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All Journal Jurnal Ilmu Kedokteran dan Kesehatan COVID-19 : Journal of Health, Medical Records and Pharmacy
Pratama, Muhammad Arief
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Biochemistry, Genetics & Molecular Biology Chemistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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The Relationship Between Red Cell Distribution Width (RDW) Value and Mortality Rate in Neonatorum Sepsis at Murni Teguh Methodist General Hospital Sussana Wesley Pratama, Muhammad Arief
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 2 No. 01 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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Abstract

Neonatal sepsis remains the leading cause of morbidity and mortality in neonates. Accurate identification of prognostic factors is essential to improve management and clinical outcomes. This study aims to analyze the relationship between Red Cell Distribution Width (RDW) values and other clinical and laboratory parameters and mortality rates in neonatal sepsis. This cross-sectional study involved 98 neonates with a diagnosis of sepsis at Purely Teguh Methodist Sussana Wesley General Hospital from July to December 2023. Demographic, clinical, and laboratory data are collected and analyzed. The statistical tests used included chi-square, independent t-test, and Mann-Whitney U, with a p<0.05 value considered significant. Of the 98 neonates, 35 (35.71%) died. Septic shock was significantly more common in the group that died (85.71% vs 12.70%, p<0.001). Higher RDW values correlated with increased mortality (17.10% ± 1.72 vs 15.40% ± 1.28, p<0.001). Thrombocytopenia (173.00 ± 152.00 vs 242.50 ± 126.00 x 10³/μl, p=0.048), increased IT ratio (median 0.42 vs 0.28, p=0.018), and higher procalcitonin levels (median 3.25 vs 0.68 ng/ml, p=0.007) were also associated with an increased risk of mortality. Septic shock, increased RDW values, thrombocytopenia, increased IT ratio, and high procalcitonin levels are significant predictors of mortality in neonatal sepsis. The combination of these parameters can improve accuracy in risk stratification and guide more effective clinical management.
Comparing The Effectiveness Of Mind Mapping And Linear Note-Taking On Block Exam Performance Of Medical Students; A Quasi-Experimental Study Rahmi, Cut Rizka; Pratama, Muhammad Arief; Ilzana, Teuku Muhammad
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 8 (2025): Volume 12 Nomor 8
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i8.21243

Abstract

Modern medical education demands students master a vast amount of information within a relatively short period. Effective note-taking strategies play a crucial role in the learning process and information retention. Two commonly used note-taking methods are linear notes and mind mapping. While mind mapping is claimed to enhance understanding and memory through visualization and association, its comparative effectiveness with linear notes on block exam performance among medical students still requires further exploration with strong empirical evidence. This study aims to compare the effectiveness of using mind mapping and linear note-taking on the block exam performance of medical students. This study employs a quasi-experimental design with a pre-test and post-test approach on two non-randomized groups. Participants were second-semester medical students at Universitas Imelda Medan undergoing a respiratory system block. The intervention group was trained and instructed to use mind mapping during self-study, while the control group used linear note-taking as usual. Block exam performance data were collected and statistically analyzed using comparative tests such as independent t-tests or ANOVA to control for initial confounding variables. The study found that the group utilizing mind mapping had statistically significantly higher block exam scores compared to the group using linear notes (p<0.05). Further analysis revealed improved information retention and conceptual understanding in the mind mapping group. The use of mind mapping note-taking proved more effective in improving the block exam performance of medical students compared to linear notes. These findings indicate the potential of mind mapping as a recommended learning strategy in the medical education curriculum.
Co-Authors Ilzana, Teuku Muhammad Rahmi, Cut Rizka