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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Jurnal Pembelajaran dan Biologi Nukleus Jurnal Psikologi Jambi MEDIC MEdical Dedication Jurnal Kesmas Jambi Electronic Journal Scientific of Environmental Health And Diseases Riset Informasi Kesehatan Journal of Medical Studies Transformasi Masyarakat : Jurnal Inovasi Sosial dan Pengabdian Indonesian Journal of Public Health and Nutrition
Maria Estela Karolina
Universitas Jambi
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Perbandingan Jumlah Koloni Bakteri pada Pasien Fraktur Terbuka Pre-operasi dan Post-operasi Miftahul Jannah; Maria Estela Karolina; Nindya Aryanty; Lipinwati; Mirna Marhami Iskandar
Journal of Medical Studies Vol. 4 No. 1 (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.v4i1.32090

Abstract

ABSTRACT Background: Open fracture is a structural break in the continuity of bone tissue which can relate to the environment of the body that is susceptible to infection. The World Health Organization (WHO) explains that surgical wound infections are infections that occur within 30 days postoperatively. This study aims to compare the number of bacterial colonies in pre and postoperative open fracture patients. Method: This research is a prospective observational analytic with quantitative methods. Sampling was taken by taking pre and postoperative wound swabs of open fracture patients and counting the number of bacterial colonies. Results: The study sample consisted of 23 samples, consisting of men (100%), the largest age range between 20-60 years (73.9%), the most common trauma mechanism was traffic accidents (52.2%) and the most location was the lower extremities (56,4%). The incidence of infection found 20 patients (87%) had preoperative infections and all patients (100%) had no infections 3 days postoperatively. The results of the Wilcoxon test showed a significant difference between the number of bacterial colonies in pre and postoperative open fracture patients (p<0.05). Conclusion: There were differences in the number of bacterial colonies in preoperative and postoperative open fracture patients. Keywords: Bacterial colony count, Open fractures, Surgery ABSTRAK Latar belakang: Fraktur terbuka merupakan terputusnya kontinuitas jaringan tulang secara struktural yang dapat berhubungan dengan lingkungan luar tubuh sehingga rentan terjadi infeksi. World Health Organization (WHO) menjelaskan bahwa infeksi luka operasi adalah infeksi yang terjadi dalam 30 hari paska operasi. Tujuan penelitian ini adalah untuk membandingkan jumlah koloni bakteri pada pasien fraktur terbuka pre dan post operasi. Metode: Penelitian ini merupakan penelitian analitik observasional pendekatan prospektif dengan metode kuantitatif. Pengambilan sampel dengan mengambil swab luka pasien fraktur terbuka pre dan post operasi dan dilakukan penghitungan jumlah koloni bakterinya. Hasil: Sampel penelitian ini berjumlah 23 sampel, terdiri atas laki-laki (100%), rentang usia terbanyak adalah 20-60 tahun (73,9%), mekanisme trauma tersering adalah kecelakaan lalu lintas (52,2%), dan lokasi terbanyak adalah ekstremitas bawah (56,4%). Kejadian infeksi dari total sampel penelitian didapatkan 20 pasien (87%) mengalami infeksi pre operasi dan seluruh pasien (100%) tidak mengalami infeksi 3 hari post operasi. Hasil uji Wilcoxon menunjukkan adanya perbedaaan yang signifikan antara jumlah koloni bakteri pasien fraktur terbuka pre dan post operasi (p<0,05). Kesimpulan: Terdapat perbedaan jumlah koloni bakteri pada pasien fraktur terbuka pre operasi dan post operasi. Kata kunci: Jumlah koloni bakteri, Fraktur terbuka, Operasi
Rasionalitas Penggunaan Obat Anti Inflamasi Non-Steroid (OAINS) pada Pasien Rawat Jalan di Puskesmas Putri Ayu Kota Jambi Tahun 2023 Meylani; Indrianti; Huntari Harahap; Mara Imam Taufiq Siregar; Maria Estela Karolina
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.v4i2.36449

