JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan"
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CONTENT VALIDITY OF PBL TUTORIAL INSTRUMENT FOR PROBLEM-BASED LEARNING
Full text linkBackground: Problem-based Learning (PBL) is characterized by tutorial learning method where learning triggered using structured scenarios to initiate and stimulate student discussion in a small group, with facilitation by a tutor. Student performance during tutorial should be assessed by the tutor. Sim et al. from the University of Malaya developed PBL Tutorial Instrument measuring participation and communication ability, cooperation/team building skills, understanding/ reasoning skills, knowledge/skills gathering information. PBL Instrument
Objective: This study aims to construct a new valid tutorial assessment instrument through adaptation and modification of the previous instrument developed by Sim et al.
Method: This study consisted of 3 stages: forward translation, backward translation, and expert review. Forward translation is the process of translating instruments from English to Indonesian language. The results of the forward translation are given to different translators for a backward translation process. Instrument then submitted to seven experts to be validated and provide suggestions regarding the content and sentences used in the instrument items. The content validation process is carried out using the CVI and S-CVI score.
Results: Forward and backward translation results shows that 20 items in the instrument were confirmed to be consistent with the original instrument. However, the first round of content validity process resulted I-CVI score for every item is ≥ 0.86 and the S-CVI score 0.99. Several experts suggested revision for item sentences corresponding with actual PBL implementation in the institution. Items were revised then the same experts then re-validated the revised instrument. Result showed the I-CVI and S-CVI score are 1.00.
Conclusion: This research produced a valid Indonesian language version of the PBL assessment instrument, so that it can be used as an instrument to evaluate student performance in tutorial. Pilot studies need to be carried out further to obtain an analysis of the validity and reliability of the instrument.
Keyword: instrument, PBL Tutorial, assessmen
Evaluation and Strategy to Strengthen the Implementation of Early Detection of Cervical Cancer Using the IVA Test Method
Full text linkBackground: The cervical cancer poses a significant global health threat with a noteworthy prevalence rate. Early detection through Acetic Acid Visual Inspection (IVA) has proven effective in reducing mortality rates and improving patient prognosis. However, the implementation of this early detection method stil faces challenges.
Objective: This study aims to evaluate the implementation of VIA in the province of Jambi and devise improvement strategies.
Method: A mixed-method approach was carried out, combining quantitative analysis through the assessment of Primary Health Centers (Puskesmas) and qualitative analysis through interviews with stakeholders.
Results: The evaluation of IVA implementation reveals positive assessments in input (54.8% excellent, 37% good) and process (72.6% excellent, 27.4% good). There was variations in output were observed with 58.9% excellent, 21.9% good, 13.7% fair, and 5.5% unsatisfactory. However, improvements were still needed in input quality and program implementation to enhance overall output results.
Conclusion: It is recommended to increase regional monitoring efforts, cooperation and partnerships, participation of community leaders, mass outreach and campaigns, increased budget allocation and supervision
Keywords: Cervical Cancer; Early Detection; Evaluation Strateg
Family Determinants Causing Children Suffering From Wasting In Jambi City
Full text linkBackground: Toddlers who experience wasting will experience delayed growth and development if it occurs in the long term, a decrease in the immune system, are susceptible to infectious diseases, and can cause death if they experience severe wasting for a long time. This study aims to determine the family determinants of wasting in toddlers in Jambi City.
Method: This study is a descriptive-analytical study with a Cross-Sectional research design. The study was conducted on 35 toddlers experiencing wasting who were treated at the Community Health Center in Jambi City and did not experience congenital abnormalities, were not undergoing steroid treatment, or did not experience other chronic diseases. The mothers of children suffering from wasting were given questionnaires, and interviews were conducted.
Result: The results of the study showed that 45.7% were aged 31 to 40 years, 48.6% of mothers' education graduated from high school, 57.1% family income was less than 2 million, 82.9% of mothers did not work, 45.7% of drinking water sources came from PDAM water, the number of children in the family ≤ 2 children was 62.9%, and there was a relationship between maternal age, maternal education, family income, employment history, drinking water sources and number of children with wasting events (p-value <0.05).
Conclusion: This study concludes that family determinants influence the incidence of wasting in toddlers in Jambi City.
Keywords: Determinant; Family ; Todldlers; Wasting
Unveiling Diabetic Retinopathy Awareness In Future Medical Professionals: A Study Of The 2022 Class Of Universitas Kristen Krida Wacana, Jakarta
Full text linkABSTRACT
Background: Diabetes mellitus is a metabolic syndrome with an increasing prevalence and a high mortality rate. One of the microvascular complications that can occur in diabetes mellitus is retinopathy. Diabetic retinopathy is a retinal disorder in patients with diabetes mellitus. This study aimed to determine the description of knowledge about diabetic retinopathy in students of FKIK UKRIDA class of 2022.
