JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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Hubungan Durasi Pemberian Asi Dengan Status Gizi Anak Usia 0-24 Bulan di Puskesmas Simpang IV Sipin Kota Jambi Tahun 2015
No full textABSTRACT Background : The connection between breastfeeding duration starts on 0 Until 24 month and child's nutritional stat still bring some controversy. Positive and negative correlation can be seen ss result. This study purpose is to support the giving of exclusive breastfeeding for 2 whole years ( start from one hour after delivery, exclusive breastfeeding for 6 month, no bottle feeding, and 2 years or more of breastfeeding) in Jambi and the correlation with 0 – 24 month child’s nutritional state. Based on Jambi’s Health Departement data in 2013, there was counted 1545 exclusive breastfeeding on 0 – 6 months children within 20 local Primary health care unit in Jambi. On Simpang IV Sipin area, there was 118 babies who got exclusive breastfeeding on 2013. Objective : To determine relationship between duration of breastfeeding and nutritional status of children aged 0 – 24 months in Simpang IV Sipin Health Center Jambi in 2015. Methods : This Study used analytical research’s method with crosssectional approach held at Simpang IV Sipin Primary health care unit on 2015. This research used consecutive sampling to Primary health care unit the samples and got 73 children to be followed. This Study data been analyzed by using one- way Anova test. Results : Based on data, we can conclude that there is correlation between breastfeeding duration with nutritional state ( p value 0,037), child with normal nutritional state ( 29 children ) have breastfeeding duration for 8,9 month in average. Child with thin nutritional state have breastfeeding duration got 5,3 months in average, and child with fat nutritional state have breastfeeding duration got 10,2 month ib average. Conclusion: There is relationship between exclusive breastfeeding with nutritional status at age 0 – 24 months in Simpang IV Sipin Primary health care unit Jambi in 2015.  Keywords : Exclusive breastfeeding, nutritional statu
Peran MCQ Sebagai Instrumen Evaluasi Dalam Pendidikan Kedokteran
Get PDFAbstract The Assessment of student learning is part of an educational process. In evaluating the results of the student's education, there are two types of evaluation, namely, the evaluation of formative and summative evaluation. Formative evaluation is used to assess the progress of the learning process, and serve to provide feedback to the student in the learning process. Summative evaluation is used to assess whether the students have achieved the learning objectives and to identify students who are entitled to continue the learning process to the next level, or college students who must repeat the learning process. The educational process in medical education involves the formation of knowledge, skills and attitudes. Therefore, evaluation process of education must assess three components above. One evaluation instrument used to assess student knowledge in medical education is a Multiple Choice Question (MCQ). MCQ that is used should be a well-constructed MCQ, so that, the MCQ might capable in assessing knowledge, comprehension, application and analysis of medical students towards the medical knowledge.  Keywords : Evaluation, MCQ, Medical educatio
Rare Case Report: Chondrosarcoma Arising from Osteochondroma in MHE patient.
Get PDFThis is a unique case of chondrosarcoma. From this case, we learn that, Multiple Hereditary Exostoses have strong connection with familial bond. This disease has male predominance, but in this case, the family don’t have any son, and the father are healthy without any sign and symptoms of lumps. As a physicians, it is important to take careful examinations if a patient complain of any bony lump, then it is necessary to take careful and thorough examination of the patient’s body, to know if there are other lumps in the patient’s body, because the chances of getting malignant transformations are bigger in patients who have multiple exostoses, than from patient with single exostose
Critical Incidents Dalam Dinamika Kelompok Tutorial
Get PDFAbstrak Dalam Kurikulum berbasis kompetensi, pembelajaran problem-based learning merupakan suatu hal yang krusial, proses diskusi tutorial sangat besar peranannya dalam upaya peningkatan hasil belajar mahasiswa dan pencapaian kompetensi sesuai yang diarahkan dalam Standar Kompetensi Dokter Indonesia. Ada banyak hal yang dapat mempengaruhi keberhasilan dinamika kelompok dalam diskusi tutorial, salah satunya adalah berbagai critical incidents yang terjadi baik selama pelaksanaan diskusi ataupun faktor lain di luar diskusi tutorial. Oleh karena itu, pengetahuan tentang critical incidents ini selayaknya diketahui oleh mahasiswa maupun tutor, sehingga hal tersebut dapat dihindari dan tujuan pembelajaran yang diharapkan dapat tercapai Kata kunci : dinamika kelompok, critical incident
Strategi Menurunkan Prevalensi Gizi Kurang Pada Balita di Provinsi Jambi
