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All Journal Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Molecular and Cellular Biomedical Sciences (MCBS) IRJE (Indonesian Research Journal in Education) Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Daur Lingkungan MEDIC MEdical Dedication Journal of Medical Studies Neurona
Nyimas Natasha Ayu Shafira
Universitas Jambi, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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SEDENTARY LIFESTYLE: SKRINING POTENSI RISIKO KESEHATAN PADA CIVITAS AKADEMIKA UNIVERSITAS JAMBI TAHUN 2024 Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Puspasari, Anggelia; Maharani, Citra; 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 The sedentary lifestyle among office workers is associated with various adverse health risks, such as increased rates of metabolic disorders such as diabetes mellitus, hypertension, and dyslipidemia, as well as depression and cognitive impairment. Data from the Jambi University Clinic shows that there are still many educational staff and educators who are overweight, and awareness of getting themselves checked before health problems arise is still low. Health screening related to adverse effects due to a sedentary lifestyle, such as obesity, hypertension, and diabetes mellitus, needs to be carried out so that preventive measures and further management can be carried out. The PPM was attended by educational staff or educators at Jambi University aged 19-64, who were checked for body mass index (BMI), blood pressure, and fasting blood sugar (GDP) measurements. Before taking venous blood for GDP examination, participants must fast for 8-10 hours. The examination results are sent to service participants along with health promotion media in the form of leaflets to avoid sedentary behavior. The activity was attended by 99 people who met the criteria. From the results of BMI measurements, it was found that 8.08% were underweight, 22.2% normoweight, 8.08% overweight, and 61.62% obese. The GDP examination found that 92.93% were normal, 3.03% pre-diabetic, and 4.04% were diabetic. From blood pressure measurements, it was found that 36.36% were normal, 39.39% were pre-hypertension, and 24.24% were hypertensive. It should be noted that service participants who are underweight, overweight, pre-diabetic, and pre-hypertensive need regular follow-up evaluations to prevent worsening of their health conditions. Participants who are obese, diabetic, and hypertensive need to receive further management in the form of treatment from a doctor according to the health problems they are experiencing. Keywords: Diabetic, Hypertension, Obesity, Sedentary lifestyle ABSTRAKGaya hidup yang kurang gerak (sedentary lifestyle) di kalangan pekerja kantoran memiliki hubungannya dengan berbagai risiko kesehatan yang merugikan seperti peningkatan angka gangguan metabolism seperti diabetes mellitus, hipertensi, dan dislipidemia, serta depresi, dan gangguan kognitif. Data dari Klinik Universitas Jambi, diketahui bahwa masih banyak tenaga kependidikan maupun pendidik yang memiliki berat badan berlebih, dan kesadaran untuk memeriksakan diri sebelum timbul masalah kesehatan yang masih rendah. Skrining kesehatan terkait efek buruk yang timbul karena perilaku sedentary seperti obesitas, hipertensi dan diabetes mellitus perlu dilakukan agar dapat dilakukan tindakan preventif maupun tatalaksanalanjutan. PPM diikuti oleh tenaga kependidikan atau pendidik di Universitas Jambi berusia 19-64 tahun, dilakukan pemeriksaan Indeks massa tubuh (IMT), tekanan darah dan pengukuran gula darah puasa (GDP). Sebelum pengambilan darah vena untuk pemeriksaan GDP, peserta diwajibkan berpuasa 8-10 jam. Hasil pemeriksaan dikirimkan kepada peserta pengabdian beserta media promosi kesehatan berupa leaflet untuk menghindari perilaku sedentary. Kegiatan diikuti oleh 99 orang yang memenuhi kriteria. Dari hasil pengukuran IMT didapatkan 8.08% underweight, 22.2% normoweight, 8.08% overweight dan 61.62% obese. Dari pemeriksaan GDP didapatkan 92.93% normal, 3.03% pre-diabetik, 4.04% diabetik. Daripengukuran tekanan darah didapatkan 36.36% normal, 39.39% pre-hipertensi, 24.24% hipertensi. Hendaknya menjadi perhatian untuk peserta pengabdian yang mengalami underweight, overweight, prediabetik, dan pre-hipertensi membutuhkan evaluasi lanjutan secara berkala agar tidak terjadi perburukan kondisi kesehatan. Para peserta yang mengalami obese, diabetik, dan hipertensi perlu untuk mendapat tatalaksana lanjutan berupa pengobatan dari dokter sesuai masalah kesehatan yang dialami.Kata kunci: Diabetes, Hipertensi, Obesitas, Sedentary lifestyle
PROFIL METABOLISME LIPID SIRKULASI SEBAGAI UPAYA DETEKSI DINI SINDROMA METABOLIK PADA WANITA USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS PAKUAN BARU Maharani, Citra; Enis, Rina Nofri; Herlambang, Herlambang; Syauqy, Ahmad; Puspasari, Anggelia; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan; Halim, Rita
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 Metabolic syndrome is a cluster of conditions that increases the risk of cardiovascular disease, diabetes mellitus, and stroke. Among the components of dyslipidemia, triglyceride levels and high-density lipoprotein (HDL) are important indicators in assessing cardiovascular disease risk, making these examinations useful for screening risk factors associated with metabolic syndrome. However, healthcare facilities are often unable to conduct these assessments independently, necessitating a referral system to more comprehensive healthcare services. Our community service team aims to facilitate this by conducting lipid profile examinations at Puskesmas Pakuan Baru as an early detection effort for metabolic syndrome in women of reproductive age. The activities carried out included lipid profile testing, blood pressure measurement, and education regarding metabolic syndrome. The results from 26 participants indicated that 23.07% had elevated triglyceride levels, 73.08% had low HDL levels, and 19.33% were hypertensive. Based on these findings, women of reproductive age already exhibit risk factors for metabolic syndrome, suggesting that lipid profile assessments should be incorporated into routine screening programs to prevent the onset of metabolic syndrome. ABSTRAK Sindroma metabolik merupakan kumpulan kondisi yang meningkatkan risiko penyakit kardiovaskular, diabetes mellitus dan stroke. Komponen dislipidemia yang menjadi indikator penting dalam penilaian risiko penyakit kardiovaskular antara lain kadar trigliserida dan high-density lipoprotein (HDL), sehingga pemeriksaan ini dapat dimanfaatkan untuk skrining faktor risiko sindroma metabolik. Namun, fasilitas pelayanan kesehatan belum dapat melakukan pemeriksaan tersebut secara mandiri sehingga perlu dilakukan sistem rujukan ke fasilitas kesehatan yang lebih lengkap. Tim pengabdian berupaya memfasilitasi hal ini dengan melakukan kegiatan pengabdian pemeriksaan profil lipid di Puskesmas Pakuan Baru sebagai upaya deteksi dini sindroma metabolik pada wanita usia produktif. Kegiatan yang dilakukan meliputi pemeriksaan profil lipid, pemeriksaan tekanan darah, dan edukasi terkait sindroma metabolik. Dari hasil pemeriksaan yang telah dilakukan pada 26 orang peserta didapatkan hasil 23,07 % peserta memiliki kadar trigliserida tinggi, 73,08 % memiliki kadar HDL yang rendah, dan 19,33% mengalami hipertensi. Berdasarkan hasil tersebut, wanita usia produktif sudah menunjukkan adanya faktor risiko sindroma metabolik, sehingga pemeriksaan profil lipid sebaiknya dapat dimasukkan sebagai program skrining rutin di masyarakat untuk mencegah terjadinya sindroma metabolik.
HUBUNGAN KADAR GULA DARAH SEWAKTU DENGAN NEUROPATI DIABETIK PADA PASIEN DIABETES MELITUS TIPE 2 Lisa, Mei; Lipinwati, Lipinwati; Istarini, Attiya; Syauqy, Ahmad; Shafira, Nyimas Natasha Ayu
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 4 (2025): Volume 41 Nomor 4, September 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i4.721