Methods: This is a descriptive study with a cross-sectional with a total of 99 samples. Sampling by simple random sampling with a questionnaire. The study was conducted at FKIK UKRIDA in October 2022.
Results: The study results included 99 respondents. In the univariate analysis, it was observed that 98% of respondents were in their late adolescence, with 59.6% being female and 72.7% having sufficient knowledge. Additionally, the bivariate cross-test results indicated that 70.7% of late teens had sufficient knowledge, while 45.5% of women had sufficient knowledge.
Conclusion: The knowledge level of respondents was in the sufficient category, in late adolescence, there was sufficient knowledge among. The frequency distribution based on gender revealed that women with a sufficient knowledge level amounted
The Effect Of Intermittent Fasting And Light Physical Activity On Body Weight And Blood Glucose In Overweight Men
Full text linkABSTRACT
Background: Obesity is a global epidemic that can increase metabolic syndrome and insulin resistance risk. Diet modification and light exercise can control metabolism. Intermittent fasting is a time limit for eating, and there are cycles of fasting diets for specific periods. This study aimed to determine the effect of intermittent fasting and light physical activity on body weight and blood glucose in overweight and obese men.
Methods: This research method is a Quasi-Experimental study with a Cross-Sectional research design with a sample of 21 men aged 18 to 50 years with BMI > 23 mg/dl and able to participate in the study to completion.
Results: The results showed that Alternate Day Fasting and light physical activity can reduce body weight (mean = 84.53) compared to previous body weight (mean = 82.47). There was no difference in blood glucose (Mann Whitney; p> 0.05).
Conclusion: Intermittent Fasting Diet can reduce body weight but does not cause changes in blood glucose in overweight and obese men
The Art of Management of Children with Steroid-Resistant and Cyclophosphamide-Resistant Nephrotic Syndrome in Indonesia
Full text linkBackground: Steroid resistant nephrotic syndrome (SRNS) in Indonesia contributes to chronic kidney disease (CKD).
Method: Data from several teaching hospitals in Indonesia states that the incidence of CKD which originates from inadequate therapy nephrotic syndrome and steroid resistant nephrotic syndrome is around 60 – 70%.
Result: This figure is much higher than in developed countries. One of the causes is that the main treatment for SRNS is with a calcineurin inhibitor, namely cyclosporin A, which is not yet available. This case report discuss the management of SRNS with cyclosporine A as an effort to prevent CKD at one of the provincial referral hospitals in Indonesia.
Conclusion: Administration of CyA is the therapy of choice for SNRS, because it has a higher remission rate than CPA. The speed of achieving remission was also higher in CyA than CPA. There are several obstacles in providing CyA to pediatric SNRS patients in Indonesia currently, the main obstacle is cost.
Keywords: Children; Chronic Kidney Disease ; Steroid Resistant Nephrontic Syndrome; Intensive Care; Cyclosporin
DIMENSIONS OF CADRE SATISFICATION WITH THE WEB-BASED e-POSYANDU CADRE HEALTH APPLICATION (ePoK-K) AS AN ALTERNATIVE FOR RECORDING AND REPORTING POSYANDU ACTIVITIES
Full text linkBackground: Recording and reporting is one of the responsibilities of posyandu cadres. Every month, data is collected and reported in order to monitor and evaluate the posyandu program. Because this activity is performed manually by cadres, it has the potential to cause data errors and inaccuracies. As a result, researcher is interested in developing applications that can assist cadres in recording and reporting, so that cadres can produce accurate and valid posyandu reports.
Objective: The objective of this study was to assess cadre satisfaction with the Cadre Health e-Posyandu Application (ePoK-K) as an alternative to recording and reporting posyandu activities.
Method: This was a quasi-experimental study with a one-group posttest-only design. From June to August 2022, the research was conducted in the Work Area of the Mekar Baru Health Center in Tanjungpinang City. A total of 60 respondents were obtained from 12 posyandu in the Work Area of the Mekar Baru Health Center in Tanjungpinang City using a proportional stratified random sampling technique.
Results: The analysis of the dimensions of respondents' satisfaction with the ePoK-K application revealed that satisfaction was very satisfied in each dimension, with the following details: tangible dimension 90%; reliability 91.7%; responsiveness 91.7%; assurance 76.7%; and empathy 83.3%. In general, respondents' satisfaction with the ePoK-K Application was very high (86.7%).
