JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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Hubungan Pola Kuman Saluran Cerna Anak Autis terhadap Tumbuh Kembang di Kota Jambi
ABSTRACT Background: Autism is developmental disorder that appears in children before the age of three and the cause is not known yet. Characteristics of autism are deficits in communication, social interaction, behavior and indigestion. Therapy for autism is not only behavioural therapy but also gluten free-casein free diet. The aim of this study is to describe the characteristics of the growth and development of children with autism at the age of 2-6 years and to see the possibility of the relationship between the pattern of microbe in tractus gastrointestinal and the growth level in children. Methods: Descriptive cross-sectional study, included 49 children with autism at the age of 2-6 years and their parents in special schools of Prof. Dr. Sri Soedewi Masjchun Sofwan, SH and three foundation of children with special needs in Jambi city. Result: 89,8% respondents aged 4-6 years; 87,9% dominated by boys; 87,8% autism is more common in pregnant women aged 21-35 years; 61,2% mothers had never experienced TORCH infection; 93,9% gave birth at >37-42 weeks gestation; 85,7% respondents had never experienced signs of severe breathing at birth; 89,8% had never experienced signs of meningitis or seizures; 33 parents have known about GFCF diet, but only 28 parents who apply the diet. From 28 parents; 21 replace cow’s milk to soy milk, 12 regular and discipline on the diet and 20 felts the positive effects of the diets. 49 respondents: 69,4% has normal nutritional status and 98% has suspect in development disorders. There are the relationships in statistic between the growth level of autism child with microbe Proteus mirabilis. Conclusion: The majority of children with autism at the age of 2-6 years in Jambi City have normal growth, yet fall into the category of suspect in developmental disorders. Proteus mirabilis is a microbe which has the relationships statistically with the growth level of autism children.  Keywords: Autism, growth, development, pattern of microb
Analisis Kelayakan Rujukan Persalinan Oleh Bidan Puskesmas PONED Di RSUD Pirngadi Medan 2012
ABSTRACT Background : Referral feasibility by PONED midwives should be studied. Referral feasibility is deliver mother who indicated medical emergency by midwife. Referral feasibility should be suitable between PONED Health Centre and Hospital diagnostic. The aim of this study is to analyze referral feasibility by PONED midwives in Pirngadi Medan Hospital in 2012. Methode : This is a quantitative research using cross sectional design. Sample in this study are all referral cases referred to Pirngadi Hospital were 136 cases and supplemented by information from 17 midwives in 6 PONED Health Centre, and using an obgyn opinion. Data used a questionnaire, checklist, and medical record. Result : There were 106 cases referred to decent referral and 33 cases referral were not feasible referenced. Conclusion : There were 75,7% of the cases referred to decent referral by PONED midwives and 24,3% of cases referral is not feasible referenced  Keywords : Referral feasibility, Maternal labor, Midwives, PONED Health Centr
hubungan kecacingan dengan status gizi pada siswa sekolah dasar di kecamatan pelayangan seberang kota jambi tahun 2013
Latar Belakang : Prevalensi kecacingan pada anak sekolah dasar masih cukup tinggi, yakni sekitar 60-80%.Cacing yang tinggal diusus manusia memberikan kontribusi yang sangat besar terhadap kejadian penyakit misalnya kurang gizi.Oleh karena itu penelitian ini bertujuan untuk mengetahui hubungan kecacingan dengan status gizi pada siswa sekolah dasar. Metode : Penelitian ini merupakan penelitian analitik desain studi potong lintang.Penelitian dilakukan di Sekolah Dasar yang berada diKecamatan Pelayangan Seberang Kota Jambi yakni SDN 10/IV,SDN 170/IV,SDN 21/IV,SDN 4/IV,SDN 44/IV dan SDN 71/IV.Data penelitian ini diambil dengan cara pengukuran antropometri dan pemeriksaan feses.Populasi penelitian adalah siswa kelas 1-6 dengan perhitungan sampel minimum 58 responden yang diambil secara acak.Analisis hubungan kecacingan dengan status gizi menggunakan uji statistik chi-square/fisher exact test dengan batas kemaknaan 0,05. Hasil : Infestasi cacing siswa sekolah dasar di kecamatan pelayangan seberang kota jambi sebesar 20,7% yakni ascaris lumbricoides 5,2%,trichuris trichiura 12,1%,ascaris lumbricoides dan trichuris trichiura 1,7%,ascaris lumbricoides dan cacing tambang 1,7%.Dengan Status gizi kurus sebesar 10,3%.Tidak ada hubungan yang bermakna antara kecacingan dengan status gizi(p=0,594). Kesimpulan : Infestasi cacing siswa sekolah dasar diKecamatan pelayangan seberang kota jambi sebesar 20,7% dengan infestasi cacing terbanyak trichuris trichiura.Tidak ada hubungan yang bermakna antara kecacingan dengan status gizi(p=0,594) Kata kunci : Siswa Sekolah Dasar,Infestasi Cacing,Status Giz
