IntroductionThe COVID-19 pandemic has caused disruptions in educational institutions across the country, prompting medical schools to adopt online learning systems. This study aims to determine impact on medical education and the medical student’s attitude, practice, mental health after 1 year of the Covid-19 pandemic in Indonesia.MethodsThis study utilized a cross-sectional design. An online questionnaire was distributed digitally to 49 medical schools in Indonesia from February–May 2021. A total of 7,949 medical students participated in this study. Sampling was carried out based on a purposive technique whose inclusion criteria were active college students. This research used questionnaires distributed in online version among 49 medical faculties that belong to The Association of Indonesian Private Medical Faculty. Instruments included demographic database, medical education status, experience with medical tele-education, ownership types of electronic devices, availability of technologies, programs of education methods, career plans, attitudes toward pandemic, and the mental health of respondents. Univariate and bivariate statistical analysis was conducted to determine the association of variables. All statistical analyses using (IBM) SPSS version 22.0.ResultsMost of the respondents were female (69.4%), the mean age was 20.9 ± 2.1 years. More than half of the respondents (58.7%) reported that they have adequate skills in using digital devices. Most of them (74%) agreed that e-learning can be implemented in Indonesia. The infrastructure aspects that require attention are Internet access and the type of supporting devices. The pandemic also has an impact on the sustainability of the education program. It was found that 28.1% were experiencing financial problems, 2.1% postponed their education due to this problems. The delay of the education process was 32.6% and 47.5% delays in the clinical education phase. Around 4% student being sick, self-isolation and taking care sick family. the pandemic was found to affect students’ interests and future career plans (34%). The majority of students (52.2%) are concerned that the pandemic will limit their opportunities to become specialists. Nearly 40% of respondents expressed anxiety symptoms about a variety of issues for several days. About a third of respondents feel sad, depressed, and hopeless for a few days.ConclusionThe infrastructure and competency of its users are required for E-learning to be successful. The majority of medical students believe that e-learning can be adopted in Indonesia and that their capacity to use electronic devices is good. However, access to the internet remains a problem. On the other side, the pandemic has disrupted the education process and mental health, with fears of being infected with SARS-CoV-2, the loss of opportunities to apply for specialty training, and the potential for increased financial difficulties among medical students. Our findings can be used to assess the current educational process in medical schools and maximize e-learning as an alternative means of preparing doctors for the future.

