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INDONESIA
Juke
Published by Universitas Lampung
ISSN : 20889348     EISSN : -     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology
Arjuna Subject : -
Articles 107 Documents
 7   8   9   10   11 
THE BENEFIT AND WEAKNESS OF ORAL EXAMINATION IN MEDICAL EDUCATION Rika Lisiswanti
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Oral examination was abandoned because a lot of low validity and reliability by many countries around the world who are applying these methods to assess student competency. In Indonesia, there are still many faculty who apply this method in both the stage assessment undergraduate and clinical rotation phase. In this article, we will discuss the existence of an oral examination in medical education. More emphasize at the validity and reliability of oral examination so that it can be accepted as a method that is believed to assess the ability of students in medical education.  Experts of medical education have conducted a study by modifying the traditional oral examination to be more valid and realeabel, example: structured oral examination. Oral examination can still be used as a method of the assessment in medical education and it’s  depends on the policy of institution [JuKe Unila 2014; 4(8):233-239]
HUMAN LEUKOCYTE ANTIGEN (HLA) GENE IN DENGUE INFECTION Ety Apriliana
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

The geographic distribution of the Dengue Virus (DENV) and the incidence of the viral infection have grown fast in recent decades, and dengue fever is considered to be one of the most important reemergent tropical diseases. The majority of dengue infections are subclinical; however, the clinical manifestations of dengue infection range from the benign, self-limited Dengue Fever (DF) to a vasculopathy syndrome known as Dengue Hemorrhagic Fever (DHF) that can lead to hypovolemic Dengue Shock Syndrome (DSS). Several epidemiological studies indicated that genetic factors constitute important components in disease susceptibility. Several human HLA class I and II alleles are associated with development of DHF. The human leukocyte antigen alleles have been implicated as probable genetic markers in predicting the susceptibility and/-or protection to severe manifestations of DENV infection. [JuKe Unila 2014; 4(8):240-244]
EBOLA HEMORRHAGIC FEVER: CLINICAL MANAGEMENT AND PREVENTION Muhammad Aditya
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Ebola hemorrhagic fever is one of at least 30 known viruses capable of causing viral hemorrhagic fever syndrome. It is a severe, often fatal disease in humans and nonhuman primates (such as monkeys, gorillas, and chimpanzees). Ebola first appeared in 1976 in 2 simultaneous outbreaks, in Nzara, Sudan, and in Yambuku, Democratic Republic of Congo. The latter was in a village situated near the Ebola River, from which the disease takes its name. The current (2014) Ebola virus outbreak in West Africa has seized the world's attention, because this become the deadliest Ebola outbreak in recorded history and it is significant and primarily involves 4 African countries—Guinea, Liberia, Sierra Leone, and Nigeria. Besides the high mortality rate, the cure for Ebola disease has not been found yet. As of Augustus 31, 2014, 3.707 total suspected or confirmed cases (2.106 laboratory-confirmed) had been reported in these countries, resulting in 1.848 deaths. Based on genetic analysis, the virus is 97% identical to the Zaire ebolavirus identified in recent (earlier in 2014) cases in Gabon and the Democratic Republic of the Congo. Ebola disease management generally in the form of therapeutic support, relieve symptoms, and focus on the early identification of complications. Prognosis is poor, especially Ebolavirus Zaire strain, which has a case fatality rate of up to 89%. [JuKe Unila 2014; 4(8):245-253]
INHERITED VARIATIONS IN DRUGS EFFECT INDEPENDENT IN PHARMACOKINETIC: POLYMORPHISM IN PHASE II BIOTRANSFORMATION ENZYMES Muhammad Ricky Ramadhian
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Phase II enzymes play an important role in the biotransformation of endogenous compounds and xenobiotics to more easily excretable forms as well as in the metabolic inactivation of pharmacologically active substances. The purpose of phase II biotransformation is to perform conjugating reactions. These include glucuronidation, sulfation, methylation, acetylation, glutathione, and amino acid conjugation. In general, the respective conjugates are more hydrophilic than the parent compounds. Polymorphism in Phase II drug metabolism enzymes may have role in diseases, cancer, and others. This review discuss brief about polymorphism in Phase II drug metabolism enzyme. [JuKe Unila 2014; 4(8):254-268]
VISUM ET REPERTUM: A MEDICOLEGAL REPORT AS A COMBINATION OF MEDICAL KNOWLEDGE AND SKILL WITH LEGAL JURISDICTION Winda Trijayanthi Utama
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Visum et Repertum (VeR) is a medicolegal report which is made by a doctor in his capacity as an expert based on the examination of the person or people suspected. Due to an official request from an authorized law officer of what that were seen and found on the examination object while remembering the doctor’s oath. A VeR role as one of the valid evidence for proof of criminal cases against human health and life. Actually there is no reason for a doctor to refuse to make VeR, because this is meant to fulfill the formulation offence in Indonesia’s Penal Code (KUHP). A VeR basically is a compilation and its interpretation of a forensic medical examination as well as a physical examination on a routine medical examination. A VeR should not only fulfill the writing standard, but must also fulfill several terms and conditions for a court system. A good quality VeR has a certain structure and standard. A VeR written down with five main compositions, as opening parts (head of letter and sentence) “PRO JUSTICIA”, introductory data (data on requesting police institution, brief description on personal victim profile, identity of examinating doctor), report on factual findings (whole body character, related sign and symptoms, causal factor identified from victim), medicolegal conclusion (interpretation of report on factual finding in correlation with jurisdiction) and closing pledge statement. [JuKe Unila 2014; 4(8):269-275]
QUALITY CONTROL OF MICROBIOLOGY LABORATORY Tri Umiana Soleha
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

In recent years the establishment of quality standards for goods and services is considered by society at large. One of these is laboratory quality standards. Results of laboratory tests of quality in terms of accuracy, precision, speed, usability, and low cost. In the clinical laboratory, quality control system is one of the steps that must be done in the process of analyzing a sample. [JuKe Unila 2014; 4(8):276-284]
STUDENT’S MOTIVATIONS IN A PEER-ASSISTED CLINICAL SKILLS TRAINING PROGRAM Oktadoni Saputra; Doni Widyandana; Tridjoko Hadianto
JUKE Unila Vol 4, No 8 (2014)
Publisher : Fakultas Kedokteran Universitas Lampung

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Abstract

Background: Peer-Assisted Learning (PAL) has been widely used in the clinical skills training in medical education. The study of this area shows that PAL-scheme program has benefits both in student tutors and tutees in mastering their clinical skills. However, student’s motivations in this PAL-scheme program haven’t much been explored. The aim of this study is to explore student’s motivations in a peer-assisted clinical skills training program.Method: This study used exploratory focus group discussion (FGD) of 4 groups of 3rd year students (2 tutors and 2 tutees) Faculty of Medicine, Universitas Gadjah Mada and in-depth interview to 6 faculty staffs which were chosen purposively. The data were then transcribed and analyzed for themes.Result: The results of this study showed that when joining a PAL-scheme program, tutees were motivated extrinsically as a preparation for the end of year Objective Structured Clinical Examination (OSCE), whereas tutors were motivated more intrinsically. Various spectrums of motivations were founds, student’s motivations in a peer-assisted clinical skills training program were different between tutors and tutees. Tutors were motivated intrinsically whereas tutees extrinsically.Conclusion: Improvements in organizing PAL program need to be done to enhance the tutees motivation more intrinsically and also to improve the quality and quantity of clinical skills training. [JuKe Unila 2014; 4(8):194-201] Keywords: clinical skills training, internal motivation, motivations, peer-assisted learning, skills-acquisition

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