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Kinerja Akseleran dalam Rotasi Klinik: suatu Kajian terhadap Pencapaian Kompetensi Klinik Mahasiswa Kedokteran Wardhani, Sri Linuwih Susetyo; Kekalih, Aria; Dwiprahasto, Iwan; Emilia, Ova; Prabandari, Yayi Suryo; Kumara, Amitya
Jurnal Psikologi Vol 41, No 1 (2014)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Sebagian kecil mahasiswa fakultas kedokteran adalah mahasiswa dengan riwayat pernah mengikuti program akselerasi ditingkat pendidikan dasar dan menengah, dan kelompok ini disebut sebagai akseleran. Akseleran merupakan siswa berbakat dan memiliki inteligensi serta kemampuan akademik yang tinggi, namun, akseleran umumnya imatur baik sosial, emosional maupun fisik. Dengan demikian dapat diprediksi akan mengalami penurunan kompetensi ketika berada pada tahap rotasi klinik. Tujuan penelitian ini adalah untuk melakukan evaluasi kinerja akseleran dalam pencapaian kompetensi di rotasi klinik. Penelitian ini menggunakan rancangan penelitian campuran, dengan pendekatan kualitatif lebih dominan. Responden penelitian ialah mahasiswa fakultas kedokteran di semester tujuh dan delapan dengan riwayat pernah mengikuti program akselerasi. Hasil penelitian ini mendapatkan bahwa kemampuan dasar akseleran berada pada skala baik dan baik sekali; sikap kerja cukup hingga baik, sedangkan kepribadian pada komponen stabilitas emosi serta daya tahan stres berada pada skala kurang hingga cukup. Nilai median kompetensi klinik akseleran sedikit lebih tinggi dibandingkan non-akseleran, tetapi secara satistik perbedaannya tidak bermakna. Kesimpulan penelitian adalah, kinerja akseleran dalam rotasi klinik cukup baik, namun akseleran menghadapi masalah non-akademik terutama aspek kepribadian yang dapat memengaruhi nilai akademik. Perlu pertimbangan seleksi calon mahasiswa kedokteran terhadap akseleran dengan menggunakan pemeriksaan psikologik untuk menilai kematangan kepribadian. Kata kunci: akseleran, kompetensi klinik, seleksi calon mahasiswa

Tingkat Kesesuaian Gambaran Klinik dan Histopatologik Serta Positivitas CD4 dan CD8 pada Spektrum Penyakit Kusta Menurut Klasifikasi Ridley-Jopling . Lenti Perangin Angin*, Sri Linuwih Menaldi**, Santoso Cornain*, Mpu Kanoko
Majalah Patologi Indonesia Vol 20 No 2 (2011): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Indonesia (IAPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (488.067 KB)

