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All Journal Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Narra J Journal of Medical Science; Jurnal Ilmu Medis Rumah Sakit Umum Daerah dr. Zainoel Abidin, Banda Aceh
Taufik Suryadi, Taufik
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Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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PENENTUAN SEBAB KEMATIAN DALAM VISUM ET REPERTUM PADA KASUS KARDIOVASKULER Suryadi, Taufik
AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh Averrous, Vol. 5: No. 1 (Mei, 2019)
Publisher : Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.994 KB) | DOI: 10.29103/averrous.v5i1.1629

Abstract

Penyakit kardiovaskuler merupakan penyakit yang paling banyak menyebabkan kematian mendadak. Dari sudut pandang patologi forensik sangat penting ditentukan penyebab kematian apakah kematian wajar atau tidak wajar sehingga dilakukan pemeriksaan forensik guna penerbitan visum et repertum. Pada beberapa kesimpulan visum et repertum disebutkan bahwa dengan hanya pemeriksaan luar postmortem maka penyebab kematian mendadak kardiovaskuler tidak dapat ditentukan karena tidak dilakukan pemeriksaan dalam (autopsi). Penyebab kematian berdasarkan pemeriksaan luar postmortem pada kasus kematian mendadak kardiovaskuler dapat ditentukan dengan langkah-langkah yang harus dilakukan untuk kondisi tersebut dengan mengumpulkan data-data personal dasar, kesaksian, wawancara dengan keluarga, riwayat medik, riwayat pengobatan dan hal-hal yang berhubungan dengan kematian serta melihat tanda-tanda klinis spesifik setelah kematian. Penentuan sebab kematian dengan pemeriksaan luar postmortem ini disebut sebab kematian klinis dengan mengenali kondisi klinis sebelum pasien meninggal dunia. Apabila dilakukan autopsi baik klinis maupun forensik maka dapat dikatakan sebagai sebab kematian epidemiologis dan jika ditambahkan pemeriksaan penunjang berupa pemeriksaan histologi, patologi, toksikologi, biokimia dan biomolekuler maka disebut sebab kematian kausalitas. Dari sudut pembuktian medikolegal masing-masing sebab kematian mempunyai kasta yang berbeda yang tentu saja pemeriksaan lengkap mulai dari pemeriksaan luar postmortem, autopsi dan pemeriksaan penunjang berada pada kasta tertinggi.
Oxygen saturation profile in traumatic brain injury animal model after propofol administration Kulsum, Kulsum; Syahrul, Syahrul; Hasbalah, Kartini; Balqis, Ummu; Suryadi, Taufik
Narra J Vol. 3 No. 2 (2023): August 2023
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v3i2.189

Abstract

Traumatic brain injury (TBI) is a traumatic that often leads to death due to untreatable cerebral hypoxia, indicated by oxygen saturation of <90%. Cerebral hypoxia is rarely monitored and thereby often overlooked as a cause of mortality and monitoring oxygen saturation is an accurate method to detect the condition. Propofol, an anesthetic agent, is commonly used in the management of TBI; however, its effect on brain tissue and cerebral hypoxia in TBI cases is not well understood. The aim of this study was to evaluate the profile of oxygen saturation in TBI animal model after propofol administration. A laboratory experimental study was conducted, involving 18 male Rattus novergicus rats (aged 4–8 weeks with weight between 150–200 grams) divided into three different treatment groups (non-TBI, TBI without propofol, and TBI with propofol). Oxygen saturation was measured regularly from day 1 to day 8 using pulse oximetry. The oxygen saturation percentages were compared between the TBI rats with and without propofol administration using independent Student t-rest. The results revealed significant reductions of oxygen saturation levels of animals within propofol-treated TBI group compared to that of the untreated-TBI group (p<0.05), with the average oxygen saturation ranging from 80.8%±6.96% vs 86.8%±5.48%. This finding suggests a reducing effect of propofol administration on oxygen saturation levels in rats with TBI and this potentially causes cerebral hypoxia.
STUDENT EXPERIENCE IN CREATING SIMULATION VIDEOS OF EXPERT WITNESS TESTIMONY IN COURT: FROM THE THEORY TO PRACTICE Suryadi, Taufik; Mulya, Intan Chaharunia; Kulsum, Kulsum
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 1 (2023): Maret
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.72816