Abstract. Data from the World Health Organization (WHO) for 2021 shows that 36.3 million people live with the Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS). One province that has made a major contribution to HIV/AIDS cases is West Java, with 6,066 HIV cases and 313 AIDS cases. Data on cases of people living with HIV/AIDS (ODHA) in the city of Bandung until June 2021 found a total of 5,741 cases. Tuberculosis is the most common opportunistic infection that occurs in HIV/AIDS patients. A low immune system can exacerbate both diseases. This study aims to determine the characteristics of opportunistic tuberculosis infection patients with HIV/AIDS at Al-Ihsan Hospital for the 2017-2021 period. The sampling technique used total sampling, with the subject being 62 medical records of HIV/AIDS patients with tuberculosis at Al-Ihsan Hospital. Descriptive research with a cross-sectional approach. The results of this study showed that the number of HIV/AIDS patients with tuberculosis for the 2017-2021 period at Al-Ihsan Hospital was 62 people, out of the total the majority were male, namely 46 people (74%), aged early adulthood (26- 35 years old), 25 people (40%), last high school education, 42 people (68%), 50 people (81%) had pulmonary tuberculosis, 51 people (82%) had a CD4 count <200 cells/μL, and the most commonly experienced clinical symptoms were fatigue by 73% and weight loss by 73%. Characteristics of patients with opportunistic tuberculosis infections with HIV/AIDS at Al-Ihsan Hospital are dominated by men, aged early adulthood, last high school education, have pulmonary tuberculosis, with CD4 counts <200 cells/µL and clinical symptoms of fatigue and weight loss. Keywords: Opportunistic infections, Tuberculosis, TB-HIV co-infection Abstrak. Data World Health Organization (WHO) 2021, diestimasikan 36,3 juta orang hidup dengan Human Immunodeficiency Virus / Acquired Immunodeficiency Syndrome (HIV/AIDS). Salah satu provinsi yang berkontribusi besar pada kasus HIV/AIDS adalah Jawa Barat, sebanyak 6.066 kasus HIV dan 313 kasus AIDS. Data kasus orang hidup dengan HIV/AIDS (ODHA) di Kota Bandung sampai bulan Juni 2021 ditemukan sebanyak 5.741 kasus. Tuberkulosis merupakan infeksi oportunistik paling umum yang terjadi pada pasien HIV/AIDS. Rendahnya sistem kekebalan tubuh dapat memperburuk keadaan kedua penyakit tersebut. Penelitian ini bertujuan untuk mengetahui karakteristik pasien infeksi oportunistik tuberkulosis dengan HIV/AIDS di RSUD Al-Ihsan periode 2017-2021. Teknik pengambilan sampel menggunakan total sampling, dengan subjek 62 data rekam medis pasien HIV/AIDS disertai penyakit tuberkulosis di RSUD Al-Ihsan. Penelitian deskriptif dengan pendekatan potong lintang. Hasil penelitian ini menunjukan jumlah pasien HIV/AIDS dengan penyakit tuberkulosis periode 2017-2021 di RSUD Al-Ihsan sebanyak 62 orang, dari total keseluruhan sebagian besar berjenis kelamin laki-laki yaitu sebanyak 46 orang (74%), berusia dewasa awal (26-35 tahun) yaitu sebanyak 25 orang (40%), pendidikan terakhir SLTA yaitu sebanyak 42 orang (68%), sebanyak 50 orang (81%) mengalami tuberkulosis paru, sebanyak 51 orang (82%) memiliki jumlah CD4 <200 sel/μL, dan gejala klinis yang paling banyak dialami adalah mudah lelah sebanyak 73% dan penurunan berat badan sebanyak 73%. Karakteristik pasien infeksi oportunistik tuberkulosis dengan HIV/AIDS di RSUD Al-Ihsan didominasi oleh laki-laki, berusia dewasa awal, pendidikan terakhir SLTA, mengalami tuberkulosis paru, dengan jumlah CD4 <200 sel/μL dan gejala klinis mudah lelah sebanyak dan berat badan turun. Kata Kunci: Infeksi oportunistik, Tuberkulosis, Koinfeksi TB-HIV

Kemajuan ilmu pengetahuan dan teknologi kedokteran dewasa ini sangat berkembang, diantaranya terapi transplantasi sel punca sebagai harapan baru untuk mengobati berbagai penyakit yang sudah tidak dapat diobati lagi secara konservatif maupun operatif.  Dalam mengembangkan transplantasi sel punca sebagai penyembuhan suatu penyakit harus sesuai dengan  hukum kesehatan yang berlaku, bioetik, moral dan agama khususnya hukum Islam. Di Indonesia, status penggunaan sel punca masih menimbulkan kontroversi karena belum adanya regulasi yang jelas.Tujuan penelitian ini adalah untuk mengetahui hukum kesehatan saat ini sudah memadai atau belum dalam pelaksanaan terapi transplantasi sel punca sebagai upaya pelayanan kesehatan di Indonesia dan pandangan hukum Islam terhadap hal tersebut.Penelitian ini menggunakan pendekatan yuridis normatif, dengan sumber data utama adalah data sekunder.  Penelitian disusun secara deskriptif kualitatif. Terhadap masalah yang diteliti yaitu  kebijakan hukum, bioetika dan hukum Islam dalam pelaksanaan terapi transplantasi sel punca serta hal-hal yang berkaitan dengan masalah tersebut dilakukan pengkajian dengan berpedoman pada peraturan perundang-undangan yang berlaku.Hasil penelitian menurut Hukum Kesehatan dan Hukum Islam menyebutkan penggunaan terapi transplantasi sel punca hanya dapat dilakukan untuk tujuan penyembuhan penyakit dan pemulihan kesehatan, serta dilarang digunakan untuk tujuan reproduksi dengan menggunakan sel punca yang berasal dari non embrionik. Sel punca tidak boleh berasal dari sel punca embrionik. Pelaksanaan terapi transplantasi sel punca menurut hukum Islam pada dasarnya  harus dapat memelihara kepentingan hidup dengan menjaga dan memelihara kemashlahatan manusia.