Abstract

ABSTRACT Background: NSAIDs are drugs that are often used in pharmacological therapy due to their effectiveness as anti-inflammatory, antipyretic, and analgesic. In addition to providing benefits, NSAIDs have damaging effects due to their mechanism of action. The use of NSAIDs must be appropriate. Aims of this study was to evaluate the rationality of NSAID use in outpatients at Puskesmas Putri Ayu, Jambi City in 2023. Methods: This is a descriptive study, conducted at Puskesmas Putri Ayu Jambi City with a total sample size of 225. Results: from 225 samples, the distribution of patients who received NSAID therapy based on gender was mostly female, 75.6%, based on age, 42.7% people aged 46-55 years, based on employment status, 73.3% people did not work, and based on comorbidities, there were no comorbidities, 92% people. Based on the diagnosis, NSAIDs were given to musculoskeletal cases in 52% cases. The most commonly prescribed NSAID was diclofenac sodium. Conclusion: The rationality of the use of NSAIDs for outpatients at Puskesmas Putri Ayu Jambi City in January-March 2023 was 96.4% appropriate indications, and 96.9% appropriate doses and intervals. Keywords: NSAID, Rationality, Outpatients ABSTRAK Latar Belakang: NSAID adalah obat yang sering digunakan dalam terapi farmakologis karena efektivitasnya sebagai antiinflamasi, antipiretik, dan analgesik. Selain memberikan manfaat, OAINS juga memiliki efek yang merugikan karena mekanisme kerjanya. Penggunaan NSAID harus tepat. Tujuan dari penelitian ini adalah untuk mengevaluasi kerasionalan penggunaan OAINS pada pasien rawat jalan di Puskesmas Putri Ayu Kota Jambi tahun 2023. Metode: Penelitian ini merupakan penelitian deskriptif, yang dilakukan di Puskesmas Putri Ayu Kota Jambi dengan jumlah sampel sebanyak 225. Hasil: Dari 225 sampel, distribusi pasien yang mendapatkan terapi OAINS berdasarkan jenis kelamin paling banyak adalah perempuan yaitu 75,6%, berdasarkan usia paling banyak adalah 46-55 tahun yaitu 42,7%, berdasarkan status pekerjaan paling banyak adalah tidak bekerja yaitu 73,3%, dan berdasarkan penyakit penyerta paling banyak adalah tidak ada penyakit penyerta yaitu 92%. Berdasarkan diagnosis, NSAID diresepkan pada 52% kasus muskuloskeletal. NSAID yang paling sering diresepkan adalah natrium diklofenak. Kesimpulan: Penggunaan OAINS yang rasional pada pasien rawat jalan di Puskesmas Putri Ayu Kota Jambi pada bulan Januari-Maret 2023 adalah 96,4% tepat indikasi, dan 96,9% tepat dosis dan interval. Kata kunci: OAINS, Rasionalitas, Pasien Rawat Jalan
Hubungan Jumlah Trombosit dan Indeks Trombosit dengan Luaran Pasien Sepsis di ICU RSUD Raden Mattaher Jambi Tahun 2022 Sri Wahyuni; Sotianingsih; Hanina; Maria Estela Karolina; Wahyu Indah Dewi Aurora
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.v4i2.36450

Abstract

ABSTRACT Background: Until now, sepsis is still a major cause of mortality and critical illness in the world. The purpose of this study was to see the correlation between platelet count and platelet index with the outcome of septic patients. Methods: This study used an analytic observational cohort, with a retrospective and prospective approach that involved 85 subjects using consecutive sampling. This research was conducted by calculating platelet levels and platelet index at 0, 24, 72, and 144 hours. Results: The results showed that there were many incidents in males, that is 45 (28.2%) respondents. The outcome who died was higher than 58 (68.2%) respondents. The characteristics of the patient were dominated by encephalitis, post-op VP Shunt, and post-op craniotomy 29 (34.1%) respondents. Based on the analysis results, there was a significant correlation between PCT at 24 hours and with outcome of septic patients (p<0.05). However, there was no significant correlation between platelet count, MPV, and PDW at 0, 24, and 72 hours with the outcome of septic patients. Conclusion: There was a significant correlation between PCT compared platelet count, MPV, and PDW with the outcome of septic patients. Keywords: Platelets, Platelet Index, Outcome, Sepsis ABSTRAK Latar Belakang: sepsis sampai sekarang ini masih menjadi penyebab utama dari mortalitas dan penyakit kritis diseluruh dunia. Tujuan dari penelitian ini untuk melihat apakah terdapat hubungan jumlah trombosit dan indeks trombosit dengan luaran pasien sepsis. Metode: Penelitian ini menggunakan metode analitik observasional kohort, dengan pendekatan prospektif yang melibatkan 85 subyek penelitian, menggunakan teknik consecutive sampling. Penelitian ini dilakukan dengan cara menghitung kadar trombosit dan indeks trombosit pada jam ke-0, 24, 72 dan 144. Hasil: Didapatkan hasil kejadian pada laki-laki lebih banyak yaitu 45 (28,2%) responden. Luaran sampel yang meninggal lebih banyak yaitu 58 (68,2%) responden. Karakteristik pasien di dominasi oleh pasien ensefalitis, post op VP Shunt dan post op craniotomy sebanyak 29 (34,1%) responden. Berdasarkan hasil analisis, didapatkan hubungan yang bermakna antara PCT pada jam ke-24 dengan luaran pasien sepsis (p<0,05). Namun, tidak terdapat hubungan yang bermakna antara jumlah trombosit, MPV, dan PDW pada jam ke-0, 24 dan 72 dengan luaran pasien sepsis. Kesimpulan: Didapatkan adanya hubungan yang bermakna antara PCT dibandingkan trombosit, MPV, dan PDW dengan luaran pasien sepsis. Kata Kunci: Trombosit, Indeks Trombosit, Luaran, Sepsis
Implementation Of Minimum Health Service Standards For Maternal And Child Health (Mch) And Family Planning In Bengkayang District, Indonesia Karolina, Maria Estela; Santoso, Ferry; Sebong, Perigrinus Hermin
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.v13i2.43241