Get PDFABSTRACT Malnutrition is a major cause of morbidity and mortality among children in developing countries. This study aims to examine strategies to reduce the prevalence of malnutrition (underweight) in an effort to achieve the target of MDG's in nutrition programs in Jambi by analyzing the magnitude of the problem of nutrition according to indicators of W/A, H/A and W/H in infants (children aged 0-60 months). The data analyzed in this study came from the Health Research Association (Riskesdas) 2007 held in Jambi Province. The number of samples in the study were as 2213 of underfive children. The analysis showed that 36.6% of underfive children were stunting (H/A), 19.6% of underfive children were underweight (W/A) and 17.3% wasting (W/H). There are 80% of the City and District have malnutrition prevalence least not yet achieved the MDG's targets ranged from 15.9 to 26.3%. The proportion of infants not stunted (normal according to the W/A) but wasted were 5.3%, varies between 3.5% - 15.8% in the District/City. The proportion of not stunted (normal) but wasted (N-K) is what can be intervened by supplementary feeding (PMT) with immediately visible results. When all N-K children can be handled, the MDG's targets can be achieved in Jambi Province (14.3%). Strategies that can be done is to revitalize primary health centers and growth monitoring at integrated health post (Posyandu). Key Words : underweight, stunted, wasted, underfive childre
Mengenal CPOB Untuk Produk Darah
Get PDFABSTRAK Produk darah atau blood products merupakan salah satu sediaan farmasi yang sangat dibutuhkan bagi manusia, terutama bagi mereka yang sedang menjalani terapi dengan menggunakan blood products. Pengolahan darah atau plasma menjadi sediaan obat merupakan proses yang sangat spesifik dan “unikâ€, begitu pula metode uji yang digunakan. Perihal mutu, keamanan,efikasi produk darah mutlak harus terpenuhi, dan karenya harus tersediasuatu sistem panduan yang komprehensif antara Jaminan Mutu (Quality Assurance-QA) dan Cara Pembuatan Obat yang Baik (CPOB atau Good Manufacturer Product-GMP) yang didisain sedemikian rupa sehingga memenuhi persyaratan WHO. Mutu dan keamanan produk darah merupakan hal yang sangat penting, harus terjamin sebelum digunakan manusia. Indonesia berpeluang dan berpotensi sebagai penghasil blood product, salah satunya sumber plasma darah sehingga mengurangi ketergantungan akan impor blood productyang relatif mahal.  Kata kunci : Produk darah, CPO
Perbandingan Efektivitas Pembelajaran Clinical Skill Lab (CSL) dengan Menggunakan Video Ajar Keterampilan Klinik Neurologi terhadap Demonstrasi oleh Instruktur
Get PDFABSTRACT Background : Medical Faculty University of Jambi has been implemented  clinical skills lab (CSL) as one of learning methode. Limited time for encounter a learning topic which discuss just once in learning session may effect student ability to perform clinical skill of learning topic. There are many research represent advantages of learning video as effective learning media to gained student memory for a learning topic. The aim of this research was to compared effectiveness student clinical skill neurology examination ability using learning video with direct instructor teaching perform. Student ability to perform clinical skill assess using checklist procedure. Methode: This research was true experimental with posttest only control design. This research held at Medical Faculty University of Jambi in June until August 2014. Population of this research was all student in first years. Sample randomly selected and grouped as experiment (69 students) and control (68 students). Experiment group gave clinical skill neurology examination video, control group gave direct instructor teaching perform. Result: Evaluation based on checklist represent of experiment group had median value 78,13 (range 50,00) and control group had median value 74,25 (range 75,76). Mann U-Whitney test find the p- value for compared two group was 0,657 (p>0,05), there was no significant statistically between experiment and control group. Conclusion : In conclusion student who did not follow clinical skill learning session can learned from video, video may consider as learning media to over come limitation human resources and time of lecture in medical faculty. Kata Kunci : Clinical Skill Lab, Learning video, Neurology clinical skil
KARAKTERISTIK GAMBARAN PEMERIKSAAN BLASS NIER OVERSICH – INTRA VENOUS PYELOGRAM PADA PENDERITA HEMATURIA DI BAGIAN RADIOLOGI RSUD RADEN MATTAHER JAMBI
No full textABSTRAK KARAKTERISTIK GAMBARAN PEMERIKSAAN BLASS NIER OVERSICH – INTRA VENOUS PYELOGRAM PADA PENDERITA HEMATURIA DI BAGIAN RADIOLOGI RSUD RADEN MATTAHER JAMBI Latar Belakang : Hematuria atau urin berdarah adalah suatu gejala yang ditandai dengan adanya darah atau sel darah merah didalam urin yang disebabkan oleh adanya inflamasi seperti pada saluran kemih serta dapat juga disebabkan oleh benign prostat hypertrophy, cystitis, carcinoma blader, batu pelvis renal atau ureter, dimana diantaranya bisa berasal dari tumor ganas yang terdapat pada saluran kemih. Dalam hal ini Hematuria merupakan gejala yang penting dan serius sehingga diperlukan strategi dalam mencari penyebab hematuria, agar dapat mendiagnosis penyebab hematuri dapat ditegakkan secara pasti, diperlukan pemeriksaan yang sistematik dan terarah meliputi anamnesis, pemerikasaan fisik, laboratorium dan pemeriksaan penunjang lainnya seperti Blass Nier Oversich – Intra Venous Pyelogram (BNO-IVP) dimana pemeriksaan ini dianjurkan pada setiap kasus hematuria dan sering digunakan untuk menentukan