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"ABSTRAKLatar BelakangLingkungan pendidikan di fakultas kedokteran dapat menjadi beban psikis bagimahasiswa karena penuh dengan stresor. Besarnya pengaruh stresor tersebutdibuktikan dengan tingginya angka kejadian distres pada mahasiswa fakultaskedokteran di seluruh dunia, sehingga diperlukan upaya untuk mengidentifikasisumbernya.TujuanPenelitian ini bertujuan mengembangkan alat ukur untuk mengidentifikasi stresorbagi mahasiswa pendidikan dokter tahap akademik.MetodePenelitian ini menggunakan teknik mixed methods (kualitatif dan kuantitatif),studi Delphi untuk mengidentifikasi stresor dan desain potong lintang untuk ujiinstrumen. Penelitian dilaksanakan pada mahasiswa tahap akademik FakultasKedokteran Universitas Islam Sumatera Utara (FK UISU) dengan populasi 995orang. Sebanyak 58 mahasiswa dipilih secara stratified simple random samplinguntuk studi Delphi dan total sampling.untuk uji instrumen. Analisis menggunakanprogram SPSS versi 17, uji reliabilitas dengan alpha Cronbach dan analisis faktordengan rotasi Oblimin.HasilDi antara 90 stresor pada studi Delphi terseleksi 40 yang lolos uji instrumen.Stresor dikelompokkan menjadi stresor akademis (18 butir), stresor personal (11butir), stresor lingkungan belajar (6 butir), dan stresor lingkungan sosial (5 butir).Instrumen Kuesioner Stresor Mahasiswa Pendidikan Dokter Tahap Akademik(KSMPD-Akademik) yang dihasilkan memiliki nilai alpha Cronbach 0,911.Masalah fasilitas pendidikan dan masalah akademis merupakan stresor yangpaling banyak dihadapi mahasiswa dan memiliki pengaruh paling besar.DiskusiPada analisis faktor terdapat 43 butir yang memiliki nilai di bawah 0,3 padamatriks Communalities. Sebanyak 7 butir lainnya memiliki korelasi yang rendahterhadap seluruh butir karena nilai korelasi item-total di bawah 0,3 pada matriksItem-Total Statistics. Butir yang terseleksi merupakan butir yang dapat mewakilistresor bagi mahasiswa tahap akademik FK UISU. KSMPD-Akademik memilikireliabilitas yang baik. KSMPD-Akademik dikembangkan pada populasiterjangkau, sehingga ada kemungkinan fakultas kedokteran lain memiliki stresoryang berbeda. Mahasiswa FK UISU berpendapat bahwa pada pelaksanaan proses pembelajaran mahasiswa memerlukan fasilitas ruangan kelas dan laboratoriumyang lebih memadai.SimpulanKSMPD-Akademik mengukur tingkat kekerapan (frekuensi) dan tingkat pengaruhstresor yang dihadapi mahasiswa pendidikan dokter tahap akademik. Instrumenini dapat dikembangkan dengan menggali stresor lain di institusi yang berbeda.

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ABSTRACTBackgroundEducational environment in medical school is very stressful that can causepsychological problems. Many researches identified high incidence of distressamong medical students around the world. Early identification is necessary,advisably since undergraduate (academic) medical course to prepare studentsfacing the clinical situation (workplace) with higher level of stress.PurposeTo develop instrument to identify stressors for academic medical students.MethodsA mixed methods study (qualitative and quantitative) using Delphi technique toidentify stressors and cross-sectional design to develop the instrument has beenconducted among 995 academic medical students in Faculty of Medicine, IslamicUniversity of Sumatera Utara (FM IUSU). Sample of 58 on Delphi study werechosen by stratified simple random sampling and a total sampling methods oninstrument development. Data were analyzed using SPSS version 17 by reliabilitytest with Cronbach’s alpha and factor analysis with Oblimin rotation.ResultAbout 40 of 90 items obtained from Delphi study fulfill the criteria as stressorinstrument and named as Stressor Questioner for Academic Medical Student(Kuesioner Stresor Mahasiswa Pendidikan Dokter Tahap Akademik (KSMPDAkademik)).They are grouped into academic stressors (18 items), personalstressors (11 items), learning environment stressors (6 items), and socialenvironment stressors (5 items). KSMPD-Akademik reached 0.911 of Cronbachalpha. Stressors encountered by the respondents mostly associated witheducational facilities and academic problems. These stressors are wellestablished as stressor that has the most impact.DiscussionThere were 43 inadequate items removed by factor analysis because the valuefound was below 0.3 on Communalities matrix. Seven items were further removedbecause the value found was below 0.3 of item-total correlation on Item-TotalStatistics. The items selected by factor analysis and reliability test could representthe stressors faced by the academic medical student in FM IUSU. KSMPDAkademikhas good reliability. KSMPD-Akademik was developed from FM IUSUpopulation, with the possibility of having other stressor if applied to other medical school. Students in FM IUSU require more adequate classroom and laboratoryfacilities in implementing the learning process.ConclusionKSMPD-Akademik could measure the frequency and the degree of influence(impact) of potential stressors experienced by the academic medical students. Thisinstrument could be further developed by exploring other stressors in differentinstitutions."

