IntroductionThe COVID-19 pandemic has caused disruptions in educational institutions across the country, prompting medical schools to adopt online learning systems. This study aims to determine impact on medical education and the medical student’s attitude, practice, mental health after 1 year of the Covid-19 pandemic in Indonesia.MethodsThis study utilized a cross-sectional design. An online questionnaire was distributed digitally to 49 medical schools in Indonesia from February–May 2021. A total of 7,949 medical students participated in this study. Sampling was carried out based on a purposive technique whose inclusion criteria were active college students. This research used questionnaires distributed in online version among 49 medical faculties that belong to The Association of Indonesian Private Medical Faculty. Instruments included demographic database, medical education status, experience with medical tele-education, ownership types of electronic devices, availability of technologies, programs of education methods, career plans, attitudes toward pandemic, and the mental health of respondents. Univariate and bivariate statistical analysis was conducted to determine the association of variables. All statistical analyses using (IBM) SPSS version 22.0.ResultsMost of the respondents were female (69.4%), the mean age was 20.9 ± 2.1 years. More than half of the respondents (58.7%) reported that they have adequate skills in using digital devices. Most of them (74%) agreed that e-learning can be implemented in Indonesia. The infrastructure aspects that require attention are Internet access and the type of supporting devices. The pandemic also has an impact on the sustainability of the education program. It was found that 28.1% were experiencing financial problems, 2.1% postponed their education due to this problems. The delay of the education process was 32.6% and 47.5% delays in the clinical education phase. Around 4% student being sick, self-isolation and taking care sick family. the pandemic was found to affect students’ interests and future career plans (34%). The majority of students (52.2%) are concerned that the pandemic will limit their opportunities to become specialists. Nearly 40% of respondents expressed anxiety symptoms about a variety of issues for several days. About a third of respondents feel sad, depressed, and hopeless for a few days.ConclusionThe infrastructure and competency of its users are required for E-learning to be successful. The majority of medical students believe that e-learning can be adopted in Indonesia and that their capacity to use electronic devices is good. However, access to the internet remains a problem. On the other side, the pandemic has disrupted the education process and mental health, with fears of being infected with SARS-CoV-2, the loss of opportunities to apply for specialty training, and the potential for increased financial difficulties among medical students. Our findings can be used to assess the current educational process in medical schools and maximize e-learning as an alternative means of preparing doctors for the future.

Background: Since 2006 evaluation of scientific writing process, as graduation requirement in Faculty of Medicine Atma Jaya Catholic University, has not been done. The objective of this study is to find out supervisors perceptions on quality of under graduate theses and its relationship to supervisors’ characteristics.Method: This descriptive study was done to 29 supervisors. Interviews were done using questionnaire. Dependent variable was perceptions on quality of under graduate theses (idea, proposal, writing process, presentation and publication). Independent variables were characteristic, knowledge, attitude and behavior of supervisors related to process of scientific writing. Data was analyzed using chi-square test.Results: There was equal proportion (50% vs 50%) between good perception and bad perception on quality of undergraduate theses. Significant relationship was found between perception on quality with supervisors attitude (p=0.04) and master degree (p=0.02). Supervisors aged 45 years old and less (53% vs 47%), have taught for 10 years and less (64% vs 39%), have academic position as assistant and lectur (5% vs 47%), have published articles within the last 3 years (40% vs 60%), have more than one research within the last 3 years (56% vs 4 %), have non positive attitude (78% vs 27%), supervise students twice or more (57% vs 43%), meet student for less than 45 minutes per meeting (67% vs 33%), were more like to perceive low quality of under graduate theses.Conclusion: Supervisors generally perceive that qualities of under graduate theses are still low. Positive attitude and non-magister supervisors tend to perceive the quality of theses to be good.

