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DESCRIPTION OF EFFECTIVENESS OF CILOSTAZOL AND ASPIRIN AS ADJUVANT OF DIABETIC FOOT WAGNER GRADE II AND III Nurikhwan, Pandji Winata; Noor, Zairin; Al Audhah, Nelly
Berkala Kedokteran Vol 10, No 2 (2014): September 2014
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v10i12.961

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Abstract: Inflammation in patients with diabetic foot will activate platelets and cause aggregation and lead to stasis of blood flow. This inflammation is caused by infection of the diabetic foot. Management of diabetic foot infections in patients is the use of antibiotics. However, the presence of vascularization disorders causing antibiotic delivery to the site of infection to be disrupted so that the process of eradication of infection would be inhibited. One of inflamation markers on patient with diabetic foot is increasing of ESRs.The general objective of this study was to determine the efficacy difference between cilostazol and aspirin as an adjuvant to accelerate tissue healing of diabetic foot care Wagner Grade II – III based on erythrocyte sedimentation rate. This study is a descriptive study using the double-blind and randomized pretest-posttest design. A total of 14 samples is obtained by consecutive sampling. The results showed that four patients given cilostazol showed a 35% reduction in ESR and ten patients were given aspirin showed a 35% reduction in ESR. It can be concluded giving cilostazol and aspirin as adjuvant diabetic foot Wagner II and III showed a decrease in ESR. Key words: erythrocyte sedimentation rate, diabetic foot, cilostazol, aspirin. Listen 
Orthopedic Case Burden at Nunukan Hospital: Focus On Trauma Case Pandji Winata Nurikhwan; Ahmad Muhsinin; Zairin Noor
Berkala Kedokteran Vol 15, No 1 (2019)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (331.565 KB) | DOI: 10.20527/jbk.v15i1.6087

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Abstract: Incidence of orthopedic case is quite high in Nunukan Hospital, most of them need both non-operative and surgical intervention due to congenital, debridement, fracture, rupture of tendon and blood vessel, even amputation. Until now, data orthopedic case profile especially trauma case in Nunukan Hospital is not available. Also, the urgency of having an orthopedic surgeon is unbearable which unavailable in Nunukan, this made the management can’t be done comprehensively and as soon as possible. The aim of this research was to describe the incidence of orthopedic case at Nunukan hospital as basic data for further research. This Retrospective Study was conducted at Nunukan Hospital, North Kalimantan – Indonesia. The data is collected by using logbook and medical records during January 2016 - April 2017. Total of 231 cases were obtained. Male patients accounted for 73.6% (170 patients) and Female was 26.4% (61). The age ranged from 1 day to 82 years old. There are 8-21 cases happened per month (average: 14 cases). Based on case category, trauma occurred for 88.7%% (205). Five top diagnoses are; Close Fracture happened for 44.6% (103 cases), followed by Open Fracture 17.7% (41 cases), Lacerated wound 11.3% (26 cases), Traumatic Amputation 7.4% (17 cases) and CTEV 7.4% (17 cases). Most pathology within the period located in Foot for 29.9% (69). The multiple fracture, vascular, and soft tissue injury were observed. Orthopedic fractures were the most common injuries among patients with 88.7% in Nunukan Hospital from January 2016 to April 2017. There are 14 cases happened for each month with most of the patient were adult. Most of injuries happened at foot region.Abstract: Incidence of orthopedic case is quite high in Nunukan Hospital, most of them need both non-operative and surgical intervention due to congenital, debridement, fracture, rupture of tendon and blood vessel, even amputation. Until now, data orthopedic case profile especially trauma case in Nunukan Hospital is not available. Also, the urgency of having an orthopedic surgeon is unbearable which unavailable in Nunukan, this made the management can’t be done comprehensively and as soon as possible. The aim of this research was to describe the incidence of orthopedic case at Nunukan hospital as basic data for further research. This Retrospective Study was conducted at Nunukan Hospital, North Kalimantan – Indonesia. The data is collected by using logbook and medical records during January 2016 - April 2017. Total of 231 cases were obtained. Male patients accounted for 73.6% (170 patients) and Female was 26.4% (61). The age ranged from 1 day to 82 years old. There are 8-21 cases happened per month (average: 14 cases). Based on case category, trauma occurred for 88.7%% (205). Five top diagnoses are; Close Fracture happened for 44.6% (103 cases), followed by Open Fracture 17.7% (41 cases), Lacerated wound 11.3% (26 cases), Traumatic Amputation 7.4% (17 cases) and CTEV 7.4% (17 cases). Most pathology within the period located in Foot for 29.9% (69). The multiple fracture, vascular, and soft tissue injury were observed. Orthopedic fractures were the most common injuries among patients with 88.7% in Nunukan Hospital from January 2016 to April 2017. There are 14 cases happened for each month with most of the patient were adult. Most of injuries happened at foot region.
DESCRIPTION OF EFFECTIVENESS OF CILOSTAZOL AND ASPIRIN AS ADJUVANT OF DIABETIC FOOT WAGNER GRADE II AND III Pandji Winata Nurikhwan; Zairin Noor; Nelly Al Audhah
Berkala Kedokteran Vol 10, No 2 (2014)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.685 KB) | DOI: 10.20527/jbk.v10i12.961