"Summary: Stress is very much part of life in the 21st century, and has overtaken the common cold as the major reason for taking time off work. But while we cannot avoid life's pressures, we can influence the degree to which they affect us, and how we react. This book will show you how. It examines why we become stressed, how the stress response is unique to each of us and why stress, particularly when combined with fatigue, can create a vicious circle that has serious implications for our long-term health. So, what's the answer? As you'll discover, there is no single solution; instead the authors suggest a unique blend of practical solutions that include: * Uncovering your stress triggers and stress response * Learning how to reframe negative beliefs * Effective time management that includes relaxation and fun * Becoming more resilient by tuning up your stress hormones * Utilising the power of sleep and exercise * Beating the sugar and stimulant trap * Fuel-up to feel good - discover the key nutrients for energy and resilience With a section on quick fixes to feel better now, as well as guidance on putting together a long-term action plan, The Stress Cure will empower you to take back control and live a healthier, more balanced life"

"Hipertensi merupakan silent killer yang prevalensi penderitanya terus meningkat. Stres merupakan salah satu faktor risiko hipertensi yang sering dialami. Pasien hipertensi juga dapat mengalami stres akibat hipertensi yang dapat semakin memperburuk keadaan pasien hipertensi. Penelitian ini bertujuan untuk mengetahui hubungan faktor-faktor penyebab stres pada pasien hipertensi. Penelitian cross-sectional ini melibatkan 56 sampel pasien hipertensi. Hasil penelitian menunjukkan rata-rata tingkat stres responden berada pada rentang sedang 42,9 . Tingkat pendidikan, status ekonomi, pekerjaan, penyakit lain, dan program pengobatan memiliki hubungan yang bermakna dengan tingkat stres.

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Hypertension has been a silent killer for many years and rise in prevalence. As a factor of hypertension, stress could be struggled by everybody. Both hypertension and stress could affect one another. This research aimed to identify factors that affecting stress level in hypertensive patients. A cross sectional study was conducted and a total 56 people were recruited. The result shows the average stress level of hypertensive patient was in moderate range 42.9 . Educational level, economy status, job status, secondary disease, and medication program are significant factor that correlated with stress level."

"Pendahuluan: Pemilu 2019 di Indonesia merupakan pemilu pertama yang dilaksanakan serentak dan Kelompok Penyelenggara Pemungutan Suara (KPPS) harus menyelesaikan penghitungan suara di hari yang sama dengan penambahan kertas suara. Keadaan ini menyebabkan petugas KPPS meninggal dan sakit diduga akibat stres dan kelelahan akibat beban kerja yang berlebihan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan respon stres pada petugas KPPS Pemilu 2019.  Metode: Desain studi potong lintang menggunakan data sekunder dilakukan terhadap masalah yang diteliti meliputi 80 data petugas KPPS di TPS di Jakarta, Banten, dan Yogyakarta. Stresor kerja dan respons stres dinilai dengan NBJSQ bahasa Indonesia. Beberapa model regresi logistik digunakan untuk mengeksplorasi faktor-faktor yang terkait dengan respons stres.Hasil: Stresor pekerjaan yang paling dirasakan oleh petugas KPPS Pemilu 2019 dalam penelitian ini adalah kelebihan beban kerja kuantitatif (47,5). Respon stres yang paling banyak terjadi pada petugas KPPS Pemilu 2019 dalam penelitian ini adalah kelelahan (17,5%). Tidak ada hubungan antara stresor pekerjaan dan faktor individu dengan respon stres (p>0,05).Kesimpulan: Penelitian ini menunjukkan bahwa kelebihan beban kerja kuantitatif merupakan stresor kerja utama di kalangan petugas KPPS pada pemilihan umum 2019. Stresor tersebut dapat memicu kejadian serangan jantung pada individu yang memiliki predisposisi.

