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Karakteristik Pasien Stroke Hemoragik Di RSUD Raden Mattaher Jambi Tahun 2017-2021 Ega Benita; Mirna Marhami Iskandar; Ima Maria; Nidia Suriani; Armaidi Darmawan
Journal of Medical Studies Vol. 4 No. 2 (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.v4i2.36433

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ABSTRACT Background: Hemorrhagic stroke is spontaneous bleeding in the parenchyma or intracerebral brain, subarachnoid space, or intraventricular space due to sudden rupture of intracranial blood vessels. Hemorrhagic strokes account for 15% of total strokes and the burden of disability is greater than ischemic strokes. Aim: To find out the characteristics of hemorrhagic stroke patients at Raden Mattaher Jambi Hospital in 2017-2021. Methods: This type of research uses descriptive research. The sample of this study was hemorrhagic stroke patients at Raden Mattaher Hospital Jambi in 2017- 2021 by looking at the patient's medical records and fulfilling the inclusion criteria. Results: The largest age group was the late elderly (56-65 years), dominated by women. The most common type of bleeding was ICH and the location was deep cerebral. The most common risk factors were emergency hypertension and grade 2 hypertension. Most patients did not have diabetes mellitus, or dyslipidemia, and did not smoke. Conclusion: Hemorrhagic stroke is most common in the late elderly group (56- 65 years), the majority are women, the most common type of bleeding is ICH, the most common location is deep cerebral, and hypertension is the main risk factor. Keywords: Hemorrhagic stroke, Raden Mattaher Hospital ABSTRAK Latar belakang: Stroke hemoragik adalah perdarahan spontan pada parenkim atau intraserebral otak, ruang subarachnoid, atau ruang intraventrikular akibat pecahnya pembuluh darah intrakranial secara tiba-tiba. Stroke hemoragik menyumbang 15% dari total stroke dan beban kecacatan lebih besar daripada stroke iskemik. Tujuan: Mengetahui karakteristik pasien stroke hemoragik di RS Raden Mattaher Jambi tahun 2017-2021. Metode: Jenis penelitian yang digunakan adalah penelitian deskriptif. Sampel penelitian ini adalah pasien stroke hemoragik di Rumah Sakit Raden Mattaher Jambi tahun 2017-2021 dengan melihat rekam medis pasien dan memenuhi kriteria inklusi. Hasil: Kelompok umur terbanyak adalah lansia akhir (56-65 tahun) yang didominasi oleh perempuan. Jenis perdarahan yang paling umum adalah ICH dan lokasinya di serebral dalam. Faktor risiko yang paling umum adalah hipertensi darurat dan hipertensi grade 2. Sebagian besar pasien tidak menderita diabetes melitus, dislipidemia, dan tidak merokok. Kesimpulan: Stroke hemoragik paling banyak terjadi pada kelompok lansia akhir (56-65 tahun), mayoritas wanita, jenis perdarahan tersering adalah ICH, lokasi terbanyak serebri dalam, dan hipertensi merupakan faktor risiko utama. Kata Kunci: Stroke Hemoragik, RSUD Raden Mattaher
Water, Sanitation, Hygiene (Wash) Interventions To Reduce Open Defecation Habit: A Structural Equation Modeling (SEM) Approach Aurora, Wahyu Indah Dewi; Darmawan, Armaidi; Kusdiyah, Erny; Nuriyah, Nuriyah; Maria, Ima
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 2 (2025): 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.v13i2.47738

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Background: Open defecation and other poor sanitation and hygienic practices create major public health problems in many developing nations. Improving community health and well-being depends on attending to these problems. Using partial least squares structural equation modeling (PLS-SEM), this study aims to investigate the links between Water, Sanitation, and Hygiene (WASH) parameters and open defecation behavior in riverbank villages. Method: Environmental observations combined with structured questionnaires was used in a cross-sectional survey. Convenience sampling helped participants to be gathered; PLS-SEM data analysis was used to investigate the intricate connections between WASH factors and open defecation behavior. Result: results show that there is no statistically significant relationship between open defecation practices and water (coefficient = -0.128, p = 0.355), sanitation (coefficient = -0.493, p = 0.861), income (coefficient = -0.030, p = 0.675), or education (coefficient = 0.067, p = 0.377). Furthermore, there is no significant link between open defecation practices and water (coefficient = -0.009, p = 0.911) and sanitation (coefficient = 0.058, p = 0.479) moderating effects of hygiene. Conclusion: Effective reduction of open defecation hinges on comprehensive WASH interventions that combine improved sanitation infrastructure with hygiene promotion and community involvement. Prioritizing hygiene education and fostering community ownership are essential for sustainable public health improvements. (rekomendasi dari hasil untuk future persepective )
Knowledge and Treatment Adherence as Determinants in the Control of HIV/AIDS: A Social Epidemiology Approach Kusdiyah, Erny; aurora, Wahyu Indah Dewi; Syauqy, Ahmad; Miftahurrahmah, Miftahurrahmah; Wulandari, Putri Sari; Maria, Ima; Darmawan, Armaidi
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 13 No. 2 (2025): 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.v13i2.49121