ABSTRAK Latar Belakang Kusta adalah suatu penyakit kronik yang disebabkan oleh Mycobacterium leprae. Manifestasi penyakit kusta bergantung kepada respon imun seluler seseorang. Ridley-Jopling membuat klasifikasi menjadi Tuberculoid leprosy (TT), Borderline tuberculoid (BT), Mid-borderline (BB), Borderline lepromatous (BL), Lepromatous leprosy (LL) berdasarkan gambaran klinik, histopatologik, bakteriologik dan imunologik. Pada umumnya Pusat Kesehatan Masyarakat di Indonesia belum memiliki fasilitas pemeriksaan histopatologik dan imunologik, sehingga diagnosis kusta hanya ditegakkan berdasarkan jumlah lesi dan jumlah kuman. Tujuan penelitian ini adalah untuk mengetahui tingkat kesesuaian antara gambaran klinik dan histopatologik penyakit kusta dan melihat gambaran respon imun penderita melalui pemeriksaan CD4+ dan CD8+ pada limfosit sel T, serta korelasi antara indeks bakteriologik pada masing-masing tipe kusta. Bahan dan Cara Penelitian potong lintang terhadap 159 kasus kusta baru tanpa reaksi tahun 2007-2009 di Departemen Ilmu Kesehatan Kulit dan Kelamin RSUPN Dr. Cipto Mangunkusumo. Secara sistematic sampling dilakukan pemeriksaan Hematoksilin-Eosin, Fite Faraco dan immunohistokimia CD4 dan CD8 pada 30 kasus masing-masing mewakili tipe kusta. Hasil Dari 159 kasus kusta baru tanpa reaksi terdiri atas 88 laki-laki dan 71 perempuan, dengan kelompok umur paling banyak pada rentang 16-30 tahun. Tingkat kesesuaian diagnosis kusta secara klinik dan histopatologik adalah 52.2%, dengan ketidaksesuaian mayor ditemukan 22% dan ketidaksesuaian minor 25.8%. Tidak terdapat hubungan yang bermakna antara positivitas CD4 dan CD8 dengan tipe kusta sedangkan Indeks Bakteriologik memiliki hubungan yang bermakna dengan spektrum tipe kusta. Kesimpulan Tingkat kesesuaian penegakan diagnostik secara klinik dan histopatologik adalah 52.2%. Terdapat korelasi dengan kekuatan sedang pada hubungan diagnosis klinik dan indeks bakteriologik sedangkan pada diagnosis histopatologik terdapat korelasi kuat dengan indeks bakteriologik. Kata Kunci : Mycobacterium leprae, kusta, indeks bakteriologik, diagnosis klinik, diagnosis histopatologik, klasifikasi Ridley-Jopling, CD4+, CD8+. ABSTRACT Background Leprosy (Hansenâ€™s Disease) is a chronic infectious disease caused by Mycobacterium leprae. The varied manifestations of the disease might depend on the immune status of the host. Ridley-Jopling classified cases based on clinical, histopathological, bacteriological and immunologicalfeatures as TT (tuberculoid leprosy), BT (borderlinetuberculoid), BB (mid-borderline), BL (borderline lepromatous), LL (lepromatousleprosy). Because many centres of health in this country lack the fascility to perform laboratory diagnostic, so clinical diagnostic based on WHO (World Health Organization) classification Paucibacillary and Multibacillary dichotomy may be sufficient. The purpose of this study is to analyze the concordance level between clinical and histopathological diagnosis and correlation of the immunological respons represented by the expression of CD4+ and CD8+T lymphocyte among the spectrum of leprosy. Material and methods A cross sectional study was performed in 159 new leprosy patients with no reaction phase in the National General Central Hospital, Jakarta during 2007-2009 and the archival slides were reviewed. They were stained with Hematoxylin dan Eosin and modified Fite- Faraco staining for identification of Mycobacterium leprae. Immune status of the patients was determined by immunohistochemistry staining with expression of CD4+ and CD8+ T cell lymphocyte. Results 159 new cases of leprosy with no reaction phase consisted of 88 males and 71 females. Discrepancy between clinical and histopathological diagnosis was seen in 47.8% of cases. Major discrepanciescomprised 22%, and minor discrepancies 25.8%. There was no statistically significant relationship between positivity of CD4+ (p>0.05) and CD8+ (p>0.05) with respect to leprosy spectrum.There was statistically significant relationship between Bacteriological Index (BI) and spectrum of leprosy (p

BLENDED LEARNING AS A METHOD FOR IMPROVING STUDENTS’ ACHIEVEMENT IN DERMATOTHERAPY: A PRELIMINARY STUDY Sri Linuwih Menaldi; Hanny Nilasari; Githa Rahmayunita; Siti Farida; Nanda L. Prasetya
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 9, No 3 (2020): November
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.55485

Background: Dermatotherapy is an important topic in Dermatology and Venereology module. The time allocated for dermatotherapy topic is limited, so that the development of learning method is needed to achieve the learning objectives. Blended learning is a combination of e-learning and face to face lecture session. This method is often used when there is less time available for lecturing and limited number of teachers. This learning method is expected to be more effective and efficient for the students and also the teachers. This study was conducted to examine the effectiveness of blended learning method used in dermatotherapy topic, and to identify the obstacle of using this method. Methods: This study is a cross sectional study, using quantitative and qualitative approach, involving 22 fifth-year medical students of Faculty of Medicine Universitas Indonesia who enrolled in dermatology and venereology module. We collected data from questionnaire, pre and post-test, and feedback from the students. Comparison of pre-test and post-test results were analysed using paired T test, and followed by bivariate test of students’ characteristic, gadget usage and e-learning activities associated with the increased post-test score.Results: An increased in post-test score was found to be statistically significant (p<0.05). Approximately 95,4% of students passed the final exam on the dermatotherapy subject. Bivariate analysis revealed that the number of gadgets owned, digital usage and e- learning activities did not have a significant effect on the post-test score. Based on the students’ feedback, blended learning had a positive impact on helping their learning process; however, the materials of e-learning must be interactive, informative and comprehensive. Face-to-face lecture is still an important component in learning hence it is irreplaceable. Conclusion: Blended learning is an effective method of learning and should be considered if there is limitation of lecture time and number of teachers available. By using this method, medical students are more flexible in their study and it can be adjusted to their own learning style hence heling them understand better. Further development and improvement are needed for this method as to achieve the learning objectives. Keywords: blended learning, dermatotherapy, medical students

