JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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Effectiveness Of Bundle Care In Preventing Pressure Ulcer In Patients Using Mechanical Ventilation Assistants In The Intensive Care Unit
Full text linkBackground : The incidence of pressure sores (pressure ulcers) in the intensive care unit (ICU) is very high and many strategies have been implemented to overcome this problem. aim of study is to describe the implement of bundle care to prevent ulcers in the intensive care patients.
Method : This is descriptive analytic research. Respondents were all nurses in the intensive care unit at the General hospital, Jambi Province, totaling 30 respondents. Monitoring the effectiveness of bundle care in patients who use mechanical ventilation devices who are treated in the ICU with a length of stay of >3 days.
Results : This study has revealed the application of Bundle Care in preventing pressure ulcers by nurses in the ICU room for patients who use mechanical ventilation assistive devices shows that in general ICU nurses carry out 6 principles of bundle care such as risk assessment, skin assessment, skin care, repositioning, nutrition, maintenance of medical devices installed. Based on the table above, it is known that aspects of medical device care and nutrition are carried out in full (100%)
Conclusion :generally nurses carry out skin assessments, skin care with a percentage range of 50-100%. However, it can be seen that repositioning activities are still carried out below 50%.
Keywords: Bundle Care; Pressure Ulcer; Intensive Car
The Relationship Between Cognitive Function And Stroke Severity In Bethesda Hospital, Yogyakarta
Full text linkBackground: Stroke is a clinical manifestation of impaired brain function, both focally and globally, which can be severe and last for 24 hours. Damage to brain cells can cause cognitive, sensory and motoric dysfunction and hinder functional abilities from daily activities to communication caused by brain cells in stroke patients. Aims this study to determine the relationship between cognitive function and stroke severity at Bethesda Hospital, Yogyakarta.
Methods: This study used a retrospective cohort method in 118 ischemic stroke patients with mild to moderate levels of cognitive function within 1-3 months after the first attack using secondary stroke registry. The patient's cognitive function was measured by the MMSE when the patient was discharged from hospital and stroke severity was measured by the NIHSS when the patient was first admitted to the hospital.
Results: Of the 118 patients, the majority of patients in this study were male (59.3%), aged ≥ 60 years (57.6%). In this study, no significant relationship was found between cognitive function and stroke severity (p = 0.106). Gender, age, history of hypertension, history of diabetes mellitus, history of dyslipidemia, and the patient's education level did not find a significant association with cognitive function as assessed by the MMSE score and the severity of stroke as assessed by the NIHSS score.
Conclusion: There was no significant relationship between cognitive function as assessed by the MMSE score and stroke severity as assessed by the NIHSS score.
Keywords: Cognitive function, Stroke severity, Stroke, MMSE, NIHSS, Disability
Effectiveness Of Using The Skeletal System Pocketbook on The Grade of Anatomy Practicum For Medical Students at Universitas Jambi
Full text linkABSTRACT
Background: Bone markings must be studied and mastered in learning skeletal system anatomy. The short and interesting material in the pocketbook helps students identify preparations during the practicum, increasing their understanding and gaining practical grades.
Objective: This research aims to determine the effectiveness of using the Skeletal System pocketbook on grades practical anatomy block of the Integumentary System and Locomotion for medical students in the first semester of the Universitas Jambi in 2023.
Method: This research used a quasi-experimental method with a pre-test and post-test control group. The 106 sample students were from the Medical Study Program at Universitas Jambi class of 2023.
Result: The mean pre-test and post-test grades for students with pocketbooks were 61.86 and 78.04, while those without pocketbooks were 63.74 and 71.35. In the mean pre-test grade, there was no significant difference between the experimental and control groups' mean grades (p-value = 0.488). Meanwhile, in the mean post-test grades, there was a significant difference between the two groups (p-Value = 0.005), where the experimental group had a higher mean grade.
Conclusion: There is a significant difference in using the skeletal system anatomy pocketbook on the grade of anatomy practicum for medical students at Universitas Jambi.
