JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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Evaluation Of Growth And Development Of Stunting Childrens : A Case Control Study
Full text linkABSTRACT
Background: Building the quality of human resources must go through a long process and is influenced by various factors. One of the most influencing factors is the intake of food with sufficient nutritional value for growth and development. The aim of this research is to comparison of growth and development of stunting childrens.
Methods: This research was conducted in April – October 2023 with a case control research design. Population of this study are childrens with stunting in Jambi City, Indonesia . The research instrument used Developmental Pre-Screening Questionnaire (KPSP) and Denver Test. Variable evaluation of vision and hearing, evaluation of child's speech and language, physical examination, neurological examination, evaluation of other diseases and development.
Results: The results obtained from this study were the majority were 25-36 months old 46.1%, with the largest gender being male 52.8%. No neurological or ear disorders were found in cases or controls. There was 1 eye disorder on physical examination, 3 disorders were found in cases and 1 disorder in controls. No significant relationship between variable. In the KPSP developmental examination, it was found that there were 44.4% developmental deviations in stunted children and have significant relationship between development and stunting.
Conclusion: In terms of growth, stunted childrens do not experience any problems, but there are deviations in the development of stunted childrens
Interprofessional Learning Development In Indonesia Health Study Program
Full text linkBackground: Interprofessional education (IPE) is a joint learning process between two or more students from the health profession to develop collaboration skills and improve the quality of health services. With IPE, students develop a deeper understanding of various health professions' roles and responsibilities, enhancing their ability to communicate and collaborate effectively. This study aims to develop IPE learning involving five health professions at the Faculty of Medicine and Health Sciences Universitas Jambi.
Methods: This study uses a research and development design. This study utilized a qualitative approach, specifically through Focus Group Discussions (FGDs) at the research and information gathering (define) stage. A total of ten lecturers and five heads of study programs from medical, nursing, pharmacies, psychology, and public health programs were involved in this study.
Results: Three themes were derived from the results: Curriculum, Faculty Development, and Institutional Support. Community-based IPE allows students from various health study programs at FKIK UNJA to be involved in these activities. To ensure effective implementation of IPE learning, it is crucial to conduct training for faculty facilitators and field instructors related to IPE learning and to form a team responsible for developing, delivering, and managing the IPE program. Institutional support for interprofessional education (IPE), namely facilities, infrastructure, and a partnership with primary health centers, is critical for implementing and sustaining community-based IPE.
Conclusion: The IPE learning that will be implemented at FKIK UNJA is community-based IPE. Three crucial elements must be prepared to implement IPE: curriculum, faculty development, and institutional support.
Keywords: Interprofessional Education; Community-Based Settin
Effect of Ketogenic Diet In Obese Patients With Type 2 Diabetes: A Systematic Review
Full text linkABSTRACT
Background : Diabetes is non communicable diseases and fastest growing diseases worldwide, that cause many complications, lead to increased mortality and decreased quality of life in individuals. Diabetes complications can controlled by dietary intervention. Ketogenic Diet (KD) is one of trusted method that having beneficially effects for patients with Type 2 Diabetes Mellitus (T2DM) .
Objective : This paper aim to investigate the effect of KD in the patients T2DM.
Methods : This paper used the systematic review. Articles are selected using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analysis) based on google scholar and PubMed. The inclusion criteria in this writing are articles published within the last 5 years with keywords “Ketogenic Diet, Type 2 diabetes, clinical trialâ€
Result : The results show that KD had significantly beneficial effects on weight, Body Mass Index, Cholesterol, Blood Sugar, Fasting Insulin and HbA1c were decrease and quality of sleep were increased after intervention (p value < 0,001)
Conclusion : KD can controlled the body weight, blood glucose, lipids and also good for increased sleep quality in patients T2DM but have a low adherence for long term persistence
Keywords : Ketogenic diet, type 2 diabetes, clinical tria
The CORRELATION OF ACADEMIC PERFORMANCE WITH PROGRESS TEST SCORE IN PRECLINIC STUDENTS
Full text linkBackground : A problem-based learning curriculum is a curriculum that starts with problems and then studies to gain knowledge and skills. One of the curriculum weaknesses is that the students prefer clinical to basic medical knowledge. Student knowledge will be good if they have understood basic knowledge in the learning process. However, students often experience a decrease in basic knowledge retention, so evaluating using an assessment is necessary. In medical education, assessment can be either summative or formative. Assessment of basic medical science can be seen from the summative assessment of GPA scores in the first year, while formative scores in the phase 1 progress test (PT) scores. In addition to assessments, retention of basic medical science at the Faculty of Medicine at the Universitas Islam Indonesia (UII) is also supported by a spiral curriculum design. A good performance in basic medical science in the first year is expected to have good retention in the 1st, 2nd, 3rd and 4th phase PT scores (basic medical content).
Objectives: Knowing the correlation between first-year academic performance and phase 1 PT scores (basic medical content) to 1, 2, 3 and 4 in preclinical students at the FK UII.
