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.
Research on local herbs that have the effect of increasing breast milk production isneeded to help mothers with insufficient breastmilk. This research was conducted to determinethe effect of torbangun (Coleus amboinicus L) leaf powder in increasing prolactin inbreastfeeding Wistar rats and the bodyweight of the litters. Thirty breastfeeding Wistar rats weredivided into 5 groups with 5 litters each. The treatments given were 108 mg, 216 mg, and 432 mgtorbangun leaf powder (TLP), with domperidone as the positive control, and CMC 10% as thenegative control. The treatment was given 3 times/day for 14 days. Tukey's HSD means testshowed a significant difference in prolactin levels between the negative control (NC), TLP1, andTLP2 groups and the TLP3 and positive control (PC) groups with all of them having p = 0.000.There was no difference in the increase in body weight of litters between treatment groups (p =0.866). In conclusion, torbangun leaves increase the prolactin levels in breastfeeding rats buthave no difference in the increase in body weight of litters between treatment groups. Keywords: torbangun leaves; prolactin; bodyweight; breastfeeding
Indonesian Maternal Mortality Ratio (MMR) based on the Survei Demografi Kesehatan Indonesia (SDKI) in 2012 is 356/100.000 live birth whereas the target of Sustainable Development Goals (SDG’s 70/100,000 live birth by 2030. A decent labor assistance in both vaginal and sectio caesarean labor is necessary in reducing MMR. This study aimed to analyze the relationship between maternal age, parity and payment method with labor through caesarean section. This is an observational analytic study using cross sectional design. The data was obtained through secondary data from medical record. During 2017 there were 183 caesarean sections in RSUD Lembang as our research location. The data was analyzed univariately and bivariately by using Chi Square test (?=0.05). The results shows that factors associated with caesarean labor are maternal age (p=0.032; OR=4.617), parity (p=0.035; OR=4.442) and payment method (p=0.036; OR=4.417). It can be concluded that maternal age, parity and payment method affect caesarean labor. Keywords: caesarean labor, caesarean section, age, parity, payment method
Noise-Induced Hearing Loss (NIHL) is a hearing disorder caused by noise. Noise with the intensity of 85 decibels (dB)or higher may damage the corti hearing receptor. Pilot is one of the riskiest occupations due to frequent noise exposure from aircraft machine. This research aimed to identify the influence of aircraft noise levels on hearing disorder of both helicopter and casa pilots. This is observational analytical research with cross-sectional design, involving 30 helicopter pilots and 30 casa pilots. The diagnosis of hearing disorder was done using secondary data from medical records. The aircraft noise was measured by sound level meter, the other risk factors were observed with questionnaire. Data were analyzed by chi-square with ɑ=0.05. The results showed that aircraft noise (p=0,009; OR=4.929), duration of working period (p=0.026; OR=8.308), and flight hours (p=0.006; OR=3.222) were related with hearing disorder, but not age (p=0.093; OR=3.222). We concluded aircraft noise, duration of the working period, and flight hours are related to hearing disorder of the pilots. AbstrakNoise Induced Hearing Loss (NIHL) adalah gangguan pendengaran yang disebabkan kebisingan, dapat bersifat sementara atau permanen pada satu atau kedua telinga. Bising dengan intensitas 85 desibel (dB) atau lebih dapat merusak reseptor pendengaran corti di telinga dalam. Pilot merupakan salah satu pekerjaan yang cukup berisiko karena sering terpapar oleh kebisingan yang berasal dari mesin pesawat terbang. Tujuan penelitian adalah mengetahui pengaruh tingkat kebisingan pesawat terhadap fungsi pendengaran pilot helikopter dan pilot casa. Penelitian ini bersifat observasional analitik dengan desain cross sectional. Penelitian dilakukan terhadap 30 orang pilot helikopter dan 30 orang pilot casa. Diagnosis gangguan pendengaran menggunakan data sekunder dari hasil rekam medik. Pengukuran tingkat kebisingan pesawat menggunakan sound level meter, sedangkan faktor risiko lainnya didapatkan dari data kuesioner. Data yang diperoleh akan dianalisis statistik menggunakan uji chi square dengan = 0,05. Hasil penelitian didapatkan bahwa kebisingan pesawat berhubungan dengan gangguan pendengaran pada pilot (p=0,009; OR=4,929), faktor lain yang berhubungan dengan gangguan pendengaran adalah lama Research Article masa kerja (p=0,026; OR=8,308) dan jam terbang (p=0,006; OR=6,234), sedangkan faktor usia tidak berhubungan dengan gangguan pendengaran pada pilot (p=0,093). Simpulan dari penelitian ini adalah kebisingan pesawat, lama masa kerja, dan jam terbang berhubungan dengan gangguan pendengaran pada pilot. Kata kunci: gangguan pendengaran; pilot; kebisingan; noise induced hearing loss Pendahuluan Gangguan pada telinga yang banyak dijumpai di masyarakat salah satunya adalah gangguan fungsi pendengaran, dan hal ini dapat berdampak pada kualitas hidup seseorang. Gangguan pendengaran dapat terjadi karena beberapa faktor yaitu kelainan genetik, komplikasi saat lahir, infeksi telinga kronis, penggunaan obat tertentu, paparan kebisingan yang berlebihan, dan p...
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