Abstract

Abstract: Inflammation in patients with diabetic foot will activate platelets and cause aggregation and lead to stasis of blood flow. This inflammation is caused by infection of the diabetic foot. Management of diabetic foot infections in patients is the use of antibiotics. However, the presence of vascularization disorders causing antibiotic delivery to the site of infection to be disrupted so that the process of eradication of infection would be inhibited. One of inflamation markers on patient with diabetic foot is increasing of ESRs.The general objective of this study was to determine the efficacy difference between cilostazol and aspirin as an adjuvant to accelerate tissue healing of diabetic foot care Wagner Grade II – III based on erythrocyte sedimentation rate. This study is a descriptive study using the double-blind and randomized pretest-posttest design. A total of 14 samples is obtained by consecutive sampling. The results showed that four patients given cilostazol showed a 35% reduction in ESR and ten patients were given aspirin showed a 35% reduction in ESR. It can be concluded giving cilostazol and aspirin as adjuvant diabetic foot Wagner II and III showed a decrease in ESR. Key words: erythrocyte sedimentation rate, diabetic foot, cilostazol, aspirin. Listen 
PERSONAL HYGIENE DENGAN METODE SPY KEPADA ORANG TUA SISWA SLB-C NEGERI PEMBINA DI LANDASAN ULIN BARAT Pandji Winata Nurikhwan; Hadrianti Lasari; Mohammad Bakhriansyah
SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan Vol 5, No 1 (2021): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v5i1.5503