Peningkatan Pelayanan Jasa dengan Menggunakan Metode Servqual dan Metode Quality Function Deployment (Studi Kasus di Larissa Skin Care and Hair Treatment, Surakarta) Roni Zakaria R; Fakhrina Fahma; Sugesti Sri Linuwih
Performa: Media Ilmiah Teknik Industri Vol 6, No 2 (2007): PERFORMA Vol. 6, No. 2 September 2007
Publisher : Industrial Engineering Study Program, Faculty of Engineering, Universitas Sebelas Maret

Larissa Skin Care & Hair Treatment is one of service industry serving treatment of skin and hair which have the concept of ”Back to Nature”. by the using number of the same service industry in Surakarta and the awareness of costumers toward how important the quality is beauty clinique in Surakarta have to stunggle order to be able to give service in accordance with costumers needs and desines. To solve these challenges, research was done to observe ang to know what is exactly desires and needs of costumers in beauty clinique Larissa Surakarta. It used Servqual method is used to calculate the discrepancy between costumers preception and their hope. Quality Function Deployment is used as mean to evaluate quality of service given to costumers by arranging programs though house of quality. By combining those two methods of Quality Function Deployment method and Servqual method, hopefully it would improve performance better. The research resulted 3 variables which have positive gap so it could be said thet it had fulfilled the level of costumers desire. While the variables that couldn’t the fulfilled yet were focused on variables which have negative gap. Based on the house of quality, 5 variables werw choosed in priority scale to improve the quality of service, they are houlding towards costumers given by kapters, beautician, and doctors. beauty equipment used, recovery or the result of using Larissa treatment, how Larissa solve the probles or complains from costumers, and friendliness of staffs and doctors toward costumers.

Exploration of the implementation of direct observation of procedural skill as an instrument for evaluation of clinical skills in dental professional education: Eksplorasi implementasi direct observation of procedural skill sebagai instrumen evaluasi keterampilan klinis pendidikan profesi kedokteran gigi. Natalia Putri Handayani; Sri Linuwih Menaldi; Estivana Felaza
Makassar Dental Journal Vol. 11 No. 1 (2022): Volume 11 Issue 1 April 2022
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v11i1.507

Clinical phase of medical education includes understanding theory, mastery of skills and affective learning. The learning pro-cess were evaluated using a workplace-based assessment (WBA) approach. Direct observation of procedural skill (DOPS) was one of the WBA assessment methods. This research used qualitative methods with a phenomenological approach. The study po-pulation were clinical supervision lecturers and students of the clinical phase. The research method began with the pre-research stage; training for lecturers on how to implement DOPS, followed by the research stage; document study, observation, and focus group discussion (FGD). The results of the study found three major themes, namely concepts, ways of implementing, and obs-tacles to implementing DOPS. According to the teaching staff and students at FKG UK Maranatha, DOPS was an assessment of student procedural skills by direct observation of each stage of the procedural work. The teaching staff's perceptions about DOPS affected the way lecturers provide feedback to participants. As conclusion, full observation is needed to generate useful feedback for students. The effectiveness of DOPS is influenced by the availability of patients, the presence of examiners, and the availability of sufficient time to run DOPS.

Profil Dehabilitasi Pasien Kusta di Rumah Sakit Kusta Alverno Singkawang: Studi Pendahuluan Sri Linuwih Susetyo Wardhani Menaldi; Valensia Vivian The; Inosensia Diajeng Kusumo; Melani Marissa
eJournal Kedokteran Indonesia Vol 9, No. 1 - April 2021
Publisher : Faculty of Medicine Universitas Indonesia

