Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan

Development of Health Educational Game Application â€œWorm Freeâ€ Based on Android

Guspianto Guspianto — 2024-07-07

Background: Strategies for preventing and controlling worms are carried out by increasing PHBS behavior from an early age. Health promotion efforts such as health education for student have been carried out, one of which was through the game method (gamification) which was able to stimulate various senses, attract and be liked by children. In line with the development of communication and information technology, digital-based educational models were very necessary and helpful in improving children's thinking patterns, creativity, and ability to obtain health information. This study aims to develop a digital game application "worm-free" based on Android.

Method: This studied conducted Research and Development (R&D) design with five stages namely needs analysis, product design development, validation, revision, limited trial and field test.

Result: The validation results of media experts and material experts as well as limited trials concluded that the digital game product was informative, easy to access and use, and interesting so it was very feasible to use and proven to increase PHBS knowledge for Helminthiasis prevention in primary school students.

Conclusion: It is recommended that digital game health education "Worm Free" based on Android can be widely utilized by the community, especially elementary school children to increase PHBS knowledge and behavior to prevent worms from early age.

FACTORS ASSOCIATED WITH WASTE MANAGEMENT IN THE COMMUNITY IN PALMERAH SUB-DISTRICT, JAMBI CITY

Willia Novita Eka Rini — 2024-07-07

Backgrounds: 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.

ADOLESCENT PREGNANCY IN JAMBI PROVINCE BASED ON HEALTH AND EDUCATION PERSPECTIVE

Adelina Fitri — 2024-07-07

ABSTRACT
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.

Web-Based Exclusive Breastfeeding Education Application for Pregnant Women

Sri Mulyani — 2024-07-07

ABSTRACT

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, Web

ANALYSIS OF ENABLING FACTORS IN HEALTH INTEGRATED EARLY CHILD EDUCATION SUPPORT SYSTEM IN TANJUNG JABUNG TIMUR DISTRICT, 2022

Ismi Nurwaqiah Ibnu — 2024-07-07

Background: 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 participation

DETERMINANTS OF UNDER-FIVE HEIGHT IN STUNTING PREVENTION EFFORTS IN TANJUNG JABUNG TIMUR, INDONESIA

Rumita Ena Sari — 2024-07-07

Background

Stunting is the unsuccessful growth of children under five due to chronic malnutrition so that their height is not in accordance with their age. the prevalence of stunting based on the results of SSGI research in 2020, since 2013-2019 the decline in the prevalence of stunting in Jambi Province reached 7.8%. The weight of under-fives according to age range is one of the indicators in achieving optimal under-five growth.

Objectives

This study aims to analyze the determinants of body weight in under-two children in East Tanjung Jabung District.

Methods

Quantitative research with a cross-sectional design. The sample was 179 mothers and children under two selected by random sampling technique. The questionnaire has been tested for validity and reliability. Data were analyzed using the chi-square test.

Results

Maternal occupation (PR 4.507), family income (PR 4.507), breastfeeding pattern (PR 5.136), IMD practice (PR 4.825), breastfeeding (PR 4.305), smoking behavior in the house (PR 4.323), visits to the health fasilities (PR 5.247).

Conclussion

Based on the results of the study, maternal occupation, family income, breastfeeding pattern, IMD practice, breastfeeding exclusive, smoking behaviour in the house, and health facility visits were correlated with the height of infants. It is recommended that mothers and families can increase family economic income with the participation of the district government in helping the family economy. Mothers improve breastfeeding patterns and IMD practices, increasing visits to health facilities for monitoring children under two height, optimizing the role of cadres and also eliminating smoking behavior in the house.

