Kecemasan pada mahasiswa, khususnya pada mahasiswa fakultas kesehatan dapat mempengaruhi kinerja perkuliahan maupun saat berhadapan langsung dengan pasien nantinya, sehingga hal tersebut membutuhkan perhatian lebih. Mahasiswa semester dua, dan mahasiswa semester delapan tentu memiliki masalah yang berbeda pada saat perkuliahan. Tujuan dari penelitian ini adalah Untuk mengetahui ada tidaknya perbedaan tingkat kecemasan antar keduanya dengan menggunakan metode cross-sectional, dan populasinya adalah seluruh mahasiswa semester dua dan delapan program studi S1 keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surabaya. Teknik pengambilan sampel dalam penelitian ini adalah Consecutive sampling, dengan Sampel mahasiswa semester dua dan delapan program studi S1 keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Surabaya dengan kriteria inklusi sebagai mahasiswa aktif dan bersedia berpartisipasi dalam penelitian ini. Instrumen yang digunakan adalah dengan kuesioner identitas dan BAI (Beck Anxiety Inventory). Penelitian ini menggunakan teknik analisa statistik menggunakan teknik analisis statistic Chi Square. Rata-rata skor kecemasan mahasiswa semester dua sebesar 18,068 dengan simpangan baku sebesar 9,954. Sedangkan mahasiswa semester delapan memiliki rata-rata skor kecemasan sebesar 14,397 dengan simpangan baku sebesar 10,307. Hasil analisis dengan uji chisquare menunjukkan nilai signifikansi sebesar 0,033. Terdapat perbedaan yang signifikan pada tingkat kecemasan mahasiswa semester dua dan mahasiswa semester delapan program studi S1 Keperawatan UM Surabaya.
Introduction: Schizophrenia is a chronic disorder accompanied by prominent hallucinations or delusions. The individual must be ill for at least 6 months and need not be psychotically active during that time. Schizophrenia is classified into several types. Enforcement of the type of diagnosis of schizophrenia can be established through history taking in the patient and family, then a diagnosis is made according to ICD-10. Treatment can be in the form of pharmacological or psychosocial therapy. Case Reports: A 32-year-old male patient came with his family, the patient looked anxious. The patient comes with the main complaint that he is often angry because he often hears voice whispers. The patient also complains of rapid mood changes. According to the family, this has been happening since 2015. He had been on treatment for a while but only got better shortly after that it came back again. Conclusion: Schizophrenia is a psychotic disorder in which the patient does not have contact with reality which is characterized by major disturbances in thoughts and emotions and experiences delusions and hallucinations. Schizophrenia can be treated using antipsychotics and psychosocial. The prognosis of patients with schizophrenia depends on family support.
Valproate is the most common drug to use in bipolar disorder in Indonesia and the only mood stabilizer drug in national formulary. Combination of valproate and fluoxetine are the most used combination in bipolar disorder therapy in Bhayangkara Hospital, Kediri. However, this combination has been controversial because of its risk of triggering mania or hipomania episode in 12 months. The aim of this study was to analyze mood change symptoms with YMRS and MADRS scale after treatment of valproate and fluoxetine combination in continuation phase treatment of bipolar disorder. This cross-sectional, observational study was conducted in psyciatry clinic in Bhayangkara Hospital Kediri between August 2016-October 2016 on 15 patients in YMRS. MADRS questionnaire was filled by physician before treatment and after 8 weeks treatments. Within 8 weeks, mean YMRS score changed from 1.4 to 1.26 (p>0.05). Whereas, mean MADRS score changed from 31.8 to 10.93 (p<0.05) after 8 weeks. There was no significant different in YMRS score between pre- and post-treatment, but there was significant different in MADRS score after treatment.
This discussion is aimed on analyzing the fatal sexual violence incident that occurred in Kediri, East Java on June 27th, 2016. The victim was a three year old boy who was sodomized and thrown to his death by the perpetrator. The perpetrator himself is the victim’s uncle (30 years of age), who experienced relatively heavy stress, and an MMPI (Minnesota Multi-phasic Personality Inventory) indicating normal (heterosexual) sexual orientation, a modest and honest man with a dependent personality. Data was obtained from patient’s medical records, interview with psychiatrist in charge of the event, and the mother of the perpetrator to detect influential factors starting from conception to adulthood. An important data is that the perpetrator was once a victim of sexual violence (sodomy) when he was in the first year of primary school, the stressful burden in the family’s environment, personal trauma of wife’s miscarriage when the embryo was four months old that occurred one month prior to the incident.
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