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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: Kompetensi "mengambil keputusan terhadap dilema etika yang terjadi pada pelayanan kesehatan individu, keluarga dan masyarakat" tercantum dalam SKDI 2005 sehingga harus ada dalam kurikulum dan dilaksanakan di dalam modul. Penerapan proses pengambilan keputusan etis (PKE) berkaitan dengan manajemen pasien, karena itu pembelajaran pada tahap klinis pendidikan kedokteran menjadi keharusan. Penelitian ini dilakukan untuk mengetahui proses pembelajaran pengambilan keputusan etis di tahap klinispendidikan kedokteran di FKUI. Metode: Penelitian merupakan penelitian deskriptif kualitatif dengan mengidentifikasi komponen Buku Kurikulum, Buku Rancangan Pengajaran modul praktik klinik, dan dokumen lain; wawancara mendalam pengelola program studi, pengelola modul, staf pengajar; serta Focus Group Discussion (FGD) pada mahasiswa. Hasil: Tidak ada modul praktik klinik yang lengkap mencantumkan PKE dalam dokumen. Pengelola modul kurang memahami kompetensi PKE SKDI 2006. Sebagai klinisi, staf pengajar mampu mengidentifikasi dan mengambil keputusan penyelesaian dilema etika. Mahasiswa memahami PKE dan menemukan kasus berdilema etika dalam proses pembelajaran tahap klinik. Mahasiswa mendiskusikan dilema etika yang ditemui dengan residen dan/atau dokter penanggungjawab kasus. Mahasiswa memiliki prior knowledge yang didapat pada tahap preklinik. Kesimpulan: Proses pembelajaran pengambilan keputusan etis di tahap klinis merupakan hidden curriculum.Perlu dilakukan peningkatan kapasitas staf pengajar di bidang teori etika kedokteran dan penyusunan modul agar PKE menjadi komponen tertulis dalam kurikulum.

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Background: Ethical Reasoning is one of competency component stated in the ?2006 Indonesian Medical Doctor Competencies Standard? therefor it has to be taught in medical faculties. The competency should be stated in all documents related to the curriculum. The learning of ethical reasoning should be done in clinical years since it is related to patient's managements. This research was done to evaluate the ethical reasoning learning process in the clinical stage medical education in Faculty of Medicine University of Indonesia.

Method: This is a descriptive qualitative research which identifies the component of curriculum inside the curriculum documents; indepth interview to the module developer, module organizer, and teachers; and focus group discussion with clinical year medical students.

Result: Ethical Reasoning Competency was not written as the aim of any module, as seen in the Instructional Design of all documents. The module developer did not recognize this competency despite their daily practice of ethical reasoning. The students learnt ethical reasoning in clinical stage by observing the medical staff during their interaction with patient with ethical dilemma. The student were able to identify the cases based on their prior knowledge from previous stage.

Conclusion: Ethical reasoning learning process in clinical stage is part of hidden curriculum.Capacity building for faculty members in medical ethics theory and module development for the faculty member are needed to make the ethical reasoning process as a part of the curriculum."

"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."

"Latar Belakang Persepsi mahasiswa berhubungan erat dengan proses pembelajaran yang ada. Seiring dengan perubahan dan peralihan sistem pembelajaran menuju sistem pembelajaran bauran, staf pengajar mengalami penyesuaian peran. Penelitian ini bertujuan untuk menggali persepsi mahasiswa preklinik pendidikan kedokteran FKUI terhadap peran staf pengajar di masa pembelajaran bauran. Metode Pendekatan kualitatif dengan desain studi fenomenologi digunakan untuk mengeksplorasi persepsi mahasiswa preklinik FKUI terhadap peran staf pengajar dalam masa pembelajaran bauran. Focus group discussion (FGD) dilakukan pada mahasiswa preklinik, dengan minimal dua FGD dari setiap tingkatannya. Setelah pengumpulan data, dilakukan member checking dan analisis tematik berdasarkan transkripsi FGD yang dilakukan secara verbatim. Hasil Hasil penelitian ini diperoleh melalui enam FGD yang melibatkan 44 narasumber dari mahasiswa preklinik Fakultas Kedokteran UI dengan mempertimbangkan jenis kelamin dan IPK mahasiswa. Dari hasil penelitian ini didapatkan tiga tema besar, yakni (1) Komunikasi dan interaksi staf pengajar dengan mahasiswa dalam pembelajaran bauran, (2) Faktor staf pengajar dalam memfasilitasi pembelajaran bauran, dan (3) Adaptasi staf mengajar dan mahasiswa dalam pembelajaran bauran. Kesimpulan Pembelajaran bauran memberikan fleksibilitas pada staf pengajar dan mahasiswa dalam berkomunikasi dan berinteraksi. Apa pun pendekatan pembelajarannya dan peran staf pengajar yang diterapkan, mahasiswa mengharapkan staf pengajar yang mendorong partisipasi aktif mereka dalam pembelajaran di berbagai kesempatan.

