JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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PENGARUH KONSELING MENYUSUI TERHADAP SIKAP MENYUSUI IBU POSTPARTUM YANG DIRAWAT
Get PDFAbstract: Â Breastfeeding is important for mothers giving birth. Breastfeeding counseling is one of the efforts for the success of breastfeeding. The purpose of this study was to determine the effect of breastfeeding counseling on maternal breastfeeding attitudes treated. Design research is a quasi-experimental design with post-test-only approach to non equivalent control group. Total sample of 60 people were taken using a technique nonprobability sampling (non-random sample) with consecutive sampling method. Results showed no effect of breastfeeding counseling on breastfeeding maternal attitude (p value = 0.02). Age, education, parity, ethnicity, breastfeeding experience, the experience gets the information and family support is not related to breastfeeding attitudes. The role of health workers as breastfeeding counselors need to be optimized for successful breastfeeding maternal treated. Â Keywords: breastfeeding counseling, breastfeeding attitudes, materna
PENERAPAN PROBLEM BASED LEARNIN (PBL) DALAM KURIKULUM BERBASIS KOMPETENSI
Get PDFAbstrak Salah satu metode pembelajaran yang dapat diterapkan dalam Kurikulum Berbasis Kompetensi adalah Problem Based Learning. Donald Woods McMaster merupakan orang yang pertama kali memperkenalkan istilah PBL, dan Fakultas Kedokteran Universitas McMaster, Ontario Kanada merupakan institusi kedokteran yang memperkenalkan PBL dalam dunia pendidikan. Ada empat prinsip penting dalam pembelajaran PBL, yaitu : pembelajaran merupakan suatu proses konstruktif. (Learning should be a constructive process), pembelajaran merupakan suatu proses yang dimotori oleh keinginan dari dalam diri sendiri (Learning should be a self directed process), pembelajaran merupakan suatu proses yang dimotori oleh keinginan dari dalam diri sendiri (Learning should be a self directed process) dan pembelajaran merupakan sesuatu yang diberikan kontekstual (Learning should be a contextual process). Salah satu metode yang digunakan dalam melaksanakan PBL adalah seven jumps tutorial. Metode ini terdiri dari tujuh langkah yang disusun sistematis sehingga diskusi mahasiswa tentang suatu masalah dapat berjalan dengan optimal dan mencapai tujuan baik sesuai karakteristik PBL  Keywords : KBK, PBL, seven jump
TRANSMISI SEKSUAL (PMTS) DI KALANGAN WANITA PEKERJA SEKS (WPS) LOKASI GANG LALER KEMAYORAN JAKARTA PUSAT TAHUN 2014
Get PDFAbstract PMTS (HIV-AIDS Prevention Program through Sexual Transmission) is a program of HIV-AIDS prevention which was initiated by the National AIDS Commission (KPAN), its aim is to do HIV prevention comprehensively, interactively and effectively on the key population which is female sex workers, however, as it is known that the purpose of this program has not been reached. The research objective was to evaluate HIV-AIDS prevention program through sexual transmittion among female sex workers at Gang Laler Kemayoran Central Jakarta 2014.The research is using cualitative method, data assessment method is found through deep interview and document review, data validation is using triangulate sourch, data and method. The reseach show thatlack of coordination, lack of funds, facilities and infrastructure have become the reason whythe goal PMTS program cannot be achieved yet, marked with dysfunctional Location Working Unit. Location Working Unit is one key to success that can run the entire activities, so the suggestions of this research are to improve the coordination of KPAK with LSM/NGO, SKPD, Location Working in a form of routine meetings, to allocate the routine funds for Location Working Unit and the entire activities, as well as providing facilities and infrastructure to support the activities. Â Keywords: HIV AIDS, PMTS, Program Evaluatio
Hubungan Pemberian Susu Formula Dengan Kejadiaan Diare Pada Bayi Usia 0 – 6 Bulan