Abstract

ABSTRACT Introduction: Diabetes mellitus can cause microvascular complications, one of the most common being neuropathy, which is triggered by persistent hyperglycemia. Aims: To determine the relationship between random blood glucose levels and the incidence of diabetic neuropathy in Type 2 Diabetes Mellitus patients. Methods: This analytical observational study used a cross-sectional design involving 92 Type 2 Diabetes Mellitus patients. Neuropathy was assessed using the DNS-Ina questionnaire, while random blood glucose levels were obtained through laboratory tests. Data were analyzed using the Chi-square test. Results: Among the respondents, 53.3% did not experience hyperglycemia, while 82.3% had diabetic neuropathy. The Chi-square test revealed a p-value of 0.017 with an odds ratio of 4.568, indicating a significant association between random blood glucose levels and diabetic neuropathy. Conclusion: There is a significant relationship between random blood glucose levels and the incidence of diabetic neuropathy in Type 2 Diabetes Mellitus patients at H. Abdul Manap Regional Hospital, Jambi City. Keywords: diabetic neuropathy, random blood glucose, Type 2 diabetes mellitus
ASESMEN KOMPOSISI LEMAK TUBUH, TEKANAN DARAH DAN PROFIL METABOLISME GLUKOSA SEBAGAI UPAYA DETEKSI DINI PENYAKIT KARDIOVASKULER PADA PENDUDUK USIA PRODUKTIF DI WILAYAH KERJA PUSKESMAS SIMPANG SEI DUREN Halim, Rita; Puspasari, Anggelia; Shafira, Nyimas Natasha Ayu; Tarawifa, Susan; Enis, Rina Nofri; Maharani, Citra; Syauqy, Ahmad
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 7 No. 1 (2024): MEDIC. Medical dedication
Publisher : Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/medicaldedication.v7i1.33930