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Introduction Students' perceptions are closely related to the existing learning process. Along with the change and transition of the learning system towards a blended learning system, teaching staff have changing roles. This study aims to explore the perceptions of FKUI preclinical students on the role of teaching staff in the blended learning period. Method A qualitative approach with a phenomenological study design will be used to explore the perceptions of FKUI preclinical students on the role of teaching staff in blended learning environment. Focus group discussions (FGD) will be conducted for pre-clinical students, with a minimum of two FGDs from each study year. After data collection, member checking and thematic analysis will be carried out based on the FGD verbatim transcripts. Results These research results were obtained through six Focus Group Discussions (FGD) involving 44 informants, including pre-clinical students from the Faculty of Medicine at the University of Indonesia, taking into account the students' gender and GPA. From this research, three major themes were identified, namely (1) Communication and interaction between teaching staff and students in blended learning, (2) Factor of teaching staff in facilitating blended learning, and (3) The adaptation of teaching staff and students in blended learning. Conclusion The blended learning provides flexibility for teaching staff and students in communication and interaction. Regardless of the learning approach and the role of the teaching staff applied, students expect teaching staff to encourage their active participation in learning on various occasions."

"Latar BelakangUmpan balik menjadi salah satu bentuk interaksi yang penting antara staf pengajar dan mahasiswa. Untuk mendapatkan umpan balik tersebut, mahasiswa akan melewati suatu proses pencarian umpan balik yang dilakukan secara sadar demi mencapai tujuan yang diinginkan. Ada beberapa faktor yang mempengaruhi pencarian umpan balik antara lain motivasi dan strategi belajar. Motivasi dan strategi belajar memiliki dampak yang besar terhadap performa mahasiswa yang selanjutnya akan menentukan tercapai atau tidaknya tujuan yang dimiliki. Sampai saat ini, masih belum ada penelitian yang menjelaskan hubungan kompleks antara motivasi dan upaya pencarian umpan balik dan antara strategi belajar dengan upaya pencarian umpan balik. Oleh karena itu, penelitian ini bertujuan untuk menilai upaya pencarian umpan balik pada mahasiswa tingkat 3 Fakultas Kedokteran Universitas Indonesia ditinjau dari motivasi dan strategi belajar. MetodePenelitian ini merupakan penelitian mixed methods dengan desain sequential explanatory: rancangan analitik menggunakan desain potong lintang (cross-sectional) untuk komponen kuantitatif. Selanjutnya, pendekatan kualitatif menggunakan desain studi fenomenologi dengan tujuan mengeksplorasi pengalaman individu mahasiswa terkait pencarian umpan balik. Pengumpulan data di tahap ini dikumpulkan melalui Focus Group Discussion (FGD). Setelah pengumpulan data, dilakukan member checking dan analisis tematik berdasarkan transkripsi FGD yang dilakukan secara verbatim.HasilBerdasarkan hasil kuesioner, diperoleh total 108 responden dengan rata-rata mahasiswa memiliki motivasi tinggi dan strategi belajar sedang. Tidak ditemukan satupun mahasiswa dengan motivasi yang rendah. Hasil uji korelasi ditemukan adanya hubungan yang kuat antara motivasi dan strategi belajar. Dari analisis kualitatif, diperoleh dua tema besar, yaitu (1) Faktor-faktor yang mempengaruhi mahasiswa mencari umpan balik dan (2) Cara mahasiswa mencari umpan balik.KesimpulanMotivasi dan strategi belajar mahasiswa memiliki hubungan yang kuat dan hal ini dapat mempengaruhi upaya pencarian umpan balik yang dilakukan oleh mahasiswa. Hasil studi ini menggarisbawahi pentingnya peningkatan lingkungan belajar yang kondusif,vidukungan staf pengajar dan peran serta mahasiswa dalam mendukung proses belajar dan keberhasilan akademis mahasiswa.