Keywords: Anatomy, Practicum, Skeletal System, Pocket Book
ANALYSIS OF ENABLING FACTORS IN HEALTH INTEGRATED EARLY CHILD EDUCATION SUPPORT SYSTEM IN TANJUNG JABUNG TIMUR DISTRICT, 2022
Full text linkBackground: Indonesia has implemented social services for early childhood, such as health and nutrition services at Integrated Service Posts, Daycare Parks, Playgroups, Early Childhood Education. In East Tanjung Jabung the number of active integrated service posts is 58.68% higher than the provincial average and the coverage of baby visits to posyandu is 102.5%. There are 291 early childhood education units with a percentage of early childhood screening coverage of 97.2% in 2018 and 97.4% in 2019, decreased to 36.8% in 2020 due to the pandemic. Methods: mixed-method research with quantitative analysis to see the different characteristics of service posts, and qualitative analysis of 4 postal managers, 4 postal tutors, and 2 postal cadres. A total of 16 early childhood educations are divided into 4 types of systems, namely traditional, integrated early childhood education, integrated health preschool, and pilot stunting locus of early childhood education. Purposive sample selection. Data collection time is August-November 2022. Research results: based on a quantitative analysis of system-supporting factors that influence the success of health-integrated early childhood education compared to other types of early childhood education, namely the number of meetings per month (p value = 0.033), the length of time preschool operates (p value = 0.033), the level education of early childhood management (p value = 0.036), and periodic training attended by cadres (p value = 0.021). Going deeper into the qualitative analysis, it was found that the supporting factors were human resources as tutors who were able to fulfill their obligations well, and had creativity to support and maximize learning activities and achievements. Conclusion : The differences in the effectiveness and efficiency of each early childhood education program depend on the role of administrators, tutor capacity, funding, multi-sectoral support, and community participatio
ASSOCIATION BETWEEN THE INCIDENCE OF DIARRHEAL DISEASES AND ENVIRONMENTAL RISK FACTORS: A SYSTEMATIC REVIEW: A Systematic Review
No full textBackground : Diarrheal disease is the occurrence of feces (bowel movements) whose soft consistency tends to be liquid and occurs more than 3 times a day. The prevalence of diarrhea in Indonesia is 9.8% with 14.5% causing death. Risk factors for diarrhea include food, environmental and human behavior. .
Method : Research design using systematic review method. With the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta Analysis) method through article searches sourced from Google scholar and Pubmed. The inclusion criteria in this writing are original research articles published within the last 5 years, starting from 2018 – 2023.
Results : This study shows that sewage has a close relationship with the incidence of diarrhea (P = 0.001), as well as drinking water sources, especially in terms of water sources, availability of water sources and bacteriological quality of water. Unqualified wastewater disposal conditions are 3.7 times greater risk for diarrhea (PR: 3.7, CI: 1.159 – 11.937), there is a significant relationship between family waste management and diarrhea incidence. In addition to environmental risk factors, there are other factors, namely the level of education of middle and upper middle mothers, exposure to information and family income levels also have a relationship with the incidence of diarrhea in both children and the elderly
Conclusion : Risk factors that have a significant influence on the incidence of diarrhea are environmental factors, exposure to information and family income level. The dominant environmental factors in this study are sewage disposal (latrines), clean water sources/clean water quality, wastewater disposal.
Keywords : diarrhea, environmental factors, personal hygiene, bivariat
Development and Content Validity of an Instrument for Assessing the Fundamental Aspects of Academic Integrity
Full text linkBackground: Academic integrity is a form of adherence to the principles that exist in academics. Several people have tried to develop instruments but none of the instruments explained the six fundamentals. The purpose of this study was to develop an instrument related to academic integrity by discussing six fundamental academic values as well as conducting content validity and readability tests.
Method: The type of research used is research and development with additional information with FGD and Expert review and readibility test. Where the samples collected passed 30 medical students in 7th semester. The sampling technique uses purposive sampling method.
Result: Through the results of the FGD, categories divided into 6, 18 sub categories. Furthermore, these results are 39 items. Aiken's V results showed by analysis on three experts, 4 items were found to be invalid. The readability test found that all items could be understood well. The last result got 34 items which 1 items are not eligible fo the instrument.
Conclusion: From 34 items are the result with 1 items removed because not eligible and 4 is not valid by Aiken’s V. The readibility showed all instrument explained enough
Keywords: Academic Integrity; Academic Misconduct ; Education
A GEOGRAPHICAL INFORMATION SYSTEM FOR TEMPORARY SHELTERS IN SEKERNAN SUBDISTRICT MUARO JAMBI REGENCY
No full textABSTRACT
Background: The population of Sekernan Subdistrict in 2020 is 45.207 people, with the development of an increasing population, it will affect the increase in the amount of waste scattered in illegal locations, so it is increasingly necessary to improve the availability of Temporary Waste Shelters.
Objective: The purpose of this study was to analyze and to map temporary waste shelters in Sekernan Subdistrict, Muaro Jambi Regency..
Method: Descriptive research with the results of mapping temporary waste shelters based on Global Positioning System and Geographic Information System, data using total sampling in Sekernan Subdistrict. The data analysis used is descriptive analysis and is presented in the form of output in the form of maps and tabulation of data.