Abstrak Kusta dapat menyebabkan disabilitas permanen yang memengaruhi fisik dan psikis pasien. Stigmadiri dan stigma sosial menyebabkan pasien mengalami dehabilitasi yang dapat menurunkan kualitashidup penyandangnya. Penelitian ini merupakan studi pendahuluan yang bertujuan untuk mendapatkanprofil dehabilitasi pasien kusta termasuk orang yang pernah mengalami kusta (OYPMK). Penelitian inimenggunakan metode potong lintang untuk menilai profil dehabilitasi pasien kusta dan OYPMK menggunakanskala dehabilitasi Anandaraj di RS Kusta Alverno Singkawang, bulan Juli 2019. Delapan puluh delapan subjekdiikutkan dalam penelitian ini. Analisis data dilakukan menggunakan uji Mann Whitney untuk menilai hubungantipe kusta dan derajat dehabilitasi, serta uji Kruskal Wallis untuk melihat hubungan antara reaksi kusta danderajat disabilitas terhadap skala dehabilitasi. Analisis dilakukan menggunakan perangkat lunak SPSS formac. Subjek terbanyak adalah laki-laki, usia produktif, bekerja sebagai petani, berpenghasilan kurang dari 1,5juta per bulan, tidak bersekolah, sudah menikah, etnis Tionghoa, tinggal di dalam rumah yang padat, memilikikeluarga serumah yang menderita kusta, terdiagnosis kusta tipe multibasiler, pernah mengalami reaksi dantelah menyelesaikan pengobatan. Dari penelitian ini didapatkan bahwa tipe kusta dan disabilitas derajat noldan dua berhubungan dengan skala dehabilitasi Anandaraj (p<0.05). Stigma terhadap kusta hingga kinimerupakan masalah yang belum dapat diatasi. Stigma dan disabilitas akibat kusta berperan penting terhadapkejadian dehabilitasi yang menyebabkan penurunan kualitas hidup pasien kusta dan OYPMK. Kata kunci: Anandaraj, dehabilitasi, kusta, Singkawang. Dehabilitation Profile of Leprosy Patients in Alverno Singkawang Hospital: a Preliminary Study Abstract Leprosy causes permanent disability that affects both physical and psychological aspect of the patient.Self-stigma and social stigma cause dehabilitation; therefore, reducing the quality of life of the patients. Thisresearch is a preliminary study to assess the dehabilitation profile of leprosy patients, including people whohave had leprosy (OYPMK). A cross-sectional method was used to assess the dehabilitation scale of leprosypatients in Alverno Leprosy Hospital, Singkawang, using the Anandaraj dehabilitation scale. Eighty-eightsubjects were included in the analysis. Mann-Whitney test was done to analyze the association betweentype of leprosy and dehabilitation scale, and Kruskal Wallis test was done to analyze the association betweenleprosy reaction and grade of disability with dehabilitation scale. Most subjects are male, productive age,farmers, less than 1.5 million wages per month, uneducated, married, Chinese ethnicity, living in a crowdedhouse, had a family with leprosy, diagnosed with multibacillary leprosy, had an episode of leprosy reaction danreleased from treatment. Type of leprosy and WHO disability grade 0 and 2 are related to the dehabilitationscale. Leprosy stigmatization is still a worrisome problem. Together with the disability, stigmatization affectsthe dehabilitation scale of leprosy patients leading to reduced quality of life. Keywords: Anandaraj, dehabilitation, leprosy, Singkawang.

Kinerja Akseleran dalam Rotasi Klinik: suatu Kajian terhadap Pencapaian Kompetensi Klinik Mahasiswa Kedokteran Sri Linuwih Susetyo Wardhani; Aria Kekalih; Iwan Dwiprahasto; Ova Emilia; Yayi Suryo Prabandari; Amitya Kumara
Jurnal Psikologi Vol 41, No 1 (2014)
Publisher : Faculty of Psychology, Universitas Gadjah Mada

Sebagian kecil mahasiswa fakultas kedokteran adalah mahasiswa dengan riwayat pernah mengikuti program akselerasi ditingkat pendidikan dasar dan menengah, dan kelompok ini disebut sebagai akseleran. Akseleran merupakan siswa berbakat dan memiliki inteligensi serta kemampuan akademik yang tinggi, namun, akseleran umumnya imatur baik sosial, emosional maupun fisik. Dengan demikian dapat diprediksi akan mengalami penurunan kompetensi ketika berada pada tahap rotasi klinik. Tujuan penelitian ini adalah untuk melakukan evaluasi kinerja akseleran dalam pencapaian kompetensi di rotasi klinik. Penelitian ini menggunakan rancangan penelitian campuran, dengan pendekatan kualitatif lebih dominan. Responden penelitian ialah mahasiswa fakultas kedokteran di semester tujuh dan delapan dengan riwayat pernah mengikuti program akselerasi. Hasil penelitian ini mendapatkan bahwa kemampuan dasar akseleran berada pada skala baik dan baik sekali; sikap kerja cukup hingga baik, sedangkan kepribadian pada komponen stabilitas emosi serta daya tahan stres berada pada skala kurang hingga cukup. Nilai median kompetensi klinik akseleran sedikit lebih tinggi dibandingkan non-akseleran, tetapi secara satistik perbedaannya tidak bermakna. Kesimpulan penelitian adalah, kinerja akseleran dalam rotasi klinik cukup baik, namun akseleran menghadapi masalah non-akademik terutama aspek kepribadian yang dapat memengaruhi nilai akademik. Perlu pertimbangan seleksi calon mahasiswa kedokteran terhadap akseleran dengan menggunakan pemeriksaan psikologik untuk menilai kematangan kepribadian. Kata kunci: akseleran, kompetensi klinik, seleksi calon mahasiswa

