Cendana Medical Journal

Effectiveness of Antifungal Shampoo Preparation Formula of Kepok Banana Peel Extract (Musa paradisiaca L.) Against The Growth of Malassezia furfur

2026-04-21T02:22:09+00:00

Abstract

Background: Malassezia furfur is a pathogenic organism that causes dandruff. One way to prevent dandruff is by washing the hair using shampoo that contains anti-dandruff active ingredients. Continuous use of synthetic shampoos can cause the hair to become dry, easily brittle, irritate the eyes and scalp, and damage the hair shaft. Herbal shampoos have become popular due to consumers’ belief that they contain natural ingredients that are safer and have minimal side effects. One natural ingredient that can be used is the peel of kepok banana (Musa paradisiaca L.).

Objective: To determine the antifungal activity of a shampoo formulation containing kepok banana peel extract (Musa paradisiaca L.) against the growth of Malassezia furfur.

Methods: The type of research conducted was a true experimental study with a post-test only control group design. In this study, there were treatment groups given shampoo containing kepok banana peel extract at concentrations of 1.56%, 3.125%, 6.25%, 12.5%, 25%, 50%, and 100%, a negative control group using the shampoo base, and a positive control group using shampoo containing 1% selenium sulfide. The data were analyzed using One-Way ANOVA.

Results: All shampoo formulations showed suboptimal physical characteristics. Concentrations of 6.25%, 12.5%, 25%, 50%, and 100% demonstrated antifungal activity against the growth of Malassezia furfur.

Conclusion: There is antifungal activity from the shampoo formulation containing kepok banana peel extract (Musa paradisiaca L.) against the growth of Malassezia furfur.

The Relationship Between Social Support, ARV Adherence, and Depression Levels Among PLWHA in Kupang City

2026-04-23T02:30:17+00:00

Introduction : Depression consistently tends to be experienced by people living with HIV/AIDS (PLWHA) at a rate of two to four times higher than the normal population. Two factors are social support and poor therapy compliance.

Objectives: To analyse the relationship between social support and ARV therapy adherence with the level of depression in PLWHA in Kupang.

Methods: This study employed an observational analytical research design with a cross-sectional approach involving PLWHA. Data were collected using the Hamilton Depression Rating Scale (HDRS), Oslo Social Support Scale (OSSS-3), and The Medication Adherence Rating Scale (MARS-5) questionnaires. Sampling was conducted using a non-probability snowball sampling technique, resulting in a total of 98 respondents. This study was analysed univariately and bivariately using the Somer's D test.

Results: The bivariate analysis results between social support and depression level had a p-value of 0.006 (p<0.05). The bivariate analysis results between ARV therapy adherence level and the level of depression had a p-value of 0.097 (p>0.05).

Conclusion: Social support significantly affects depression levels in PLWHA in Kupang, while ARV therapy adherence shows no significant relationship with their depression levels.

Keywords: Social Support, ARV Therapy Adherence, Depression

The Antibacterial Effectiveness of Papaya Leaf (Carica papaya) and Betadine Leaf (Jatropha multifida) Extracts Against the Growth of Staphylococcus epidermidis