Get PDFABSTRACT Background : Formula feeding in infants aged 0-6 months are very influential on the frequency of occurrence of diarrhea. Based on Indonesian Demographic and Health Survey (IDHS) 2002-2003 known that infants aged less than 4 and 6 months has been given milk other than breast feeding, each for by 12.8% and 8.4%. In Indonesia, diarrhea is one of the highest causes of mortality and morbidity on the child, especially under the age of 5 years. From Jambi City Health Department in 2012 known data is the incidence of diarrhea in children <1 year as much as 1403 people spread in 20 health centers. At the Puskesmas Kenali Besar in 2012, patients with diarrhea in children <1 year of 110 people. Methods : This study is using a survey research with cross sectional analytic. Subject of research is baby age of 0-6 months of which taken from urban village working area of Puskesmas Kenali Besar. The number of samples a total of 123 people. Data of this research was analyzed by test chi square. Results : From 123 sample of this research, there are 48 (39%) infants with granting milk formula and 75 (61.0%) infants with ASI exclusive. Infants who never diarrhœa a total of 78 people ( 63.4 % ) while infants who never experienced diarrhœa 45 people ( 36.6 % ). Based on the results of the test chi square obtained meaningful relations between the infants with granting milk formula with an occurrence diarrhœa in infants age 0-6 months in the working area Puskesmas Kenali Besar. Conclusion : An infant that is consuming milk formulæ risk having exposed diarrhœa of 6,250 times in infants who were given breast-fed exclusive Keywords : Diarrhea, Milk Formul
Hubungan Imunoekspresi Human Telomerase Reserve Transcriptase (hTERT) dan Vascular Endothelial Growth Factor (VEGF) dengan Gradasi Histopatologi Meningioma
Get PDFABSTRACT Background: Meningioma is a tumor composed of cells of neoplastic meningothelial (arachnoidal) cells that a rise from the arachnoid membrane and the layer of the arachnoid villi associated with intradural venous sinuses and surrounding tissue. Meningiomas tumors is one of the central nervous system (CNS) the most commonly found (the second sequence) and generally grow slowly. Approximately 60-95% activity of telomerase (hTERT ) found on meningiomas and can induces VEGF . The aim of this study is to determine the role of hTERT and VEGF in meningiomas grading . Methods : This study is conducted using analytic observasional cross sectional method and had been analyzed with unpaired categorical analysis of the 60 cases of meningioma (46 cases grade I, 7 cases grade II, and7 cases grade III). The sample were obtained the archive of Anatomical Pathology Department, Faculty of Medicine, Padjadjaran University/Dr. Hasan Sadikin Hospital Result : The result of this study showed: 44 cases (96%) grade I meningiomas showed positive hTERT imunoexpression weak to strong, 2 cases(4%) non-reactive and VEGF imunoexpression showed strong positive 12 cases (26%), 24 cases(52%) were moderate positive and 10 cases (22%) weak positive. 7 cases (100%) grade II showed a strong positive hTERT imunoexpression and 5 cases (71%) showed a strong positive VEGF imunoexpression, 2 cases (29%) were moderate positive. 6 cases (86%) grade III showed strong positive hTERT imunoexpression, 1 case (14%) were moderate positive and 7 cases(100%) showed a strong positive VEGF imunoexpression. Statistical analysis revealed imunoexpression VEGF showed stronger positivity with p- value = 0.02 (< 0.05) compared to the hTERT imunoexpression with p-value = 0.73 (> 0.05). Conclusion : More affecting angiogenesis gradations meningiomas, seen by the presence of VEGF higher imunoexpression on higher gradations. hTERT Imunoexpression cannot determine of the meningiomas histopathological grading
Perbandingan Metode Barbeau Test dan Metode Pengamatan Klinis dalam Menilai Patensi Arteri Radialis Selama Kompresi pada Pasien Post Prosedur Kateterisasi Jantung di Ruang Angiografi Koroner dan Cardiac Intensive Care Unit RSUP. Dr. Hasan Sadikin Bandun