Stigma and Prosthetic Rehabillitation Chalange for Leprosy Survivor in Pandemic Situation Melinda Harini; Steven Setiono; Luh Karunia Wahyuni; Sri Linuwih Menaldi; Satyanaya Widyaningrum; Edbert Wreksoatmojo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v11i02.258

Indonesia ranks third in terms of countries with the highest number of leprosy in the world. This fact hasn't changed since 20 years ago. This shows the magnitude of leprosy management problems, both at the world level and national level. These problems range from the problem of finding new cases, continuity of the provision of various drug regimens, and control of the spread. In addition to problems related to the detection and handling of new cases, there are also problems in leprosy survivors. Survivors generally have disabilities due to the disease. The disability can continue to be aggravated over time, even though leprosy itself has healed long since. These disabilities vary from numbness, paralysis, shortened and claw-like fingers on the hands and feet, wounds resulting in amputations of the nose, ears, fingers and limbs. Such problems require a complete and continues management. Meanwhile, the management of leprosy, both in patients and survivors, has challenges both in terms of medical, policy, financing, and culture. Not to mention the challenges related to low socialistism, not many Indonesians know the problem of leprosy, especially knowing the magnitude of the problem. Pandemic conditions make things worse. This case report will explain the journey of leprosy survivor who has been amputated and has rehabilitation related to the maintenance and replacement of leg prosthetic in pandemic situation. It will describe the stigma, medical, and socioeconomic challenges that he has to go through. This case report is expected to be an inspiration in improving public, academics, policy makers, and stakeholder awareness, related to leprosy handling problems in Indonesia, both problems for patient and survivors. Thus, it is ultimately expected to reduce the level of disability, promote equal rights for people with disabilities, and support the realization of leprosy elimination nationally and internationally.

Stigma and Prosthetic Rehabillitation Chalange for Leprosy Survivor in Pandemic Situation Melinda Harini; Steven Setiono; Luh Karunia Wahyuni; Sri Linuwih Menaldi; Satyanaya Widyaningrum; Edbert Wreksoatmojo
Indonesian Journal of Physical Medicine & Rehabilitation Vol 11 No 02 (2022): Indonesian Journal Of Physical Medicine and Rehabilitation
Publisher : Indonesian Journal of Physical Medicine & Rehabilitation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36803/ijpmr.v11i02.258

Indonesia ranks third in terms of countries with the highest number of leprosy in the world. This fact hasn't changed since 20 years ago. This shows the magnitude of leprosy management problems, both at the world level and national level. These problems range from the problem of finding new cases, continuity of the provision of various drug regimens, and control of the spread. In addition to problems related to the detection and handling of new cases, there are also problems in leprosy survivors. Survivors generally have disabilities due to the disease. The disability can continue to be aggravated over time, even though leprosy itself has healed long since. These disabilities vary from numbness, paralysis, shortened and claw-like fingers on the hands and feet, wounds resulting in amputations of the nose, ears, fingers and limbs. Such problems require a complete and continues management. Meanwhile, the management of leprosy, both in patients and survivors, has challenges both in terms of medical, policy, financing, and culture. Not to mention the challenges related to low socialistism, not many Indonesians know the problem of leprosy, especially knowing the magnitude of the problem. Pandemic conditions make things worse. This case report will explain the journey of leprosy survivor who has been amputated and has rehabilitation related to the maintenance and replacement of leg prosthetic in pandemic situation. It will describe the stigma, medical, and socioeconomic challenges that he has to go through. This case report is expected to be an inspiration in improving public, academics, policy makers, and stakeholder awareness, related to leprosy handling problems in Indonesia, both problems for patient and survivors. Thus, it is ultimately expected to reduce the level of disability, promote equal rights for people with disabilities, and support the realization of leprosy elimination nationally and internationally.

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