2026-04-23T02:38:46+00:00

Staphylococcus epidermidis merupakan bakteri yang normal terdapat pada kulit manusia dan dapat menyebabkan infeksi serius apabila masuk ke dalam jaringan tubuh melalui luka terbuka atau alat medis. Penggunaan antiseptik sintetis dalam jangka panjang dapat menimbulkan iritasi kulit dan gangguan mikrobiota, sehingga mendorong dicarinya alternatif antiseptik alami yang lebih aman. Penelitian ini bertujuan untuk menguji dan membandingkan efektivitas antibakteri ekstrak daun pepaya (Carica papaya) dan ekstrak daun betadine (Jatropha multifida) terhadap pertumbuhan Staphylococcus epidermidis. Kedua tanaman tersebut diketahui mengandung senyawa bioaktif seperti flavonoid, alkaloid, saponin, tanin, dan terpenoid yang berperan sebagai antibakteri alami. Metode yang digunakan adalah difusi cakram dengan konsentrasi ekstrak 25%, 50%, 75%, dan 100%. Pengujian dilakukan dengan cara menginkubasi bakteri dalam media MHA yang telah diberi cakram berisi ekstrak selama 2x24 jam pada suhu 37°C. Hasil penelitian menunjukkan bahwa konsentrasi 100% dari kedua jenis ekstrak menghasilkan zona hambat terbesar, yaitu masing-masing 15 mm. Hal ini menunjukkan bahwa ekstrak daun betadine dan ekstrak daun pepaya sama-sama efektif pada konsentrasi tinggi. Penelitian ini memperkuat potensi pemanfaatan tanaman lokal sebagai bahan antiseptik alternatif yang ramah lingkungan dan mudah diperoleh, terutama bagi daerah masyarakat yang aksesnya terbatas terhadap antiseptik komersial.

EFFECT OF SAMBILOTO EXTRACT (Andrographis paniculata Nees ) ON HISTOPATHOLOGICAL DISCUSSION OF WHITE RATS (Rattus norvegicus) HIPERKOLESTEROLEMIA MODELS

2026-04-23T04:20:59+00:00

Introduction: Hypercholesterolemia is a state which can increase free radicals in the body. Sambiloto has antioxidant and anti-inflammation effects that will bind with the free radicals. Methods: This research is a laboratory experimental study with the approach of true experimental design post-test with control group applied to the treatment and control group. The sampling technique is using randomized probability sampling. Samples divided into 6 groups consisted of normal control group, negative control group, positive control group and 3 groups of applying the extract in several doses. Results: Bivariate analysis results shows there is a significant effect on sambiloto extract giving with the jejunum histopathological image on wistar strain white rats (Rattus norvegicus) exposed to hypercholesteremia model with the significance value of p= 0,001 (p<0,05). Discussion: Administration of Sambiloto extract at a dose of 800 mg/kgBB has a significant effect in repairing damage to the jejunum of white rats due to hypercholesterolemia. Sambiloto has antidislipidemia, antioxidant and anti-inflammatory effects. Andrographolid increases HDL levels by increasing the activity of lecithin cholesterol acyl transferase (LCAT). Conclusion: There is a significant result on sambiloto extract giving with the jejunum histopathological image on wistar strain white rats (Rattus norvegicus) exposed to hypercholesteremia model.

LITERATUR REVIEW COMPARISON OF THE EFFECTIVENESS OF (Moringa oleifera) EXTRACT WITH KETOCONAZOL IN INHIBITING THE GROWTH OF Candida sp. ON Saboraud Dextrose Agar

2026-04-24T09:19:50+00:00

Background: One of the fungi that often causes infectious diseases is Candida albicans with a worldwide prevalence of 66%. Candidiasis as a disease caused by Candida albicans infection can be found throughout the world and is able to attack all ages, both men and women.

Purpose: To compare the effectiveness of Moringa oleifera plant extract with ketoconazole in inhibiting Candida sp. on Saboraud Dextrose Agar.

Methods: The method of searching for article data sources is carried out through the Google Scholar and PubMed databases (2015-2020) to retrieve relevant articles published in English and Indonesian. Key terms and phrases related to the comparative effectiveness of Moringa oleifera, ketoconazole, Candida sp. growth, Saboraud Dextrose Agar used in the subject search.

Results: Based on the results of a literature review from 23 journals consisting of comparative characteristics of the effectiveness of Moringa oleifera and ketoconazole plant extracts, 11 journals found that ketoconazole Moringa oleifera plant extract was more effective than ketoconazole, while 12 other journals said that ketoconazole was more effective. By doing a comparison between the two methods, it was found that ketoconazole was more effective to be used in inhibiting the growth of Candida sp. than Moringa oleifera plant extract.

