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Latar belakang: Mahasiswa fakultas kedokteran diketahui memiliki tingkat stress tinggi karena memerlukan usaha besar dalam menjalani perkuliahannya. Stress dapat menimbulkan dampak buruk bagi fisik, psikis, maupun skor nilai akademis mahasiswa. Maka dari itu dibutuhkan mekanisme koping yang efektif untuk mencegah dampak buruk tersebut. Resilience diduga menjadi hasil mekanisme koping yang baik. Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara Resilience dan Coping strategies terhadap performa akademik mahasiswa program studi Pendidikan dokter FKUI tahap pre klinik. Metode: Penelitian ini merupakan penelitian potong lintang dengan total sampel dari Mahasiswa Program Studi Pendidikan Dokter FKUI tahap preklinik pada tahun 2020. Hasil: Sejumlah 607 responden berpartisipasi dalam penelitian ini, dari angkatan 2017-2019 (tingkat respon 85.13%). Pada ketiga angkatan terdapat hubungan yang bermakna antara mekanisme Adaptive coping dengan tingkat Resilience (r = 0,605, p < 0,05). Sedangkan mekanisme Maladaptive coping memiliki korelasi negatif yang hubungannya tidak bermakna dengan tingkat Resilience (r = -0,053, p > 0,05). Terdapat pula hubungan yang tidak bermakna antara Resilience dengan performa akademik mahasiswa (r = 0,072, p > 0,05). Pada ketiga angkatan juga diperoleh hasil bahwa performa akademik memiliki hubungan yang bermakna dengan mekanisme Adaptive coping (r = 0,122, p < 0,05) namun tidak memiliki hubungan yang bermakna dengan mekanisme Maladaptive coping (r = 0,037, p > 0,05). Kesimpulan: Performa akademik mahasiswa kedokteran tahap pre klinik merupakan sebuah hal kompleks yang ditentukan oleh berbagai faktor. Hasil penelitian ini menunjukan bahwa mekanisme Adaptive coping memiliki korelasi yang kuat dengan Resilience dan memiliki korelasi yang lemah dengan performa akademik. Selain itu, hubungan antara Resilience dengan performa akademik menunjukan korelasi yang tidak signifikan. Penelitian ini juga menunjukan bahwa tidak terdapatnya korelasi yang signifikan antara mekanisme Maladaptive coping dengan Resilience dan performa akademik. Maka dari itu, dapat disimpulkan bahwa mekanisme koping yang bersifat adaptif merupakan salah satu proses yang dapat mempengaruhi performa akademik mahasiswa kedokteran tahap pre klinik.

 

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Background: Undergraduate medical students are often exposed with high demand and stressful events related to their study in medicine. In order to learn well and keep the study performance, students need to employ Adaptive coping mechanisms. Resilience is suggested as the result of this process. Objectives: This study aims to assess the relationships between coping mechanisms, Resilience and academic performance in undergraduate medical students, particularly in the preclinical years (year 1-3). Methods: This was a cross-sectional study with total sampling approach. The study involved year 1-3 undergraduate medical students at the Faculty of Medicine Universitas Indonesia. The respondents were asked to complete CDRISC (for Resilience) and Brief COPE (for coping mechanism). Data on cumulative GPA on the particular year were obtained from the school central administration upon consent from the respondents. The data collection was completed in January - February 2019. Results: A total of 607 students (85.13% response rate) voluntarily participated in the study. Resilience showed statistically significant, strong, and positive correlation with Adaptive coping (r = 0,605, p < 0,05) and no correlation with Maladaptive coping (r = -0,053, p > 0,05). No significant correlation was found between Resilience and students academic performance (r = 0,072, p > 0,05). Furthermore, Adaptive coping significantly correlated with academic performance (r = 0,122, p < 0,05) whereas Maladaptive coping showed no correlation (r = 0,037, p > 0,05). Conclusion: Academic performance of undergraduate medical students is a complex construct determined by various factors. This study highlights that Adaptive coping mechanism strongly correlated with Resilience and weakly correlated with academic performance. Furthermore, there was no significant correlation between Resilience and academic performance. This study also shows that there were no significant correlations between Maladaptive coping mechanism with Resilience and academic performance. Therefore, it can be concluded that Adaptive coping mechanism can be seen as one of the process that can affect undergraduate medical students academic performance.