Results: The results showed that in Sekernan Subdistrict there are 24 illegal temporary waste shelters, more than half with a waste volume of 0.1-3.5 m3 (54.17%), most of them are located near neighborhood roads (83.33%), and most of them are located at high population density levels (75%). Furthermore, according to SNI 19-2454-2002, the minimum standard is 180 legal temporary waste shelters in Sekernan District.
Conclution: The minimum standard for temporary waste shelters in the Sekernan Subdistrict is 180 points, which can be mapped based on population density figures and qualified land availability.
Keywords: analysis, mapping, temporary waste shelter
SURVEILLANCE OF PULMONARY TUBERCULOSIS CASES IN SPECIAL PLACES (ISLAMIC BOARDING SCHOOL/PESANTREN) BANGKA SELATAN, BANGKA BELITUNG
Full text linkABSTRACTBackground: Pulmonary tuberculosis is one of the infectious and contagious diseases with the highest prevalencein the world. Tuberculosis is a major public health problem with the third largest number in the world after Chinaand India, accounting for around 10% of the total number of tuberculosis patients in the world. The purpose of thissurveillance is to study the discovery of new TB cases and monitoring of treatment at a Special Place in SouthBangka Regency).Method: This study uses a cross-sectional study design carried out in May 2022. The population of this study isthe students of the Islamic Boarding School in South Bangka Regency. The sample in this study were 47respondents with a history of coughing in the last 2 weeks. Primary data collection was in the form of collectingsputum from respondents who indicated symptoms of pulmonary TB. Interviews by filling out questionnaires torespondents.Result: Based on the results of the examination using the TCM method, there were no positive TB samples.Conclusion: Community Health Center TB officers increase promotive and preventive efforts, especially forstudents/students affected by pulmonary TB to prevent transmission to other students/students.Key Word : Pulmonary tuberculosi
A Retrospective Study of DNA Analysis Thalassemia Patients in Jambi Province for the Years 2016-2020
Full text linkABSTRACT
Background: Thalassemia is a genetic blood disorder characterized by abnormal hemoglobin production, leading to anemia. Beta-thalassemia, particularly its transfusion-dependent form, requires lifelong care. DNA analysis plays a crucial role in diagnosing thalassemia, providing precise methods for genetic counseling, prenatal diagnosis, and effective prevention programs. This research aims to describe the results of DNA analysis of thalassemia patients in Jambi Province from 2016 to 2020.
Methods: This study uses a descriptive retrospective design. Data were analyzed from the medical records of thalassemia patients identified in Jambi Province between 2016 and 2020. The research subjects are individuals diagnosed with thalassemia within this period, with data collection performed via total sampling, encompassing 25 respondents.
Results: The majority of thalassemia patients in Jambi Province are children aged 5-14, with a significant proportion having a history of blood transfusions for more than a year. Most patients are classified as Beta Thalassemia (96%), consistent with global trends. DNA analysis revealed significant variation in mutations, with common mutations such as Hb E and IVS-nt-5 found in 48% of samples. The study highlights the genetic diversity within the thalassemia patient population, indicating variations in disease severity.
Conclusion: This study highlights the importance of early detection and management of thalassemia, particularly in children. Blood transfusions are crucial for maintaining the health of thalassemia patients in Jambi Province, where Beta Thalassemia is most common. DNA analysis reveals significant genetic diversity, which helps in selecting appropriate treatments and understanding the risk of complications. These findings provide a basis for improving diagnostic and management strategies for thalassemia in Jambi Province
Analysis Of Condom Use Behavior, Number Of Partners, And Injecting Drugs With The Incidence Of Hiv/Aids In Indonesia: A Systematic Review And Meta Analysis
Full text linkBackground: HIV/AIDS is a global health problem. HIV epidemic is a major problem and challenge for public health in the world, including Indonesia. HIV transmission can occur through the exchange of various body fluids from an infected person. The incidence of HIV/AIDS is also influenced by various risk factors.
Methods: Systematic review and meta-analysis were carried out and were based on the PubMed, Sciencedirect, and Google Scholar databases with search ranges from 2012 to 2022. The articles analyzed were case-control study design articles and were prepared according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses).
Results: Behavioral variables of using condoms in sexual intercourse, having more than one partner, and injecting drug use are at risk for the incidence of HIV/AIDS in Indonesia, which are indicated by a significance p-value less than 0.05.
Conclusion: Variables that have a risk for HIV incidence in Indonesia are the behavior of using condoms, the number of partners, and injecting drug use. These three variables are evidenced by significant p-values.
Keywords: HIV/AIDS, behavior, Indonesia, meta-analysi