No abstract

Prevalensi strok di Indonesia terus meningkat seiring dengan usia harapan hidup yang semakin meningkat dan menyebabkan banyak kematian. Pasien strok terutama strok iskemik dapat mengalami berbagai macam gangguan tidur. Macam gangguan tidur pada penderita strok bergantung pada defisit neurologis yang dialaminya. Tujuan penelitian ini mengetahui hubungan lokasi lesi strok iskemik daerah kortikal dan subkortikal dengan kualitas tidur menggunakan pemeriksaan Pittsburgh Sleep Quality Index (PSQI) di RSAU dr. M. Salamun Bandung. Penelitian ini merupakan penelitian observasional dengan rancangan penelitian potong lintang. Penelitian dilakukan terhadap 38 penderita yang pertama kali didiagnosis strok iskemik yang dirawat inap di Bagian Neurologi RSAU dr. M. Salamun Bandung pada bulan Juni sampai Oktober 2016. Instrumen penelitian berupa kuesioner PSQI yang dilakukan pada hari ke-7 pasien dirawat inap. Statistical for Social Science (SPSS) versi 17 digunakan untuk mengolah data. Hasil penelitian menunjukkan  terdapat hubungan bermakna lokasi lesi strok iskemik daerah kortikal dan subkortikal dengan kualitas tidur (p=0,215). Penderita strok iskemik dengan lokasi lesi hipodens subkortikal yang mengalami gangguan kualitas tidur sebesar 82,1% dan lokasi lesi hipodens kortikal sebesar 33,3%

Abstract. The prevalence of headaches globally reaches 47%, with the highest proportion of 38% being tension-type headaches. A high prevalence of headaches occurs in college students, especially in medical faculties, which are dominated by tension-type headaches. This study aims to determine tension-type headaches in students of the Faculty of Medicine, Universitas Islam bandung. The sample selection technique for this study used purposive sampling with 111 research subjects. This study used an observational method with a cross-sectional approach. Data collection was carried out using the Headache Screening Questionnaire (HSQ). The results of this study showed that 67 students (60.4%) experienced tension-type headaches, 27 students (24.3%) had probable tension-type headaches, and 17 students (15.3%) did not have tension-type headaches. The high percentage of tension-type headaches is related to Medical Faculty Students with a using devices to support the learning process can cause muscle tension. Excessive radiation received can trigger tension-type headaches. Keywords: Headache, tension-type headache, faculty of medicine    Abstrak. Prevalensi nyeri kepala di dunia mencapai 47% dengan persentase tertinggi 38% adalah nyeri kepala tipe tegang. Prevalensi nyeri kepala yang tinggi terjadi pada mahasiswa terutama di fakultas kedokteran yang didominasi oleh nyeri kepala tipe tegang. Penelitian ini bertujuan untuk mengetahui kejadian nyeri kepala tipe tegang pada mahasiswa Fakultas Kedokteran Universitas Islam Bandung. Teknik pemilihan sampel penelitian ini menggunakan purposive sampling, dengan subjek penelitian sebanyak 111 orang. Penelitian ini menggunakan metode observasional dengan pendekatan potong lintang. Pengambilan data dilakukan menggunakan Headache Screening Questionare (HSQ). Hasil penelitian ini menunjukkan mahasiswa yang mengalami nyeri kepala tipe tegang sebanyak 67 orang (60,4%), probable nyeri kepala tipe tegang 27 orang (24,3%), serta tidak nyeri kepala tipe tegang sebanyak 17 orang (15,3%). Persentase terjadinya nyeri kepala tipe tegang yang tinggi berkaitan dengan Mahasiswa Fakultas Kedokteran yang memiliki beban belajar tinggi, stres, gangguan tidur, dan penggunaan gawai untuk menunjang proses pembelajaran dapat menyebabkan ketegangan otot, serta berlebihnya radiasi yang diterima dapat mencetuskan terjadinya nyeri kepala tipe tegang. Kata Kunci: Nyeri kepala, nyeri kepala tipe tegang, fakultas kedokteran

