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INDONESIA
Medical Journal of Indonesia
Published by Universitas Indonesia
ISSN : 08531773     EISSN : 22528083     DOI : 10.13181
Core Subject : Health,
Medicine & Pharmacology
This quarterly medical journal is an official scientific journal of the Faculty of Medicine Universitas Indonesia in collaboration with German-Indonesian Medical Association (DIGM) Indexed in: IMSEAR; CAB Abstracts; Global Health; HINARI; DOAJ; DRJI; Google Scholar; JournalTOCs; Ulrichsweb Global Serial Directory; WorldCat; New Jour; Electronic Journals Library; ISJD Accredited (2013-2018) by DIKTI Kemendikbud Republik Indonesia (No:58/DIKTI/Kep/2013)
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Articles 13 Documents
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Search results for , issue "Vol. 18 No. 1 (2009): January-March" : 13 Documents clear
Knowledge and critical thinking skills increase clinical reasoning ability in urogenital disorders: a Universitas Sriwijaya Medical Faculty experience
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.341

Abstract

Aim Clinical reasoning is one of the essential competencies for medical practitioners, so that it must be exercised by medical students. Studies on quantitative evidence of factors influencing clinical reasoning abilicy of students are limited. The aim of this study was to determine the influence of knowledge and other factors on the clinical reasoning abiliry ofthe students, which can serve as reference to establish methods for learning ctinical reasoning. Methods This is a cross-sectional study on fourth semester students enrolled in the Competency-based Curriculum of the Medical Faculty, University of Sriwijaya. Data on clinical reasoning abilily and risk factors during urogenital blockwere collected inApril 2008, when the students have just completed the btock. Clinical reasoning abiliry was tested using the Script Concordance test and the risk factors were evaluated based on formative tests, block summative assessments, and student characteristics. Data were analyzed by Cox regression. Results The prevalence of low clinical reasoning ability of the 132 students was 38.6%. The group with low basic knowledge was found to have 63% risk ol low clinical reasoning abiliry when compared to those with high basic knowledge (adjusted RR = 1.63; 95% conidence intewal (Ct): 1.10 -2.42). When compared to students with high critical thinking skitls, those with lory critical thinking skills had 2.3 time to be low clinical reasoning abitity (adjusted RR : 2.30; 95% CI: 1.55 - 3.41). Conclusion Students with low critical thinking skills or with inadequate knowledge had a higher risk of low clinical reasoning ability. (Med J Indones 2009; 18: 53-9) Keywords: clinical reasoning, basic knowledge, critical thinking, competency-based curriculum
Cytogenetics in oncology: From hematologic malignancies to solid tumors
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.342

Abstract

Walaupun saat ini kanker dikenal sebagai penyakit yang berkaitan dengan lingkungan dan muncul secara sporadis, namun kanker dipertimbangkan sebagai suatu penyakit genetik karena adanya mutasi gen sebagai faktor yang konsisten. Kromosom Philadelphia yang ditemukan pada pasien-pasien leukemia granulositik kronik (LGK) merupakan penemuan kelainan kromosom bermakna pertama yang berkaitan dengan jenis keganasan tertentu. Berawal dari penemuan ini, sitogenetika yang mempelajari kromosom telah menjadi perangkat yang berharga dalam penatalaksanaan kanker - membantu penegakan diagnosis, panduan terapi, dan petanda prognosis. Pada kegananasan hematologi, kelainan kromosom sebagian besar ditemukan pada sumsum tulang, dan penemuan tersebut lebih patognomonik. Keadaan yang berbeda ditemukan pada tumor padat, dimana saat tumor terlihat dengan mata telanjang telah terjadi perubahan kromosom yang kompleks sehingga menimbulkan kesulitan teknis bagi para ahli sitogenetika. Namun para ilmuwan percaya bahwa adanya kemajuan dalam teknologi kromosom, dari sitogenetika konvensional menjadi sitogenetika molekuler, akan menyediakan informasi lebih lanjut, berkaitan dengan tumor padat. (Med J Indones 2009; 18: 69-75) Although presently known as an environmentally-related disease and appears mostly sporadic, cancer is regarded as a genetic disease based on the presence of genetic mutation as a consistent factor. The "Philadelphia Chromosome" found consistently among chronic myeloid leukemia (CML) patients was the first significant finding of a chromosomal abnormality specifically related to a particular disease. Starting from this point, cytogenetics as the study of chromosomes has become a valuable tool in the assessment of cancer - as an aid in diagnosis, thus guiding therapy, and as a prognostic marker. Chromosomal abnormalities are found mostly in hematological malignancies and the findings are more pathognomonic. The situation is different in solid tumors, which when visible to the naked eye already have complex chromosomal changes and thus pose technical difficulties to the cytogeneticist. However, the scientists believe that the shift in chromosomal studies from conventional cytogenetics to molecular cytogenetics will provide further information regarding solid tumors. (Med J Indones 2009; 18: 69-75) Keywords: Philadelphia chromosome, FISH, chronic myeloid leukemia
Greetings to the readers of the Medical Journal of Indonesia (MJI)
Medical Journal of Indonesia Vol. 18 No. 1 (2009): January-March
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13181/mji.v18i1.572

Abstract

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