Conclusion: Based on 23 journals conducted by a literature review, it can be concluded that ketoconazole has better effectiveness in inhibiting the growth of Candida sp. than Moringa oleifera plant extract.

The effect of coffee consumption frequency on uric acid, glucose and blood pressure levels in education staff

2026-04-24T17:27:30+00:00

The increase in the burden of non-communicable diseases is in line with the increase in risk factors, including the eating and drinking patterns of the people themselves. Coffee is one of the most popular drinks in Indonesian society. The effect of coffee on blood pressure will impact public health. Coffee containing caffeine can stimulate the heart to work faster, flowing more fluids every second. The habit of drinking coffee is obtained from one cup containing 75–200 mg of caffeine. Drinking more than four cups of coffee can increase systolic blood pressure by around ten mmHg and diastolic blood pressure by around eight mmHg. This study aims to determine the effect of the frequency of coffee consumption on uric acid levels, glucose, and blood pressure among employees at UNDANA. This study uses a case-control research design. The research samples were Rectorate employees and 3 Faculties at UNDANA who met the inclusion and exclusion criteria. The sampling technique used is Volunteer sampling. The results showed that 52% of employees consumed coffee 1-2 times daily. The frequency of coffee consumption affects cholesterol levels, blood glucose levels, and systolic and diastolic blood pressure among employees at the University of Nusa Cendana.

HIV AIDS LITERATURE REVIEW : EFFECTIVENESS OF USING WESTERN BLOT METHOD ON ANTI-HIV ANTIBODY DETECTION

2026-04-26T18:11:22+00:00

Western Blot is an analytical technique used to determine protein in a particular sample. One of the biggest arguments in favor of the Western Blot is its sensitivity. Greater sensitivity means that fewer antibodies are required for testing which reduces laboratory costs significantly. The purpose of this study was to analyze the effectiveness of the use of Western Blot on the Detection of Anti-HIV Antibodies. Researchers used the literature review method by entering the keywords hiv, western blot, and hiv antibody detection in the PUBMED search engine. The results of 6 journals were obtained which were then analyzed by researchers.

FAKTOR RISIKO KEJADIAN MALARIA DAN PEMETAANNYA DI DESA ALIMMEBUNG KECAMATAN ALOR TENGAH UTARA KABUPATEN ALOR

2026-04-26T18:19:11+00:00

Malaria merupakan penyakit menular endemik di banyak daerah tropis di dunia, disebabkan oleh protozoa genus Plasmodium, biasanya ditularkan oleh gigitan nyamuk Anopheles yang terinfeksi. Menurut laporan Dinas Kesehatan Provinsi NTT, Kabupaten Alor menduduki peringkat ke-3.Menurut laporan Dinas Kesehatan Kabupaten Alor Puskesmas Mebung menduduki peringkat pertama kasus malaria tertinggi dengan Desa Alimmebung yang menduduki peringkat pertama untuk desa yang memiliki kasus malaria tertinggi. Penelitian ini bertujuan untuk menganalisis faktor risiko terhadap kejadian malaria di Desa Alimmebung Kecamatan Alor Tengah Utara Kabupaten Alor serta membuat pemetaanya. Tujuan penelitian ini untuk menganalisis hubungan faktor risiko dan pemetaan kejadian malaria di Desa Alimmebung. Metode penelitian adalah penelitian observasional desain kasus kontrol dengan metode pengambilan sampel adalah total sampling. Penelitian dilakukan pada bulan Agustur-September 2017. Jumlah sampel 200 responden terdiri dari 100 kasus dan 100 kontrol pada wilayah kerja Puskesmas Mebung. Faktor risiko diidentifikasi menggunakan kuesioner dan observasi dan menghitung nilai OR. Nilai signifikan p < 0,05. Pemetaan menggunakan GPS dan di analisis menggunakan analisis spasial Satscan dengan nilai signifikan p < 0.1 untuk kluster primer dan nilai signifikan p ≥ 0.1 untuk kluster sekunder. Hasil yang di dapatkan yaitu 1 kluster primer (p=0,075) dan 1 kluster sekunder (p=0.510) dengan variable kluster yang terdiri dari 2 faktor yaitu kedekatan tanggal sakit dan kedekatan posisi koordinat. Kesimpulan Variabel yang memiliki hubungan dengan kejadian malaria pada wilayah kerja Puskesmas Mebung yaitu kebiasaan berada di luar rumah pada malam hari (p=0,004), kebiasaan menggunakan obat nyamuk (p=0,003), adanya genangan air (p=0,000), dan adanya lubang pada dinding (p=0,000).