Get PDFABSTRACT Background : Radial artery occlusion is one of the transradial vascular complications post cardiac catheterization. To minimize the effect of vascular problem related to local compression by using compression methods after cardiac catheterization would be decrease vascular complication such as radial artery occlusion (RAO). This research was conducted to determine the comparison between the Barbeau test method and the clinical observation method carried out by the researcher in order to examine the patency of radial artery during compression, post procedure cardiac catheterization at the Angiography Coroner Unit and the Cardiac Intensive Care Unit, Hasan Sadikin Bandung General Hospital, Indonesia. Methods : This research was a quantitative research using the comparative study design. The subjects of this research were 20 patients who took cardiac catheterization procedure using radial artery access site at the Angiography Coroner Unit and checked in pairs. The measurement was conducted gradually in three hours using compression band, namely the Stepty-P. The statistical test, specifically the McNemar test, was used to analyze the comparasion between the Barbeau test method and the clinical observation method, meanwhile the single variable data were analyzed by the distribution frequency. Result : According to the research result, it depicts that the distribution frequency of subjects who suffer from radial artery blood flow during compression period based on Barbeau Test at the first fifteen minutes were 7 patients (35%), the number of patients declined negligibly after 3 hours to 5 patients (25%), whereas the result from the clinical observation methods was 1 patient (5%) at the first fifteen minutes, it then raise marginally after 3 hours to 2 patients (10%). The statistical result shows that there wsere a significant difference in radial artery evaluation during compression period between two methods, in which at the first fifteen minutes (p=0,035) and the first thirty minutes (p=0,035), respectively, soon after the use of compression band, while overall, the statistical test result shows that there were no significant difference in comparison of two methods within the 45 minutes and 3 hours of compression periods (p>0.05). Conclusion : It is suggested to the nurse in the intensive care unit of cardiology to use the Barbeau Test method in assessing the patency of radial artery during compression period, post procedure transradial cardiac catheterization.  Keywords : Barbeau test, clinical observation, radial artery, patency, cardiac catheterization
Profil Tuberkulosis Pada Anak di Instalasi Rawat Jalan RSUD. Raden Mattaher Jambi
Get PDFABSTRACT Background: Tuberculosis (TB) in children is a very worrying phenomenon because it potentially causes a variety of problems, starting from cases of failure to growth, disability and even death. The symptoms of Tuberculosis in children are often non specific, so that, over diagnosis and followed by over treatment are often happen. In another cases, under diagnosis and under treatment are also found. TB diagnosis in children refers on finding the mycobacterium (MTB) from sputum, gastric lavage, biopsy, etc. But, these kind of examinations are difficult and rare to get and it makes almost of tuberculosis diagnosis in children enforced by clinical symptoms, radiological imaging and tuberculin test. Objective: The aim of this research is to know the profile of patients with tuberculosis in children in outpatient installation of Raden Mattaher Hospital Jambi. Methods: Descriptive-prospective research. The subject of this research is all children who gets treatment in outpatient policlinic of pediatrics and already diagnosed as TB (New case) by pediatrician which based on criteria and scoring system from IDAI. Results: Tuberculosis in boys (60%), comparing with girls 3 : 2. Age group under 5 years (56%) and primary school age (44%). Children with poor nutrition and malnutrition (60%). Children with BCG immunization and positive scar (60%), and children with BCG Immunization and negative scar (43%). The most presenting symptoms and signs were cough (96%), fever (84%), history contact of adult with tuberculosis (60%), positive Tuberculin Test (42%) and Radiographic findings of Tuberculosis (78%) Conclusion: The most common patients was in age group under 6 years (56%) and 6-12 years (42%). The most important high risk of tuberculosis infection in children is contact of adult with tuberculosis. Therefore, it is important to detect infection of tuberculosis in adult and find out its transmission in order to early detecting of child with high risk of tuberculosis infection. Prevention of tuberculosis in children is one of the most important thing to do. Keyword: Tuberculosis in children. Contact of adult with tuberculosis. Clinical symptoms and Tuberculin Test