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Introduction

Feedback is one of the important interactions between teaching staff and students. In order to obtain feedback, students will go through a feedback-seeking process, which is done consciously to achieve the desired goals. There are several factors that influence the process such as motivation and learning strategies. Motivation and learning strategies have a significant impact on student performance, which will determine the goal achievement. To date, there is still limited research that explains the complex relationship between motivation and feedback-seeking effort as well as learning strategies and feedback-seeking efforts Therefore, this study aims to assess feedback- seeking behavior in 3rd year medical students in the Faculty of Medicine, University of Indonesia based on motivation and learning strategies.

Method

This study is a mixed methods research using a sequential explanatory design The quantitative part was conducted using a cross-sectional method. The qualitative approach was done with a phenomenological study design to explore the individual experiences of students in seeking feedback. Data collection was collected through Focus Group Discussions (FGDs). After data collection, member checking and thematic analysis was conducted based on the verbatim transcription of the FGD.

Results

Based on the questionnaire results, a total of 108 respondents were obtained with an average of students having high motivation and moderate learning strategies. No students with low motivation were found. The correlation test results revealed a strong relationship between motivation and learning strategies. From qualitative analysis, two major themes emerged: (1) Factors influencing students in seeking feedback, and (2) Ways in which students seek feedback.

Conclusion

The motivation and learning strategies of students have a strong correlation, and this can influence students' efforts in seeking feedback. The results of this study underscore the importance of improving a conducive learning environment, faculty support, and student engagement in supporting the learning process and academic success of students."

"Latar belakang: Mahasiswa kedokteran tidak jarang mengalami tekanan selama pendidikannya yang dapat mengakibatkan depresi serta mengganggu kualitas tidur, terutama selama pandemi Covid-19. Depresi pada mahasiswa kedokteran dapat memberikan dampak buruk, seperti penurunan performa akademik, penurunan kemampuan bersosialisasi, dan penurunan kemampuan manajemen waktu belajar Kualitas tidur yang baik diperlukan untuk meningkatkan kinerja, prestasi, dan menghindari berbagai masalah kesehatan.Metode: Subjek penelitian ini adalah mahasiswa FKUI tahap klinik. Kuesioner Pittsburgh Sleep Quality Index (PSQI) digunakan untuk menilai kualitas tidur dan The Center for Epidemiologic Studies Deppresion Scale Revised (CESD-R) untuk menilai gejala depresi. Data primer diolah menggunakan SPSS 26.0 dengan uji normalitas Kolmogorov-Smirnov dan uji korelasi Spearman.Hasil: Berdasarkan hasil pengisian kuesioner, didapatkan sebanyak 16,4% (n=24) subjek penelitian mengalami depresi. Selain itu, sebanyak 63,7% (n=93) subjek penelitian memiliki kualitas tidur yang buruk. Persebaran data skor depresi dan skor kualitas tidur didapatkan tidak normal (p=0,000). Kualitas tidur dan gejala depresi memiliki korelasi positif yang signifikan secara statistik pada mahasiswa FKUI tahap klinik (r=0,419; p=0,000).Simpulan: Penelitian ini menyimpulkan bahwa terdapat korelasi yang bermakna antara gejala depresi dengan kualitas tidur pada mahasiswa FKUI tahap klinik dengan koefisien korelasi positif dan kekuatan sedang. Upaya pencegahan dapat dilakukan dengan mengembangkan program yang mendukung kualitas tidur untuk meningkatkan kesehatan mental mahasiswa.

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Introduction: Medical students often experience pressure during their education which can lead to depression and poor sleep quality, particularly during the Covid-19 pandemic. Depression can negatively impact medical students, such as decreased academic performance, decreased social skills, and decreased study time management skills. Good sleep quality is needed to improve performance, achievement, and avoid various health problems.

Methods: The study was done in a cross-sectional manner with primary data taken from Faculty of Medicine Universitas Indonesia (FMUI) clinical students. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality and the Center for Epidemiological Studies Depression Scale Revised (CESD-R) questionnaire for depressive symptoms. Primary data were analyzed using SPSS 26.0 with Kolmogorov- Smirnov normality test and the Spearman correlation test.

