JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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Relationship Between Accommodation Insufficiency, Screen Time, and Asthenopia Symptoms in Young Adult Patients
Full text linkBackground: Asthenopia, characterized by symptoms following near visual activity, often affects individuals with accommodative insufficiency and prolonged screen time. This study aims to investigate the correlation between demographic, refractive status, accommodative insufficiency, screen time, and asthenopia symptoms among patients at the Indonesia National Eye Centre, Cicendo Eye Hospital Bandung, Indonesia.
Method: In this cross-sectional study, consecutive sampling was conducted to obtain subjects. Ocular examinations were performed to determine refractive status, amplitude of accommodation, accommodative insufficiency, symptoms of asthenopia, and screen time.
Result: A total of 105 subjects were included in the study, with a median age of 25 years (IQR: 3). The median amplitude of accommodation was 9.09 D (IQR: 0.7), which was found to be lower than normative data. Asthenopia was observed in 47 subjects (44.7%), and accommodative insufficiency was present in 37 subjects (35.2%). Male gender and screen time > 8 hours per day were significantly correlated with asthenopia (p=0.048 and p<0.001, respectively), while refractive status and accommodative insufficiency showed no significant correlation.
Conclusion: this study demonstrates a relatively similar prevalence of asthenopia. Additionally, male gender and excessive screen time were identified as risk factors for asthenopia.
Keywords: Amplitude of Accommodation, Screen Time, Asthenopia
Changes In Hematological Parameters Of Typhoid Fever Patients At Pku Bantul Hospital, Yogyakarta
Full text linkBackground: Typhoid fever causes changes in the results of hematological examination. Many factors influence hematological changes in thyphoid fever these changes.
Obective: This study aims to determine the relationship between several patient characteristics and hematological changes in typhoid fever patients at PKU General Hospital, Bantul, Yogyakarta.
Method: This is a cross-sectional study. A total of 85 patients diagnosed with typhoid fever at PKU General Hospital were included in this study. Hematological examination results and subject characteristics (sex, age, duration of fever) were taken from medical records. The relationship between subject characteristics and hematological changes was analyzed by Chi-Square test using Medcalc software.
Result: Anemia and leukopenia were found to be higher in female subjects (34.88% vs 17.14%; p=0.03 and 20.45% vs 9.75%; p=0.04). Age ≥45 years are associated with the incidence of anemia (18.61 vs 40.00; p=0.03). Leukopenia and thrombocytosis was higher in patients with a duration of fever < 1 week (p=0.02 and p=0.000).
Conclusion: Hematological changes in thyphoid fever are influenced by gender, age, and duration of fever before admission to the hospital.
Keywords: Typhoid fever, Hematological changes, Factor influence
Profile of Pregnant Women with Hypertension: A Cross Sectional Study in Jambi City
Full text linkBackground: Hypertension in pregnancy is one of the complications that cause maternal death in Indonesia. The incidence of hypertension during pregnancy is influenced by a variety of factors.Objective: This study aims to determine maternal characteristics with hypertension in pregnancy at the Raden Mattaher Jambi General Hospital.Methods: This is a descriptive research using secondary data sources. This study population included all pregnant and delivering mothers who were diagnosed with hypertension in pregnancy between 2019 and 2022 with a total of 169 samples.Results: The results of this study are the average age of mothers is not at risk (63.3%), housewives (83.4%), senior high school education status (58.6%), diagnosed with preeclampsia (71.6%), with severe preeclampsia category (93.4%), gestational age aterm (59.2%), multiparous (59.8%), grade 2 hypertension (68%), positive proteinuria status (63.9%), high ureum levels (60.9%), normal creatinine level (79.3%), decreased hemoglobin level (53.3%), normal platelet count (84%), leukocytosis (78.7%), normal erythrocyte level (61.5%), normal hematocrit value (53.8%), normal blood sugar level (86.4%), obesity class 1 (43.2%), no history of hypertension (59.2%), no history of preeclampsia (72.2%), regular antenatal visits (65.1%), and sectio cesarea method (88.2%).Conclusion: Maternal characteristics were identified as age not at risk, housewife, senior high school education, diagnosed with preeclampsia, aterm, multiparous, grade 2 hypertension, positive proteinuria status, increased ureum level, normal creatinine level, decreased hemoglobin level, normal platelet count, leukocytosis, normal erythrocyte level, normal hematocrit value, normal blood sugar level, obesity type 1, no history of hypertension, no history of preeclampsia, history of regular antenatal visits, and sectio cesarea method.Keywords: Hypertension in Pregnancy, Preeclampsia, Jamb
Systematic Literature Review: Innovative Teaching Strategies For Integrating Entrepreneurship To Health Education
Full text linkABSTRACT
Background: Entrepreneurship has become an increasingly important skill in the healthcare industry, as healthcare professionals are being encouraged to think creatively and identify new opportunities for improvement. Objective: This study aims to explore innovative teaching strategies for integrating entrepreneurship into health education.
