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"ABSTRACTFormalin merupakan larutan yang mengandung 37-50% formaldehid yang digunakan dalam pembalseman kadaver.1,2 Mahasiswa kedokteran secara rutin mengikuti praktikum anatomi dan akan terpapar oleh formaldehid yang memiliki efek jangka pendek dan jangka panjang yang berbahaya bagi kesehatan.3-6 Paparan terus menerus dapat membuat tubuh beradaptasi sehingga jika terjadi paparan formalin yang berlebihan bisa terabaikan.7,8 Tujuan penelitian ini adalah untuk mengetahui ada tidaknya keluhan pada mahasiswa akibat paparan formalin selama mengikuti praktikum anatomi dan ada tidaknya perbedaan keluhan fisik secara subjektif antara mahasiswa yang baru pertama kali dan mahasiswa lama yang sudah berulang kali terpapar formaldehid selama mengikuti praktikum anatomi. Penelitian ini menggunakan desain studi cross-sectional. Data diambil di Departemen Anatomi Fakultas Kedokteran Universitas Indonesia pada bulan Mei-Juni 2012 dengan membagikan kuesioner yang berisi pertanyaan mengenai keluhan subjektif yang dirasakan responden selama mengikuti praktikum anatomi. Kuesioner dibagikan kepada Mahasiswa Fakultas Kedokteran Universitas Indonesia angkatan 2010 yang sedang mengikuti praktikum anatomi Modul Kardiovaskular dan angkatan 2011 yang sedang mengikuti praktikum anatomi Modul Neurosains. Hasilnya menunjukkan 96.3% mahasiswa mengeluhkan keluhan mata, 86.5% mengeluhkan keluhan hidung, 67.3% mengeluhkan keluhan tenggorokan dan 98% mengeluhkan keluhan lainnya.Hasil uji analisis dengan chi square keluhan subjektif antara mahasiswa lama dan baru yang muncul akibat paparan formalin selama mengikuti praktikum anatomi menunjukkan nilai p>0.05 pada keluhan subjektif mata, hidung, tenggorokan dan keluhan lainnya. Disimpulkan bahwa tidak terdapat perbedaan bermakna keluhan subjektif yang muncul akibat paparan formalin selama mengikuti praktikum anatomi antara mahasiswa lama dan baru.

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ABSTRACTFormalin is a solution containing 37-50% of formaldehyde used in embalming cadavers.1,2 Medical students routinely follows the anatomy lab and will be exposed to formaldehyde in cadavers. Exposure to formaldehyde has the effect of short-term and long-term subjective complaints which hazardous for one's health3-6. Continuous exposure can make the body adapt so that the body will neglect and no longer able to responds to excessive exposure to formalin.7,8 The purpose of this study was to determine whether there is a complaint from the students as a result of exposure to formaldehyde during the anatomy lab session. This study also monitored the presence or absence of differences in subjective physical complaints between first-time students, who had never been exposed to formaldehyde before, and senior students, who have been repeatedly exposed to formaldehyde during the anatomy lab session. This study used a cross-sectional study design. Data was taken at the Department of Anatomy, Faculty of Medicine, Universitas Indonesia(FMUI) in May-June 2012 with distributing a questionnaire containing questions about subjective complaints that respondents felt during the anatomy lab session. Questionnaires were distributed to FMUI’s students 2010 who were following the Cardiovascular anatomy lab module and class of 2011 who were following the Neuroscience anatomy lab module. The results showed 96.3% of the students complained of eye complaints, 86.5% complained of nasal complaints, 67.3% complained of throat complaints and 98% complained of other types of complaints. The chi square test analysis with subjective complaints between senior and new students arising from exposure to formaldehyde during the anatomy showed p > 0.05 on the subjective complaints of the eyes, nose, throat and other complaints. It was concluded that there was no significant differences in subjective complaints arising from exposure to formaldehyde between the senior and new students during the anatomy lab session"

"ABSTRACTKondisi psikis mahasiswa selama mengikuti praktikum anatomi dapat mempengaruhi hasil pembelajaran. Kondisi psikis dapat dipengaruhi oleh efek formalin yang digunakan sebagai pengawet kadaver, pengalaman dengan kadaver, suasana laboratorium, serta faktor lain. Sebuah studi cross-sectional dilakukan untuk mengetahui perbedaan kondisi psikis antara mahasiswa lama dengan mahasiswa baru. Kondisi psikis positif dan negatif dinilai menggunakan kuesioner Positive and Negative Affect Schedule (PANAS) yang telah dimodifikasi. Data mahasiswa baru diambil pada sesi praktikum anatomi pertama, sedangkan data mahasiswa lama diambil pada sesi praktikum ketujuh. Sebanyak 151 mahasiswa laki-laki dan 222 mahasiswa perempuan berpartisipasi dalam penelitian, terdiri dari 206 mahasiswa baru dan 167 mahasiswa lama. Psikis positif terbanyak pada mahasiswa lama adalah tertarik, sedangkan pada mahasiswa baru adalah fokus. Psikis negatif terbanyak pada kedua kelompok adalah rasa tidak nyaman. Dengan uji chi square didapatkan hubungan yang bermakna antara rasa bangga dengan status mahasiswa (p=0,002), sementara psikis negatif dan psikis positif lainnya tidak menunjukkan hubungan yang bermakna (p>0,05).