Keywords : Stunting, Children Under Two, Determinant

FOOD CONSUMPTION PATTERNS IN TODDLERS IN LOKUS STUNTING VILLAGE, BUNGO DISTRICT

Silvia Mawarti Perdana — 2024-07-07

background:The Indonesian Nutrition Status Study (SSGI) in 2021 showed that Bungo Regency data has a stunted toddler prevalence of 22.9%. Several research results have shown that the problem of stunting in toddlers is related to low protein intake in daily food consumption. On the other hand, Jambi Province has local food sources of protein, especially freshwater fish as an alternative to daily side dishes. This study aims to examine the pattern of protein food consumption in Sungai Mengkuang and Sungai Puri Village as Bungo Regency's stunting locus village. Method: Quantitative methods are used to measure the toddler's pattern of protein food consumption with a food frequency questionnaire and food recall. Result: The results showed that food protein consumption was already contained in children's complementary feeding, but with the number of servings that did not meet the balanced nutrition guidelines (< 100% daily recommendations). Discussion: As many as 63.5% of respondents have received complementary feeding â‰¥ three times a day. Conclusion: It is necessary to optimize the production, distribution, and consumption of local protein foods as a solution to accelerate reduction of stunting.

RELATIONSHIP ATTITUDE AND GOVERNMENT COMMITMENT COMPLIANCE WITH THE IMPLEMENTATION OF THE COVID-19 HEALTH PROTOCOL IN JAMBI CITY TOURISM PLACES

Fitria Eka Putri — 2024-07-07

Background: Tourist attractions have the potential to become a locus of spread of COVID-19 if there is a gathering of visitors while traveling causing compliance with the implementation of health protocols to break the chain of transmission of COVID-19. The emergence of the term Revenge Tourism or revenge tourism after the implementation of the new normal, where during the Covid-19 pandemic made many people experience boredom in the midst of social implementation so walking is a way to reduce boredom and boredom while implementing the house.Objective: This study aims to look at the relationship between the government's attitude and commitment to compliance and implementation of the Covid-19 health protocol in tourist attractions in Jambi City.Methods: This type of research is observational with a cross-sectional design. This research was conducted at tourist attractions in the city of Jambi in June-August 2022. The population in this study were 378 visitors to tourist attractions.Results: Based on the research results obtained, the majority of respondents had a positive attitude about implementing health protocols during the Covid-19 pandemic at tourist attractions, namely 191 respondents (50.5%), then most of them had the government's commitment to preventing Covid-19 in tourist attractions, namely as many as 237 respondents (67.2%) statistical test there is a significant relationship between attitudes (p=0.000) and government commitment (p=0.000) with adherence to the implementation of health protocols during the Covid-19 pandemic in tourist attractions Jambi city.Conclusion: There is a significant relationship between attitude (p=0.000) and government commitment (p=0.000) with adherence to the implementation of health protocols during the Covid-19 pandemic in Jambi city tourist attractionsKeyword: Covid-19, Health Protocols, Tourist spots

THE EFFECT OF KARAMUNTING (Rhodomyrtus tomentosa) LEAVES ETHANOLIC EXTRACT ON SPERMATOZOA CONCENTRATION OF RATS INDUCED HIGH-FAT DIET

Tia Wida Ekaputri Hz — 2024-07-07

The side effects of medication, especially cholesterol-lowering drugs, make people choose to use traditional medicine. The active compounds in karamunting (Rhodomyrtus tomentosa) leaves are believed to have the potential as antioxidants to overcome hypercholesterolemia and the effects of diseases related to male fertility. This study aimed to determine the effect of ethanol extract of karamunting leaves on the spermatozoa concentration of male Wistar rats (Rattus norvegicus) given different extract doses compared to controls induced by a high-fat diet. This research is an observational analytic study. The karamunting leaves extract was obtained from maceration with 70% ethanol and evaporated with a rotary evaporator. There were 15 videos of male rats spermatozoa divided into three groups: the control group received 5% Na-CMC, treatment group 1 (P1) received karamunting leaves extract 400 mg/kgBW, and treatment group 2 (P2) received karamunting leaves extract 800 mg/kgBW administered orally for 30 days. Previously, rats were induced with a high-fat diet for 30 days. Spermatozoa concentration was calculated using the counting chamber method, observed on the recorded video media. There was no significant difference in the concentration of spermatozoa (p>0.05) and relative testicular weight (p>0.05) in the P1 and P2 extract dose groups compared to the control group. The ethanol extract of karamunting leaves did not affect the concentration of rat spermatozoa induced by a high-fat diet.