Purpose: A doctor’s professional behavior and clinical competency reflect a range of personal and interpersonal qualities, attributes, commitments, and values. This study aimed to identify the most influential factor of medical competence regarding patient management ability.Methods: We used an analytic observational design with a cross-sectional approach, and gathered the perceptions of medical school graduates of Bandung Islamic University via an online questionnaire scored on a Likert scale. Two hundred and six medical graduates who graduated at least 3 years prior to survey were included in the study. The factors evaluated included humanism, cognitive competence, clinical skill competence, professional behavior, patient management ability, and interpersonal skill. IBM AMOS ver. 26.0 (IBM Corp., Armonk, USA) was used for structural equation modelling of the six variables latent and 35 indicator variables.Results: We found that graduates have highly positive perceptions of the humanism (95.67%). Followed by interpersonal skills (91.26%), patient management (89.53%), professional behavior (88.47%), and cognitive competence (87.12%). They rated clinical skill competence the lowest (81.7%). Regarding factors that contribute to patient management ability, the aspects of humanism, interpersonal skill, and professional behavior were found to significantly affect patient management ability (p-value=0.035, 0.00, and 0.00, respectively) with a critical rate of 2.11, 4.31, and 4.26 consecutively.Conclusion: Humanism and interpersonal skill are two important factors that medical graduates assessed very positively. According to surveyed medical graduates, their expectations of the institution were met regarding humanism. However, there is a need to strengthen medical students’ clinical skills and improve their cognitive abilities through educational programs.

Abstract. Alzheimer's is the most common cause of dementia and accounts for about 60-80% of all dementia cases. Most patients are 65 years of age or older and the percentage of people with Alzheimer's increases dramatically with age. In addition to having a direct impact on health, Alzheimer's also has a very significant social impact, causing a substantial reduction in the quality of life for patients, family members, and health workers. Despite the magnitude of the impact caused by Alzheimer's, until now pharmacological therapy to prevent or cure memory decline in Alzheimer's is still limited. Some drugs such as donepezil and galantamine can prevent memory loss, but many patients do not respond to these medications, the beneficial effects are temporary, the drugs are expensive, and are accompanied by a number of side effects. Therefore, there is an urgency to develop a safer, more efficacious, effective, and economical Alzheimer's therapy, one of which is by utilizing natural ingredients, namely curcumin which is a pleiotropic molecule. The purpose of this study was to determine the effectiveness of curcumin to improve memory in Alzheimer's. This study uses a literature review method regarding the Effect of Curcumin on Memory Improvement in Alzheimer's. The type of data used is secondary data. The method of data collection is literature study. From this literature review study, it was concluded that curcumin is effective for improving memory in Alzheimer's. Abstrak. Alzheimer merupakan penyebab demensia yang paling sering dan menyumbang sekitar 60-80% kasus demensia secara keseluruhan. Sebagian besar penderita berusia 65 tahun atau lebih dan persentase penderita Alzheimer meningkat secara drastis seiring bertambahnya usia. Selain memiliki dampak terhadap kesehatan secara langsung, Alzheimer juga menimbulkan dampak sosial yang sangat signifikan, menyebabkan penurunan kualitas hidup yang cukup besar bagi pasien, anggota keluarga, dan petugas kesehatan. Terlepas dari besarnya dampak yang ditimbulkan akibat Alzheimer, sampai saat ini terapi farmakologis untuk mencegah atau menyembuhkan penurunan memori pada Alzheimer masih terbatas. Beberapa obat seperti donepezil dan galantamin dapat mencegah penurunan memori, tetapi banyak pasien tidak respon terhadap pengobatan tersebut, efek menguntungkannya bersifat sementara, harga obat mahal, dan disertai dengan sejumlah efek samping. Oleh karena itu, timbul suatu urgensi untuk mengembangkan terapi Alzheimer yang lebih aman, berkhasiat, efektif, dan ekonomis salah satunya adalah dengan memanfaatkan bahan alam, yaitu kurkumin yang merupakan molekul pleiotropik. Tujuan penelitian ini adalah mengetahui efektifitas kurkumin untuk meningkatkan memori pada Alzheimer. Penelitian ini menggunakan metode literature review mengenai Pengaruh Kurkumin terhadap Peningkatan Memori pada Alzheimer. Jenis data yang digunakan adalah data sekunder. Metode pengumpulan data adalah studi pustaka. Dari studi literature review ini, didapatkan kesimpulan bahwa kurkumin efektif untuk meningkatkan memori pada Alzheimer.