Abstract

Background: This study aims to explore the experience of clinical students studying at the Department of Forensic medicine in creating simulation videos of expert witness testimony in court.Methods: This one-center study used a qualitative story telling design. Twenty clinical students volunteered to simulate expert witness testimony in court by taking 59 recorded scenes as teaching materials for preclinical medical students. The room was set resembling to a courtroom following the instruction of scriptwriter and director by lecturer. Students were distributed into several playing characters such as judges, prosecutors, lawyers, defendant and doctors, while others served as assistant directors, cameramen, narrator, scene takers, artistic directors, equipment stylists, and editors. The scenario is outlined in detailed scenes to guide the students in performing the characters. After completing the simulation, each student reflected on their experience during the creation of simulation video. The results of these reflections are then compiled into a learning concept adjusting to narrative medicine.Result: Students claimed that they obtained new experiences during the learning process. The experience allowed students to learn in more interesting way by transforming theory into practice. Students also agreed on proposing this learning channel as a breakthrough in learning process. Creating simulation video plays a significant role in the audiovisual learning process which supported students comprehending the process of giving an expert witness testimony.Conclusion: Transforming education into video simulation is recommended as a game changer in a learning process. Most medical students are likely to absorb the knowledge better when it is applied into video simulation.
CONTENT VALIDITY FOR THE RESEARCH INSTRUMENT REGARDING TEACHING METHODS OF THE BASIC PRINCIPLES OF BIOETHICS Suryadi, Taufik; Alfiya, Fadilah; Yusuf, Muhammad; Indah, Rosaria; Hidayat, Taufik; Kulsum, Kulsum
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 2 (2023): Juni
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.77062

Abstract

Background: Bioethics teaching especially related to the basic principles of bioethics can be done by several methods. Currently in the Faculty of Medicine, Universitas Syiah Kuala applying conventional lecture methods, so that other methods are needed to make teaching more interesting. To get the teaching method that students want, a research is carried out through filling out questionnaires. In order for the research questionnaire to be valid, it is necessary to validate the instrument through the content validity of the questionnaire.Methods: The content validity of the questionnaire is carried out by determining the score of each statement item and calculating the Item Content Validity Index (I-CVI), Scale Content Validity Index-Average (S-CVI/Ave), Scale Content Validity Index-Universal agreement (S-CVI/UA), Content Validity Ratio (CVR), Content Validity Index (CVI) and Cohen Kappa Index (CKI) was conducted by 10 assessors from 10 different institutions.Result: The results of the validation of the contents of the questionnaire from the 29 statement items tested obtained that 96% the CVR was ≥ 0.800, 96% I-CVI was ≥ 0.900, CVI was 0.903, S-CVI/UA was 0.551, S-CVI/Ave was 0.952 (recommendation 0.90), average proportion of items judges as relevances across the ten experts 0.949 and CKI was 95,17%.Conclusions: The content validity of this research instrument is very high seen from the CVR, I-CVI, the average value of agreement between assessors (S-CVI/Ave), and the average value of the proportion of statement item relevance (S-CVI/UA) so that it can be developed in various similar studies that discuss the teaching methods of basic principles of bioethics.
AN OVERVIEW OF THE INTERESTS AND PERCEPTIONS OF EARLY-STAGE RESIDENT DOCTORS TOWARDS ETHICS AND MEDICO-LEGAL TEACHING METHODS IN A FACULTY OF MEDICINE Kulsum, Kulsum; Suryadi, Taufik
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 12, No 4 (2023): Desember
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.80580