Results: Based on CESD-R, 16.4% (n=24) of the subjects were depressed. In addition, based on PSQI, 63.7% (n=93) study subjects had poor sleep quality. The data distribution on depression scores and sleep quality scores was found to be abnormal (p=0.000). Sleep quality and symptoms of depression had a statistically significant positive correlation in clinical FMUI students (r=0.419; p=0.000).

Conclusion: This study concluded that there is a significant correlation between symptoms of depression and sleep quality in clinical FMUI students, with a positive and moderate strength correlation coefficient. Prevention can be done by developing programs that support sleep quality to improve students' mental health."

"Latar belakang: COVID-19 adalah penyakit saluran pernapasan akibat SARS-CoV-2 yang sudah menjadi pandemi di seluruh dunia. Dalam menghadapi COVID-19, diperlukan pengetahuan dan perilaku pencegahan yang baik di masyarakat. Sebagai calon dokter, penting pula untuk mahasiswa kedokteran tingkat akhir memiliki pengetahuan yang baik agar dapat mengedukasi masyarakat serta perilaku yang baik agar dapat melindungi diri dan menjadi contoh bagi masyarakat.Metode: Penelitian ini menggunakan desain penelitian potong lintang dengan sampel seluruh mahasiswa tingkat akhir FKUI. Instrumen yang digunakan adalah kuesioner “Knowledge, Attitude and Practice toward the Novel Coronavirus (COVID-19)” yang disebarkan secara daring. Data kemudian dianalisis dengan metode kategorik komparatif independen, yaitu chi-square dan Fisher.Hasil: Tingkat pengetahuan subjek yang tergolong sangat baik adalah sebesar 70%. Tingkat perilaku subjek mayoritas tergolong cukup baik, yakni 65,5%. Ditemukan hubungan tidak bermakna antara pengetahuan dengan perilaku (P=0,403). Ditemukan hubungan bermakna antara jenis kelamin dan sumber informasi utama dengan pengetahuan (P=0,011 dan P=0,005).Kesimpulan: Pengetahuan mahasiswa kedokteran tingkat akhir mengenai COVID-19 sudah sangat baik, namun perilaku mahasiswa tingkat akhir masih tergolong cukup baik. Oleh sebab itu, untuk meningkatkan perilaku, diperlukan intervensi langsung secara struktural dari universitas, tidak hanya dengan peningkatan pengetahuan karena tidak terdapat hubungan bermakna antara pengetahuan dan perilaku.

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Introduction: COVID-19 is a respiratory disease caused by SARS-CoV-2 that has been a pandemic in the whole world. In dealing with COVID-19, people needs good knowledge and practice of COVID-19 prevention. As future doctors, final year medical students must have good knowledge to be able to educate people along with good practice to protect themselves and to be an example for people.

Method: This study used cross sectional design with a sample of all final year students of FMUI. Instrument used in this study is “Knowledge, Attitude and Practice toward the Novel Coronavirus (COVID-19)” questionnaire that was shared online. The collected data then was analyzed by independent comparative categorical methods, such as chi- square and Fisher.

Result: The level of subject knowledge that is classified as excellent is 70%. The level of subject practice mostly is moderate, which is 65,5%. There is unsignificant association between knowledge and practice (P=0.403). A significant relationship was found between gender and main source of information with knowledge (P=0.011 and P=0.005).

Conclusion: The knowledge of COVID-19 in final year medical students is excellent, but their practice is still moderate. Therefore, to improve practice, direct structural intervention from university in needed, not only by increasing knowledge because there is no significant relationship between knowledge and practice."