Methods: A comprehensive literature review was conducted to identify existing teaching strategies that integrate entrepreneurship into health education. The data collection method used in this study is a systematic search of Scopus Database and reference lists following PRISMA flow chart guideline.
Results: Several innovative teaching strategies were found, including case studies, simulation games, problem-based learning, and experiential learning. These strategies provide students with real-world scenarios and hands-on experiences, allowing them to develop their entrepreneurial skills in a healthcare context.
Conclusion: By incorporating these innovative teaching strategies into health education, educators can equip future healthcare professionals with the knowledge and skills necessary to navigate the rapidly changing landscape of the healthcare industry and become successful entrepreneurs
The Effect Of Marital Status On The Independence Of The Elderly In Fulfilling Activities Of Daily Living (ADL): A Systematic Review And Meta-Analysis
No full textBackground : Indonesia's population projection in 2045 the population pyramid is estimated to be stationary with a greater contribution of the very old population. Creating independent elderly starts with basic independence in fulfilling activities of daily living (ADL) for the elderly. The purpose of this study was to see the effect of marital status on the independence of elderly ADLs.
Method : The research study design used was a systematic review accompanied by a meta-analysis. Article search strategy through Pudmed electronic database and Google Schoolar. Data analysis using Refman 5.4.1.
Result : Forest plot shows negative results where statistical analysis shows highly significant results (p < 0.00001, Heterogeneity (I²) = 96% with effect size (d = 0.44) CI (0.32 to 0.60) which indicates heterogeneous data distribution (random effect). Asymmetrical funnel plot means there is potential bias.
Conclusion : The results of the meta-analysis show that marital status has a significant influence on the independence of daily living activities of the elderly with a p-value <0.00001 effect size (d = 0.44) CI (0.32 to 0.60).
Keywords: Marital Status; Elderly; Activities Of Daily Livin
ADOLESCENT PREGNANCY IN JAMBI PROVINCE BASED ON HEALTH AND EDUCATION PERSPECTIVE
Full text linkABSTRACT Background: Many challenges must be faced when entering adolescence, being attracted to the opposite sex, trying new things and behaviors that will be carried for life. If it cannot be controlled properly, it will result in dangerous behavior which will result in one of them being teenage pregnancy. Many adolescent pregnancies occur due to low access to health and education services, the same thing also happened in Jambi Province.Obective: The purpose of this study is to see how the phenomenon of adolescent pregnancy is in terms of health and education. Method: This research is a qualitative research with 33 informants consisting of 1 Jambi Provincial Health Office, 1 Jambi Provincial Education Office, and 31 youth in 10 districts/cities in Jambi Province.Result: The results of in-depth interviews show that there are still many adolescents who have not utilized reproductive health services at existing health facilities and also the occurrence of pregnancies during the school period makes adolescents drop out of school and are lazy to continue their education due to constraints on husband's permission, child care, and financial circumstances. Conclusion: The lack of information regarding reproductive health and the low level of education that has been completed have proven to influence the decision of adolescents in Jambi Province to marry earlier than the proper age.Keywords: Adolescent Pregnancy, Education, Health
The Correlation of Fast Food Intake, Breakfast Habits, Vegetable and Fruit Intake, Physical Activity, and Nutritional Status in Students of SMP Negeri 7 Jambi City
Full text linkBackground: Based on the 2018 Riskesdas in Jambi Province, the prevalence of obesity in the 13-15 year age group was 8.13%. Data from the Jambi City Health Office from 2016 to 2018 showed that cases of obesity consistently increased every year. This study aimed to determine the relationship between fast food intake, breakfast habits, vegetable and fruit intake, physical activity, and nutritional status in SMP Negeri 7 Jambi students, Methods: This research is a categorical comparative analytic observational study with a cross-sectional approach. Data were obtained by anthropometric examination; intake of fast food, vegetables, and fruit was obtained from the FFQ, data on breakfast habits were obtained from a questionnaire, and physical activity data were obtained from the IPAQ questionnaire, Results: Most of the 101 respondents were aged 13 years (41.6%), male-dominated by gender (52.5%), and the majority of them were norm weight (54.5%). The frequency of fast food intake is mainly classified as rare, and the type often consumed is chicken nuggets (31.7%). The majority of students never breakfast (33.4%). Most of the respondents rarely consumed vegetables and fruit, and the types of vegetables and fruit that were often consumed were oranges (27.7%) and spinach (24%). Most students have moderate physical activity (48.5%). The results of statistical analysis of fast food (p-value 0.001), breakfast habits (p-value 0.002), physical activity (p-value 0.001), and nutritional status have a significant relationship. In contrast, vegetables and fruit and nutritional status do not have a significant relationship (p-value 0.441), Conclusion: There is a significant relationship between fast food, breakfast habits, and physical activity with nutritional status, and no significant relationship is found between vegetables and fruit and nutritional status.