Abstract

ABSTRACT Prevention of cardiovascular disease can be performed with early detection and management of underlying risk factors as announced by the Ministry of Health in GERMAS since 2016. Obesity, hypertension, type II diabetes mellitus are conditions which have a high probability for progressing to cardiovascular disease if not detected early and treated properly. Examination of body fat composition, blood pressure and fasting-glucose tests are relatively affordable tests to do which performed as prevention management to prevent those condition mention before. Early detection is related to early management and promise better prognosis, especially in the productive age population. Puskesmas simpang sungai duren have competence medical team who work in primary health services. Equipped with laboratory facilities, but the laboratory has not been able to facilitate the examination of venous blood glucose metabolites with the COD-PAP method. Body fat composition assessment has also only been done with simple anthropometric measurements that have not been done with BIA because tools are not available. Related to this, the service proposal team proposed organizing this service activity by carrying out body fat assessment with BIA, blood pressure screening and glucose metabolism profile with standardized methods. The results of the screening will then be used as the basis for personal consultation and data submission to partner health care facilities for follow-up. Screening of cardiovascular disease risk factors in service participants found a total of 25 people suffering from hypertension, 5 people suffering from fasting hyperglycemia and 50 people suffering from obesity. Body fat composition screening found that 57 people had low fat mass, 64 people were classified as over fat and 30 people had high visceral fat mass. Keywords: Screening; hypertension; obesity; blood glucose   ABSTRAK Salah satu upaya yang dapat dilakukan untuk mencegah penyakit kardiovaskuler adalah deteksi dini dan tatalaksana faktor risiko yang mendasari sebagaimana dicanangkan oleh kementrian kesehatan dalam GERMAS sejak tahun 2016. Beberapa kondisi memiliki probabilitas besar untuk berlanjut menjadi penyakit kardiovaskuler adalah obesitas, hipertensi, diabetes melitus (DM) tipe II apabila tidak dideteksi dini dan ditangani dengan baik. Upaya kesehatan preventif untuk mencegah ketiganya dengan deteksi dini berupa pemeriksaan komposisi lemak tubuh untuk mendeteksi obesitas sentral, pemeriksaan tekanan darah dan glukosa prandial merupakan pemeriksaan yang relatif terjangkau untuk dilakukan. Deteksi dini kondisi ketiganya terkait dengan tatalaksana dini dan pencegahan keberlanjutan kondisi menjadi lebih buruk terutama pada penduduk usia produktif. Puskesmas simpang sungai duren memiliki tenaga medis handal yang relevan terhadap layanan kesehatan primer. Dilengkapi dengan fasilitas laboratorium, akan tetapi laboratorium tersebut belum dapat memfasilitasi pemeriksaan metabolite glukosa darah vena dengan metode COD-PAP. Asesment komposisi lemak tubuh juga baru dilakukan dengan pengukuran antropometri sederhana belum dilakukan dengan BIA karena alat yang tidak tersedia. Terkait dengan hal tersebut tim pengusul pengabdian mengusulkan menyelenggarakan kegiatan pengabdian ini dengan melaksanakan asesemen lemak tubuh dengan BIA, skrining tekanan darah dan profil metabolisme glukosa dengan metode terstandar. Hasil skrining tersebut kemudian akan dijadikan dasar konsultasi personal maupun penyampaian data ke fasilitas layanan kesehatan yang menjadi mitra untuk ditindak lanjuti. Skrining faktor risiko penyakit kardiovaskuler pada peserta pengabdian didapatkan sejumlah 25 orang menderita hipertensi, 5 orang menderita hiperglikemia puasa dan 50 orang menderita obesitas. Skrining komposisi lemak tubuh didapatkan sejumlah 57 orang memiliki massa lemak yang rendah, 64 orang tergolong over fat dan 30 orang memiliki massa lemak viseral yang tinggi. Kata kunci: Skrining; hipertensi; obesitas; glukosa darah
The Correlation Of Ujian Tahap Bersama (UTB) With Grade Point Average (GPA) Shafira, Nyimas Natasha Ayu; Nabila, Risa; Tarawifa, Susan
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): 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.v11i4.23428