Method: This study is an analytic observational study with a cross-sectional design. The sampling technique used purposive sampling on FK UII students in 2018, 2019 and 2020 (n = 471). Secondary data collection was taken from the academic division of FK UII. Correlation analysis using the Spearman test.
Results: The results of the correlation between the academic performance and PT (phase 1) to 1st, 2nd, 3rd and 4th scores are significant (p <0.01). In the 2018 students, there is a weak correlation at 1st PT (phase 1) (r = 0.231), 2nd PT (phase 1) is a strong correlation (r = 0.664), 3rd PT (phase 1) is a weak correlation (r = 0.378) and 4th PT (phase 1) is a moderate correlation (r = 0.490). In the 2019 students, 1st PT (phase 1) is a weak correlation (r = 0.266), 2nd PT (phase 1) is a strong correlation (r = 0.607), and 3rd PT (phase 1) is a moderate correlation (r = 0.426). In the class of 2020, 1st PT (phase 1) has a moderate correlation (r = 0.493), and 2nd PT (phase 1) has a weak correlation (r = 0.322).
Conclusion: There is a correlation between academic performance and progress test scores in preclinical students at the medical faculty, Universitas Islam Indonesia
THE EFFECT OF INTERMITTENT FASTING ON TRIGLYCERIDE LEVELS IN THE WISTAR STRAIN WHITE RATS (RATTUS NORVEGICUS) DIABETES MELLITUS MODEL
Full text linkBackground:: In Indonesia, there is an increasing population prevalence with abnormal triglyceride levels. Reducing triglyceride levels in the blood can be done in various ways including taking drugs and changing healthy lifestyles. Diet intervention methods that can be done are very diverse, one of which is Intermittent Fasting 5:2.
Methods: Experimental uses this type of analysis quantitative laboratory research in vitro using a pre-test and post-test group design. The population used in this study were 30 (Rattus norvegicus) Wistar with a body weight of 150-250 grams. Which were divided into 3 groups,
Results: From the results of the paired T-Test. It proves that there was no significant difference in treatment groups A, B, and C which was marked by the statistical test results obtained p> 0.05 (insignificant).
Conclusion: There was no difference in triglyceride levels before and after treatment with intermittent fasting type 5:2 white Wistar rats
Prevalence of Metabolic Syndrome (MetS) Among Civil Servants in Jambi City:: Using NCEP/ATP III Criteria
Full text linkBackground: The incidence of Metabolic Syndrome (MetS) is an important health problem because it was associated with an increase in cardiovascular disease as the main cause of death. The prevalence of MetS in the world at age > 20 years was 24%, age 50 years was 30% and age > 60 years was 40%, while in Indonesia was 17.5% and one of groups that has most risk factors for MetS is the civil servant (ASN). This study aims to obtain a description of the MetS incidence among ASN in Jambi City.
Method: A descriptive quantitative study carried out on 108 ASN from six selected government agencies in Jambi city through multistage random sampling technique. Data collection through physical examination to measure of 5 MetS criteria according to the NCEP ATP-III, namely central obesity, blood sugar, blood pressure, triglycerides, and HDL. Determination of the incidence of MetS if the subject has 3 of the 5 criteria.
Result: The results of the analysis obtained that the incidence of MetS to 60.2%, and 3 of MetS indicators that have risk majority namely central obesity (74.1%), blood pressure (66.7%), and HDL (63%).
Conclusion: It recommendation to prevent and control risk factors that affect the incidence of MetS through improving communication-information-education (IEC) for ASN to raise awareness and develop Posbindu in the workplace to early detection of MetS risk factors.
Keywords: Metabolic syndrome, civil servant, jambi cit
Correlation Between C-Reactive Protein Level and Outcome In Coronavirus Disease 2019 Patients At COVID Intensive Care Unit RSUP. Dr. M. Djamil Padang
Full text linkBackground: Coronavirus Disease 2019 (COVID-19) is a respiratory system disease transmitted to humans and has infected humans in almost every country. Plasma cytokine levels, such as C-reactive protein (CRP), are elevated inflammatory markers in most COVID-19 patients and are routinely examined, especially in the intensive care Unit (ICU). Elevated CRP levels are associated with higher rates of severity and death.
Objective: This study aimed to determine the correlation between CRP levels and outcomes in COVID-19 patients at COVID ICU RSUP. Dr. M. Djamil Padang Period July – December 2021.
Method: This research was conducted using by analytic observational method with a retrospective cohort design. Secondary data was collected from the medical records of COVID-19 patients treated in the ICU COVID RSUP. Dr. M. Djamil Padang from July – December 2021, using total sampling as a technique, 107 samples met the inclusion criteria. Data analysis was carried out using univariate and bivariate methods.