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ABSTRACTStudents’ psychical condition during anatomy laboratory session could affect learning process. These psychical conditions are influenced by effects of formaldehyde used on cadaver, the experience of seeing cadaver, laboratory condition, and other factors. A cross-sectional study was done to seek the differences of psychical conditions between old and new students during anatomy laboratory session. Students’ positive and negative psychical conditions were examined by using modified Positive and Negative Affect Schedule (PANAS) questionnaire. The data of new students were obtained on the first anatomy laboratory session, while those of old students on the seventh session. A total of 151 male and 222 female students participated in this study, which consisted of 206 new students and 167 old students. The most common positive psychical condition found in old students was interested, while in new students was focus. On the other hand, the most common negative psyhical condition in both old and new students were uncomfortable. The chi square test showed that there was a relationship between proud feeling with students’ status (p=0.002). On the contrary, no relationship was found between negative psychical and other positive psychical conditions with students’ status (p>0.05)."

"Diagnosis strok sering ditegakkan berdasarkan pembuktian klinis dengan anamnesis dan pemeriksaan klinis neurologis saja. Akan tetapi gambaran klinis yang ditemukan tidaklah selalu sama, seringkali bervariasi sehingga diagnosa topis tidak selalu tepat. Diteliti hubungan antara gambaran klinis dengan topografi anatomi/ tipe infark pada CT-sken otak pad a penderita strok iskemik. Penelitian ini dilakukan secara prospektif, "cross sectional" dan bersifat deskriptif analitik. Populasi adalah penderita strok iskernik kejadian pertama berusia 40 tahun dan 65 tahun yang dirawat di ruang perawatan klas III RSUPN-CM Jakarta. Sejak bulan April sampai dengan Juli 1996, didapatkan 52 kasus strok iskemik kejadian pertama. Terdiri dari 34 laki-laki (65,3%) dan perempuan 18 (34,7%) dengan rasio laki : perempuan adalah 1,9 : 1 . Strok trombosis ditemukan terbanyak yaitu 93,9% sedangkan strok emboli 6,1 %. Dari 52 penderita yang diteliti, didapatkan basil CT-sken otak adalah 29 (59,2 %) berupa infark tentorial , 20 (40,8%) adalah infark lakunar, hanya satu kasus ditemukan berupa infark watershed dan dua lainnya dengan infark multipel. Pada pemeriksaan CT otak pertama, dua kasus tidak memperlihatkan adanya gambaran infark sehingga dilakukan pemeriksaan CT otak yang kedua yaitu antara hari ke 7 - 10 , didapatkan hasil berupa infark lakunar pada kedua kasus tersebut. Hemihipatesis ringan ditemukan pada 44,8% strok dengan tipe infark tentorial dan 70 % pada strok lakunar. Hemihipatesis berat hanya ditemukan pada strok dengan tipe infark tentorial. Hemihipestesi ditemukan 55,2% pada strok tipe tentorial dan 75 % pada strok tipe lakunar. Afasis hanya ditemukan pada strok tent

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The diagnosis of stroke is often made based on clinical evidence with anamnesis and neurological clinical examination alone. However, the clinical picture found is not always the same, it often varies so that the diagnosis of topis is not always correct. The relationship between clinical features and anatomical topography/type of infarction on brain CT scans in ischemic stroke sufferers was studied. This research was conducted prospectively, "cross sectional" and is descriptive analytic in nature. The population was first-time iskernic stroke sufferers aged 40 years and 65 years who were treated in class III treatment rooms at RSUPN-CM Jakarta. From April to July 1996, there were 52 cases of first-occurrence ischemic stroke. Consisting of 34 men (65.3%) and 18 women (34.7%) with a male: female ratio of 1.9: 1. The highest number of thrombotic strokes was found, namely 93.9%, while embolic strokes were 6.1%. Of the 52 patients studied, brain CT scan results showed that 29 (59.2%) were tentorial infarctions, 20 (40.8%) were lacunar infarctions, only one case was found to be a watershed infarction and the other two were multiple infarctions. In the first brain CT examination, two cases did not show any signs of infarction so a second brain CT examination was carried out, namely between days 7 - 10, the results were lacunar infarcts in both cases. Mild hemihypathesis was found in 44.8% of tentorial strokes and 70% of lacunar strokes. Severe hemihypathesis is only found in strokes with tentorial infarction type. Hemihypesthesia was found in 55.2% of tentorial type strokes and 75% of lacunar type strokes. Aphasis is only found in tentorial strokes."