Conclusion: Respondents were extremely pleased with the website-based ePoK-K application for recording and reporting posyandu activities.
Keywords: Satisfaction, cadres, applicatio
THE RELATIONSHIP BETWEEN TREATMENT PHASE AND NUTRITIONAL STATUS IN ADULT TUBERCULOSIS PATIENTS AT PUBLIC HEALTH CENTERS IN JAMBI CITY
Full text linkBackground: Tuberculosis (TB) is a chronic infectious disease caused by Mycobacterium tuberculosis. Treatment of tuberculosis consists of two phases, the intensive phase for 2 months and the continuation phase for 6-12 months. One of the factors associated with tuberculosis is nutritional status. If the patient has poor nutritional status, the risk of being infected with tuberculosis will increase. Likewise, if a patient is infected with tuberculosis, the risk of suffering from malnutrition will increase due to the side effects of taking anti-tuberculosis drugs and increased metabolism from Mycobacterium tuberculosis infection. This has a huge influence on the patient's recovery.
Objective: This study aimed to investigate the relationship between treatment phase and nutritional status in adult tuberculosis patients at Public Health Centers in Jambi City.
Methods: This study is an analytic type of research using a cross sectional design. This research was conducted in several Public Health Centers in Jambi City from July to October 2022. Nutritional status was assessed based on the value of Body Mass Index (BMI). The relationship between treatment phase and nutritional status was analyzed using the chi-square test.
Results: The number of samples in this study were 71 patients consisting of 90.1% pulmonary TB patients and 9.9% extra pulmonary TB patients. A total of 59.2% of patients were in the intensive phase of treatment and the majority of patients had underweight nutritional status (60.6%). The results of statistical analysis obtained p value < 0.001.
Conclusion: There is a relationship between treatment phase and nutritional status in adult tuberculosis patients at the Public Health Centers in Jambi City.
Keywords: tuberculosis, nutritional status, treatment phase, Jamb
FACTORS ASSOCIATED WITH WASTE MANAGEMENT IN THE COMMUNITY IN PALMERAH SUB-DISTRICT, JAMBI CITY
Full text linkBackgrounds: Garbage is produced by human activities which if not managed properly will have an impact on environmental hygiene. Paal Merah sub-district is a sub-district in Jambi City with a dense population. Based on data from the Jambi City Environmental Service, the amount of waste generated in the Paal Merah sub-district has increased from year to year.
Objective: The purpose of this study was to determine the factors related to the behavior of waste management in the community in Paal Merah District, Jambi City.
Methods: The study was conducted using a cross-sectional design with a sample size of 105 respondents.
Results: The results of this study are that there is a relationship between lack of knowledge (p-value 0.044 PR 2.01 95% CI 1.01-4.00), attitude (p-value 0.45 PR 1.63 95% CI 1.11-2 .40), subjective norm (p-value 0.027 PR 1.65 95%CI 1.08-2.52), control of behavior (p-value 0.004 PR 1.92 95%CI 1.33-2.77) with poor waste management.
Conclusion: Suggestions for the government to provide facilities and infrastructure and increase socialization about waste management so as to increase control over community behavior in managing waste
Web-Based Exclusive Breastfeeding Education Application for Pregnant Women
Full text linkABSTRACT
Pregnant women are a vulnerable group during the Covid-19 pandemic. Pregnant women need to do self-limiting from the outside environment or with social distancing which has proven benefits in reducing the transmission of Covid-19. Education for pregnant women is needed to prepare them as mothers so they can take good care of their babies and themselves, including exclusive breastfeeding. Education is important in improving behavior to get optimal health. Education through the web is an alternative for pregnant women during the Covid-19 pandemic. This study aims to create educational media about web-based exclusive breastfeeding for pregnant women.
This research is a research and development (R&D) study. The research was carried out at the Annisa Mother and Child Hospital Jambi from September to November 2021 with a sample of 16 pregnant women. The developed website is www.edukasibunda.com. Based on the results of the assessment of 16 pregnant women, the average usability score was 70, which means that it is acceptable and suitable for use. Respondents who took part in this study were 16 people, most of the research respondents were aged 21-35 years (75%), most of them had high school education (68.75%), and housewives (81.25).
The results of the assessment show that the website www.edukasibunda.com is feasible and acceptable as an alternative to exclusive breastfeeding education for pregnant women during the Covid-19 pandemic.
Keywords: Education, Exclusive Breastfeeding, Covid-19, We