BACTERIOLOGICAL TEST OF WATER FROM DUG WELL THAT DOES NOT FULFILL REQUIREMENT IN THE WORKING AREA PUTRI AYU HEALTH CENTERS, SUB TELANAI PURA OF JAMBI, 2015
Get PDFAbstract Background: The incidence diarrhea in Jambi is still quite high, especially in infants with 10936 cases. The highest incidence was in Putri Ayu health centers. One of the associated factors with diarrhea is water supply does not fulfill requirement. In the working area of Putri Ayu health centers, most people use dug well as one of the sources of water supply, but there are some dug wells have unfulfill requirement physical conditions. Dug well water is vulnerable to contamination by bacteria. The purpose of this study was to know the MPN index of coliform bacteria, the microscopic images of coliform bacteria and the quality of dug well water. Methode : This study was a descriptive with laboratory experimental design. The samples were 25 unfulfill requirement dug well water that conducted using proportionate stratified random sampling method from April to July 2015. Result : From 25 samples, there are 21 water samples (84%) has a number of coliform that over the maximum levels are allowed by SK. Dirjen PPM and PLP No. 1/PO.03.04.PA.91 and SK JUKLAK PKA 2000/2001, that is 50 MPN/100 ml. From microscopic images, there are 19 samples (76%) had gram-negative bacteria with red and short rod-shaped and six other samples (24%) is a gram-positive bacteria with purple and cocci shaped. Conclusion: There are coliform bacteria contamination in dug well water in the working area of Putri Ayu health centers. This result might be influenced by physical condition of dug well. Keywords: Dug well water, coliform, MP
VARIASI PENDEKATAN KULIAH TATAP MUKA DALAM KAITAN DENGAN PEMAHAMAN STUDENT CENTERED LEARNING
Get PDFABSTRACT Lecture is the most common instruction method used. In order to be effective, it has to be arranged so that students are not merely passive receiver, but an active learner and contributor. In giving lecture, lecture is responsible to pack information so that it becomes simple and understandable. Lecture benefits from its ability to squeeze abundant information and delivered to a bunch of students. Lecture contains: introduction, content, and closing. There are some method to make lecture interesting without interfering the core content such as: short breaks during lecture, premeditated question to enhance active thinking, and test at the end of lecture to help understanding information. There are several types of lecture based on its context such as: Oral presentation, Visual information giver, Exemplary performer, Eclectic lecturer, and Amorphous talker. Meanwhile from structure point of view, there are five types: classical, problem based, sequential, comparative, and thesis type. In giving good lecture, there are several essential skills which is important to be mastered to support lecture such as: prepoaration, opening, explanation, information description, narration, comparison, audio visual, student response, student activity, and summary. The discussion is integrated into an observed case study to facilitate understanding. Keyword: Lecture, interactive, PBL, student centere
Evaluasi Kromatin Sperma Sebagai Indikator Kualitas Sperma
Get PDFABSTRACT There are infertility cases that is founded on man, which can’t be explained. It encourages androlog and the researcher to find another examination besides men’s fertility examination as commonly use in clinic. Nowadays, sperm chomatin is not become a clinical parameter in deciding man fertility yet. According to some researchers, abnormality in sperm chromatin can influence infertility in men. Sperm chromatin’s examination that is commonly use is aniline blue and toluidine blue examination. Aniline blue examination is used to see chromatin’s sperm maturity and toluidine blue examination is used to see packaging of sperm chromatin. Some researchers told that aniline blue and toluidine blue examination is recomended to complete semen’s analysis in men’s fertility examination. Keywords: sperm chromatin, quality of sper