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Family Determinants Causing Children Suffering From Wasting In Jambi City Harahap, Huntari; Kusdiyah, Erny; Darmawan, Armaidi; Nur, Amrizal Muhammad
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 2 (2024): JAMBI MEDICAL JOURNAL: Jurnal Kedokteran dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v12i2.38469

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Background: 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;
Pre-Matrical Nutrition Counseling, Anthropometric and Hemoglobin Examination In Women Of Fertile Age Huntari Harahap; Armaidi Darmawan; Tia Wida Ekaputri; Erny Kusdiyah; Mirna Marhami Iskandar; Firmansyah
Journal of Medical Studies Vol. 4 No. 3 (2024): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v4i3.38953

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ABSTRACT Background: The government's stunting prevention measures begin with improving nutrition, namely during adolescence, in the case of prospective brides, pregnant women, postpartum mothers, and toddlers. Empowerment for women in the community or at home is expected to reduce stunting problems and various child health problems. This study aims to screen for risk factors and prevent stunting in women of childbearing age. Methods: Thirty-six women of childbearing age attended this research activity in the Olak Kemang Health Center working area. The activities included pre-marital nutrition education for women of childbearing age, examination of weight, height, arm circumference, and measurement of blood haemoglobin. Results: The body mass index of Women of Childbearing Age was the most in the thin category, namely 39% (BMI <18.5), haemoglobin levels >12 as much as 58,33%, upper arm circumference above 22 as much as 78% and there was an increase in knowledge assessed from the results of the pretest and posttest, it is known that the average pretest value is 60, and the posttest value is 80. Conclusion: Management of iron tablet administration is needed for women of childbearing age who experience anaemia and increased nutritional intake in women of childbearing age. Keywords: nutrition counseling; anthropometry; hemoglobin; Women of Childbearing Age (WCA); stunting
The impact of nutritional status and dietary intake on children's exposure to hazardous substances in food Aurora, Wahyu Indah Dewi; Darmawan, Armaidi; Kusdiyah, Erny; Suzan, Raihanah; Syauqy, Ahmad; Gading, Patrick William
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 13, No 2 (2025): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.13.2.124-131

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Introduction: Exposure to harmful substances in food is a significant factor contributing to stunting and nutritional problems in children, as it impacts their growth and development. While healthy diets are well-documented, direct links between dietary intake and harmful substance exposure are less explored. This study investigates key risk factors influencing such exposure in children.Objectives: This study aimed to analyses the impact of nutritional status, dietary intake, and exposure to harmful substances in children.Materials And Methods: A cross-sectional study involving 780 children in 30 elementary Schools, collected data on dietary intake, nutritional status, and laboratory testing for harmful substances like borax, formalin, Rhodamine B, and cyclamate using Qualitative Test Kit. Food samples were obtained from school vendors and commonly consumed items. Data were analysed using Chi-Square tests and binary logistic regression to assess the relationships between variables.Results: Among the children, 50% were aged 8–9 years, and 53.8% were female. Most had good nutritional status (69.2%), and 88.2% had sufficient dietary intake. However, 69.1% were exposed to harmful substances in food. Poor nutritional status increased exposure risk by 3.11 times (PR = 3.11; 95% CI: 1.75 - 5.51; p = 0.000), and insufficient dietary intake raised it by 13.26 times (PR = 13.26; 95% CI: 8.37 - 21.02; p = 0.000).Conclusion: A child’s nutrition and food safety are deeply connected. Poor nutrition makes children more susceptible to harmful substances, highlighting the importance of ensuring both a healthy diet and stricter food safety measures. By prioritizing better nutrition and safer food choices, we can help protect children's health and support their growth.
The Relationship of Knowledge and Attitudes Towards Behavior of Personal Hygiene among Food Traders Azzahra Sarah Fatimah Ramadhanti; Erny Kusdiyah; Tia Wida Ekaputri; Armaidi Darmawan; Citra Maharani
Journal of Medical Studies Vol. 5 No. 1 (2025): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v5i1.43282