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ABSTRAKPenyandang disabilitas dengan berbagai hambatan yang mereka miliki dapat mengalami berbagai hambatan dapat menghalangi partisipasi mereka secara penuh dan efektif di dalam masyarakat. SLB-C Negeri Pembina Kalimantan Selatan merupakan salah satu wadah untuk membantu anak-anak tunagrahita dalam proses meningkatkan kemampuan intelegensi mereka. Karena minimnya pengetahuan tentang personal hygiene pada murid penyandang disabilitas, SLB-C Negeri Pembina Kalimantan Selatan menjadi fokus untuk mengadakan kegiatan edukasi tidak hanya untuk anak murid SLB-C Pembina Kalimantan Selatan tetapi juga orang tua serta staff terkait. Pelaksanaan kegiatan ini diimplementasikan dengan perpaduan secara luring dan daring menggunakan metode SPY (seminar, practice, apply) yang terdiri dari pendekatan (bonding) dengan pihak mitra, kemudian dilanjutkan dengan acara puncak dalam satu hari dengan agenda pre-test, seminar Personal hygiene Fun-Edu, post-test, peragaan dan praktik, serta penutupan. Kegiatan terakhir yaitu melakukan monitoring terhadap progress mitra yaitu orang tua dari anak-anak tunagrahita dalam mengaplikasikan personal hygiene. Kata kunci: tunagrahita; personal hygiene; cuci tangan ABSTRACTPersons with disabilities with various barriers that they have can experience various obstacles that can prevent their full and effective participation in society. SLB-C Negeri Pembina South Kalimantan is a forum to help mentally retarded children in the process of improving their intelligence abilities. Due to the lack of knowledge about personal hygiene for students with disabilities, SLB-C Negeri Pembina South Kalimantan became the focus to hold educational activities not only for SLB-C Pembina South Kalimantan students but also parents and related staff. The implementation of this activity is implemented by combining offline and online using the SPY method (seminar, practice, apply) which consists of an approach (bonding) with partners, then followed by a peak event in one day with a pre-test agenda, a seminar on Personal hygiene Fun- Edu, post-test, demonstration and practice, and closing. The last activity is monitoring the progress of partners, namely parents of mentally retarded children in applying personal hygiene. Keywords: mental retardation; personal hygiene; hand washing. 
Analysis of Genetic Variations And Specific Locus of Banjar Hulu Tribe Through Short Tandem Repeat (STR) Locus Combine Dna Index System (Codis) in Nuclear DNA Iwan Aflanie1.2. Roselina Panghiyangan2 , Pandji Winata Nurikhwan3 , Ahmad Yudianto4 , Toetik Koesba
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 1 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i1.13577

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Based on the 2010 Indonesian Population Census, there are 1,300 ethnic categories with various sub-tribaldetails. Ethnic diversity is important in terms of identification, such as natural disasters, accidents, crime,and the discovery of unidentified corpses that may come from various tribes. Forensic Medicine viewsgenetic diversity and variation as one of the challenges in identification. Genetic variation and kinship inBanjar Hulu tribe have never been done.The aim of the study are identify and analyze the genetic variationof Banjar Hulu tribe through nucleus DNA examination of short tandem repeat (STR) Loci combined DNAindex system (CODIS). This study is a descriptive observational study that aims to explain the geneticvariation of Banjar Hulu tribe. The design of this study is cross-sectional. This study was conducted in twostages, the first stages is to obtain information on family tree from the study subjects conducted by interview.Then the second stage is to draw blood from the study subjects’ criteria. Blood is drawn from peripheralvein. Then, there will be DNA examination and analysis of genetic variation. Result of the study show THO1allele 9.3 locus, D3S1358 allele 12 locus, and D16S539 allele 12 locus, D8S1179 allele 12 locus are typicalmarker for Banjar Hulu tribe. Banjar Hulu tribe have specific loci and alleles.
Literature Review: Kualitas Hidup Pasien Carpal Tunnel Syndrome Ica Pratiwi; Pagan Pambudi; Pandji Winata Nurikhwan; Muhammad Welly Dafif; Mohammad Bakhriansyah
Homeostasis Vol 5, No 1 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (337.71 KB)