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"ABSTRAKINTRODUCTION: Diabetes has become a major public health concern with an estimated 180million cases worldwide. Nutritional changes are one of the key aspects in the management oftype 2 diabetes mellitus. Previous studies have suggested an association between vegetariandiets and improvements in glycemic control in type 2 diabetes mellitus, however the relationshipis not well established. The aim of this report is to perform a critical appraisal to analyze whetherplant-based diet reduces the HbA1c level compared to conventional diet.METHODS: A comprehensive computer-based literature search was performed on June 20, 2016using PubMed, Ovid, EBSCO, and the Cochrane Library. All abstracts and titles from the initialsearch results were screened, reviewed, and appraised using critical appraisal worksheets byCenter of Evidence-Based Medicine, University of Oxford.RESULTS: One systematic review and two randomized controlled trials (RCTs) met the inclusioncriteria and were considered eligible for this case report. In patients with type 2 diabetes mellitus,HbA1c reduction was significantly greater in the plant-based group compared to conventionaldiet group in participants who did not change medications after 22 weeks of follow up (P=0.01).Similarly, there was also a significantly greater reduction in HbA1c level in the plant-based groupafter 72 weeks (P=0.03). Furthermore, consumption of plant-based diet was associated with asignificant reduction in HbA1c (P=0.001).CONCLUSION: In patients with type 2 diabetes mellitus, HbA1c reduction was greater in patientswith plant-based diet compared to patients with conventional diet. Further research should beconducted with larger sample size and fasting blood glucose as the main outcome."

"Latar Belakang: Masa transisi yang banyak menimbulkan stres adalah transisi dari sekolah menengah menuju perguruan tinggi, yaitu saat tahun pertama perkuliahan, khususnya pada mahasiswa kedokteran. Pendidikan kedokteran merupakan pembelajaran seumur hidup yang membuat mahasiswa menjadi rentan terhadap burnout jika mekanisme koping yang digunakan tidak memadai. Mekanisme koping yang sesuai dapat membantu mahasiswa meminimalisasi kejadian burnout. Mekanisme koping dikelompokkan menjadi problem-focused, emotion-focused, dan dysfunctional coping (Cooper dkk, 2015) serta adaptive coping dan maladaptive coping (Meyer dkk, 2015). Dimensi burnout mencakup kelelahan emosional, sinisme, dan persepsi terhadap pencapaian prestasi diri yang dapat dipengaruhi juga oleh jenis kelamin.Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara jenis kelamin dan mekanisme koping terhadap burnout (kelelahan emosional, sinisme, persepsi terhadap pencapaian prestasi diri) pada mahasiswa tahun pertama Fakultas Kedokteran Universitas Indonesia.Metode: Penelitian ini merupakan penelitian cross sectional dengan sampel total dari mahasiswa tahun pertama Fakultas Kedokteran Universitas Indonesia Tahun Akademik 2017/2018 kelas reguler. Jumlah responden yang mengisi kuesioner Brief COPE dan MBI-Student Survey dengan lengkap dan benar adalah 167 responden (response rate = 98,9%).Hasil: Tidak terdapat hubungan yang bermakna antara jenis kelamin dengan masing-masing dimensi burnout (p >0,05). Sebaliknya, maladaptive/dysfunctional coping memiliki korelasi positif yang bermakna dengan kelelahan emosional (r = 0,403, p <0,001) dan sinisme (r = 0,372, p <0,001). Adaptive coping memiliki korelasi negatif yang bermakna dengan sinisme (r = -0,165, p = 0,033) dan korelasi positif yang bermakna dengan persepsi terhadap pencapaian prestasi diri (r = 0,417, p <0,001).Kesimpulan: Hubungan jenis kelamin dengan kejadian burnout tidak didapatkan hasil yang bermakna. Namun, maladaptive/dysfunctional coping memiliki korelasi positif dengan kelelahan emosional dan sinisme. Di sisi lain, adaptive coping memiliki korelasi negatif dengan sinisme dan korelasi positif dengan persepsi terhadap pencapaian prestasi diri.

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Background: The transition period which causes a lot of stress is the transition from high school to college, that is during the first year of study, especially for medical students. Medical education is a lifelong learning that makes students vulnerable to burnout if the coping mechanism is inadequate. Appropriate coping mechanism can help students to minimize burnout. Coping mechanisms are classified as problem-focused, emotion-focused, and dysfunctional coping (Cooper et al, 2015) as well as adaptive coping and maladaptive coping (Meyer et al, 2015). The burnout dimension includes emotional exhaustion, cynicism, and perception of personal accomplishment that can also be influenced by gender.

Aims: The purpose of this study is to assess the relationship between gender and coping mechanisms with burnout (emotional exhaustion, cynicism, perception of personal accomplishment) of first year undergraduate students in Faculty of Medicine Universitas Indonesia.

Methods: This study was a cross sectional study with a total sampling of first year undergraduate students in Faculty of Medicine Universitas Indonesia 2017/2018 regular class. A total of 167 respondents (response rate = 98,9%) filled completely and correctly the Brief COPE and MBI-Student Survey questionnaire.

Results: There was no significant relationship between gender with each burnout dimensions (p >0.05). Otherwise, maladaptive/dysfunctional coping was significantly correlated with emotional exhaustion (r = 0.403, p <0.001) and cynicism (r = 0.372, p <0.001). There was a significant negative correlation between adaptive coping with cynicism (r = -0.165, p = 0.033) and significant positive correlation with perception of personal accomplishment (r = 0.417, p <0.001).

Conclusions: The relationship between gender with burnout does not get significant results. However, maladaptive/dysfunctional coping positively correlated with emotional exhaustion and cynicism. On the other hand, adaptive coping negatively correlated with cynicism and positively correlated with perception of personal accomplishment."