PERFORMA TUTOR SEBAGAI PENDIAGNOSIS DALAM TUTORIAL MENURUT PERSEPSI MAHASISWA
ABSTRAK Later Belakang        : Performa tutor dibutuhkan dalam memfasilitasi seluruh rangkaian aktivitas tutorial agar tujuan pembelajaran dapat tercapai. Performa itu dinilai dari kemampuannya menjalankan peran sebagai seorang tutor. Salah satu performa tutor adalah sebagai pendiagnosis. Performa tutor sebagai pendiagnosis (the tutor as diagnostician) adalah penampilannya dalam menjalankan peran untuk mendiagnosis sejauh mana penguasaan pengetahuan awal (prior knowledge) yang telah dimiliki masing-masing mahasiswa. Performa tutor sebagai pendiagnosis di Program Studi Pendidikan Dokter Universitas Jambi belum pernah diteliti. Oleh karena itu, peneliti melakukan penelitian yang bertujuan untuk mengetahui performa tutor sebagai pendiagnosis dalam metode pembelajaran tutorial di Program Studi Pendidikan Dokter Universitas Jambi menurut persepsi mahasiswa. Metode Penelitian : Penelitian ini merupakan penelitian deskriptif dengan teknik purposive sampling yang melibatkan 108 orang mahasiswa Blok 17 (Blok Reproduksi) dan 98 orang mahasiswa Blok 11 (Blok Urogenital dan Cairan Tubuh) pada tahun ajaran 2012/2013 sebagai responden penelitian. Responden penelitian tersebar dalam 20 kelompok tutorial untuk menilai performa tutor pada masing-masing kelompok tutorial sehingga ada 22 orang tutor yang berhasil dinilai oleh jumlah responden yang berbeda. Hasil : Hasil penelitian ini menemukan bahwa sebanyak 2 orang (9,1%) tutor menurut persepsi mahasiswa memiliki performa kategori sangat baik, sebanyak 19 orang (86,4%) tutor menurut persepsi mahasiswa memiliki performa kategori baik dan sebanyak 1 orang (4,5%) tutor menurut persepsi mahasiswa memiliki performa kategori cukup sebagai pendiagnosis. Kesimpulan : Sejumlah tutor di Program Studi Pendidikan Dokter Universitas Jambi menurut persepsi mahasiswa telah menunjukkan performa yang baik sebagai pendiagnosis. Namun, performa tutor di Program Studi Pendidikan Dokter masih memiliki kekurangan dalam indikator datang tepat waktu dan menstimulasi mahasiswa untuk membahas pertanyaan selanjutnya apabila tanggapan mahasiswa terhadap pertanyaan sudah menurun. Institusi perlu meningkatkan performa tutor melalui pelatihan berkesinambungan dan evaluasi yang komprehensif. Kata Kunci : Pendiagnosis; Performa; Tuto
HUBUNGAN PENGETAHUAN DAN SIKAP ORANG TUA DENGAN PELAKSANAAN BIAS (BULAN IMUNISASI ANAK SEKOLAH) KELAS 1 DAN 2 DI SD AL-FALAH KOTA JAMBI TAHUN 2013
ABSTRAK Latar Belakang : BIAS adalah salah satu bentuk kegiatan operasional dari imunisasi lanjutan pada anak sekolah yang dilaksanakan pada bulan tertentu setiap tahunnya dengan sasaran seluruh anak-anak usia Sekolah Dasar (SD) atau sederajat (MI/SDLB) kelas 1, 2 dan 3 diseluruh Indonesia. Pencapaian imunisasi di Kota Jambi Tahun 2011 belum sesuai dengan target (95%) terutama pada Puskesmas Putri Ayu paling rendah yaitu sekitar 76,54%. Tujuan : Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dan sikap orang tua dengan pelaksanaan Bulan Imunisasi Anak Sekolah di SD Al-falah Kota Jambi tahun 2012. Metode : Penelitian ini adalah analitik dengan pendekatan cross sectional. Dilaksanakan pada bulan Mei - Juni 2013. Populasi adalah orang tua yang memiliki anak kelas 1 dan kelas 2 di SD Al-Falah Kota Jambi. Sampelnya sebanyak 73 responden. Pungumpulan data dilakukan dengan lembaran kuisioner serta wawancara langsung terhadap responden. Analisis data dilakukan dengan menggunakan program komputer. Â Hasil : Hasil penelitian ini dari 73 responden didapatkan bahwa 63 responden pengetahuan baik, 30 responden memiliki sikap baik dan ada hubungan antara pengetahuan dengan pelaksanaan Bulan Imunisasi Anak Sekolah serta tidak ada hubungan sikap dengan pelaksanaan Bulan Imunisasi Anak Sekolah. Â Simpulan : Ada hubungan antara pengetahuan orang tua dengan pelaksanaan Bulan Imunisasi Anak Sekolah. Tidak ada hubungan antara sikap orang tua dengan pelaksanaan Bulan Imunisasi Anak Sekolah. Kata kunci : Pengetahuan, sikap, imunisasi
