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.
Prelabor rupture of the membrane (PROM) requires greater attention because of the high prevalence and its tendency to increase. The incidence of PROM at 37 weeks of gestation (aterm) is around 6.45-15.6% and about 2-3 percent of all single preterm pregnancies and 7.4% in twin preterm pregnancies. The purpose of this study was to determine the relationship between leukosituria and the incidence of premature rupture of membrane at < 37 weeks of gestation at the General Hospital of the University of Muhammadiyah Malang during 2015-2017. This is an analytic observational research with a cross-sectional study approach. Data were analyzed with Chi Square. Out of 36 samples that fit in the inclusion criteria, 18 patients had preterm PROM while 18 others had Aterm PROM. PROM mostly occurs in multigravida patients (58.3%, 21 patients). Patients with 38-39 weeks of gestation had the highest prevalence of PROM. Out of 18 Preterm PROM patients, 9 patients had leukocyturia. Only 1 aterm patients had positive leukocyturia. The result of this study showed a significant relationship between the incidence of PROM and preterm pregnancy.
Ma’roef, Arifatul. The Influence of Tamarind (Tamarindus indica) Fruit Extract On Reducing Isolated Uterine Smooth Muscle Contraction of Female Guinea Pig (Cavia porcellus) Background : Tamarind (Tamarindus indica) is medicinal plant that is easy to get and has many adventages. Flavonoid, tannin, and some minerals in this plant have been supposed to be able to inhibit uterine contraction that could reduce menstrual cramps and decrease preterm delivery. Objective : To know the influence of tamarind fruit extract on reducing isolated uterine smooth muscle contraction of female guinea pig. Methods : True experimental with post test only control group design. Non-pregnant female guinea pig uterine strips in De Jalon solutions were contracted by 0,03 IU oxytocin and 3 doses of extract were added to the preparation, namely 2 mg/ml (P1), 4 mg/ml (P2), and 6 mg/ml (P3). Those groups were compared to positive control(only oxytocin induced) and negative control (without intervention). The contractions were recorded for 20 minutes and the result was shown in Labscribe2 software. Result : The result of ANOVA showed a significant difference between control group and treatment (p=0,00).The correlation test result showed that the higher dose of tamarind extract, the less contractions will be. Linear regression result showed a strong influence of tamarind extract on reducing uterine contraction, namely 84,7% with 4 mg/ml as effective dose. Conclusion : Tamarind extract has influence on reducing the isolated uterine smooth muscle contraction of female guinea pig.Key word : tamarind, uterine contraction, guinea pig
Profil Hasil Pemeriksaan Mini Mental State Examination (MMSE) pada Wanita Postmenopause di Posyandu Lansia Rejoagung, Wilayah kerja puskesmas Kedungwaru, Tulungagung, Jawa timur. Wanita pada masa postmenopause akan mengalami penurunan produksi hormon estrogen. Beberapa penelitian menunjukkan bahwa menurunnya hormon estrogen dapat menyebabkan terjadinya aterosklerosis yang merupakan salah satu faktor penyebab gangguan kognitif. Penelitian ini bertujuan mengetahui profil hasil pemeriksaan MMSE pada wanita postmenopause. Penelitian ini merupakan studi deskriptif observasional dengan pengambilan sampel secara total sampling terhadap semua wanita di posyandu lansia Rejoagung yang sudah postmenopause. Instrumen yang digunakan ialah Mini Mental State Examination. Hasil pemeriksaan MMSE wanita postmenopause didapatkan insiden gangguan kognitif terbanyak pada usia 65-69 tahun, dengan 31,2% stadium ringan dan 56,3% stadium sedang. Insiden gangguan kognitif terbanyak terjadi pada wanita postmenopause dengan pendidikan terakhir SMP dengan 54% stadium ringan. Didapatkan juga gangguan kognitif terbanyak pada wanita dengan lama masa postmenopause 11-15 tahun sekitar 45% gangguan kognitif stadium ringan dan wanita dengan lama masa postmenopause >15 tahun sekitar 33,3% stadium sedang. Berdasarkan hasil pemeriksaan MMSE pada wanita postmenopause didapatkan sebanyak 45% dari sampel yang mengalami gangguan kognitif dan 55% yang tidak mengalami gangguan kognitif.Kata kunci: Wanita postmenopause, gangguan kognitif, MMSE
Antenatal care is a service provided by healthcare professionals for identifying health conditions among pregnant mothers. This study aimed to identify the correlation between Supplementation Folic Acid and Sulfas Ferrosus during Antenatal Care and Low Birth Weight (LBW) at General Hospital Jombang, Jombang, East Java. Observational analytic design was used in this study with case control. Simple random sampling was chosen in this study. The data was analyzed using chi-square test if p (0.000) < (0.05). According to chi-square test, the results showed a significance level of p (0.000) < (0.05). Significant correlation was obtained from the result and depicted on contingency coefficient value reaching (0.626) with OR 0.11 (95%CI:0.02-0.65). It can be concluded that there is a significant correlation between supplementation Folic Acid and Ferrous Sulfas during Antenatal Care and Low Birth Weight (LBW).
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