Keywords: Nutritional status, fast food, breakfast habits, vegetables and fruits, physical activit
A LITERATURE REVIEW: FACTORS INFLUENCING THE INCIDENCE OF ANEMIA IN FARMERS IN THE WORLD
No full textBackground: Studies on anemia have so far focused more on the incidence of anemia in pregnant women and adolescent girls even though farmers are one of the vulnerable groups suffering from anemia. The incidence of anemia in farmers has not been well documented, and there is still very limited research related to the determinants of anemia incidence in farmers.
Objective: The study aim to know risk factor anemia in the farmers around the world
Method: This study used the literature review method by collecting journals from google scholar, PubMed, and cienceDirect. Data collection using Anaemi A keywords Anemia AND farmers AND risk faktor. The results of the livelihood obtained a total of 4,959 articles which were then carefully selected so that 8 of the most relevant articles were obtained for article review.
Result: The results showed that there are three main faktors that cause the incidence of anemia in farmers, namely individual factors, environmental factors, and sociodemographic factors.
Conclusion: Risk factor of anemia in the farmers is individual factors, environmental factors, and sociodemographic factors
Keyword: Anemia, Farmers, Risk Facto
Analysis Of Quality Of Service Factors On Patient Satisfaction In Specialist Polyclinics Rsud Kh Daud Arif Kuala Tungkal, Tanjungjabung Barat, Jambi : tangible (bukti fisik), reability (keandalan), responsiveness (daya tanggap), assurance (jaminan), emphaty (empati)
No full textABSTRACTBackground: Based on data shows that the number of outpatients who got treatment by specialistpolyclinic RSUD KH Daud Arif in January-June 2018 experienced a decreased each month.Meanwhile increased on March. Early survey have done by researcher about patient satisfaction ofhealth service quality at specialist polyclinic RSUD KH Daud Arif over 10 patients who went treatmentto specialist polyclinic RSUD KH Daud Arif, kuala tungkal, that 6 patients said less satisfied with theservices provided and 4 patients said satisfied with the services provided.Method: The purpose of research is analyzing factors of service quality over patient satisfaction atSpecialist Polyclinic RSUD KH Daud Arif in 2018. The type of research is cross sectional. The sampleof research are some patients at Specialist Polyclinic RSUD KH Daud Arif about 99 respondent. Thedata analysis used chi- squere and regresi logistic.Result: The result of research showed that there are significantly related tangible, reability,responsiveness, assurance, and emphaty over service quality at Specialist Polyclinic RSUD KH DaudArif in 2018 with p-value = 0.000, And after multiple logistic test from 3 type obtained that the mostdominant factor influence to hospital service quality that is tangible with exponent value B 420,578 andp-value = 0.000.Keywords: Characteristics of Respondents, Hospital service quality, tangible,reability, responsiveness,assurance, and emphath
CLINICAL MANIFESTATIONS IN POSITIVE COVID 19 PATIENTS WITH AND WITHOUT VACCINATED
Full text linkABSTRACTIntroduction: Since the emergence of Emerging Diseases, namely the discovery of a new virus in 2019which was named Covid-19, the World Health Organization (WHO) has established a Pandemic statusthroughout the world. To anticipate the large number of fatalities, it is necessary to have a vaccine toreduce morbidity and mortality. The purpose of this study was to find out the differences in clinicalmanifestations that appeared in patients with positive Covid-19 before and after receiving vaccination.Method: The design of this study was Cross Sectional conducted at the Puskesmas/Clinic in JambiCity from April to October 2022. The number of samples used was 721 samples using the simplerandom sampling technique, the medical records of patients positive for Covid 19 were taken randomlyat the Puskesmas/Clinic/ Hospitals that meet the inclusion criteria will be included as samples.Results: From the results of the study, the most samples were aged 21-30 years (35.2%). Based ongender, there were 330 respondents (45%). From the results of the study, it was found that thepercentage of respondents who had fever (62.41%), coughing (50.5%), body weakness (32.4%), itchingin the throat (21.63%), runny nose/runny nose (44.8%), dizziness/headache (25.65%). Pain in musclesand joints (25.4%), nausea (13.6%), vomiting (5%), diarrhea (5.3%), fever (26.5%), chest pain (5.8%)), loss of sense of smell (20.24%), loss of sense of taste (13.86%), itching of the skin (2.35%), and othersymptoms such as disorders of the eyes, ears, etc. as much as 8.8% .Conclusion: The clinical manifestations of patients who are positive for Covid 19 are milder inrespondents who have been vaccinated compared to those who have not been vaccinated.Keywords: Clinal Manifestation Covid-19, Vaccin