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Background: HIV/AIDS remains a major public health challenge worldwide, and treatment adherence continues to be a critical factor in achieving effective viral suppression. Knowledge about HIV prevention plays a vital role in shaping health behaviors and promoting adherence to antiretroviral therapy (ART). This study aimed to analyze the association between knowledge of HIV prevention and treatment adherence among people living with HIV/AIDS (PLWHA) using a social epidemiology framework. Methods: A cross-sectional quantitative study was conducted among 101 PLWHA receiving ART in public health centers and clinics. Data were collected through structured questionnaires covering demographic characteristics, knowledge of HIV prevention, and treatment adherence, verified with medical records. Data were analyzed using descriptive statistics and the Chi-square test (α = .05) to assess the relationship between knowledge and adherence levels. Results: The majority of respondents were male (82.2%) and had completed secondary education (66.3%). Most participants demonstrated fair to good levels of HIV prevention knowledge; however, adherence levels varied. The Chi-square test revealed a highly significant association between knowledge and treatment adherence, χ²(4) = 202, p < .001, indicating that higher knowledge was strongly correlated with improved adherence. Conclusion: The findings emphasize that knowledge enhancement significantly improves ART adherence and contributes to the control of HIV/AIDS. Strengthening education programs, peer support, and community engagement are essential strategies to foster sustainable adherence and align national efforts with global HIV prevention targets.
COMMUNITY-BASED TRAINING ON VISUAL COMMUNICATION MEDIA FOR GROWTH AND DEVELOPMENT MONITORING IN EARLY CHILDHOOD aurora, Wahyu Indah Dewi; Syauqi, Ahmad; Delfira, Annisa; Kusdiyah, Erny; Darmawan, Armaidi; Hasmita, Debby
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication
Publisher : Universitas Jambi

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ABSTRACT Monitoring child growth and development at the community level is essential for the early detection of growth delays and developmental disorders. However, many Posyandu cadres still face difficulties in interpreting growth indicators due to limited technical training and the absence of effective visual media. This community service program aimed to improve the competence of Posyandu cadres in monitoring child growth and development through training on the use of visual aids. The program was implemented at the Tahtul Yaman Public Health Center, Jambi City, involving 30 cadres from 12 community health posts. The activities included needs assessment, development of flipcharts and posters, training and simulation sessions, field implementation, and evaluation. The results showed a significant improvement in cadres’ knowledge, with the mean score increasing from 55 (pre-test) to 82 (post-test), representing a 49% increase. Participant feedback indicated high satisfaction, and the use of visual aids facilitated better understanding and interaction during health education sessions. This program demonstrates that visual-based participatory training effectively enhances cadres’ knowledge, confidence, and communication skills, and can be replicated to strengthen community-based early detection and stunting prevention programs. Keywords: posyandu cadres, visual aids, child growth monitoring, community empowerment, stunting prevention ABSTRAK Pemantauan tumbuh kembang anak di tingkat komunitas sangat penting untuk deteksi dini keterlambatan pertumbuhan dan gangguan perkembangan. Namun, banyak kader Posyandu masih mengalami kesulitan dalam menginterpretasikan indikator tumbuh kembang karena keterbatasan pelatihan teknis dan tidak tersedianya media visual yang efektif. Program pengabdian kepada masyarakat ini bertujuan untuk meningkatkan kompetensi kader Posyandu dalam memantau tumbuh kembang anak melalui pelatihan penggunaan alat bantu visual. Kegiatan dilaksanakan di Puskesmas Tahtul Yaman, Kota Jambi, dengan melibatkan 30 kader dari 12 Posyandu aktif. Rangkaian kegiatan meliputi analisis kebutuhan, pengembangan flipchart dan poster, pelatihan serta simulasi, implementasi lapangan, dan evaluasi. Hasil menunjukkan adanya peningkatan signifikan pada pengetahuan kader, dengan nilai rata-rata meningkat dari 55 (pre-test) menjadi 82 (post-test), atau peningkatan sebesar 49%. Umpan balik peserta menunjukkan tingkat kepuasan yang tinggi, dan penggunaan media visual mempermudah pemahaman serta interaksi selama kegiatan edukasi kesehatan. Program ini membuktikan bahwa pelatihan partisipatif berbasis media visual efektif dalam meningkatkan pengetahuan, kepercayaan diri, dan keterampilan komunikasi kader, serta dapat direplikasi untuk memperkuat program deteksi dini dan pencegahan stunting berbasis masyarakat. Kata kunci: kader Posyandu, alat bantu visual, pemantauan tumbuh kembang, pemberdayaan masyarakat, pencegahan stunting
Development of an Integrated Helminthiasis Prevention Education Model in Elementary Schools: Utilizing Picture Storybooks and Storytelling as Learning Media Armaidi Darmawan; Ahmad Syauqy; Andika Sulistiawan; Wahyu Indah Dewi Aurora; Erny Kusdiyah
Jurnal Penelitian Pendidikan IPA Vol 11 No 4 (2025): April
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i4.10883