"Penelitian ini bertujuan untuk mengetahui hubungan antara strategi koping dan distres psikologis pada mahasiswa FKUI. Penelitian terkait dengan strategi koping serta distres psikologis masih sedikit dibahas pada mahasiswa kedokteran di Indonesia. Hal ini penting untuk diteliti mengingingat banyaknya kompetensi yang harus dipenuhi oleh mahasiswa kedokteran dan dapat menimbulkan stres pada diri mereka. Jika tidak ditangani dengan baik, maka hal tersebut mampu memunculkan distres pada diri individu yang kemudian dapat menghambat pendidikannya. Sebanyak 187 partisipan yang merupakan mahasiswa FKUI mengisi alat ukur Kuesioner Kesehatan Umum untuk mengukur tingkat distres psikologis, dan The Brief COPE untuk mengukur strategi koping. Pengolahan data dilakukan menggunakan teknik statistik pearson correlation menunjukkan tidak terdapat korelasi positif yang signifikan antara strategi coping dengan distres psikologis dengan nilai korelasi yaitu r = 0,035 dan p = 0,637 two tailed. Tidak terdapat korelasi negatif yang signifikan antara jenis koping problem-focused coping dengan distres psikologis, kemudian distres psikologis dan emotion-focused coping juga ditemukan tidak berkorelasi positif secara signifikan. Artinya, semakin tinggi tingkat penggunaan problem-focused coping individu maka semakin tinggi pula tingkat distres psikologis individu tersebut. Terdapat korelasi negatif yang signifikan antara distres psikologis dengan adaptive coping, dan begitu pula pada distres psikologis dan maladaptive coping. Semakin tinggi tingkat penggunaan maladaptive coping maupun adaptive coping maka akan semakin rendah tingkat distres psikologis yang dialami. Namun jika dilihat dari korelasinya maka individu yang menggunakan strategi maladaptive coping memiliki distres psikologis yang lebih tinggi dibandingkan dengan individu yang menggunakan strategi adaptive coping.

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Indonesian medical students are very prone to stress because of the high standards of competencies that they must fulfill in order to become future doctors. This puts the individuals at risk of further distress that might eventually become a barrier for their education. A lot of research under the topic of psychological distress have not yet focused on Indonesian medical students particular condition. Therefore, it is urgent to dig deeper upon the problem in this current research.This research aims to unravel the relationship between coping strategy and psychological distress in medical students in University of Indonesia. As much as 187 medical students from University of Indonesia participated in the study. They completed a questionnaire on general health Kuesioner Kesehatan Umum in order to measure their level of psychological distress and the Brief COPE to measure their coping strategy.The final data were produced by using Pearson correlation statistics, which showed that there was no significant positive correlation between coping strategy and psychological distress, with r 0,035 and p 0,637 two tailed. There was no signicificant negative correlation between problem focused coping and psychological distress. Furthermore, the positive correlation between psychological distress and emotion focused coping was also found to be insignificant. This means that the more a person uses problem focused coping strategy, the higher the psychological distress level that the person has. There were, however, a significant negative correlation between psychological distress and adaptive coping, and also between psychological distress and maladaptive coping. Both the users of adaptive coping and maladaptive coping seem to have lower levels of psychological distress. However, judging from the correlation, individuals who use maladaptive coping strategy actually have higher levels of psychological distress compared to their counterparts who use adaptive coping."

"ABSTRAKMeskipun penyakit mental di masyarakat modern merupakan masalah yang terus berkembang dan ilmu psikiatri senantiasa memberikan banyak inovasi dan terobosan ilmiah, stigma terhadap disiplin ilmu psikiatri masih tinggi, khususnya bagi mahasiswa kedokteran. Mengetahui bagaimana pandangan mahasiswa kedokteran terhadap disiplin ilmu psikiatri dan hubungan antar rotasi klinik serta lama waktu studi terhadap perbedaan pandangan penting untuk memberi gambaran ketersedian sumber daya kesehatan jiwa kedepannya dan kualitas perawatan pasien dengan penyakit jiwa di Indonesia. Penelitian ini menggunakan metode cross sectional study menggunakan kuesioner yang berjudul Perception of Psychiatry. Subjek adalah mahasiswa Fakultas Kedokteran Universitas Indonesia pada tahun pertama, keempat, kelima, serta alumni. Data yang diperoleh diolah dengan analisis chi-square atau fisher. Peneliti melihat perbedaan dan signifikansi antara data dari dua kelompok (sebelum-sesudah rotasi klinik, tahun pertama dan keempat, serta tahun kelima dan alumni) serta diantara dua gender berbeda (total subjek = 224). Hasil menunjukkan bahwa rotasi klinik dan lama waktu studi tidak mempengaruhi pandangan mahasiswa terhadap disiplin ilmu psikiatri secara signifikan di Fakultas Kedokteran Universitas Indonesia. Mayoritas dari responden yang terdiri dari mahasiswa dan alumni memiliki pandangan yang baik terhadap disiplin ilmu psikiatri dan gender memiliki peran dalam pandangan responden terhadap ilmu psikiatri, dengan responden wanita memiliki pandangan lebih positif dibandingkan pribadi.

