Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan

Interprofessional Learning Development In Indonesia Health Study Program

Fairuz Quzwain, Nyimas Natasha Ayu Shafira, Nindya Aryanty, Siti Raudhoh — Sat, 30 Nov 2024 00:00:00 +0700

Background: Interprofessional education (IPE) is a joint learning process between two or more students from the health profession to develop collaboration skills and improve the quality of health services. With IPE, students develop a deeper understanding of various health professions' roles and responsibilities, enhancing their ability to communicate and collaborate effectively. This study aims to develop IPE learning involving five health professions at the Faculty of Medicine and Health Sciences Universitas Jambi.

Methods: This study uses a research and development design. This study utilized a qualitative approach, specifically through Focus Group Discussions (FGDs) at the research and information gathering (define) stage. A total of ten lecturers and five heads of study programs from medical, nursing, pharmacies, psychology, and public health programs were involved in this study.

Results: Three themes were derived from the results: Curriculum, Faculty Development, and Institutional Support. Community-based IPE allows students from various health study programs at FKIK UNJA to be involved in these activities. To ensure effective implementation of IPE learning, it is crucial to conduct training for faculty facilitators and field instructors related to IPE learning and to form a team responsible for developing, delivering, and managing the IPE program. Institutional support for interprofessional education (IPE), namely facilities, infrastructure, and a partnership with primary health centers, is critical for implementing and sustaining community-based IPE.

Conclusion: The IPE learning that will be implemented at FKIK UNJA is community-based IPE. Three crucial elements must be prepared to implement IPE: curriculum, faculty development, and institutional support.

Effectiveness Of Bundle Care In Preventing Pressure Ulcer In Patients Using Mechanical Ventilation Assistants In The Intensive Care Unit

Nurhusna, Yosi Oktarina — Sat, 30 Nov 2024 00:00:00 +0700

Background : 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%.

The Art of Management of Children with Steroid-Resistant and Cyclophosphamide-Resistant Nephrotic Syndrome in Indonesia

Ahmedz Widiasta, Muhammad Ilman, Dedi Rachmadi — Sat, 30 Nov 2024 00:00:00 +0700

ABSTRACT

Background: 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.

Evaluation and Strategy to Strengthen the Implementation of Early Detection of Cervical Cancer Using the IVA Test Method

Sulastri Fitriani, Nur Rizky Ramadhani, Eva Susanti, Guspianto Guspianto — Sat, 30 Nov 2024 00:00:00 +0700

Background: 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

Consumable Medical Materials Related To The Treatment Of Covid And Multivitamins During The Pandemic

Niken, Yuliawati Yuliawati, Fathnur Sani — Sat, 30 Nov 2024 00:00:00 +0700

ABSTRACT

Background: Preparation for self-isolation needs to be prepared with the aim of minimizing the spread of COVID-19 infection, which includes masks, hand sanitizer, oxygen, disinfectants, and others. The demand for multivitamins related to self-isolation needs at Pharmacy X based on observations during the research has fluctuated. For this reason, this research was created to find out the picture of fluctuations/ups and downs in sales of multivitamins and the need for self-isolation for COVID-19 at Pharmacy X, based on observations from January-October 2021.

Methods: The method used is the observation method through invoice data for the procurement of multivitamin supplies and self-isolation requirements for each of the 5 multivitamin samples and 5 samples for self-isolation requirements whose demand level is the highest compared to the others.

Results: The results obtained from the observation data were fluctuations in sales of multivitamins and the need for COVID-19 self-isolation at Pharmacy X.

Conclusion: There has been an increase in sales of multivitamins and the need for self-isolation at Pharmacy X in July 2021 due to the peak incidence of positive cases of Covid-19 infection in Jambi Province while in August-October 2021 it experienced a decline.

THE RELATIONSHIP BETWEEN COGNITIVE FUNCTION AND STROKE SEVERITY IN BETHESDA HOSPITAL, YOGYAKARTA

Rizaldy Taslim Pinzon, Refianda Olivia Febrianti Marpaung, Sugianto — Sat, 30 Nov 2024 00:00:00 +0700

Introduction: 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.

Objective: 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 â‰¥ 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.

Drug Induced Gingival Overgrowth In Elderly Stroke : A Case Report

Rizaldy Taslim Pinzon, Hanshel Everad Nathanael — Sat, 30 Nov 2024 00:00:00 +0700

ABSTRACT

Background: Drug-induced gingival overgrowth has been reported as adverse effect of certain medication, including amlodipine, in susceptible individuals. The exact mechanism of gingival hypertrophy remains unclear and may be related with multifactorial factors. Gingival hypertrophy related with speech and mastication problem, poor oral hygiene and aesthetic appearance.

Case Presentation: We report the case of a 64-year-old male with post stroke and hypertension who developed gum hypertrophy following amlodipine use for 3 years. Maintenance of oral hygiene and substitution of offending medication was performed as the first step in management.

Conclusion: A case of DIGO associated with amlodipine on post stroke patient with hypertension that causing difficulties in mastication and diffuse gingival enlargement. After the amlodipine was substituted with candesartan and oral hygiene was performed, leading to significant alleviation of the symptoms

Relationship Between Accommodation Insufficiency, Screen Time, and Asthenopia Symptoms in Young Adult Patients

Muhammad Akbar Wicaksana, Susanti Natalya Sirait — Sat, 30 Nov 2024 00:00:00 +0700

Introduction: 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

Ninda Devita, Muhammad Syafiq Riski, Rian Marufi — Sat, 30 Nov 2024 00:00:00 +0700

Background: 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 â‰¥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 influenced

Effectiveness Of Using The Skeletal System Pocketbook on The Grade of Anatomy Practicum For Medical Students at Universitas Jambi

Sat, 30 Nov 2024 00:00:00 +0700

ABSTRACT

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.

Family Determinants Causing Children Suffering From Wasting In Jambi City

Huntari Harahap, Erny Kusdiyah, Armaidi Darmawan — Sat, 30 Nov 2024 00:00:00 +0700

The Effect Of Marital Status On The Independence Of The Elderly In Fulfilling Activities Of Daily Living (ADL): A Systematic Review And Meta-Analysis

Sat, 30 Nov 2024 00:00:00 +0700

Background : 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 (IÂ²) = 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).

Development and Content Validity of an Instrument for Assessing the Fundamental Aspects of Academic Integrity

Dhea Anisa Yuri Lubis, Nindya Aryanty, Siti Raudhoh — Sat, 30 Nov 2024 00:00:00 +0700

ABSTRACT

Background: 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