Hubungan Karakteristik, Beban Kerja, dan Pertanggungjawaban dengan Motivasi Perawat dalam Pelaksanaan Pendokumentasian Asuhan Keperawatan di RSUD Raden Mattaher Jambi Tahun 2013
ABSTRACT Background : Nurse characteristic,workload and nurse accountability in documentations, constitute factors that regards to motivate nurses in performance of upbringing nurse care documentations. The subject of the reserch is to find efects, to be known factors which is mostly engaged nurse motivation in upbringing the caring of nurse documents. Methods : This research design is focused on analitic description with the approach of cross sectional method. Its purpose is to describe the relation among nurse characteristic, workload, and liability with nurse motivation in performing caring nurse documentations and influenced factors. In Raden Mattaher General Hospital. The numbers of the responden in this research consists of 112 executor nurses. Results : The observation in finding dominant atmost factors is mostly engaged nurse motivation as marital status and workload, with p value = 0,46 (OR 3.242), for marital status and p value = 0,049 (OR 2.306) for workload. Its meaning that variable marital status and nurse workload made by predictors to motivate nurse in upbringing nurse caring documents. Conclusion : Recomendation of this researh in nurses’ motivation in performing documentation is more optimized by system repair, empowerment nurse via increasing education, training about upbringing to good and right care of increasing s nurse motivation in performing the nurse documentation of caring.  Keyword: Charachteristic, Workload, Accountability, Motivation
Perbandingan Imunoekspresi p53 dan Caspase-3 Pada Mola Hidatidosa Parsial, Mola Hidatidosa Komplit, dan Koriokarsinoma
ABSTRACT Background: Partial hydatidiform mole, complete hydatidiform mole and choriocarcinoma are gestational trophoblastic diseases which have high incidence in Indonesia. Most complete hydatidiform mole can transform into choriocarcinoma , but pathogenesis of the transformation is remain unknown. Apoptosis plays an important role in the pathogenesis of human malignancy. p53 and caspase - 3 play a role in apotosis . The aim of this study is to evaluate the p53 and caspase-3 immunoexpression in partial hydatidiform mole, complete hydatidiform mole and choriocarcinoma Methods: This is an observational analytic cross sectional study, conducted on 30 cases of gestational trophoblastic diseases consisted of 10 cases of partial hydatidiform mole, 10 cases of complete hydatidiform mole and 10 cases of choriocarcinoma. Immunohistochemical  examination of p53 and Caspase-3 were performed on all cases. Result : The result showed significant difference between the p53 immunoexpression in partial hydatidiform mole and choriocarcinoma (p = 0.002), there was no significant p53 immunoexpression difference between complete hydatidiform  mole and choriocarcinoma (p = 0.121), there was no caspase-3 immunoexpression difference between partial hydatidiform mole and choriocarcinoma (p = 0.160) and there was no caspase-3 immunoexpression difference between complete hydatidiform mole and choriocarcinoma (p = 0.361). p53 Immunoexpresion was higher in the case of complete hydatidiform mole and choriocarcinoma but tend to be lower in partial hydatidiform mole. Conclusion : In conclusion, p53 may play a role in the pathogenesis of complete hydatidiform mole and choriocarcinoma, but has a lesser role in the pathogenesis of partial hydatidiform mole. Caspase-3 might not play a role in the pathogenesis of hydatidiform mole transformation into choriocarcinoma. Keywords: complete hydatidiform mole, partial hydatidiform mole, choriocarcinoma, p53, caspase-3
Perbandingan Kemampuan Antifungi Minyak Atsiri Cengkeh (Eugenia aromatica) dan Ketoconazole 2% terhadap Candida albicans secara In Vitro