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ABSTRACT Background: In Indonesia, inadequate hygiene practices often threaten food safety. This research aims to analyze the relationship between knowledge and attitudes of food traders towards their hygiene behavior. Methods: This research is an observational quantitative study with a cross-sectional approach conducted in June 2024 at Car Free Day Telanaipura, Jambi City. The research sampling technique used a total sampling method on 100 food traders. Data was collected through a questionnaire that assessed demographic profiles, knowledge, attitudes, and personal hygiene behavior and analyzed using the chi-square test. Results: The results show that 60% of respondents have good knowledge, while 42% have a good attitude regarding personal hygiene. Statistical tests show a significant relationship between knowledge of personal hygiene behavior (p=0.047) and a significant relationship between attitudes towards the personal hygiene behavior of traders (p=0.028). Conclusion: Good knowledge and attitudes towards personal hygiene are associated with better hygiene behavior among traders. Therefore, increasing hygiene knowledge and attitudes among food traders needs to be strengthened through ongoing education and outreach to improve food hygiene standards in public areas. Keywords: Personal Hygiene; Food Traders; Knowledge; Attitudes; Behavior
Genetic variation near the MC4R gene rs17782313 as a protective factor against high visceral fat: case control study in the Jambi Malay population Alya Dwiva Juhari; Citra Maharani; Anggelia Puspasari; Rina Nofri Enis; Armaidi Darmawan
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 3 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i3.20568

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Obesity is commonly assessed using the body mass index (BMI), which does not distinguish between fat and lean mass. Among fat distributions, visceral fat is more strongly associated with the risk of metabolic disease. Visceral or central obesity, characterized by excessive visceral fat accumulation, has become increasingly prevalent in recent years. Genetic factors, including rs17782313 polymorphism near the melanocortin 4 receptor (MC4R) gene, have been implicated in visceral fat accumulation. Previous studies reported varying effect sizes across different populations and inconsistent genotype-phenotype associations. However, no studies have investigated this association in the Jambi Malay Population. This case-control study aimed to evaluate the association between the MC4R rs17782313 polymorphism and visceral fat in the Jambi Malay population. A total of 110 Jambi Malay subjects participated in the study. Visceral fat was measured using bioelectrical impedance analysis (BIA), and genotyping was performed using the Tetra-ARMS PCR method. Bivariate and multivariate analyses were conducted to assess the association between genetic variation and visceral fat levels. Bivariate analysis showed that the TC genotype had a protective effect against high visceral fat compared to the TT genotype (p = 0.037; OR = 0.395). Similarly, the recessive model (CC+TC vs. TT) also indicated a protective effect (p = 0.022; OR = 0.375). In logistic regression model adjusted for calorie intake and physical activity, the protective effect persisted for both TC (p = 0.018; OR = 0.302) and the recessive model (p = 0.013; OR = 0.305). However, further adjustment for gender nullified the effect of the TC genotype, whereas the recessive model remained statistically significant, though the genetic effect was attenuated (p = 0.044; OR = 0.372). In conclusion, the TC genotype of MC4R rs17782313 is associated with a protective effect against visceral fat accumulation. This effect is influenced by calorie intake, physical activity, and gender.
The Education of Family Medicine Services Using Artificial Intelligence Video Method for Hypertension Prolanis Patients at Simpang Kawat Health Center. Okta Arizki; Armaidi Darmawan; Ahmad Syauqy; Wahyu Indah Dewi Aurora; Esa Indah Ayudia
Journal of Medical Studies Vol. 5 No. 2 (2025): Journal of Medical Studies
Publisher : Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/joms.v5i2.40517

Abstract

Background: Hypertension management requires effective strategies, with family medicine often playing a neglected role. Objective: This study examines the efficacy of AI-based videos in improving knowledge among Prolanis hypertension patients at Simpang Kawat Health Center. Methods: This quasi-experimental study employed a pre-test post-test control group design. The experimental group (43 Prolanis hypertension patients from Simpang Kawat Health Center) received AI video education, while the control group (39 patients from Talang Bakung Health Center) received traditional slide-based education. Participants were selected via purposive sampling. Results: The majority of patients at Simpang Kawat Health Center were adults (55.8%), female (86%), and had primary education (44.2%). In contrast, most patients at Talang Bakung Health Center were elderly (76.9%), female (100%), and had primary education (74.4%). The knowledge level of hypertensive Prolanis patients at Simpang Kawat Health Center significantly improved after receiving AI-based video education, with the percentage of patients with low knowledge dropping from 88.4% to 41.9%. Similarly, at Talang Bakung Health Center, the standard education method led to an improvement, with the percentage of patients with low knowledge reducing from 87.2% to 60.5%. Conclusion: AI-based educational videos were more effective than traditional methods in enhancing patient knowledge.
EDUKASI BERKELOMPOK UNTUK PENINGKATAN KEPATUHAN TERAPI PADA ODHIV DI WILAYAH KERJA PUSKESMAS RAWASARI KOTA JAMBI Kusdiyah, Erny; Darmawan, Armaidi; Aurora, Wahyu Indah Dewi; Harahap, Huntari; Syauqy, Ahmad; Nuriyah, Nuriyah
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