Abstract

Background: Primary Healthcare Centers, or Puskesmas, are vital in delivering the Minimum Health Service Standard (MHSS) for maternal and child health. This study aims to analyze the performance outcomes of maternal and child health services based on MHSS and to identify the health worker and socio-demographic factors that influence MHSS achievement in Bengkayang District. Method: This study utilized two approaches: cross-sectional exploration and situational analysis based on reviews at the health management level and health service units in the district. It was conducted from August to October 2020 at three Primary Healthcare Centers in Bengkayang District, utilizing purposive sampling and involving 20 key informants. Results: The MHSS’s achievements in maternal and child health services and family planning programs varied. The K4 coverage at Puskesmas Ledo fell short of its target. Additionally, the percentage of childbirths assisted by health workers in the health facilities at Puskesmas Bengkayang, Ledo, and Jagoi Babang did not meet the national MHSS target. Coverage for the initial antenatal care visit and essential immunization targets at Puskesmas Ledo and Jagoi Babang also did not reach the national benchmarks. Furthermore, family planning service coverage at Puskesmas Jagoi Babang did not meet the established target, and the family planning data at Puskesmas Ledo was incomplete. Conclusion: The performance of MHSS in the Bengkayang District requires improvement. Additional efforts should encourage community engagement and partnerships to guarantee that trained health workers assist with all birth deliveries in health service facilities. The Puskesmas should also revise its recording and reporting processes related to family planning service indicators. Key Words: Minimum Health Service Standard, Maternal Health, Child Health, Family Planning.  
PERBANDINGAN EFEKTIFITAS ANTIBAKTERI MENCUCI TANGAN DENGAN ELECTROLYZED OXIDIZED WATER (EOW) DAN DENGAN SABUN ANTISEPTIK Karolina, Maria Estela; fadli, fadli; Kusdiyah, Erny; Aurora, Wahyu Indah Dewi
Scientific Of Environmental Health and Diseases Vol. 1 No. 1 (2021): Scientific of Envitonmental Health And Diseases
Publisher : LPPM Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.828 KB) | DOI: 10.22437/esehad.v1i1.10765