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Introduction: The 2019 general election in Indonesia was the first general election to be held simultaneously and election officers (KPPS) had to complete the vote count on the same day with additional ballot papers. This situation caused high mortality and morbidity among KPPS officers due to stress and fatigue caused by job overload. This study was aimed to explore the factors related stress response in 2019 election KPPS officers.

Methods: A cross-sectional study design was conducted to the issue under the study included 80 data of KPPS officers at Polling Station (TPS) in Jakarta, Banten, and Yogyakarta. Occupational stressor and stress response was assesed with NBJSQ bahasa Indonesia. Multiple logistic regression models were used to explore factors associated with stress response.

Results: The most perceived occupational stressor experienced by the 2019 General Election KPPS officers in this study were quantitative job overload (47,5%).The stress response that occurred in the 2019 General Election KPPS officers in this study was fatigue (17.5%). There was no relationship between occupational stressor and individual factors with stress response (p>0.05). The stressor can trigger the incidence of heart attacks in predisposed individuals."

"Fenomena kegiatan menggemari budaya korea terutama dari sektor industri musik yaitu K-pop marak terjadi di kalangan remaja. Pada masa remaja mereka mengalami masa transisi atau peralihan dari usia kanak-kanak menuju usia dewasa yang berisiko mengalami gangguan kesehatan mental. Usia remaja menjadi tempat proses dalam mencari jati dirinya yang mencari sosok figure yang dapat dicontohnya dan tak sedikit dari mereka memiliki sosok figure dari tokoh idola korea yang mereka gemari. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat stres, kecemasan, dan depresi di wilayah kabupaten tangerang. Penelitian deskriptif ini menggunakan metode purposive sampling dimana mengikutsertakan 108 remaja penggemar K-pop yang berdomisili di Kabupaten Tangerang. Data penelitian dikumpulkan pada bulan Juni 2024 dengan menggunakan kuesioner DASS-42 (Depression, anxiety,stress scale). Hasil penelitian yang dilakukan menunjukkan bahwa mayoritas responden mengalami stres tingkat sedang (33.33%), kecemasan tingkat sangat berat (33.33%) dan depresi tingkat normal (42.59%). Studi ini juga meneliti karakteristik responden seperti jenis kelamin, usia, pendidikan, dan ekonomi dimana mayoritas penelitian diikuti oleh remaja akhir (69.44%), paling banyak diikuti remaja yang berjenis kelamin perempuan (95.4%), responden mayoritas berasal dari perguruan tinggi (49.07%) dan mayoritas bersumber pendapatan masih ditanggung oleh orang tua (90.74%). Adanya perbedaan tingkat stres, kecemasan, dan depresi kemungkinan dipengaruhi oleh peggunaan coping strategy menggemari K-pop. Saran untuk penelitian selanjutnya dapat menganalisa lebih lanjut terkait hubungan tingkat stres, kecemasan dan depresi terhadap perilaku menggemari K-pop dengan memperhatikan keseimbangan pada karakteristik responden.

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The phenomenon of Korean culture, especially from the music industry, is that K-pop is common among teenagers. In adolescence they experience a transition or transition from childhood to adulthood at risk of mental health disorders. Adolescence is the process of finding a figure that can be portrayed and not a few of them have the figure of a Korean idol that they love. The aim of this study is to get a picture of the levels of stress, anxiety, and depression in the district. This descriptive study uses a purposive sampling method involving 108 K-pop teenagers residing in Tangerang District. Research data collected in June 2024 using the DASS-42 questionnaire (Depression, anxiety,stress scale). The study also examined the characteristics of respondents such as gender, age, education, and economics where the majority of the study was followed by late adolescents (69.44%), the most followed adolescents of the female type (95.4%), respondents were mostly from college (49.07%) and the main source of income was still borne by parents (90.74%). There are differences in the levels of stress, anxiety, and depression that are likely to be influenced by the use of coping strategies by K-pop fans. Recommendations for further research could further analyze the relationship between levels of Stress, Anxiety and Depression to K-Pop fans' behavior by considering the balance in the characteristics of respondents."

"Latihan fisik telah diketahui memberikan manfaat terhadap kesehatan. Namun demikian latihan fisik juga berpotensi memberikan dampak negatif seperti cedera dan terjadinya stres oksidatif. Latihan fisik dengan intensitas tinggi dan durasi lama dianggap sebagai salah satu faktor yang menyebabkan terjadinya stres oksidatif. Latihan longmars merupakan salah satu materi pelatihan Komando yang dilaksanakan oleh peserta pelatihan Komando pada tahap gunung hutan. Latihan longmars dilaksanakan dengan berjalan kaki selama 8 hari berturut-turut, kecepatan 5-6 km/jam, membawa beban 35 kg, melewati medan bervariasi (datar, menanjak dan menurun) dan menempuh jarak sekitar 500 km. Latihan longmars sebagai salah satu bentuk latihan fisik di lingkungan militer dengan durasi lama dan intensitas tinggi diduga dapat menyebabkan terjadinya stres oksidatif. Stres oksidatif dapat diketahui dengan pemeriksaan Malondialdehida (MDA) yang merupakan penanda stres oksidatif. Tujuan: mengetahui rerata kadar MDA dan perbedaan rerata kadar MDA peserta pelatihan Komando sebelum dan setelah melaksanakan latihan Longmars. Metode: sebanyak 30 subyek penelitian peserta pelatihan Komando dalam kelompok usia 20-30 tahun yang dipilih secara acak mengikuti penelitian ini. Subyek penelitian merupakan prajurit terlatih yang telah melaksanakan program latihan fisik selama 1-4 tahun. Pemeriksaan kadar MDA dilakukan 1 hari sebelum pelaksanaan latihan Longmars dan segera setelah selesai melaksanakan latihan Longmars. Hasil: rerata kadar MDA sebelum latihan Longmars adalah 0,729 ± 0,229 nmol/mL, rerata kadar MDA setelah latihan Longmars adalah 0,655 ± 0,183 nmol/mL. Tidak terdapat perbedaan bermakna rerata kadar MDA sebelum dan setelah latihan Longmars ( P 0,191 ). Kesimpulan: tidak terdapat perbedaan bermakna kadar MDA peserta pelatihan Komando sebelum dan setelah melaksanakan latihan Longmars. Hal ini kemungkinan disebabkan telah terjadi adaptasi latihan fisik terhadap kadar MDA yang terjadi selama latihan Longmars.

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Background: Physical exercise has been known to provide health benefits. However, physical exercise as well as the potential negative impact of injury and oxidative stress. Physical exercise with high intensity and long duration are considered as one of the factors that cause oxidative stress. Longmarch Exercise is one of the training materials Commando conducted by trainees Commando training in forest mountain stage. Longmarch exercises conducted by walking for 8 consecutive days, speed of 5-6 km / h, carrying a load of 35 kg, over varied terrain (flat, uphill and downhill) and a distance of about 500 miles. Longmarch exercise as one of procedural activity in the Commando training in a military environment with long duration and high intensity could be expected to lead to oxidative stress. Oxidative stress can be determined by examination malondialdehida (MDA) which is a marker of oxidative stress.

Purpose: To determine the mean levels of MDA and the mean differences MDA levels of Commando training participants before and after implementing Longmarch exercise.

Methods: Subjects of the study were 30 participants in Commando training 20-30 years old were randomly selected to follow become respondent of this research. The research subject is a trained soldier who had been carrying out a physical exercise program for 1-4 years. The level of MDA examination performed 1 day prior to the Longmarch exercise and immediately after completion of the Longmarch exercise.

Results: The mean of MDA levels before Longmarch exercise was 0.729 ± 0.229 nmol / mL, the mean of MDA levels after Longmarch exercise was 0.655 ± 0.183 nmol / mL. There were no significant differences in mean of MDA levels before and after Longmarch exercise (P 0.191).

Conclusion: there is no significant difference of the MDA levels of Commando training participants before and after implementing Longmarch exercise. This is probably due to the body's adaptation that occur during Longmarch exercise."

"Stres akademik merupakan stres yang banyak terjadi dikalangan mahasiswa. Trait kepribadian neuroticism merupakan salah satu penyebab stres. Penelitian ini bertujuan untuk mengetahui hubungan antara trait kepribadian neuroticism dengan tingkat stres akademik pada mahasiswa Fakultas Ilmu Keperawatan Universitas Indonesia.Penelitian menggunakan metode deskriptif-korelasional dengan pendekatan cross-sectional. Sebanyak 91 orang mahasiswa Fakultas Ilmu Keperawatan dari tahun pertama hingga tahun akhir menjadi sampel penelitian ini dengan teknik simple random sampling. Kuesioner penelitian menggunakan SLSI (Student-life Stress Inventory) dan NEO FFI (Neo Five Factor Inventory). Hasil penelitian didapatkan 44% mahasiswa mengalami stres akademik berat dan 44% mahasiswa memiliki nilai trait kepribadian neuroticism tinggi.Hasil analisis hubungan didapatkan ada hubungan signifikan antara trait kepribadian neuroticism dengan tingkat stres akademik (p=0.00; α=0.05). Menghindarkan diri dari emosi negatif serta manajemen stres yang baik sangat perlu dilakukan oleh mahasiswa agar terhindar dari nilai trait kepribadian neuroticism yang tinggi serta stres akademik berat.

