Hiperurisemia merupakan keadaan dengan kadar asam urat dalam darah melebihi normal. Asam urat merupakan hasil akhir metabolisme purin yang didapat dari makanan seperti jeroan, kacang-kacangan, sayur bayam, dan lain-lain. Terdapat beberapa faktor yang memengaruhi hiperurisemia. Untuk mengetahui hubungan antara pola makan dan gaya hidup dengan kadar asam urat pada pralansia dan lansia di wilayah kerja Puskesmas I Kembaran. Penelitian analitik observasional dengan pendekatan cross sectional dengan 64 peserta Prolanis Puskesmas I Kembaran berusia > 45 tahun. Analisis bivariat dengan chi-square dan analisis multivariat dengan regresi logistik multivariat. 64 responden terdiri dari 23 pralansia dan 41 lansia. Terdapat hubungan yang tidak signifikan antara kadar asam urat terhadap pola makan (0,281) dan gaya hidup (0,448) dengan p<0,05. Analisis multivariat p=0,393 untuk pola makan dan p=0,703 untuk gaya hidup dan odds ratio gaya hidup lebih besar dibanding pola makan (1,918; 2,385).Faktor yang dapat memengaruhi kadar asam urat yaitu pola makan dan gaya hidup. Contohnya konsumsi tinggi purin, aktivitas yang kurang, dan merokok. Terdapat hubungan yang tidak signifikan antara pola makan dan gaya hidup dengan kadar asam urat pada pralansia dan lansia di wilayah kerja Puskesmas I Kembaran.

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Background: Anxiety is often experienced by students when following clinical education. Anxiety at moderate level is required for the learning process, but at high level it lowers the learning. The objective is to determine the level of anxiety, competency achievement, the relationship between them and the things that are perceived by the students and the clinical instructors when following clinical practice.Methods: A quantitative, cross sectional study using questionnaires to 42 midwifery students continued with the qualitative by in-depth interviews with three students and six clinical instructors.Results: The level of anxiety was no to mild anxiety by 19.05%, mild to moderate anxiety by 66.67%, and moderate to severe anxiety by 14.28%. Around 2.38% of the students earned a grade of a B, 45.24% earned a B + and 52.38% earned an A. The relationship between the level of anxiety and competency achievement was shown with an r value of -0.043.Conclusion: The level of anxiety in clinical practice of midwifery students was mild to moderate, and the competency achievement was excelent. There was a negative and very weak correlation between the level of anxiety and competency achievement. Things perceived by the student following clinical practice were a matter of personalization, innovation, individualization, involvement, task orientation, and satisfaction, while things perceived by the clinical instructors were a matter of time constraints, much work load, student preparedness, student ability level, challenge to patient, student motivation, and hospital environments.

Circumcision is a minor surgery procedure that provides several benefits and is closely related to religious life.  Currently there are various methods in the action of circumcision.  The incindence of complication related to circumcision is low, but various variations of methods can affect complications.  The aim of this study is to present data on the incidence of pain and bleeding complication post clam method circumcision, as well as the factors associatd with both complications.  This study is an observa­tional analytic study with a cross-sectional method, with the research subject is medical record data at Klinik Rumah Sunatan Purwokerto for the period January 2017 – August 2020 which meets the inclusion criteria and excluded from exclusion criteria.  Data were collected and performed bivariate analysis of independent variables to complications of pain and bleeding using the Spearmen method for numerical variables and Chi square for nominal and ordinal variables, and follow up with the backward logisitic regression test.  There were 153 medical record data met the criteria, with 47.7 % pain complication and 38.6 % bleeding compllication.  Multivariate test showed a significant relationship between aged and pain (p = 0.039; B = -0.155) and bleeding complication (p = 0.003; B = -0.202), glans adhesions with pain (p = 0.007; B = 1.295) dan bleeding complication (p = 0.005; B = 1.346), and narrow prepucium and pain (p = 0.002; B = 1.294) and bleeding complication (p = 0.003; B = 1.200).  The conclusion of this study is the frequency of pain and bleeding complication were 47,7 % and 38,6 % respectively, and there was a significat relationship between age, glans adhesions, and narrow prepucium with pain and bleeding compli­cations.

Latar Belakang: Pendidikan klinik memiliki suasana lingkungan belajar yang sangat berbeda dengan pendidikan di tahap akademik. Persepsi lingkungan belajar memburuk disaat mahasiswa memulai pengalaman klinik dan lingkungan belajar klinik merupakan salah satu sumber kecemasan yang cukup besar. Dalam model Biggs kecemasan dianggap sebagai variabel penghalang akibat interaksi antara mahasiswa dan lingkungannya. Tinggi rendahnya kecemasan akan berpengaruh terhadap tingkat kompetensi mahasiswa. Penelitian bertujuan mengetahui hubungan antara persepsi tentang lingkungan pembelajaran klinik dan tingkat kecemasan mahasiswa program profesi dokter. Metode: Penelitian analitik observasional dengan pendekatan cross-sectional, melibatkan 41 responden mahasiswa program profesi dokter angkatan 2013 Fakultas Kedokteran Universitas Muhammadiyah Purwokerto di RSUD dr. Soeselo Slawi dengan total sampling, analisis data menggunakan uji korelasi Pearson.Hasil: Hasil penelitian menunjukan persepsi lingkungan belajar klinik kurang baik sebanyak 24,4%, cukup baik 68,3%, dan baik 7,3%. Tingkat kecemasan mahasiswa didapatkan tidak cemas-cemas ringan 41,5%, cemas ringan-sedang 56,1%, dan cemas sedang-berat 2,4%. Analisis pearson menunjukan terdapat hubungan yang signifikan antara persepsi lingkungan pembelajaran klinik dan tingkat kecemasan mahasiswa program profesi dokter dengan P value 0,006 (P = <0,05).Kesimpulan: Terdapat hubungan yang signifikan antara persepsi lingkungan pembelajaran klinik dan tingkat kecemasan mahasiswa program profesi dokter.