Kepatuhan Minum Obat Hubungan Kepatuhan Minum Obat Dengan Tekanan Darah Pasien Hipertensi di Puskesmas Oele dan Ba’a Tahun 2020

2026-04-26T18:26:12+00:00

Keberhasilan terapi hipertensi dipengaruhi oleh beberapa faktor penting, salah satunya adalah kepatuhan minum obat karena terapi hipertensi adalah terapi jangka panjang. Tujuan studi ini adalah untuk mengetahui hubungan tingkat kepatuhan minum obat hipertensi dengan tekanan darah pasien hipertensi di Puskesmas Oele dan Ba’a. Metode yang digunakan dalam studi ini adalah studi analitik observasional dengan menggunakan rancangan cross- sectional, 23 orang pasien terdiagnosis hipertensi dilibatkan dan diambil data menggunakan kuisioner penilaian kepatuhan minum obat pada bulan Januari sampai dengan Februari 2020. data dianalisis dengan uji korelasi pearson. Hasil yang didapatkan adalah Ditemukan hubungan bermakna antara tingkat kepatuhan minum obat hipertensi dengan gambaran tekanan darah pasien Hipertensi di Puskesmas Oele dan Ba’a dengan nilai signifikansi 0,007.

Kata kunci : hipertensi, kepatuhan, obat

EFEKTIVITAS RAPID DIAGNOSTIC TEST (RDT) VERSUS PEMERIKSAAN MIKROSKOPIS VERSUS DIAGNOSIS KLINIS PADA PENDERITA MALARIA Plasmodium falciparum DAN Plasmodium vivax DI DAERAH ENDEMIS

2026-04-27T03:25:02+00:00

Background: Based on the malaria eradication strategy of the World Health Organization (WHO), a rapid diagnosis of malaria in peripheral areas is needed so that effective treatment can be immediately given to reduce morbidity and mortality.

Purpose: To compare the effectiveness of the Rapid Diagnostic Test (RDT), microscopic examination andclinical diagnosis in establishing malaria cases caused by Plasmodium falciparum and Plasmodium vivax in endemic areas.

Methods: The method of searching for article datasources was carried out through the Google Scholarand PubMed (2015-2020) databases to retrieverelevant articles published in English and Indonesian.Key terms and phrases related to patients with Plasmodium falciparum malaria and Plasmodium vivax malaria in endemic areas, the effectiveness of the Rapid Diagnostic Test (RDT), microscopic examination, clinical diagnosis of malaria were used in the search for the subject.

Results: Based on the results of a literature review from 29 journals consisting of the characteristics of theeffectiveness of examinations in patients withPlasmodium falciparum and Plasmodium vivax malaria in endemic areas, 29 journals used clinical diagnosis, on conventional diagnosis, 20 journals used the Rapid Diagnostic Test (RDT) method, 2 journals used microscopic examination and 7 journals using the combined method of the Rapid Diagnostic Test (RDT) and microscopic examination. By comparing the three types of examination methods, the results show that the Rapid Diagnostic Test (RDT) method is compared to microscopic examination and clinical diagnosis, so the Rapid Diagnostic Test (RDT) method is more effective when used in endemic areas.

Conclusion: Based on a literature review of 29 research journals, it can be concluded that conventional diagnosis using the Rapid Diagnostic Test (RDT) method is proven to be more effective and fast in diagnosing malaria so that it can be used as analternative diagnostic method in patients withPlasmodium falciparum and Plasmodium vivax malaria, especially in endemic areas.

