunction suffering from frequent recurrent infections had a brighter picture than those of children without an infectious factor. Gender-age differences in subjective complaints of children with somatoform autonomic dysfunction, which correlated with vegetative types: sympathoadrenal (SA), parasympathetic or vagoinsular (VI) and mixed (eutonia, C), have been identified. Conclusion: The developed photobioacoustic complex provides a high correction of index indicators of vegetative tension and vegetative reactivity in children with elevated Kerdo and Baevsky-Parin indices. After the reduction of these indicators, the elimination of correlations between them was noted, which positively affected the vegetative reactivity and parameters of myocardial bioelectrogenesis.

Impaired Cognitive Functioning in Stress Induced Exhaustion Disorder. A New Tablet Based Assessment

Background: The adverse health effects of stress induced exhaustion disorder (SED) cause increasing concern in Western societies. This disorder is characterized by severe fatigue, decreased tolerance to further stress, and attention and memory lapses. Despite subjective complaints, individual cognitive deficits are not always detected in a clinical setting, which calls for the validation of more sensitive instruments. Aim: The objective of this study was to investigate if a short, tablet-based serial naming task, MapCog Spectra (MCS) could be used as a marker for cognitive problems in SED.Participants: The study comprised of 39 subjects (35 females, four males) with SED. Their mean age was 46,8 years (SD 10.1; range 30 - 60 yrs.). All participants were healthcare professionals, with a college or university degree, doctors, registered nurses, and psychologists. Methods: The MCS was used to assess the number of aberrant pauses during serial naming of coloured geometrical shapes. The Coding, Matrix Reasoning, Digit Span, Symbol Search of the WAIS-IV, and RUFF 2&7 tests, were administered together with a short interview.Results: Mean values were within normal reference limits for all tests, except for the MCS, which showed a significantly a higher number of aberrant pauses (p<0,001) in the SED group, compared to normal reference values. Although subjects performed within normal limits on the RUFF 2&7, a significant difference between individuals was found in the performance strategy of the participants. Conclusion: Here we report that subjects with SED have performance deficits on the MCS, in terms of aberrant times, despite average performance on WAIS-IV tests measuring inductive reasoning, processing speed, working memory, and attention. We also demonstrate that subjects use different strategies to overcome their problems. These findings add to the growing evidence of cognitive deficits in SED and that the MCS might aid neuropsychologists in disentangling cognitive markers, important to substantiate the subjective complaints of affected individuals.