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Abstract: Carpal tunnel syndrome (CTS) is the most common type of peripheral mononeuropathy. CTS can interfere with a person's quality of life both physically and mentally and result in patients experiencing disturbances in their quality of life. The purpose of writing this literature review is to determine the quality of life of patients with Carpal Tunnel Syndrome. The reference data in this article review was obtained by searching using PubMed, Science Direct, and Google Scholar published from 2011 to 2021. After the search and article selection process, 10 articles were found that were included in this literature review. Of all the articles, there is one article which shows that Carpal Tunnel Syndrome does not affect the quality of life. While nine other articles show that Carpal Tunnel Syndrome can affect quality of life. Hand pain and dysfunction result in limited activity so this is related to bodily, psychological and social functions. The symptoms experienced by CTS patients cause increased anxiety, depression, limited daily activities, decreased effectiveness at work, and decreased sleep quality, causing patients to experience disturbances in their quality of life. Keywords : Carpal Tunnel Syndrome, quality of life, physical and mental health Abstrak: Carpal Tunnel Syndrome (CTS) merupakan jenis mononeuropati pererifer yang paling umum ditemui. CTS dapat mengganggu kualitas hidup seseorang baik secara fisik maupun mental dan mengakibatkan pasien mengalami gangguan dalam kualitas hidup mereka. Tujuan penulisan literature review ini adalah untuk mengetahui kualitas hidup pasien Carpal Tunnel Syndrome. Data acuan dalam kajian artikel ini didapatkan dengan penelusuran menggunakan PubMed, Science Direct, dan Google Scholar yang dipublikasikan pada tahun 2011 hingga tahun 2021. Setelah proses pencarian dan seleksi artikel, didapatkan 10 artikel yang disertakan pada literature review ini. Dari seluruh artikel, terdapat satu artikel yang menunjukkan bahwa Carpal Tunnel Syndrome tidak mempengaruhi kualitas hidup. Sedangkan sembilan artikel lainnya menunjukkan bahwa Carpal Tunnel Syndrome dapat mempengaruhi kualitas hidup. Nyeri dan disfungsi tangan mengakibatkan aktivitas terbatas segingga hal ini berkaitan dengan fungsi tubuh, psikologis dan sosial. Gejala-gejala yang dirasakan pada pasien CTS menyebabkan meningkatnya kecemasan, depresi, terbatasnya mengerjakan kegiatan sehari-hari, penurunan efektivitas dalam bekerja, dan penurunan kualitas tidur sehingga menyebabkan pasien mengalami gangguan dalam kualitas hidup mereka. Kata-kata kunci: Carpal Tunnel Syndrome, kualitas hidup, kesehatan fisik dan mental
Literature Review: Pengaruh Pemberian Mecobalamin terhadap Perbaikan Klinis Pasien dengan Neuropati Perifer Dyah Septy Tri Christanty; Pagan Pambudi; Pandji Winata Nurikhwan; Muhammad Welly Dafif; Mohammad Bakhriansyah
Homeostasis Vol 5, No 2 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.883 KB)