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ABSTRACT Background: There are several assessments in medical education in Indonesia.  Currently, as a formative assessment at the preclinical level, UTB (Ujian Tahap Bersama) is being proposed to control the quality of medical education graduates. Objective: This study aims to determine the correlation between UTB scores and Grade Point Average  (GPA). Methods: This study was an analytic study with a cross-sectional design using a total sampling technique. The sample of this study was students participating in UTB Stage 1 or UTB Stage 2 at the Medical Study Program, Faculty of Medicine and Health Science Jambi University. Result: The average UTB Stage I score was 36.83±8.86, and the average UTB Stage II score was 45.42±7.43. There was a correlation between UTB Stage I score and GPA  (p <0.001), with a coefficient correlation of 0.677. There was a correlation between UTB Stage II score and GPA (p<0.001), with a coefficient correlation of 0.575. Conclusion: There was a strong correlation between UTB Stage I scores and GPA and a moderate correlation between UTB Stage II scores and GPA.  
The Efficacy Of Anatomical Skeletal System Guidebook For Medical Students At Universitas Jambi Enis, Rina Nofri; Tarawifa, Susan; Shafira, Nyimas Natasha Ayu; Hz, Tia Wida Ekaputri; Maharani, Citra; Bulqis, Ratu
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 2 (2023): Jambi Medical Journal: Jurnal Kedokteran dan Kesehatan Special Issues: Jambi M
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jmj.v11i2.25020

Abstract

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 student’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 (40,58±11,36) and post-test mean grades were (75,74±7,26). Students without practicum guidebook pre-test mean grades were (27,49±13,89) and post-test mean grades were (72,92±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 students’ anatomy grades. Keywords: Anatomy Grades, Complete Anatomy, Hybrid, Practicum Guidebook, Skeletal System
THE EFFECTIVENESS OF ONLINE TUTORIAL DISCUSSIONS: PERCEPTIONS FROM MEDICAL STUDENTS Safira, Nyimas Natasha Ayu; Ekaputri Hz, Tia Wida; Aryanti, Nindya; Puspasari, Anggelia; Maharani, Citra; Enis, Rina Nofri; Tarawifa, Susan; Halim, Rita; Irlianissa, Mutiara
Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 12 No. 1 (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.v12i1.32571

Abstract

Background: Tutorial discussions are a form of implementing Problem-Based Learning (PBL) in medical education. Students' cognitive, motivational, and demotivating aspects determine the effectiveness of tutorial discussions. The COVID-19 pandemic has changed learning methods to online learning, and the implementation of online tutorial discussions can affect the effectiveness of discussions. Objective: This study aims to determine the effectiveness of online PBL tutorials at Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi (FKIK UNJA) Method: This is an observational study with a cross-sectional design, 260 students became respondents. Data was collected using a modified Tutorial Group Effectiveness Instrument (TGEI) Results: As many as 51.5% of students rated the implementation of online tutorial discussions as quite effective. Based on cognitive and motivational aspects, > 60% of students rated tutorial discussions as effective, while from demotivation aspects, 85% of students rated discussions as quite effective. Conclusion: The implementation of online tutorial discussions at FKIK UNJA was quite effective. In online tutorial discussions, positive elaborations are still formed among students. Students agree that the success of tutorial discussions is students' responsibility, and irresponsible group members when doing group assignments can reduce the effectiveness of discussions.
Gambaran Karakteristik Gagal Ginjal Kronik Obstruktif dan Non-obstruktif pada Pasien Dewasa-Lansia di RSUD Raden Mattaher Tahun 2017-2020 Salsabila, Amalya; Herman, Hendra; Shafira, Nyimas Natasha Ayu; Fauzan, Randy; Wulandari, Putri Sari
Journal of Medical Studies Vol. 3 No. 2 (2023): 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.v3i2.27367