fungsi ekskresi ginjal. Umumnya, menghasilkan gambaran terang saluran kemih dari ginjal sampai dengan kandung kemih, Pemeriksaan ini dapat menilai adanya batu saluran kemih, kelainan bawaan saluran kemih, tumor , trauma saluran kemih, serta beberapa penyakit infeksi saluran kemih. Penelitian ini bertujuan untuk mengetahui karakteristik gambaran pemeriksaan BNO-IVP pada penderita hematuria di bagian Radiologi RSUD Raden Mattaher Jambi. Metode : Penelitian dilakukan di bagian Radiologi RSUD Raden Mattaher pada bulan Mei sampai Juni 2013. Jenis penelitian ini adalah penelitian deskriptif. Sampel pada penelitian ini diambil dengan teknik pengambilan purposive sampling. Dari seluruh populasi, yang sesuai dengan kriteria inklusi dan kriteria ekslusi didapatkan jumlah sampel sebanyak 39 orang. Hasil : Mayoritas responden yang mengalami hematuria berusia 40 - 59 tahun berjumlah 21 orang (54%). mayoritas responden yang mengalami hematuria berjenis kelamin laki-laki berjumlah 23 orang (59%). mayoritas responden yang menderita Batu pada saluran kemih berjumlah 25 orang (63%),diikuti dengan tumor 3 orang (8%) serta 1 orang (3%) dengan infeksi, sisanya tidak ditemukan kelainan berjumlah 10 orang (26%) Kesimpulan : hematuria lebih banyak disebabkan oleh adanya batu pada saluran kemih laki – laki terutama yang berusia 40 – 59 tahun. Kata kunci : Hematuria, Blass Nier Oversich – Intra Venous Pyelogram (BNO-IVP),Batu, Tumor, Infeksi
Gambaran Obat Tradisional yang Digunakan Penderita Malaria di Wilayah Puskesmas Simpang IV Sipin Kota Jambi 2014
Get PDFABSTRACT Background: Traditional medicine is the ingredients derived from plants, animals, minerals or mixtures of these materials. Malaria is an infectious disease caused by Plasmodium parasites that invade erythrocytes and characterized by the discovery of asexual blood forms. At Jambi province, the morbidity due to malaria is still quite high. There are nine districts and two municipalities which is a malaria endemic area. The proportion use of traditional medicine for malaria is still unknown include Jambi province. The number of people and the efficacy of using a traditional medicine remains unknown. This research designed in order to describe the use of traditional medicine in patients with malaria. Methods: The type of this research is descriptive quantitative research. The study was conducted at the Puskesmas Simpang IV Sipin Jambi. The entire study of population malaria patients that visiting Puskesmas Simpang IV Sipin and home visit patients who had suffered from malaria in the month of November 2013-February 2014. The number of samples in this study is 70 respondents. Data were analyzed by univariate analysis. Result: From the results, users of traditional medicine as much as 34.5%, traditional types of drugs most widely used is the use of sambiloto (27.1%), the most reason way the patients take traditional medicine because the side effects are relatively small (35.7%), the most way to mix the ingredients is by blend the ingredients together boiled it whit water, after that patients drunk the potions (80%), the most way to find the ingredients is looking around the house (80%), the most duration of using traditional medicine expressed by respondents is for 3 days (41.4%), and 95.7% expressed the feeling that the traditional treatment is efficacious. Conclusion: The results stated that the description of the use of traditional medicine in Puskesmas Simpang IV Sipin is 34.5%. Â Keywords: Traditional medicine, malari
Korelasi Ekspresi VEGF dan Densitas Mikrovesel Dengan Respons Radioterapi Adenokarsinoma Serviks
Get PDFABSTRACT Background: Most of cervical carcinoma patients, including cervical adenocarcinoma comes at an advanced stage and thus radiotherapy is one of the modality treatment. The success of radiotherapy depends on several prognostic factors such as the performance, staging, histopathology of tumor, presence of organ dysfunction and cellular biology marker such as VEGF. Activation singaling pathway Vascular Endothelial Growth Factor (VEGF) can induce radioresistance on cervical adenocarcinoma. Activation angiogenesis mediated by VEGF can be counted from microvessel density (MVD). Counting MVD use imunohistochemical CD34 on endothelial cells form capiller of blood vessel in peritumoral. The aim of this study was to determine correlation between immunohistochemistry VEGF dan MVD with neoadjuvant radiotherapy response cervical adenocarcinoma. Methods: This study was an observational study, cross-sectional and correlational analysis. Samples was collected by total sampling with amount 32 samples block parafin from Departement Anatomical Pathology General Hospital Dr. Hasan Sadikin Bandung and treated with complete neoadjuvant radiotherapy from Januari 2007 until December 2013. Immunohistochemical examination of VEGF and CD34 for counting MVD was done on all sample block parafin. Result: There was a strong correlation between microvessel density (MVD) with neoadjuvant radiotherapy response in cervical adenocarcinoma (p = 0.000). In this study MVD above 30 correlate with poor neoadjuvant radiotherapy response in cervical adenocarcinoma. Conclusion: Examination MVD recommended for cervical adenocarcinoma patient before radiation treatment. Â Keyword : Cervical Adenocarcinoma, CD34, Neoadjuvant Radiotherapy, VEG