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All Journal Medula JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia
Vira Kamalia Niswah
Universitas Lampung
Education Health Professions Medicine & Pharmacology Neuroscience Public Health

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Analisis Kadar Ureum Pra-Hemodialisis dan Mortalitas pada Pasien Penyakit Ginjal Kronis Stadium 5 di RSUD Dr. H. Abdul Moeloek Bandar Lampung Vira Kamalia Niswah; Ade Yonata; Ramadhana Komala; Iswandi Darwis
JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol 12 No 3 (2026): JIMKI: Jurnal Ilmiah Mahasiswa Kedokteran Indonesia Vol. 12.3 (2026)
Publisher : BAPIN-ISMKI (Badan Analisis Pengembangan Ilmiah Nasional - Ikatan Senat Mahasiswa Kedokteran Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53366/jimki.v12i3.1034

Abstract

Background: Chronic kidney disease (CKD) stage 5 is the final phase that requires patients to undergo hemodialysis as the main treatment. Monitoring blood urea levels before hemodialysis is an important aspect because these values can reflect the risk of death in patients. Based on this, the study aims to examine the relationship between pre-hemodialysis urea levels and mortality rates in CKD stage 5 patients at Dr. H. Abdul Moeloek Regional General Hospital in Lampung Province. Method: This study applied a quantitative observational design with a retrospective cohort approach. The data analyzed were obtained from secondary sources, namely, medical records of patients diagnosed with stage 5 CKD. The sample included 150 patients who received hemodialysis in 2023–2024, selected through consecutive sampling. Data were analyzed univariately; normality was assessed using the Shapiro-Wilk test, and bivariate analysis was conducted using the Mann-Whitney Test. Results: The mean pre-hemodialysis urea level in deceased patients was higher than in discharged patients. The Mann-Whitney test showed a significant difference in urea levels between the two groups (p=0.0001), indicating a relationship between pre-hemodialysis urea levels and patient mortality. Discussion: The findings suggest that pre-hemodialysis urea levels can serve as an indicator of mortality risk in patients with stage 5 CKD. Patients with higher urea levels tend to have a greater risk of death. Conclusion: There is a significant correlation between pre-hemodialysis urea levels and mortality in patients with stage 5 CKD. Patients with higher urea levels have a higher risk of death.
Bentuk-Bentuk Ketidakpatuhan Aturan Akademik oleh Mahasiswa Kedokteran dan Implikasinya terhadap Profesionalisme: Sebuah Tinjauan Literatur Aprilly Adlina Chalida; Vira Kamalia Niswah; Asep Sukohar; Septia Eva Lusina
Medula Vol 16 No 4 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i4.1789

Abstract

Professionalism is a fundamental value in medical education, encompassing integrity, responsibility, and adherence to academic regulations. However, medical students often encounter ethical dilemmas when personal values, social pressures, or academic demands trigger non-compliance with these rules. Such misconduct reflects challenges in developing a professional identity grounded in ethical integrity. This article presents a literature review of national and international studies published between 2020 until 2025 examining the relationship between medical ethics education, professionalism, and academic rule violations. The aim is to analyze ethical dilemmas arising from academic misconduct among medical students and to identify how ethical reflection and professionalism learning can be strengthened. The review indicates that academic dishonesty remains prevalent in various forms, including exam cheating, plagiarism, data and documentation falsification, attendance manipulation, and dishonesty in clinical practice. Contributing factors include academic pressure, heavy workload, collectivistic cultural norms, peer influence, previous cheating experiences, stress, and low moral reasoning. Dishonesty, particularly in clinical settings, can disrupt learning processes and jeopardize patient safety. Such behaviors also reflect a failure to meet the first competency area of the 2019 National Standard of Indonesian Medical Doctor Education (SNPPDI) and contradict the foundational principles of the 2012 Indonesian Code of Medical Ethics (KODEKI). Recommended strategies to address these issues include continuous ethics education, positive role modeling, clear professionalism assessment systems, psychological support, and consistent enforcement of sanctions.
Co-Authors ade yonata Aprilly Adlina Chalida Asep Sukohar Iswandi Darwis Ramadhana Komala Septia Eva Lusina