Abstract

ABSTRACT Background : Hands are a moving medium that is able to move microorganisms from one place to another, from sick people to healthy people, from dirty surfaces to clean surfaces. Therefore washing hands as an effort to maintain hand hygiene is one of the most important actions in preventing the transmission of disease-causing microorganisms both in the environment of everyday life and in preventing high rates of patient morbidity and mortality in health facilities such as hospitals, health centers, and other consequences. nosocomial infections or what is known as Health-care Associated Infections (HAIs). The purpose of this research was to compare the effectiveness of washing hands with seven steps using electrolyzed oxidized water (EOW) and antiseptic soap in maintaining hand hygiene. Methods: This type of research is an analytical study with a pretest-posttest two-group experiment design with random sampling. The research sample was 96 students by swab cotton sticks between their fingers. The cotton swabs were grown in nutrient agar on a petri dish and the colonies count was counted after incubation 16-18 hours in an incubator at 37o Celsius. Data analysis will use statistics with a statistical value of p <0.1.Results: The effectiveness of hands washing with EOW and antiseptic soap can be described as the difference in the number of germ colonies in the seven-step hand washing group with EOW and the difference in the number of germ colonies in the seven-step hand washing group using antiseptic soap. The results of statistical analysis with the Mann Whitney test showed insignificant results p = 0.792. Where the p value <0.1, there is no difference between washing hands with seven steps using EOW with antiseptic soap.Conclusion: There is no difference in the effectiveness of washing hands using EOW with antiseptic soapKey words: hand washing, EOW, antiseptic soap ABSTRAK Latar belakang: Tangan merupakan media bergerak yang mampu memindahkan mikroorganisme dari satu tempat ke tempat lain, dari orang sakit ke orang sehat, dari permukaan yang kotor ke permukaan yang bersih. Oleh karenanya mencuci tangan sebagai usaha menjaga higienitas tangan merupakan salah satu tindakan terpenting dalam mencegah transmisi mikroorganisme penyebab penyakit baik di lingkungan kehidupan sehari-hari maupun dalam mencegah tingginya angka morbiditas dan mortalitas pasien di fasilitas kesehatan seperti rumah sakit, puskesmas, dan lain-lain akibat infeksi nosokomial atau yang dikenal dengan istilah Health-care Assosciated Infections (HAIs). Adapun tujuan dari penellitian ini adalah untuk mengetahui perbandingan efektivitasan mencuci tangan tujuh langkah dengan menggunakan Electrolyzed Oxidized Water (EOW) maupun sabun antiseptik dalam menjaga kebersihan tangan. Metode: Jenis penelitian ini adalah penelitian analitik dengan rancangan penelitian two group pretest-posttest eksperimen dengan tekhnik pengambilan sampel secara random. Sampel penelitian ini sebanyak 96 mahasiswa dengan cara swab kapas lidi pada sela jarinya. Swab kapas ditanam dimedia nutrient agar pada cawan petri dan dihitung jumlah koloninya stelah diinkubasi 16-18 jam pada inkubator denngan suhu 37ocelsius. Analisis data akan menggunakan statistik dengan nilai p yang dianggap bermakna adalah p<0,1. Hasil : Efektifitas cuci tangan dengan EOW dan sabun antiseptik dapat di jabarkan sebagai selisih jumlah koloni kuman kelompok cuci tangan tujuh langkah dengn EOW dan selisih jumlah koloni kuman pada kelompok cuci tangan tujuh langkah menggunakan sabun antiseptik. Hasil analisis statistik dengan uji mann whitney, menunjukan hasil yang tidak signifikan p = 0,792. Dimana nilai p<0,1 maka tidak terdapat perbedaan antara mencuci tangan tujuh langkah menggunakan EOW dengan sabun antiseptik. Kesimpulan : tidak ada perbedaan keefektifitassan mencuci tangan menggunakan EOW dengan sabun antiseptik Kata kunci : cuci tangan, EOW, sabun antiseptik
Co-Authors Ade Susanti Adelia Hanung Puspaningtyas Armaidi Darmawan Che Guevara Islami Damanik, Brema JK Dyah Ayu Shinta Ratnasari Elfrida, Solha Erny Kusdiyah Fadli Fadli Fairuz Quzwain Fania Rizky Ramadiani Gita Mayani Hanina Hanina, Hanina Hestiningtyas, Maya Hidayanti, Maria Ulfa Nur Huntari Harahap Indrianti Irawan Anasta Putra, Irawan Anasta Iskandar, Mirna Marhami JMJ, Jurnal Kusdiyah, Erni Lipinwati ., Lipinwati Mara Imam Taufik Siregar Mara Imam Taufiq Siregar Maya Arini Hestiningtyas Meylani MIFTAHUL JANNAH Mujahidah Mujahidah Nadhifa Rira Rizkika Natania Daya Emerald Nazrin Firda Nur Dzakia Nidha, Amalia An Nindya Aryanty Novitasari, Prima Nuriyah, Nuriyah Nurmaajid, Oktovia Rezka Nurul Khairiyah Amri, Nurul Khairiyah Patrick William Gading Prima Novitasari Putri Sari Wulandari Raihanah Suzan Rebriarina Hapsari Resty Hardianty Lestari Rhonaz Putra Agung Rita Halim Rut Marselia Santoso, Ferry Sebong, Perigrinus Hermin Siregar, Mara Imam Taufiq Siti Nabilah Daniswara Siti Saffanah Nurulkhairani Sotianingsih Sri Wahyuni Subakir Subakir Suhair Suhair Vonna Riasari Wahyu Indah Dewi Aurora Zamzami Ismail Bachtiar Silaen