Result: The result shows more male patients (51.4%) than women (48.6%). From the age range, most age was found in the range > 59 years (54.2%). The most common type of comorbid disease was diabetes (32.7%). The highest CRP level at the initial ICU admission was >160 mg/L (70.1%), and the highest ferritin level was >434 ng/mL (86.0%). The most common patient outcome was death (65.4%). There is a relationship between CRP levels (p = 0.029) and the outcome of COVID-19 patients in the COVID ICU.
Conclusion: This study concludes that there is a correlation between C-Reactive Protein (CRP) levels and Outcomes in COVID-19 patients at COVID ICU RSUP. Dr. M. Djamil Padang Period July – December 2021.
Keywords : COVID-19, CRP, Patient Outcome, IC
RELATIONSHIP ATTITUDE AND GOVERNMENT COMMITMENT COMPLIANCE WITH THE IMPLEMENTATION OF THE COVID-19 HEALTH PROTOCOL IN JAMBI CITY TOURISM PLACES
Full text linkBackground: Tourist attractions have the potential to become a locus of spread of COVID-19 if there is a gathering of visitors while traveling causing compliance with the implementation of health protocols to break the chain of transmission of COVID-19. The emergence of the term Revenge Tourism or revenge tourism after the implementation of the new normal, where during the Covid-19 pandemic made many people experience boredom in the midst of social implementation so walking is a way to reduce boredom and boredom while implementing the house.Objective: This study aims to look at the relationship between the government's attitude and commitment to compliance and implementation of the Covid-19 health protocol in tourist attractions in Jambi City.Methods: This type of research is observational with a cross-sectional design. This research was conducted at tourist attractions in the city of Jambi in June-August 2022. The population in this study were 378 visitors to tourist attractions.Results: Based on the research results obtained, the majority of respondents had a positive attitude about implementing health protocols during the Covid-19 pandemic at tourist attractions, namely 191 respondents (50.5%), then most of them had the government's commitment to preventing Covid-19 in tourist attractions, namely as many as 237 respondents (67.2%) statistical test there is a significant relationship between attitudes (p=0.000) and government commitment (p=0.000) with adherence to the implementation of health protocols during the Covid-19 pandemic in tourist attractions Jambi city.Conclusion: There is a significant relationship between attitude (p=0.000) and government commitment (p=0.000) with adherence to the implementation of health protocols during the Covid-19 pandemic in Jambi city tourist attractionsKeyword: Covid-19, Health Protocols, Tourist spots
 
DETERMINANTS OF UNDER-FIVE HEIGHT IN STUNTING PREVENTION EFFORTS IN TANJUNG JABUNG TIMUR, INDONESIA
Full text linkBackground
Stunting is the unsuccessful growth of children under five due to chronic malnutrition so that their height is not in accordance with their age. the prevalence of stunting based on the results of SSGI research in 2020, since 2013-2019 the decline in the prevalence of stunting in Jambi Province reached 7.8%. The weight of under-fives according to age range is one of the indicators in achieving optimal under-five growth.
Objectives
This study aims to analyze the determinants of body weight in under-two children in East Tanjung Jabung District.
Methods
Quantitative research with a cross-sectional design. The sample was 179 mothers and children under two selected by random sampling technique. The questionnaire has been tested for validity and reliability. Data were analyzed using the chi-square test.
Results
Maternal occupation (PR 4.507), family income (PR 4.507), breastfeeding pattern (PR 5.136), IMD practice (PR 4.825), breastfeeding (PR 4.305), smoking behavior in the house (PR 4.323), visits to the health fasilities (PR 5.247).
Conclussion
Based on the results of the study, maternal occupation, family income, breastfeeding pattern, IMD practice, breastfeeding exclusive, smoking behaviour in the house, and health facility visits were correlated with the height of infants. It is recommended that mothers and families can increase family economic income with the participation of the district government in helping the family economy. Mothers improve breastfeeding patterns and IMD practices, increasing visits to health facilities for monitoring children under two height, optimizing the role of cadres and also eliminating smoking behavior in the house.
Keywords : Stunting, Children Under Two, Determinan
Drug Induced Gingival Overgrowth In Elderly Stroke : A Case Report
Full text linkBackground: Drug-induced gingival overgrowth has been reported as adverse effect of certain medication, including amlodipine, in susceptible individuals. The exact mechanism of gingival hypertrophy remains unclear and may be related with multifactorial factors. Gingival hypertrophy related with speech and mastication problem, poor oral hygiene and aesthetic appearance.
Case Presentation: We report the case of a 64-year-old male with post stroke and hypertension who developed gum hypertrophy following amlodipine use for 3 years. Maintenance of oral hygiene and substitution of offending medication was performed as the first step in management.
Conclusion: A case of DIGO associated with amlodipine on post stroke patient with hypertension that causing difficulties in mastication and diffuse gingival enlargement. After the amlodipine was substituted with candesartan and oral hygiene was performed, leading to significant alleviation of the symptoms
Keywords: Gingival hypertrophy; Amlodipin; DIGO; Adverse even