Penile Sclerosing Lipogranuloma : A Case Report

2026-04-27T12:12:55+00:00

Background: penile injection with foreign materials mainly done by non-medical personnel with the aim to enlarge penis size. Complications occur by this injection of foreign materials called Penile Sclerosing Lipogranuloma.

Case illustration: A 22-year-old male came presented with main complain of multiple masses in his penis. Previous history of disease also denied by the patient. Patient said that 4 years ago, he underwent a penile enlargement injection in his penile shaft. This injection performed by non-medical personnel. In physical examination, multiple large masses palpable almost along the penile shaft, masses were firm on palpation. A wide excision on the damaged skin was performed and scrotal flap was used to cover the exposed area in the penile shaft.

Discussion: we performed wide excision followed by scrotal flap to cover the exposed area. We considered this technique is suitable for this patient because the scrotal skin is healthy and enough to cover the exposed area on penile shaft.

Conclusion: Surgical treatment is considered the best treatment to treat Penile Sclerosing Lipogranuloma. Surgical treatment aimed to remove the damaged skin part and fibrotic tissue caused by foreign material.

Relationship Of Anxiety Level With Sleep Quality Of Covid-19 Patients In Prof. Dr. W. Z. Johannes Kupang

2026-04-28T01:27:47+00:00

Abstract

Coronavirus Disease 2019 (COVID-19) is a contagious infectious disease that attacks the respiratory system caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). On March 11, 2020, WHO declared COVID-19 a pandemic and until October 14, 2022, 620 million confirmed cases, and of this 6 million people died (3). Generally, COVID-19 patients isolated in hospitals have higher levels of anxiety and somatization symptoms because patients think negative things so that patients become pessimistic. The immune system of COVID-19 patients is a major factor in the healing process. The anxiety experienced by the patient causes a lack of rest and a decrease in the quality of the patient's sleep (12). The condition of the COVID-19 pandemic tends to have a negative impact on several factors that affect a person's sleep quality so that researchers are interested in further researching the relationship between anxiety levels and sleep quality, especially in COVID-19 patients at Hospital Prof. Dr. W Z Johannes Kupang. This study is a retrospective analytic study using a cross-sectional approach. The sampling technique in this study used a purposive sampling technique with the aim of taking samples according to the inclusion criteria. The sample in this study was determined using a formula to test the correlation coefficient so that a sample size of 50 respondents was obtained. Where the analysis used in this study uses the Spearman rank test. From 50 respondents, 27 respondents (54%) experienced moderate anxiety and 42 respondents (84%) had poor sleep quality. Spearman rank test results obtained p = 0.000 and the value of r = 0.546.There is a significant relationship between anxiety levels and sleep quality of COVID-19 patients at Hospital Prof. Dr. W Z Johannes Kupang.

Keywords: COVID-19, Anxiety, Sleep Quality, COVID-19 Patients

Impact Of The Active Involvement In The Management Of Chronic Disease Program On The Blood Pressure Of Hypertensive Patients In Oesapa Public Health Center, Kupang City

2026-04-28T01:40:35+00:00

Abstract

Background: Hypertension or high blood pressure is one of the chronic diseases with a high prevalence in Indonesia. Therefore, the BPJS (Social Security Organizing Agency) creates a program to treat chronic disease called Prolanis (Chronic Disease Management Program) to improve the quality of life for the elderly.

Objective: To determine the impact of the active involvement in the management of chronic disease program on the blood pressure of hypertensive patients in Oesapa public health center, Kupang City.

Method: Observational analytical research with a cross-sectional study design is conducted on Prolanis participants at Oesapa Public Health Center. Data is derived from participants’ medical records and a questionnaire about the obedience of patients to take the medicine and deep interviews toward 32 research samples that fit in inclusion and exclusion criteria. The sample is taken using a purposive sampling technique. Data analysis is conducted by using univariate analysis and bivariate analysis using the coefficient contingency test.