Abstract

ABSTRACT Background: Chronic kidney failure is a clinical condition in which the estimated or measured Glomerular Filtration Rate (GFR) is <60 mL/min/1.73 m2. This study aims to describe the characteristics of patients with chronic obstructive and non-obstructive kidney failure in the adults-elderly at Raden Mattaher Hospital in 2017-2020. Methods: This research is a quantitative descriptive type with a cross-sectional study design with a retrospective approach through the medical records of chronic kidney failure patients in 2017-2020 at Raden Mattaher Hospital with a total of 90 samples. Results: Based on ages, early adulthood (10%), late adults (25.6%), early elderly ( 21.1%), and the elderly (43.3%). Based on gender, male patients (62.9%) and female patients (31.1%). Patients with chronic kidney failure with non-obstructive trigger disease, namely hypertension (7.8%). Most chronic kidney failure patients with obstructive trigger disease were kidney stones (38.9%). Conclusion: Most patients with chronic kidney failure at Raden Mattaher Hospital in 2017-2020 were in the age range of 56-65 years (late elderly) and were male. The most common non-obstructive chronic kidney failure trigger disease is hypertension. The most common cause of obstructive chronic kidney failure is kidney stones. Keywords: Chronic kidney failure, Obstructive kidney failure, Non-obstructive kidney failure ABSTRAK Latar Belakang: Gagal ginjal kronik merupakan keadaan klinis dimana Laju Filtrasi Glomerulus yang diperkirakan adalah <60 mL/min/1,73 m2. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik pasien gagal ginjal kronik obstruktif dan non-obstruktif pada dewasa-lansia di RSUD Raden Mattaher tahun 2017-2020. Metode: Penelitian ini penelitian deskriptif kuantitatif dengan desain penelitian cross sectional pendekatan retrospective melalui rekam medis pasien gagal ginjal kronik tahun 2017-2020 di RSUD Raden Mattaher sebanyak 90 sampel. Hasil: Berdasarkan usia, dewasa awal (10%), dewasa akhir (25,6%), lansia awal (21,1%), dan lansia akhir (43,3%). Berdasarkan jenis kelamin, laki-laki (62,9%) dan perempuan (31,1%). Pasien gagal ginjal kronik dengan penyakit pemicu bersifat non-obstruktif yaitu hipertensi (7,8%), dan yang bersifat obstruktif paling banyak yaitu batu ginjal (38,9%). Kesimpulan: Sebagian besar pasien gagal ginjal kronik di RSUD Raden Mattaher tahun 2017-2020 dalam rentang usia 56-65 tahun (lansia akhir), berjenis kelamin laki-laki. Penyakit pemicu gagal ginjal kronik non-obstruktif paling banyak yaitu hipertensi, sedangkan penyakit pemicu gagal ginjal kronik obstruktif paling banyak yaitu batu ginjal. Kata Kunci: Gagal ginjal kronik, Gagal ginjal obstruktif, Gagal ginjal non-obstruktif
Secondhand Smoke, PEFR, And Pregnancy In The Second And Third Trimesters Harahap, Huntari; Shafira, Nyimas Natasha Ayu; Enis, Rina Nofri; Kusdiyah, Erny; Firmansyah, Firmansyah; Nuriyah, Nuriyah
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.v13i2.48959

Abstract

Introduction: Pregnant women exposed to Secondhand Smoke (SHS) face a high risk of impaired lung function, which is naturally reduced by advancing pregnancy. This study analyzed the effect of SHS exposure on Peak Expiratory Flow Rate (PEFR) and its relationship with gestational age and key physiological parameters. Methods: This cross-sectional study involved 50 non-smoking pregnant women (Trimester II and III) exposed to SHS in Jambi City. PEFR was measured using a Peak Flow Meter. Statistical analysis used Pearson correlation and Chi-square tests (p<0.05). Results: All respondents (100%) showed significantly lower actual PEFR than predicted values, confirming a universal decline in lung function. A significant association was found between gestational age and PEFR (p<0.05), with the third trimester group having the most pronounced decrease (<320 L/minute). PEFR was not significantly correlated with blood glucose (r=0.089), hemoglobin (r=0.125), or SpO2​ (r=0.153). Conclusion: Decreased PEFR in pregnant women exposed to SHS is primarily linked to mechanical limitations from late gestational age, not metabolic or oxygen-carrying disturbances. Prevention of SHS exposure is crucial for maternal respiratory health.
COMMUNITY-BASED INTERVENTION MODEL FOR PREECLAMPSIA PREVENTION THROUGH RIVER FISH CONSUMPTION AND PERIODIC MATERNAL-FETAL MONITORING IN TAHTUL YAMAN, JAMBI Herlambang, Herlambang; Fitri, Amelia Dwi; Puspasari, Anggelia; Kusdiyah, Erny; Enis, Rina Nofri; Maharani, Citra; Shafira, Nyimas Natasha Ayu; Aurora, Wahyu Indah Dewi; Hasmita, Debby
Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA Vol. 8 No. 2 (2025): MEDIC. Medical dedication (In Progress)
Publisher : