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Standarisasi Pasien dan Ruang Simulasi Meningkatkan Kepuasan Mahasiswa Kedokteran Universitas Mataram dalam Pelaksanaan Keterampilan Medik Kardiovaskuler Syamsun, Arfi; Ansyori, Maz Isa
Jurnal Kedokteran Vol 1 No 1 (2012)
Publisher : Faculty of Medicine Universitas Mataram

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Abstract

Introduction: Cardiovascular diseases have high morbidity and mortality rates. Skills in administering diagnosis and treatment of the diseases is part of general physician competencies according to the Indonesian Doctors Competency Standards. The teaching of cardiovascular lab skills at the Medical Faculty of the University of Mataram has not optimally prepared standardized simulation rooms and patients. As a result, this complicates students’ clinical understanding in handling cardiovasdcular events at the hospitals and clinics with different facilities. The effectiveness of the standardization is measured from results of skill lab exams and students’ satisfaction scores. Objectives: To identify the difference in the satisfaction and skills lab scores of cardiovascular physical exam and electrocardiography (ECG) installation among students of simulation room and patient standardization groups as compared to non-standardization groups. Method: This cross sectional study involved 20 students of 5th semester of the Faculty of Medicine, Mataram University. Samples were taken randomly based on prior stratified lab skills scores. They comprised 2 treatment groups and 2 control groups as follows: group 1, simulation room and patient standardization for cardiovascular physical exam; group 2, simulation room and patient standardization for ECG examination; group 3, simulation room and patient non-standardization for cardiovascular physical exam; group 4, simulation room and patient non-standardization for ECG examination. The students then attended a Master Course, lab skills demonstration, and independent practices for 2 weeks. Satisfaction scores are measured by means of a questionnaire whose contents were validly tested, while lab skills exam scores are measured using a standard checklist issued by the Medical Faculty. Unpaired t-test is used to identify the differences in the students’ satisfaction scores and skill lab scores among the 2 groups. Study Findings: There are significant differences in the mean of students’ satisfaction scores in terms of simulation patients, lab skills room, and instructors for cardiovascular physical exam and ECG exam between the standardization and non-standardization groups. There was no significant difference in the mean of scores on communicative and eticomedicolegal competence, clinical skills competence and clinical reasoning competence on cardiovascular physical exam and ECG exam between standardization and nonstandardization groups. Conclusion: Standardization of simulation patients and rooms for cardiovascular physical exam and ECG exam significantly increases students’ satisfaction scores but does not significantly increases students’ lab skills scores. Keywords: standardization, simulation patients, simulation room, satisfaction scores, lab skills scores.
Incidence of Cefixime Resistance in Patients with Chronic Kidney Disease at Harapan Keluarga Hospital Theresia, Yulia Dian; Ansyori, Maz Isa; Maulana, Akhada; Wedayani , Anak Agung Ayu Niti
Jurnal Biologi Tropis Vol. 25 No. 2 (2025): April-Juni
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i2.8801

Abstract

Antibiotic resistance is an increasing global health challenge, especially in patients with advanced chronic kidney disease (CKD). This study aims to investigate cefixime resistance in patients with stage 4-5 CKD at Harapan Keluarga Hospital with a retrospective cohort design using medical record data. Chi-squared test analysis showed a significant association between cefixime resistance and advanced CKD (χ² = 34.714, p = 0.003). The results showed a higher prevalence of cefixime resistance in male patients (60%), antibiotic use of more than 14 days (65%), and hospitalization of more than five days (80%). The mechanism of resistance involves beta-lactamase production and changes in the gut microbiota due to dysbiosis. Factors such as irrational antibiotic use, length of hospital stay, and catheter use contributed to higher resistance. This study highlights the need for evidence-based antibiotic stewardship strategies to reduce resistance, especially in vulnerable populations such as patients with advanced CKD. Scientific implications include the development of more effective infection management strategies, close monitoring of antibiotic use, dose adjustment according to CKD severity, and education of health care workers to increase awareness of antibiotic resistance. This study contributes to efforts to prevent antibiotic resistance in the advanced CKD population.
The Study of Effectiveness of Chitosan from Pearl Oyster (Pinctada maxima) Shell as Antibacterial in Bone Scaffold Application Alaydrus, Mukaddam; Purnaning, Dyah; Ansyori, Maz Isa; Septiani, Nonik; Alawiyah, Geby; Rahayu, Susi; Taufik, Ahmad
Jurnal Biologi Tropis Vol. 25 No. 1 (2025): Januari - Maret
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i1.8135

Abstract

Chitosan is a functional material with potential for bone scaffolds due to its antibacterial properties, biocompatibility, biodegradability, low toxicity, and ability to support tissue regeneration and prevent infections in graft implantation.This study aims to identify changes in functional groups in each isolation process and identify the effect of chitosan concentration  on the activity of Straphylococcus aureus and Escherichia coli bacteria. Chitosan isolation methods are demineralization, deproteination, decolorization, and deacetylation by microwave irradiation. Analysis of chitosan functional groups using FTIR, while antibacterial activity test using diffusion method. Isolation of chitosan from pearl oyster shells (Pinctada maxima sp.) obtained a degree of deacetylation of chitosan of 95.37%. Pearl oyster shell powder identified typical peaks of calcium carbonate (CaCO₃). The demineralized powder sample had calcium carbonate (CO₃²⁻) peaks that disappeared. Furthermore, the deproteinated powder sample produced peaks with amide groups (C=O dan N-H) of reduced protein. Decolorized powder samples did not show drastic changes in the bands of the deproteinated powder spectra, but the spectra could show cleaner and clearer peaks without any interference from pigments. The last, deacetylated powder sample showed a decrease in peak intensity in the 1650 cm⁻¹ (C=O amide). The analysis of the ability of chitosan to inhibit the growth of E. Coli and S. Aureus bacteria was effective at a minimum chitosan concentration of 20%. In comparison, antibacterial activity in S. aureus is better than in E. coli. Chitosan from this shell can serve as an antibacterial, but its manufacturing techniques need optimization for better efficacy.