Abstract

Background: Ethics and medico-legal (EM) teaching must be carried out in a fun way so that resident doctors can more easily understand the material being taught. Conventional lecture methods are considered monotonous, so efforts are needed to find the best method that is most in demand by early-stage resident doctors so that learning objectives are achieved optimally. This study aims to describe the interests and perceptions of early-stage resident doctors toward EM teaching methods at the Faculty of Medicine, Universitas Syiah Kuala.Methods: This was an interventional study with a cross-sectional design conducted among early state resident doctors (n=54) with a self-administered online questionnaire. The participants of this study were early-stage resident doctors who had passed the EM courses. The participants were collected using the total sampling method. The participants were tested for seven teaching methods for seven EM materials. After all teaching methods were carried out, participants were asked to fill out a questionnaire.Results: A total of 54 participants were involved in this study. All resident doctors have a high interest and positive perception of all EM teaching methods. The respondent chose the film/video clipping method as the most interesting, followed by CBL, role play, MCD, jigsaw technique, conventional lecture, and narrative writing. The resident doctor's perception of the CBL teaching method was considered the most positive, followed by the film/video clip method, moral case deliberation, role play, jigsaw technique, conventional lecture, and finally narrative writing.Conclusion: The CBL method is most in demand by resident doctors because it directly discusses cases in educational settings, but the resident doctor considers the film/video clipping method to be the most enjoyable. The most favorite teaching method is expected to produce a better understanding of the material than others.
Pengetahuan, Sikap, Kesadaran dan Harapan Pegawai Terhadap Eksistensi Komite Etik dan Hukum di RSUD Dr.Zainoel Abidin Banda Aceh Suryadi, Taufik; Nurul A’la; Kulsum
Journal of Medical Science Vol 2 No 2 (2021): Journal of Medical Science
Publisher : LITBANG RSUDZA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (397.738 KB) | DOI: 10.55572/jms.v2i2.43

Abstract

The main purpose of hospital services is to provide quality, professional and acceptable services to the community. One of the efforts to achieve quality and professional health services in hospitals is to comply with the rules listed in the Hospital Code of Ethics. Hospital Ethics and Legal Committee (HELC) can be an effective means of seeking mutual understanding between the various parties involved such as doctors, nurses, other health workers, patients, patients' families and the community regarding various ethical, legal, and medical issues in hospitals. The success of the health care system depends on health workers who are equipped with good knowledge, positive attitudes, and full awareness of the existence of HELC. So that research is needed that can be input for improving the performance of HELC in the future. The priority problem that will be resolved is the improvement of the HELC service system by gathering information from selected employees who are willing to become respondents. The type of this research is observational analytic with cross sectional approach. This study aims to obtain information about the level of knowledge, attitudes, awareness and expectations of the employees of Zainoel Abidin Hospital (ZAH) Banda Aceh on the existence of the HELC. This research was conducted for 4 months, starting from May to October 2021 at ZAH starting from the preparation of proposals to seminars on research results. This study involved all employees of ZAH who were selected proportionally for each profession and type of work with 280 participants. A total of 273 people (97.5%) have very good/good knowledge related to HELC. A very positive attitude towards HELC performance was shown by 245 respondents (87.5%). A total of 118 respondents have a high awareness of the existence of HELC (42.1%), while respondents' opinions about the importance of the existence of HELC obtained 263 respondents stated that it is very important/important (93.9%). From the results of the Chi square statistical test, it was found that there was a significant relationship between knowledge and the existence of HELC with p value = 0.000, attitude and existence of HELC with p value = 0.000, but there was no relationship between awareness and existence of HELC with p value = 0.352. The conclusion in this study was that the employees of ZAH had very good knowledge, a very positive attitude, but were not aware of the existence of the HELC of ZAH. The expectations expressed by the respondents concentrated to the socialization of HELC activities, improving performance, increasing active roles in hospital services and being able to work in accordance with standard operating procedures.
Co-Authors Alfiya, Fadilah Hasbalah, Kartini Kulsum Kulsum Kulsum, Kulsum Muhammad Yusuf Mulya, Intan Chaharunia Nurul A’la Rosaria Indah Syahrul Syahrul Taufik Hidayat Ummu Balqis