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Medical education in clerkship: From here and out Prananjaya, Bintang Arroyantri; Syulthoni, Zain Budi; Maritska, Ziske; Nudhar, Lathifah; Aini, Syarifah; Suryani, Puji Rizki; Ikhsan, Diyaz Syauki
Qanun Medika - Jurnal Kedokteran FK UMSurabaya Vol 8 No 02 (2024): Qanun Medika Vol 08 No 02 2024
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jqm.v8i02.21094

Abstract

The COVID-19 pandemic has changed many things in the medical education system. This change requires adaptation and modification from education providers, teachers, and students. A virtual learning system has been implemented instead of a face-to-face learning system. However, this makes several challenges and issues that must be considered. Virtual learning is considered less attractive and interactive and not effective in teaching clinical skills. For student clerks, the reduced time to undergo education in the hospital leads to fewer case exposures. Another problem is the facilities and infrastructure. Several ways to solve this problem have been implemented while minimizing risk and taking strict precautions. Some institutions modify and innovate to maximize the effectiveness of learning activities. In addition to technical and effectiveness issues, changes in the education system also have an impact on the mental health of medical students, therefore it is important for institutions to be sensitive to changes and risks to students' mental health during the pandemic.
Panic Disorder with Agoraphobia in Post-Trauma Epilepsy Patient: a Case Report Fitriani, Fatimah; Ami Putra, Gumilar Fardhani; Syulthoni, Zain Budi
Journal of Medicine and Health Technology Vol. 1 No. 1 (2024)
Publisher : Direktorat Riset dan Pengabdian Kepada Masyarakat, Institut Teknologi Sepuluh Nopember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12962/j30466865.v1i1.1116

Abstract

Epilepsy is a significant health problem in society. Epilepsy prominently affects a person's quality of life, including social and psychological aspects, with the community’s negative attitude and stigmatization also contributing to the decline of quality of life. Psychiatric comorbidities such as anxiety and mood disorders are found to be the most common comorbidities in epilepsy. We reported a 31-year-old male with anxiety, palpitations, headache, and nausea. These complaints were often felt by the patient in a crowded place and his wife did not accompany him. These complaints have been felt by the patient since his father died in 2014. He also had a history of seizures after an accident in 2008, although the seizures had been decreased to 3 to 4 times a month. The patient always worried that the seizure would recur. Examinations showed severe anxiety and moderate depression. EEG showed functional disturbances with epileptogenic potential. CT scan showed gliosis and temporal bone defect. The patient was diagnosed with post-trauma epilepsy and agoraphobia. The patient was treated with antiseizure, sleeping pills, antidepressants, cognitive behavioral therapy, psychotherapy, relaxation therapy, and family psychoeducation. 1 week after treatment, the headache was significantly reduced, and the patient reported sleeping better. This report showed the importance of assessing and treating psychiatric comorbidities in patients with epilepsy to improve their quality of life.
Determinants of Smoking Behaviour Among Indonesian Elementary School Students: A Cross-Sectional Study Hidayah, Rizka Nurul; Jason, Jason; Sakina, Sakina; Syulthoni, Zain Budi; Syafira Eljatin, Dwinka
Jurnal Locus Penelitian dan Pengabdian Vol. 4 No. 11 (2025): JURNAL LOCUS: Penelitian dan Pengabdian
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/locus.v4i11.4897

Abstract

Indonesia faces a critical public health challenge with one of the highest smoking rates globally, including among elementary school children. Understanding the determinants of this early smoking behavior is essential for developing effective prevention strategies. This study, Determinants of Smoking Behaviour Among Indonesian Elementary School Students: A Cross-Sectional Study, aimed to identify the factors associated with smoking behavior among elementary school students in Bojonegoro Regency, Indonesia. A cross-sectional study was conducted using secondary data from a Ministry of Health survey. The sample consisted of 1,071 students from grades 4–6 across 20 elementary schools, selected via total population sampling. Data were analyzed using Chi-square tests to examine associations between smoking status and variables such as gender, grade level, knowledge, and environmental exposure. The prevalence of ever having smoked was 8.7%, exclusively among boys. Significant risk factors (p < 0.01) included being male, higher grade level, having smoking family members, having peers who smoke, and witnessing people smoke at school—notably, teachers and community members. Surprisingly, children who knew the dangers of smoking had a higher smoking prevalence. Smoking behavior in elementary students is strongly influenced by environmental exposure and gender. Prevention requires a multi-faceted approach, including strict smoke-free policies in schools, targeted anti-smoking education for boys, and community-wide interventions to reduce children's exposure to smoking role models.