The Relationship Between Primary Dysmenorrhea And Sleep Quality In Students Of The Faculty Of Medicine, University Of Nusa Cendana

2026-01-16T07:35:04+00:00

When experiencing menstruation, it is often accompanied by pain which is commonly
called dysmenorrhea. Primary dysmenorrhea experienced can cause discomfort both during
activities and at rest so that it can affect sleep quality. The sleep quality of medical students is
bad, apart from the lecture burden, it is suspected that it can also be influenced by the intensity
of pain, such as when experiencing primary dysmenorrhea. To determine the relationship
between primary dysmenorrhea and sleep quality in students of the Faculty of Medicine,
University of Nusa Cendana. This research is an observational analytic study with a cross
sectional design in students of the Faculty of Medicine, University of Nusa Cendana. Data was
conducted by filling out the primary dysmenorrhea questionnaire and Pittsburgh Sleep Quality
Index (PSQI) questionnaire by 106 respondents who met the inclusion criteria. Sampling was
done by using stratified random sampling technique. The result was analyzed univariate and
bivariate using Phi Correlation test. Data from 106 respondents showed that 63.2% of
respondents experienced primary dysmenorrhea and as many as 36.8 respondents did not
experience primary dysmenorrhea. For sleep quality, 80.2% of respondents had poor sleep
quality and 19.8% of respondents had good sleep quality. In this study, it was found that more
respondents had primary dysmenorrhea with poor sleep quality than good sleep quality. The
results of the bivariate analysis with the Phi Correlation test showed the results of p
value=0.520 (p> 0.05). There is no significant relationship between primary dysmenorrhea and
sleep quality in students of the Faculty of Medicine, University of Nusa Cendana.

Percutaneous Nephrolithotomy For Staghorn Stones: A Minimally Invasive Approach In A Region With Elevated Kidney Stone Risk

2026-01-16T07:42:50+00:00

A 41-year-old male with a 2-month history of left-sided abdominal pain and renal stones was treated at Prof. W. Z. Johannes Hospital, East Nusa Tenggara, Indonesia. The patients’ primary drinking water sources were rivers and refillable bottles, which elevated the risk of kidney stones. Plain radiography and MSCT imaging revealed a 5 cm x 3.5 cm staghorn stone in the left kidney. Percutaneous nephrolithotomy (PCNL) was performed in the supine position using the C-arm. A nephroscope was inserted through a small incision to visualize and extract the stone. Post-extraction, C-arm imaging assessed the kidney, and a nephrostomy tube was placed for drainage. Staghorn stones are large, branched stones that occupy much of the renal pelvis or calyces. The European Association of Urology (EAU) recommends PCNL as the first-line treatment for staghorn stones due to its high efficacy and low morbidity. PCNL, a minimally invasive approach, offers high stone-free rates, up to 95%, making it effective for stones over 20 mm. The patient's successful outcome highlights the efficacy of PCNL in managing staghorn stones, especially in areas with a high risk of kidney stones due to poor water quality. Early diagnosis and treatment avert severe complications such as recurrent infections and urosepsis.

Cendana Medical Journal

The Relationship Between Primary Dysmenorrhea And Sleep Quality In Students Of The Faculty Of Medicine, University Of Nusa Cendana

Percutaneous Nephrolithotomy For Staghorn Stones: A Minimally Invasive Approach In A Region With Elevated Kidney Stone Risk