ABSTRACT Background: Candida albicans is a normal flora in some mucous membranes in the body that are opportunistic, so that in certain circumstances may be pathogenic. Currently the use of traditional medicine as a tendency of increasing antifungal, one of which is a plant that contains essential oils. One of the plants that contain essential oils and widely used in the community are clove (Eugenia aromatica). This study aims to prove the existence of antifungal activity of the essential oil of clove (Eugenia aromatica) against Candida albicans and compared with antifungal activity of ketoconazole 2%. This study was conducted to determine the ability of clove essential oil against the proliferation of the fungus Candida albicans and compare it with the antifungal activity of ketoconazole 2%. Methods: This study was a laboratory experimental study using in vitro testing. The method used is the dilution liquid to assess the Minimal Inhibitory concentration (MIC) and Minimum Levels Kill Concentration (MKL) essential oil of cloves to the proliferation of the fungus Candida albicans and compare it with the antifungal activity of ketoconazole 2%. The means used to make several serial dilutions of test material with a concentration of 40%, 20%, 10%, 5%, 2.5%, 1.25%, and 0.625%. This study was performed three times of testing. Ketoconazole used in this study is ketoconazole 2% Results: Of the three testing times obtained MIC clove essential oils against the proliferation of the fungus Candida albicans is 1.25%. While MKL clove essential oils against the proliferation of the fungus Candida albicans is 1.25%. MIC and MKL ketoconazole of three tests on the proliferation of the fungus Candida albicans is 2% Conclusions: The ability of clove essential oil antifungal concentration of 1.25% in inhibiting the fungus Candida albicans is proportional to the ability of antifungal ketoconazole 2% in inhibiting the fungus Candida albicans. While the ability of clove essential oil concentration of 1.25% in killing the fungus Candida albicans is proportional to the ability of antifungal ketoconazole 2% in inhibiting the fungus Candida albicans  Keywords: Essential oil of clove (Eugenia aromatica) - Candida albicans - ketoconazole 2% - MIC-MKL
Clinical and Laboratory Urinary Tract Infections in Children Treated at The Children's Hospital Ward Raden Mattaher Jambi from May to August in 2013
This study to determine the clinical features and laboratory urinary tract infections in children admitted to the pediatric ward Hospital Raden Mattaher Jambi from May to August in 2013. This is a prospective descriptive study involving 27 patients who were treated urinary tract infection in children's hospital wards Raden Mattaher Jambi. The results of this study found a total of 51.9% occurred in the male gender with preschool age or age group 7-12 years 48.1%, 92.6% as fever, erythrocyte> 5/Lpb 33.3%, leukocyte > 5/Lpb 25.9%, and 48.1% of E. coli bacteria mo
Pengaruh Terapi Antituberkulosis Terhadap Pertumbuhan Penderita Tuberkulosis Anak di Kota Jambi
ABSTRACT Background: Tuberculosis (TB) is still a major health problem in the world. Indonesia is in the top fifth contributing to the highest number of TB cases in the world. Subdit TB Depkes RI 2000-2010 reported that Jambi is one of the province with high proportion of pediatric TB, 5,2%. Tuberculosis can affect the children’s growth. Combination of antituberculosis drugs are used in the therapy of tuberculosis. Some studies show that the antituberculosis drugs cause side effects. Methods: This is an observational research with cohort prospective design. Subjects are patients  who diagnosed as pediatric TB in RSUD Raden Mattaher, Puskesmas Putri Ayu, Puskesmas Simpang IV Sipin and PPTI Jambi. Subjects have given informed consent. The recruitment of subject from July until September 2014 and followed until two month therapy. The primary data from interview and weight measurement, secondary data from patients’ medical records. Results: Total subjects are 24 patients. The 87,5% subjects diagnosed as TB pulmonary and 12,5% subjects diagnosed as TB extrapulmonary (meningitis TB, spondylitis TB and scrofuloderma). About 54,2% subjects are above 4 years old. The location of patients’ adresses are 20,8% from Kecamatan Jambi Timur subdistrict, followed respectively from Telanai, Kota baru, Pelayangan, Jelutung and Danau Teluk. The 79,2 % subjects have close contact with positive TB adult patients. About 8,3% subjects experience loss of appetite, 4,1 % experience naussea during therapy with antitubercular drugs. Based on weight/age criteria, about 91,7 % subjects are categorized malnutrition and 8,3 % are well nutrition before therapy. There are different significantly increasement of body weight before, after 1 month and 2 month of therapy (p<0,05). Conclusion: There are significantly increasement of body weight before, after 1 month and 2 month of therapy (p<0,05).  Keywords: Pediatric TB, growth weight, side effect