HIV/AIDS infection (ODHIV) remains a significant public health issue in Indonesia. One of the main challenges in managing HIV/AIDS is adherence to antiretroviral (ARV) therapy among ODHIV. Low adherence can lead to drug resistance, decreased quality of life, and increased risk of virus transmission. Factors influencing ARV adherence include stigma, discrimination, and the knowledge of ODHIV about the therapy. Education was conducted through group counseling, starting with a pre-test to assess participants' knowledge about HIV treatment. After the pre-test, a counseling session on "The Importance of ARV Adherence for People Living with HIV" was held, concluding with a post-test. A total of 27 participants took part in this activity, with the majority being male (59%) and the largest age group being 20-30 years (41%). Pre-test results indicated that 44% of participants had a low initial understanding. However, post-test results showed a significant improvement; 37% of participants scored in the 71-80 range, and another 37% scored in the 81-90 range. These results indicate that the education provided successfully enhanced participants' understanding of the importance of ARV adherence. Despite the improvements, challenges remain regarding adherence, particularly for those lacking family support. This highlights the need for additional strategies to enhance social support for ODHIV. Participation in this activity was predominantly male, with most participants having a high school education. The post-test results confirmed a significant increase in understanding compared to the pre-test. Puskesmas and community health workers should conduct regular monitoring and evaluation of ARV adherence to prevent loss to follow-up in treatment.
PELATIHAN IDENTIFIKASI ZAT-ZAT BERBAHAYA PADA MAKANAN UNTUK PETUGAS KESEHATAN DI PUSKESMAS SIMPANG KAWAT KOTA JAMBI aurora, Wahyu Indah Dewi; Darmawan, Armaidi; Kusdiyah, Erny; Harahap, Huntari; Syauqy, Ahmad; Nuriyah, Nuriyah
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

ABSTRACT Puskesmas plays a vital role in food safety supervision, including the identification of hazardous substances in food that can cause health issues, such as anemia. The knowledge of healthcare workers regarding food additives and colorants is crucial to protect the community from these risks. Community service activities were conducted at Puskesmas Simpang Kawat, Jambi City, involving 32 healthcare workers. The training program was designed to enhance their ability to identify hazardous substances such as borax, formalin, and metanil yellow, with both theoretical material and practical examination. Participants' knowledge was assessed before and after the training and subsequently analyzed using SPSS. The training participants, the majority aged 35-50 years (72%), showed a significant increase in knowledge before and after the training. The results of the pre-test and post-test questionnaires indicated a significant relationship regarding their understanding of hazardous substances before and after the training. This training not only improved technical knowledge but also boosted the confidence and motivation of healthcare workers. They are nowcapable of conducting accurate inspections in the field and educating the community about the dangers of hazardous substances in food. This initiative successfully enhanced the skills and knowledge of healthcare workers at Puskesmas Simpang Kawat in identifying hazardous substances. With improved knowledge, they can actively contribute to food safety and raise community awareness, potentially creating a positive longterm impact on public health. ABSTRAK Puskesmas berperan penting dalam pengawasan keamanan pangan, termasuk identifikasi zat berbahaya dalam makanan yang dapat menyebabkan masalah kesehatan, seperti anemia. Pengetahuan petugas kesehatan mengenai bahan tambahan dan pewarna makanan sangat krusial untuk melindungi masyarakat dari risiko tersebut. Kegiatan pengabdian masyarakat dilaksanakan di Puskesmas Simpang Kawat, Kota Jambi, melibatkan 32 petugas kesehatan. Program pelatihan dirancang untuk meningkatkan kemampuan mereka dalam mengidentifikasi zat berbahaya, seperti boraks, formalin, dan metanil yellow, dengan materi teoretis dan praktik pemeriksaan. Peserta akan dinilai pengetahuannya sebelum dan setelah pelatihan untuk selanjutnya dianalisis menggunakan spss. Peserta pelatihan, yang mayoritas berusia 35-50 tahun (72%), menunjukkan peningkatan signifikan dalam pengetahuan sebelum dan setelah pelatihan. Hasil kuisioner pre-test dan post-test menunjukkan adanya hubungan yang signifikan terkait pemahaman mereka tentang zat berbahaya sebelum dan setelah pelatihan. Pelatihan ini tidak hanya meningkatkan pengetahuan teknis, tetapi juga kepercayaan diri dan motivasi petugas kesehatan. Mereka kini mampu melakukan pemeriksaan akurat di lapangan dan memberikan edukasi kepada masyarakat tentang bahaya zat berbahaya dalam makanan. Kegiatan ini berhasil meningkatkan keterampilan dan pengetahuan petugas kesehatan di Puskesmas Simpang Kawat dalam identifikasi zat berbahaya. Dengan pengetahuan yang lebih baik, mereka dapat berperan aktif dalam menjaga keamanan pangan dan meningkatkan kesadaran masyarakat, berpotensi memberikan dampak positif jangka panjang bagi kesehatan masyarakat.
PELATIHAN AKTIVITAS FISIK YOGA DAN SKRINING DISLIPEMIA PADA PENDERITA HIPERTENSI DI PUSKESMAS PAKUAN BARU Harahap, Huntari; Kusdiyah, Erny; Zamzami , Mhd Usni; Darmawan, Armaidi; Tarawifa, Susan
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