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ABSTRACTDespite mental illnesses continue to be emerging problems in modern society, stigma towards psychiatry as a discipline is still high, especially amongst medical students. Identifying the attitudes of medical students towards psychiatry discipline also relation between exposure to psychiatric clerkship and length of medical training are very important for portraying the adequacy of mental healthcare workforces and the quality of care for mental illness patients further in Indonesia. This study used cross-sectional method, utilizing questionnaire titled Perception of Psychiatry. Subjects are students of Faculty of Medicine, Universitas Indonesia from first, fourth, fifth-year along with alumni. Attained data were analysed using chi-square or fisher method. Researchers investigated the differences between two sample groups (before- and after clinical rotation, first- and fourth-year, fifth-year and alumni) and between different genders of respondents (total subjects=224). Results showed that clinical rotation and duration of medical training did not affect the views of medical students towards the discipline of psychiatry in Faculty of Medicine, Universitas Indonesia. The majority of responses showed positive attitudes towards the discipline of psychiatry and genders do play a role in determining the views of students towards psychiatry discipline, with female tends to have more positive attitude compared to male respondents."

"Latar belakang: Saat ini Orang Dengan HIV/AIDS (ODHA) masih merasakan stigma dan diskriminasi dari keluarga, masyarakat, dan tenaga kesehatan walaupun perkembangan virus HIV dapat dikendalikan berkat kemajuan teknologi di bidang kesehatan. Stigma pada pelayanan kesehatan dapat menghambat ODHA untuk mengakses perawatan sehingga dapat mempengaruhi kualitas hidup. Peningkatanpengetahuan dan paparan klinis pada mahasiswa kedokteran dapat meningkatkan sikap positif pada ODHA. Belum pernah ada penelitian besar di Indonesia terkait stigma mengenai ODHA pada tiga mahasiswa fakultas kesehatan. Metode: Penelitian ini menggunakan deskriptif potong lintang pada 1400 mahasiswa menggunakan kuesioner tentang stigma terhadap ODHA yang pernah dipakai sebelumnya. Kuesioner ini telah diadaptasi lintas budaya ke dalam Bahasa Indonesia. Hasil: Secara keseluruhan, mahasiswa mendapatkan skor yang tinggi pada skor keyakinan pribadi/budaya tentang HIV (68,1%), skor pengetahuan mengenai HIV (60,7%) dan skor interaksi klinis dengan pasien HIV-positif (80,9%). Terdapat perbedaan bermakna antara usia, angkatan dan fakultas dengan masing-masing subskor. Terdapat hubungan yang signifikan antara total subskor dengan keyakinan pribadi/budaya tentang HIV, pengetahuan megenai HIV dan interaksi klinis dengan pasien HIV-positif. Kesimpulan: Stigma mengenai ODHA pada mayoritas mahasiswa kesehatan di RIK UI adalah rendah, namun masih ada sejumlah mahasiswa dengan stigma. Stigma mengenai ODHA pada mahasiswa dalam penelitian ini dibedakan oleh usia, asal fakultas, dan tahun masuk.Background: Currently people living with HIV/AIDS (PLWHA) still feel stigma and discrimination from their families, communities, and health workers even though the development of the HIV virus can be controlled thanks to technological advances in the health sector. Stigma in health services can prevent people living with HIV from accessing care so that it can affect their quality of life. Enhancementknowledge and clinical exposure to medical students can increase positive attitudes towards PLWHA. There has never been a major study in Indonesia related to the stigma regarding PLWHA in three health faculty students. Methods: This study used a cross-sectional descriptive study on 1400 students using a questionnaire about stigma against PLWHA that had been used before. This questionnaire has been adapted cross-culturally into Indonesian. Results: Overall, students scored highly on personal/cultural beliefs about HIV (68.1%), knowledge about HIV (60.7%) and clinical interaction scores with HIV-positive patients (80.9%) . There is a significant difference between age, class and faculty with each subscore. There is a significant relationship between the total subscore and personal/cultural beliefs about HIV, knowledge about HIV and clinical interactions with HIV-positive patients. Conclusion: Stigma regarding PLWHA in the majority of health students at RIK UI is low, but there are still a number of students with stigma. Stigma regarding PLWHA in students in this study was distinguished by age, faculty origin, and year of admission."