Claim Missing Document
Check
Articles

Found 3 Documents
Search

Hubungan Koping dengan Prestasi Akademik pada Mahasiswa Perantau Fakultas Kedokteran Universitas Andalas Wijaya, Harwin; Yanis, Amel; Yanni, Mefri; Murni, Arina Widya; Fasrini, Ulya Uti; Abdiana, Abdiana
Jurnal Ilmu Kesehatan Indonesia Vol. 5 No. 4 (2024): Desember 2024
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v5i4.1206

Abstract

Latar Belakang: Koping merupakan suatu upaya kognitif atau perilaku untuk menghadapi tuntutan dari luar maupun dari dalam diri. Mahasiswa perantau sebagai individu yang pergi ke daerah lain dan dituntut untuk mampu menyesuaikan diri pada lingkungan baru, bila upaya penyesuaian tidak berjalan dengan baik dapat memunculkan stres atau bahkan beban mental yang dapat berdampak pada kemampuan mencapai prestasi akademik yang optimal. Dibutuhkan suatu mekanisme untuk menghadapi masalah tersebut, salah satunya adalah koping. Objektif: Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kemampuan koping dengan prestasi akademik pada mahasiswa perantau Program Studi Kedokteran Fakultas Kedokteran Universitas Andalas angkatan 2019. Metode: Penelitian ini merupakan penelitian analitik dengan pendekatan cross sectional yang menggunakan total sampling dengan didapatkan jumlah sampel sebanyak 96 orang yang merupakan mahasiswa perantau Program Studi Kedokteran Fakultas Kedokteran Universitas Andalas. Pengumpulan data responden diperoleh dari kuesioner dan data dianalisis menggunakan uji Fisher’s Exact Test. Hasil: Hasil analisis univariat menunjukkan mayoritas responden memiliki kemampuan koping adaptif (93,8%) dan minoritas responden memiliki kemampuan koping maladaptive. Kategori cukup memuaskan, memuaskan, dan sangat memuaskan (53,1%) merupakan kategori indeks prestasi yang terbanyak diperoleh responden dan minoritas responden memiliki kategori dengan pujian (46,9%). Kesimpulan: Tidak terdapat hubungan yang signifikan antara kemampuan koping dengan prestasi akademik (p=1).
Perbedaan Fungsi Sistolik Ventrikel Kanan antara Hipertensi Arteri Pulmonal dan Hipertensi Vena Pulmonal Rayhansyah, Vito; Yanni, Mefri; Irramah, Miftah; Hamdani, Rita; Revilla, Gusti; Linosefa, Linosefa
Jurnal Biomedika dan Kesehatan Vol 8 No 1 (2025)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2025.v8.14-25

Abstract

Background Pulmonary arterial hypertension (PAH) and pulmonary venous hypertension (PVH) are both associated with increased right ventricular (RV) afterload, potentially leading to RV systolic dysfunction. Despite its prognostic value in predicting right heart failure (RHF), echocardiographic evaluation of RV function remains underutilized in the routine assessment of patients with PAH and PVH. Methods This study aims to evaluate differences in RV systolic function between PAH and PVH patients. A total of 116 patients (58 PAH and 58 PVH) were selected through consecutive sampling from medical records at RSUP Dr. M. Djamil Padang. Echocardiographic parameters were analyzed using appropriate statistical tests based on data distribution and type, including Chi-square, Fisher’s exact, and Mann-Whitney U tests. Results Significant differences were observed between PAH and PVH groups in terms of tricuspid regurgitation (TR) severity (p = 0.003), tricuspid annular plane systolic excursion (TAPSE) (p = 0.013), and tissue Doppler-derived systolic velocity of the tricuspid annulus (S′) (p = 0.001). No significant differences were found in ejection fraction (EF), systolic pulmonary artery pressure (sPAP), mean pulmonary artery pressure (mPAP), or TR velocity (TR Vmax). Overall, RV systolic function differed significantly between the PAH and PVH groups (p = 0.006). Conclusions The findings demonstrate a statistically significant difference in RV systolic function between patients with PAH and PVH. These results underscore the need for more comprehensive and routine echocardiographic evaluation of RV function in these populations to enhance risk stratification and management.
Comparison of right ventricular global longitudinal strain between pacemaker lead position in patients with permanent pacemaker Fakhri, Muhamad; Rasyid, Hauda El; Yanni, Mefri; Machmud, Rizanda
Jurnal Kardiologi Indonesia Vol 46 No 2 (2025): April - June, 2025
Publisher : The Indonesian Heart Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30701/ijc.1592

Abstract

Background: The implantation of a permanent pacemaker (PPM) can reduce right ventricular function. Echocardiography using speckle tracking can detect a decreasing in right ventricular function earlier. The value of right ventricular global longitudinal strain (RVGLS) based on the location of the pacemaker lead between the apex and non-apex was currently unknown, although the placement of the correct pacemaker lead location was very important for evaluating right ventricular dysfunction to prevent right heart failure. This study aims to determined the comparison of RVGLS between pacemaker lead position in patients with permanent pacemaker. Methods: This study was a nested case-control study to assess the comparison of RVGLS between pacemaker lead position in patients with permanent pacemaker, who were divided into the right ventricular apex group (RVA) and the non-right ventricular apex group (NRVA). This study used data from the pacemaker registry and medical records of patients who had undergone pacemaker implantation since June 2021. The shapiro-wilk normality test was performed before analyzing all numerical data, followed by an independent t-test or Mann-Whitney test to determine the differences between groups. Results: In this study, there were 38 patients with permanent pacemakers, consisting of 18 samples with RVA group and 20 samples with NRVA group. In this study, no significant differences were found in age, sex, diagnosis, comorbidities, therapy, pacemaker mode, baseline QRS duration, pacing burden, puncture site, and initial echocardiography between of two groups. There was a significant difference in paced QRS duration between the RVA and RVNA groups (160 + 20 ms vs 140 + 28 ms, p=0.024). Based on statistical analysis, there was a significant difference in the value of RVGLS in the RVA group compared to the RVNA group (-14.87+4.48% vs -18.40+3.21%, p=0.015). Conclusion: The position of the apex right ventricular lead resulted in a lower value of RVGLS compared to the position of the non-apex right ventricular lead.