ABSTRACT Hypertension is the second most common disease out of the ten most common diseases in Jambi Province, and in 2022, the number of hypertension sufferers in Jambi Province will be around 25.48%. The priority of hypertension management is to prevent and control blood pressure, one of which is through yoga and physical activity. This community service aims to provide non-pharmacological therapy for hypertension patients at the Pakuan Baru Health Center. Community service measures blood pressure and yoga training for hypertension sufferers and conducts dyslipidemia screening with 16 participants with hypertension. Community service activities found that the blood pressure of participants was at most 50% suffering from Level 1 Hypertension, as many as 81.25% experienced hypercholesterolemia, and all participants underwent non-pharmacological yoga therapy. Periodic non-pharmacological treatment is needed to control blood pressure and cholesterol in hypertension sufferers. Keywords: Physical Activity, Yoga, Hypertension, Dyslipidemia ABSTRAK Hipertensi merupakan penyakit terbanyak kedua dari 10 penyakit terbanyak di Provinsi Jambi dan pada tahun 2022 jumlah penderita hipertensi di Provinsi Jambi sekitar 25,48%. Prioritas penatalaksanaan hipertensi yakni mencegah dan mengontrol tekanan darah, salah satunya dengan aktivitas fisik yoga. Tujuan pengabdian kepada masyarakat ini sebagai terapi non-farmakologi pada pasien hipertensi yang ada di Puskesmas Pakuan Baru. Pengabdian kepada masyarakat pengukuran tekanan darah, pelatihan yoga pada penderita hipertensi serta melakukan skrining dislipidemia dengan jumlah peserta 16 orang penderita hipertensi. Kegiatan pengabdian kepada masyarakat didapatkan tekanan darah peserta paling banyak 50% menderita Hipertensi Tingkat 1, sebanyak 81,25% mengalami hiperkolesterolemia, semua peserta melakukan terapi non-farmakologi yoga. Dibutuhkan terapi nonfarmakologi berkala untuk mengontrol terkanan darah dan kolesterol pada penderita hipertensi. Kata Kunci : Aktivitas_Fisik, Yoga, Hipertensi, Dislipidemia
HEALTH EDUCATION ON FAMILY MEDICINE PRINCIPLES FOR PROLANIS DIABETES MELLITUS GROUPS AT A PRIMARY CARE CENTER IN JAMBI CITY Darmawan, Armaidi; aurora, Wahyu Indah Dewi; Kusdiyah, Erny; Syauqy, Ahmad; Sulistiawan, Andika; Nuriyah, Nuriyah
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 2 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

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Abstract

Diabetes Mellitus (DM) is a growing public health concern worldwide, including in Indonesia. The Indonesian Chronic Disease Management Program (PROLANIS) aims to empower individuals and families affected by DM through community-based health education. This study employed an educational intervention delivered through a counseling session on the importance of family medicine principles and dietary management for DM patients. A pre-test was administered to assess the participants' baseline knowledge, followed by the educational session, and concluded with a post-test. A total of 37 participants were involved in this activity, the majority of whom were middle-aged women with a senior high school level of education. Pre-test results indicated that 57% of participants had a low level of understanding. However, the post-test revealed a significant improvement, with 76% of participants achieving a score in the 6-10 range. Nevertheless, some participants still required further guidance. Despite the observed increase in knowledge, the application of family medicine principles within the PROLANIS program in the working area of the Rawasari Community Health Center remains suboptimal. The active engagement of participants during the question-and-answer session highlighted the need for additional support in implementing these principles. The educational program successfully enhanced participants' understanding of diabetes management. However, continuous monitoring and periodic evaluation by the Community Health Center and community health workers (cadres) are necessary to improve the application of family medicine principles within the PROLANIS program in its designated area. Keywords: Diabetes Mellitus, PROLANIS, Family Medicine