Background: Narcissism is a condition in which people have a constant demand to be complimented and prioritized. Self-esteem is a subjective evaluation of one's worth. Several studies have linked narcissism and low self-esteem as a risk factor of social media addiction, a disorder where individuals displayed an unhealthy compulsion to access social media until it disrupts other activities. This study aimed to discover the relationship between narcissism, self-esteem, and social media addiction in preclinical medical students. Methods: This study was a cross-sectional observational analytical study on 211 preclinical medical students at the Atma Jaya Catholic University of Indonesia. Instruments used in this study were Narcissistic Personality Inventory-16 (NPI-16), Rosenberg Self-Esteem Scale (RSES), and Bergen Social Media Addiction Scale (BSMAS). Data were analyzed statistically using Chi-square in STATA analytic program.Results: Of all respondents, 6.6% were narcissistic, 19.9% had low self-esteem, and 34.6% had social media addiction. There was a significant relationship between narcissism and social media addiction (p=0.021) and between self-esteem and social media addiction (p=0.002).Conclusion: There is a relationship between narcissism, self-esteem, and social media addiction in university students. This indicates the importance of preliminary psychological screening in students, especially regarding self-esteem, narcissism, and social media addiction, to develop approaches that will ensure good academic achievements and physical health among students.

The study examines the association of unwanted pregnancy and the utilization of maternal-child health services, and the adverse health outcomes in urban and rural settings. The study employed data from the 2017 Indonesia Demographic Health Survey that included 13,806 live births; the mothers were not pregnant at the interview and were married participants. The multiple logistic regression analysis concerning residential areas was conducted separately to compare outcomes related to unwanted pregnancy. Non-standard antenatal care visits (adjusted odds ratio [AOR]=1.7; 95% confidence interval [CI]=1.2–2.4), prolonged labor (AOR=1.6; 95% CI=1.2–2.1), the absence of child’s birth documentation (AOR=1.3; 95% CI=1.0–1.6), and smaller baby size (AOR=1.2; 95% CI=1.0–1.4) are associated with unwanted pregnancy in urban areas. In rural settings, on the other hand, unwanted pregnancy is associated with non-standard antenatal care (AOR=1.6; 95% CI=1.2–2.2). Therefore, in Indonesia, urban areas lack maternal-child healthcare services utilization and higher adverse events due to unwanted pregnancy than rural areas. An adjustment approach is required in maternal-child health-related programs in both areas, particularly for women living in urban.

Pendahuluan: Gangguan makan dapat memengaruhi kualitas tidur, terutama remaja karena masa remaja merupakan masa terjadi perubahan fisik dan psikologi. Pelepasan hormon dan metabolisme glukosa terjadi saat tidur, sedangkan nafsu makan dipengaruhi oleh sistem neuroendokrin. Tujuan penelitian ini adalah untuk mengetahui hubungan risiko gangguan makan terhadap kualitas tidur remaja karena remaja zaman sekarang kurang memedulikan waktu makan dan makanan yang dikonsumsi. Metode: Penelitian potong lintang dilakukan pada 275 siswa-siswi SMP dan SMA salah satu sekolah internasional di Jakarta Barat yang memenuhi kriteria inklusi. Kuesioner demografi, kuesioner skrining, Eating disorder Examination Questionnaire (EDE-Q) dan Pittsburgh Sleep Quality Index (PSQI) diisi secara mandiri. Analisis bivariat dilakukan untuk menguji hubungan risiko gangguan makan dengan kualitas tidur responden.Hasil: Responden paling banyak adalah wanita sebanyak 173 orang (62,9%), sedangkan laki-laki sebanyak 102 orang (37,1%). Usia responden sebagian besar berusia 12-13 tahun sebanyak 125 orang (45,5%) dan kelas terbanyak yang menjadi responden adalah kelas 8 sebanyak 62 orang (22,6%). Responden dengan risiko gangguan makan sebanyak 156 orang (56,7%), sedangkan dengan kualitas tidur buruk sebanyak 240 orang (87,3%)%, dengan perincian 151 orang dengan risiko gangguan makan (96,8%) mempunyai kualitas tidur yang buruk, dan 5 orang (3,2%) mempunyai kualitas tidur yang baik. Hasil uji Chi square menunjukkan adanya hubungan yang bermakna antara risiko gangguan makan dengan kualitas tidur (p=0,000). Simpulan: terdapat hubungan bermakna antara risiko gangguan makan terhadap kualitas tidur pada siswa-siswi SMP dan SMA di salah satu sekolah internasional di Jakarta Barat pada tahun 2019, sehingga perlu diberikan edukasi mengenai perilaku dan pola makan yang sehat kepada para remaja agar memiliki kualitas hidup yang lebih baik.