THE PEOPLEâ€™S KNOWLEDGE AND INTENTION IN USING ONLINE PSYCHOLOGICAL INTERVENTIONS

Siti Raudhoh — 2024-07-07

Background The development of telepsychology in Indonesia is inseparable from the impacts of the Covid-19 pandemic. One of its manifestations is online-based psychological interventions. With numerous growing applications in Indonesia, most of these services only provide counseling via chat with a psychologist. Indeed, the forms of online-based psychological interventions are not limited to chat. Further identifications are required to see if these online-based psychological interventions appeal to the community. This study aims to depict the knowledge and intention of the community to use online psychological interventions and the correlation between them.

Method This study was quantitative research with survey method. The number of involved respondents was 127 male and female respondents aged 17-40.

Result Research results show that 39.37% of respondents fell into the moderate category of knowledge, 22.04% fell into the low category, and 26.77% fell into the high category. About 49.61% of respondents indicated moderate intention, and 22.83% indicated a reasonably high intention to use online psychological interventions should they face mental health issues. Online interventions perceived as appealing for the community should they experience mental health issues were web-based intervention, psychologist-guided online therapies, application-based online interventions, and chat counseling.

Discussion Public knowledge of online psychological intervention is quite adequate. However, there are still a number of issues that the community doesn't understand, such as intervention design and understanding regarding the effectiveness of online psychological intervention. Nonetheless, people's intention to use psychological intervention is increasing in line with the challenges during the Covid-19 pandemic, which required people to use digital technology in their daily lives. Furthermore, efforts are needed to provide public understanding regarding the use of online psychological intervention.

Conclusion The community has sufficient knowledge and interest in online psychology services. There is a positive relationship between knowledge and intention to use online psychological interventions. Education is needed to increase public understanding regarding online interventions.

Keywords: telepsychology, online interventions, mental health

STUDY OF HELMINTHIASIS IN ELEMENTARY SCHOOL CHILDREN IN JAMBI CITY

Ima Maria — 2024-07-07

ABSTRACT
Introduction: Intestinal parasitic infection is a major health problem in developing countries,
especially in children, which often causes mortality and morbidity. Worms affect one third of the
world's population. School-age children between the ages of 5 and 15 years in most developing
countries are at the highest risk of chronic helminthic infection and worm-related morbidity. This study
aims to determine the prevalence and determinants of helminthiasis in school-age children.
Methods: This research is a quantitative study with a cross-sectional design. The research will be
conducted at Jambi City Elementary School in August-October 2022. The total sample is 369
respondents using a simple random sampling technique.
Results: The type of worm eggs found were Ascaris lumbricoides worm eggs. The most gender is
male (50.7%), the most sources of water for cooking and drinking at home are Refill Water (28.2%),
the habit of washing vegetables and raw meat with running water is 90.8%, the number of children
playing outside the house the most 76.2%, playing sand 75.9%, using sandals 94.5%, habit of biting
nails 9.8%, washing hands after playing 85.6%, consuming worm medicine 53.1%, and still there are
houses that have floors in the form of land as much as 3.3%.
Conclusion: The risk factor for helminthiasis in the community is still high. Only some children
consume deworming drugs regularly at their own expense. Government intervention is needed in
mass deworming treatment for school children
Keywords: Worms, Elementary School Children

The Efficacy Of Anatomical Skeletal System Guidebook For Medical Students At Universitas Jambi

Rina Nofri Enis — 2024-07-07

ABSTRACT

Background: Medical students need to have good anatomy knowledge. FKIK UNJA changed the learning system to hybrid in response to the COVID-19 pandemic. An update on the skeletal system anatomy practicum guidebook is needed to improve studentâ€™s understanding.