Result: The result of the research shows that active involvement in following Prolanis program has no significant impact on the blood pressure of elderly hypertensive patients (p value = 0.087).

Conclusion: In conclusion, there is no correlation between the active involvement in following the management of chronic disease program and the blood pressure of hypertensive patients in Oesapa Public Health Center, Kupang City.

Keyword: Hypertension, Prolanis, BPJS, Public Health Center, Kupang City.

External Drainage Laparotomy as an Option for Management of Pancreatic Pseudocyst in Remote Area: A Case Report

2026-04-28T01:45:31+00:00

Introduction: A pancreatic pseudocyst is a localized fluid collection around the pancreas surrounded by fibrous tissue without epithelial cells. Symptomatic pseudocysts, often resulting from increased size and compression of adjacent organs, require intervention.

Case Description: We report a 21-year-old male who presented with a progressively enlarging left hemiabdominal mass following abdominal trauma from a fall. The patient exhibited symptoms of gastric outlet obstruction, including nausea, postprandial vomiting, early satiety, and abdominal discomfort. An initial transabdominal ultrasound suggested a hematoma or abscess. During laparotomy, a pancreatic pseudocyst compressing the stomach was identified, and external drainage was performed, releasing 2000 cc of fluid. The patient fully recovered without complications.

Discussion: Pancreatic pseudocysts can result from pancreatic duct disruption due to blunt abdominal trauma. The choice of drainage method depends on the cyst's location, wall maturation, and content. In this case, external drainage via laparotomy was chosen due to the pseudocyst's immature wall and limited diagnostic and therapeutic options.

Conclusion: This report highlights that external drainage laparotomy is a feasible therapeutic approach for managing immature pancreatic pseudocysts, especially in resource-limited settings.

IMPACT OF FAMILY FOOD SECURITY MANAGEMENT INTERVENTION ON STUNTING INCIDENCE IN KUPANG DISTRICT, NUSA TENGGARA TIMUR

2026-04-28T01:49:48+00:00

Stunting is one of the most common deficient conditions, estimated to have covered 800 million people worldwide, and 85% of children in the world are stunted and live in 20 countries (UNICEF, 2012). In Indonesia, the estimated prevalence of short and very short toddlers (stunting) is 36.8% (Riskesdas 2007) and as much as 37% (UNICEF, 2010). East Nusa Tenggara Province (NTT) is a province that has a prevalence above the national prevalence, namely 47-58.4%. Stunting can be influenced by various factors directly intake and infectious diseases and indirectly factors of mother's education, upbringing, mother's knowledge, provision of complementary foods, history of low birth weight babies, sanitation, and family socioeconomic status. Stunting results in stunted growth and development of children, including suboptimal brain growth, causing a decrease in IQ and intelligence. Based on Riskesdas 2007, 2010 and 2013 data, it shows that the incidence of stunting in NTT and in 2014 data for Kupang Regency there were 2630 children who were stunted and 1121 children with severe stunting. Seeing this incident and based on the fact that malnutrition in the golden age of toddlers is irreversible, it is deemed necessary for various parties to take preventive measures to control stunting. Intervention is a way to prevent and reduce the incidence of stunting while at the same time having a positive influence on behavior and eating habits, food supply in the household and other factors that aim to improve nutritional status. Researchers and the team conducted this research to find out and analyze the Impact of Family Food Security Management Pattern Interventions on Stunting Incidents in Kupang Regency, East Nusa Tenggara. To answer the objectives, this research was carried out using the pre-experimental method using the one group pre test post test only design. This design does not have a comparison group (control) but makes comparative observations before and after the intervention. The results obtained for 84 stunted children from 79 households show that mentoring, training and use of the land around the house as a vegetable garden and the existence of a fish pond provided to be managed by each household have a significant effect on the incidence of stunting. Which means that there is a decrease in the stunting rate in households that own and use vegetable gardens and fish ponds as a source of food for stunted children (sig = 0.010 where <0.05).