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This study focused on the trait personality neuroticism dan academic stress among nursing students at Faculty of Nursing Universitas Indonesia. This study aimed to identify the correlation between trait personality neuroticism and academic stress.

Correlatives cross-sectional method is chosen as a design of research methodology involving 91 nursing students. SLSI (Student-life Stress Inventory) and NEO FFI (NEO Five Factor Inventory) used as research instrument.

The result shows 44% of students experienced severe of academic stress and 44% of students have high trait personality neuroticism and there is significant correlation between trait personality neuroticism and academis stress (p value 0.00; α 0.05). Keep the negative emotions away and have a good stress management are needed by students in order to avoid the high score of the personality trait neuroticism and severe academic stress."

"ABSTRAKLatar Belakang: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh stres oksidatif pada ketahanan hidup spermatozoa manusia melalui peningkatan ekspresi caspase 3 dan aktivasi Akt. Informasi ini berhubungan dengan infertilitas laki-laki yang menurunkan viabilitas dan parameter kinetik spermatozoa.Metode: Spermatozoa manusia diperoleh dari donor normozoospermia. Spermatozoa dimurnikan menggunakan larutan percoll. Spermatozoa dari seminal plasma dilarutkan dalam media Bigger, Whitter, dan Whittingham (BWW). Kemudian, spermatozoa diinkubasi dengan hidrogen peroksida (H2O2) 50 M, 100 M, 150 M, 200 M dan 250 M selama 2 jam. Stres oksidatif diuji dengan uji malondialdehid (MDA). Viabilitas diperiksa dengan larutan eosin Y. Parameter motilitas diukur dengan Computer Assisted Sperm Analyzer (CASA). Deteksi protein western blot akan dilakukan dengan antibodi anti-caspase-3 untuk mengenali caspase-3 dan antibodi phosphodetect yang mengenali fosforilasi Akt.Hasil: Setelah inkubasi H2O2 selama 2 jam, terdapat efek H2O2 terhadap penurunan viabilitas dan motilitas (VAP, VSL, VCL) secara signifikan. Selain itu, viabilitas dan motilitas memiliki hubungan positif dengan proses apoptosis dan ketahanan hidup spermatozoa dengan menggunakan caspase 3 (meningkat) dan fosforilasi Akt (menurun) secara signifikan.Kesimpulan: Stres oksidatif dapat menurunkan viabilitas dan kinetik spermatozoa melalui peningkatan ekspresi caspase-3 dan penurunan aktivitas Akt

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ABSTRACTBackground: The purposes of this study was to evaluate the effect of oxidative stress on survival of human spermatozoa through releasing apoptotic process, This information has correlated with idiopathic infertility that decrease viability and motility parameters spermatozoa.Methods: Human spermatozoa were obtained from normozoospermic volunteer donors. Spermatozoa was purified using discontinuous Percoll. Spermatozoa from the plasma seminal dissolved in Bigger, Written, and Whittingham (BWW) medium. Then, spermatozoa were incubated with 50 M, 100 M, 150 M, 200 M dan 250 M hydrogen peroxide (H2O2) for 2-h. Oxidative stress were assed by malondialdehyde (MDA) assay. Viability was examined by eosin Y solution. Kinectic parameters were assessed by Computer Assisted Sperm Analyzer (CASA). Detection of perotein in the western blot was examined with anti-caspase-3 antibodies to recognize caspase-3 activity and phsophodetect antibody that recognizes the phosphorylation of Akt.Results: After 2-h incubation H2O2, there was dose dependent effect of H2O2 on viability and motility parameters significantly decrease. Therefore, viability and kinetic were positive relationship on apoptotic and survival effect by using caspase-3 activation (increase) and akt (decrease) significantly.Conclusions: Oxidative stress can decreases viability and kinetic spermatozoa through increase caspse 3 and decrease Akt activation"