Objective: This study aims to determine the effect of using the skeletal system anatomy practicum guidebook on the anatomy grade of first-semester students Faculty of Medicine and Health Science Jambi University.

Methods: This study applied a quasi-experimental method with a pretest-posttest control group design. The samples were 120 first-semester Jambi University medical students year 2022/2023 who participated in the axial skeleton anatomy practicum.

Results: Students with the practicum guidebook pre-test mean grades were (40,58Â±11,36) and post-test mean grades were (75,74Â±7,26). Students without practicum guidebook pre-test mean grades were (27,49Â±13,89) and post-test mean grades were (72,92Â±5,13). There was a significant difference between the students with and without the practicum guidebook (p-Grades 0,030).

Conclusion: The use of the skeletal system anatomy practicum guidebook significantly improves first-semester medical studentsâ€™ anatomy grades.

Keywords: Anatomy Grades, Complete Anatomy, Hybrid, Practicum Guidebook, Skeletal System

CLINICAL MANIFESTATIONS IN POSITIVE COVID 19 PATIENTS WITH AND WITHOUT VACCINATED

Wahyu Indah Dewi Aurora — 2024-07-07

ABSTRACT
Introduction: Since the emergence of Emerging Diseases, namely the discovery of a new virus in 2019
which was named Covid-19, the World Health Organization (WHO) has established a Pandemic status
throughout the world. To anticipate the large number of fatalities, it is necessary to have a vaccine to
reduce morbidity and mortality. The purpose of this study was to find out the differences in clinical
manifestations 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 Jambi
City from April to October 2022. The number of samples used was 721 samples using the simple
random sampling technique, the medical records of patients positive for Covid 19 were taken randomly
at 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 on
gender, there were 330 respondents (45%). From the results of the study, it was found that the
percentage of respondents who had fever (62.41%), coughing (50.5%), body weakness (32.4%), itching
in the throat (21.63%), runny nose/runny nose (44.8%), dizziness/headache (25.65%). Pain in muscles
and 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 other
symptoms 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 in
respondents who have been vaccinated compared to those who have not been vaccinated.
Keywords: Clinal Manifestation Covid-19, Vaccine

CORRELATION OF LYMPHOCYTE-MONOCYTE RATIO AND MORTALITY OF COVID-19 INTENSIVE CARE UNIT PATIENTS: PRELIMINARY STUDY

Muhammad Fadhil Naufal — 2024-07-07

Background: The world faces a pandemic caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCov-2). Because of the limitations as a developing country, Indonesia needs to do its activities efficiently in time,
money, and human resource. This research aims to accurately determine a concrete mortality predictor to predict
the patients' mortality. One of the mortality predictors is the lymphocyte-monocyte ratio (LMR).
Method: This research is observational analytic research using a cross-sectional study method. Data obtained
from the Medical Record & Casemix Room of RSUD Raden Mattaher.
Results: Out of 115 samples, most patients were male (65 patients). The patients' age group was mainly younger
than 65 (79%). The most common comorbidity was diabetes mellitus (43 patients). The correlation between LMR
and mortality rate to be weak with the following results: Pearson coefficient(p=0.045), gamma coefficient (P=0.325),
Somers' D test (P=0.167), odds ratio (1.833), AUC (58%), specificity (58%), sensitivity (56%), and intersection point
(1,79).
Conclusions: There is a weak correlation between LMR and the mortality rate of COVID-19 patients in RSUD
Raden Mattaher.
Keywords: Characteristics of COVID-19 patients, comorbidity of COVID-19 patients, LMR (Lymphocyte-monocyte
ratio), a mortality rate of COVID-19 patients.