ATHROPOMETRY STUDY: FACTOR AFFECTING CEPHALIC INDEX OF THE TIMORESE TRIBE IN KUPANG CITY-NTT

2026-04-28T01:56:01+00:00

The anthropometric size of a person's head will give a person a distinctive appearance and then form the characteristics of a particular tribe or race. The cephalic index is influenced by several factors such as gender, age, ethnicity, race, geographical environment and genetics. Factors affecting the anthropometric size of the head such as gender and age which are considered as general identities were observed and analyzed to determine the factors influencing the size of the cephalic index so that Timorese tribe identity can be observed and developments that occur can be observed in the future. In addition, it completes the primary data for identification from Timor ethnicity. Method: Observational analytic research with a cross sectional design on 100 respondents with the identity of the Timorese ethnic group aged 11-50 years, male and female. Results: were analyzed with Maan-Whitney, giving results not significant difference in cephalic index mean for sex (p=0,992) and age (p=0.161). Conclusion. both sex and age factors do not have a significant effect on the cephalic index when applied to individuals who come from ethnic groups, geographic environment and age that are not much different. Based on gender, the head shape of the Timorese is still dominated by the brachicephalic shape

“Kinabalu Ice Clasp”: A Case Report on Composite Recycled Bone Graft as a Support for Bone Graft Vascularization – Reimplantation of Campanacci Grade III GCT in the Distal Tibia.

2026-04-28T07:36:59+00:00

Giant cell tumour (GCT) of bone is an aggressive benign bone lesion. The tumour's juxta-articular location made treatment challenging, especially in Campanacci grade III. We present a case of a patient with Campanacci grade III GCT distal tibia who has undergone limb salvage surgery using “Kinabalu Ice Clasp” technique. A 23-year-old lady presented with a 6-month history of right ankle swelling. The ankle swelling has gradually increased in size and causing intermittent pain. Radiographs and MRI investigation showed an expansile osteolytic bone lesion with soft tissue extension at the metaphysis of the distal right tibia. The biopsy results confirmed the presence of Giant Cell Tumor (GCT) of bone. Four doses of Denosumab were administered before surgery to consolidate the tumour and assist with excision later. Subsequently patient underwent en bloc resection of the distal tibia. The defect was reconstructed using nitrogen treated of the diseased bone which was then used to encase the transposed vascularized fibular graft. Reconstruction in Campanacci III lesion with vascularized fibular, fortified with recycled bone graft is an efficient option to enhance protection of the underlying vascularized fibular graft while also serving as an extra scaffold for new bone incorporation.

CORRELATION BETWEEN LEARNING APPROACH AND BURNOUT IN PRECLINIC MEDICAL STUDENTS OF NUSA CENDANA UNIVERSITY

2026-04-28T08:47:19+00:00

ABSTRACT

Background: The medical school curricula is one of the most difficult curricula in

the world and special attention about mental so that medical students are more

susceptible to mental health problems. If medical students do not use the effective

learning approach then will be difficult to adjust to academic demands, so that

learning results tend to be lower and can cause stres. A long period of stres can lead

to burnout.

Objective : To determine the relationship between learning approach and burnout

among students of the Faculty of Medicine, University of Nusa Cendana

Methods: This reasearch is an observational analytic study with cross sectional

design conducted on preclinical students of Faculty of Medicine, University of Nusa

Cendana. The sampling technique was stratified random sampling with a sample size

of 157 respondents from the 2018, 2019 dan 2020 batches. Learning approach data

were obtained from filling out the ASSIST questionnaire and burnout data were

abtained from filling out the CBI-S questionnaire via google form. The study was

analyzed by univariate, bivariate using the coefficient contingency and multivariate

using logistic regression.

Result: The result of bivariate analysis with the Contingency Coefficient test obtained

p value = 0,027(p<0,05) and r=0,288

Conclusion: There is a significant and weak relationship between learning approach

and burnout among students of the Faculty of Medicine, University of Nusa Cendana.

Key Words : learning approach, burnout, medical students