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Abstract: Peripheral neuropathy is a disorder of peripheral nerve function. It could be classified into 3 namely, mononeuropathy, mononeuropathy multiplex, and polyneuropathy. Mecobalamin is an active analog of vitamin B12 used in the treatment of peripheral neuropathy. It is used as an analgesic and increases nerve conduction provide neuronal protection by promoting the regeneration and maintenance of nerve cell function. This literature review was made to determine whether the administration of mecobalamin could provide clinical improvement in peripheral neuropathy patients. The data used was obtained by searching articles on PubMed, Science Direct, and Google Scholar. The articles used were articles with the year of publication from 2011-2021. A total of 6 articles would be reviewed after the search and selection were processed. The 6 existing articles showed that mecobalamin had an influence on the clinical improvement of peripheral neuropathy caused by entrapment, diabetes, heredity, and inflammation. The clinical improvement was a decrease in pain scores, decreased range of motion, grip strength, and reduced weakness in the distribution of affected nerves. Keywords: vitamin B12, mecobalamin, peripheral neuropathy Abstrak: Neuropati perifer merupakan suatu kondisi gangguan pada fungsi saraf perifer. Neuropati perifer dapat dibagi menjadi 3 jenis yaitu, mononeuropati, mononeuropati multipleks dan polineuropati. Mecobalamin merupakan bentuk analog aktif vitamin B12 yang digunakan pada terapi neuropati perifer. Mecobalamin dapat digunakan sebagai analgetik, untuk meningkatkan konduksi saraf serta menjadi proteksi neuronal dengan mendorong regenerasi dan pemeliharaan fungsi sel saraf. Literature review ini dibuat untuk mengetahui apakah pemberian mecobalamin dapat memberikan perbaikan klinis pada pasien neuropati perifer. Data yang digunakan dalam kajian ini didapatkan dengan melakukan penelurusan artikel di PubMed, Science Direct, dan Google Scholar. Artikel yang digunakan adalah artikel dengan tahun publikasi dari 2011-2021. Sebanyak 6 artikel akan dikaji setelah proses pencarian dan seleksi. Dari 6 artikel yang ada, semuanya menunjukan bahwa mecobalamin memiliki pengaruh dalam perbaikan klinis neuropati perifer yang disebabkan oleh entrapment, diabetik, herediter dan peradangan. Perbaikan klinis tersebut diantaranya adalah penurunan skor nyeri, penurunan keterbatasan gerak, kekuatan menggenggam, dan mengurangi rasa kelemahan pada bagian yang terdistribusi oleh saraf yang terganggu. Kata-kata kunci: vitamin B12, mecobalamin, neuropati perifer
COMMUNITY DEVELOPMENT SCORA CIMSA ULM SEBAGAI PROGRAM EDUKASI PENDIDIKAN SEKS DI SMPN 27 SUNGAI JINGAH, KECAMATAN BANJARMASIN UTARA, KOTA BANJARMASIN Putri Ananda Rusliani; Medina Hanifah; Pandji Winata Nurikhwan
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 6, No 4 (2022): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v6i4.11696

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ABSTRAKPada saat memasuki masa remaja, seseorang mengalami periode yang disebut periode pubertas. Hal ini mengharuskan seseorang remaja untuk mengenal pendidikan seksual dan seputar kesehatan sistem reproduksi. Oleh karena itu, diadakanlah project community development “PROTECT: Kenali dan Jaga dari Sekarang”, oleh SCORA Center for Indonesian Medical Student Activities Fakultas Kedokteran Universitas Lambung Mangkurat (CIMSA FK ULM) dengan metode penyuluhan. Peserta kegiatan penyuluhan ini adalah pengurus OSIS SMPN 27 Banjarmasin yang berjumlah sebanyak dua puluh satu orang. Pendidikan seks adalah upaya penyampaian informasi dan meningkatkan kesadaran tentang masalah seksual yang dikemas dengan menghilangkan kesan vulgar dan pornografi. Informasi yang diberikan di antaranya seputar aspek seksualitas, yaitu pengetahuan tentang fungsi organ reproduksi, perilaku seksual dan risiko kehamilan, penyakit-penyakit terkait, serta organ tubuh mana yang boleh disentuh dengan membentuk moral, etika, dan komitmen. Dengan diadakannya kegiatan ini, diharapkan lebih banyak remaja yang mendapatkan pengetahuan dan pendidikan seksual yang tepat serta dapat lebih sadar dan peduli dalam menjaga kesehatan reproduksi mereka. Kata kunci: remaja; pendidikan seksual ABSTRACTAt the time of entering adolescence, a person experiences a period called the puberty period. This requires a teenager to be familiar with sexual education and about the health of the reproductive system. Therefore, the community development project “PROTECT: Recognize and Take Care of it Now” was held by the SCORA Center for Indonesian Medical Student Activities, Faculty of Medicine, University of Lambung Mangkurat (CIMSA FK ULM) with the extension method. The participants of this counseling activity were the OSIS administrators of SMPN 27 Banjarmasin, totaling twenty-one people. Sex education is an effort to share information and raise awareness about sexual problems that are conveyed by eliminating the impression of vulgarity and pornography. The information provided includes aspects of sexuality, namely knowledge about the function of reproductive organs, sexual behavior and the risk of pregnancy, related diseases, and which organs are allowed to be touched by forming morals, ethics, and commitments. by instilling morals, ethics, and commitment. By holding this activity, it is hoped that more teenagers will get the right knowledge and sexual education and can be more aware and concerned about maintaining their reproductive health. Keywords: teenager; sex education
LITERATURE REVIEW: PENGARUH PEMBERIAN VITAMIN B TERHADAP PERBAIKAN KLINIS PASIEN DENGAN CARPAL TUNNEL SYNDROME Adeliana Hardinawati; Pagan Pambudi; Pandji Winata Nurikhwan; Muhammad Welly Dafif; Mohammad Bakhriansyah
Homeostasis Vol 5, No 3 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar

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Carpal tunnel syndrome (CTS) is an entrapment neuropathy with symptoms such as hand pain, paresthesias in the fingers innervated by the median nerve, weakness, and thenar muscle atrophy. The purpose of this literature review is to analyze the effectiveness of vitamin B administration on clinical improvement in CTS patients. Data were obtained by searching using Google Scholar, PubMed, and Science Direct published from 2011 to 2021. After the article selection process, 7 articles were included in this literature review, of which there were two articles showing that vitamin B6 can improve clinical symptoms of patients with CTS, one article showed that methylcobalamin had an effect on clinical improvement of CTS with and without DM, and 4 articles showed that the combination of vitamins B1, B6, and B12 was effective in reducing the VAS and TSS of subjects with CTS. Vitamin B6, methylcobalamin, and a combination of vitamins B1, B6, and B12 are effective as conservative therapy in improving clinical symptoms in patients with mild to moderate CTS
HUBUNGAN TINGKAT KECEMASAN TERHADAP IPK MAHASISWA PSKPS FK ULM Dewi Saptarina; Pandji Winata Nurikhwan; Didik Dwi Santoyo; Mohammad Bakhriansyah; Sherly Limantara
Homeostasis Vol 6, No 1 (2023)
Publisher : Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/ht.v6i1.8800

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Kecemasan merupakan hal yang bisa terjadi karena adanya suatu respon terhadap berbagai kondisi. Kecemasan dapat terjadi akibat seseorang merasakan stres atau konflik sehingga terjadi perubahan keadaan dalam diri seseorang dan seseorang tersebut dituntut untuk dapat melakukan adaptasi, terutama perubahan-perubahan yang terjadi akibat pandemi virus Covid-19 yang dirasakan oleh seluruh masyarakat saat ini. Ketika menjalani pendidikan di kedokteran, banyak sekali tuntutan untuk memperoleh prestasi akademik yang baik agar dapat menjadi calon dokter yang bermutu tinggi. Mahasiswa pendidikan kedokteran diketahui memiliki tingkat penyebab stres yang cukup tinggi, sehingga stresor tersebut juga dapat mengakibatkan terjadinya kecemasan pada mahasiswa kedokteran. Penelitian ini merupakan studi cross-sectional. Metode penarikan sampel pada penelitian ini adalah total sampling. Pengumpulan data tingkat kecemasan dilakukan dengan menggunakan kuesioner Beck Anxiety Inventory (BAI) dan data IPK mahasiswa. Uji hipotesis yang digunakan adalah uji Spearman’s dengan nilai signifikansi p<0,05. Sampel penelitian yang didapatkan berjumlah 153 orang. Hasil penelitian didapatkan mahasiswa yang mengalami tingkat kecemasan rendah sebanyak 18%, tingkat kecemasan menengah 34% dan tingkat kecemasan tinggi 48%. Mahasiswa dengan nilai IPK<2,75 sebanyak 19 orang (12,4%) dan mahasiswa dengan IPK≥2,75 sebanyak 134 orang (87,6%). Berdasarkan uji Spearman’s didapatkan r value=-0,176. Kesimpulan penelitian ini adalah terdapat hubungan yang sangat lemah antara tingkat kecemasan dan IPK mahasiswa PSKPS FK ULM.