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Helminthiasis remains a significant health issue, especially in developing countries like Indonesia, where the prevalence among elementary school children ranges from 31.8% to 80%, particularly in areas with poor sanitation. This condition can cause anemia, malnutrition, cognitive impairment, and reduced academic performance. Therefore, an effective school-based prevention model is necessary. This study aimed to develop and evaluate an educational model for helminthiasis prevention using picture storybooks and storytelling. A mixed-methods approach was used, involving qualitative validation by experts and quantitative analysis through pre- and post-tests. A total of 100 respondents, including teachers, parents, and health officers, participated in a survey assessing their knowledge of helminthiasis prevention and school sanitation conditions. The effectiveness of the educational intervention was analyzed using paired t-tests. Results showed that majority of 70% of respondents are aware of helminthiasis. Regarding school sanitation, 55% of respondents disagree that the sanitation in elementary schools is adequate. Statistical analysis indicated a significant improvement in students' understanding post-intervention (t = 16.65, p = 0.002). This study confirms that picture storybooks and storytelling effectively enhance students’ awareness and understanding of helminthiasis prevention. Further research is recommended to evaluate the long-term impact of this intervention.
Community-Based Sanitation Risk Model to Reduce Childhood Diarrhea in Flood-Prone Urban Settlements Kusdiyah, Erny; Syauqy, Ahmad; Iskandar, Mirna Marhami; Darmawan, Armaidi; Aurora, Wahyu Indah Dewi; Sugiarti, Ratna
Gema Lingkungan Kesehatan Vol. 24 No. 1 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i1.443

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Childhood diarrhea remains a major public health concern in flood-prone urban settlements, where inadequate sanitation and environmental contamination are common. This study aimed to develop and validate a community-based sanitation risk model to identify key environmental and behavioral factors associated with childhood diarrhea. An analytical cross-sectional design was conducted among 240 households with children under five years of age. Data were collected through structured interviews, household sanitation observations, and environmental assessments, covering variables such as water source, latrine condition, waste disposal, drainage, handwashing practices, and flood exposure. Bivariate analysis was used to assess associations between sanitation variables and diarrhea, followed by multivariable logistic regression to determine independent predictors and construct the risk model. The results showed that The two-week prevalence of childhood diarrhea was 27.5%. Multivariable analysis identified contaminated water sources (AOR = 3.42; 95% CI: 1.95–5.99), clogged or non-functional drainage (AOR = 3.85; 95% CI: 2.12–6.97), improper solid waste disposal (AOR = 2.67; 95% CI: 1.56–4.61), unimproved latrines (AOR = 2.11; 95% CI: 1.25–3.58), and inadequate handwashing behavior (AOR = 2.48; 95% CI: 1.40–4.38) as significant predictors of diarrhea. The model demonstrated good discrimination in identifying high-risk households. In conclusion, the The developed community-based sanitation risk model provides a simple, evidence-based tool for identifying households at high risk of childhood diarrhea in flood-prone urban settlements. This model can support targeted sanitation interventions and strengthen community-level disease prevention programs.
Multifactorial Predictors of Stunting Among Children Under Five Years: Evidence from Batanghari District, Jambi, Indonesia Harahap, Huntari; Darmawan, Armaidi; Puspasari, Anggelia; Ayudia, Esa Indah; Adnyana, I Made Dwi Mertha; Yonera, Asrica Fitri; Hasanah, Nurul Uswatun
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.852

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Stunting is a public health problem with a high prevalence in Indonesia. The Batanghari District has a stunting rate of 26.3%, exceeding the national target; however, specific regional determinants have not been comprehensively identified. This study aimed to identify multifactorial predictors of stunting in children under five years in Batanghari District. A cross-sectional study was conducted in Batanghari District from August to October 2024, involving 64 children aged 0–60 months selected through purposive sampling. Data were collected via structured questionnaires, anthropometric measurements via WHO standards, and 24 h dietary assessment food recall. Stunting was defined as a height-for-age z score < -2 SD. For statistical analysis, binary logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). The prevalence of stunting was 70.3% (n=45). Inadequate energy density was the strongest predictor (OR = 11.389; 95% CI: 2.906–44.627; p < 0.001), followed by poor drinking water quality (OR = 8.705; 95% CI: 1.668–45.445; p = 0.004), history of problematic pregnancy (OR = 8.250; 95% CI: 0.799–85.165; p = 0.041), poor type of food (OR = 5.123; 95% CI: 1.449–18.110; p = 0.011), calcium density (OR = 4.242; 95% CI: 1.181–15.234; p = 0.021), income below the regional minimum wage (OR = 3.681; 95% CI: 1.146–11.832; p = 0.025), and authoritarian parenting (OR = 3.523; 95% CI: 1.056–11.762; p = 0.036). These findings suggest that stunting in Batanghari District is associated with a complex interplay of nutritional deficiencies, socioeconomic factors, environmental conditions, maternal health, and behavioral factors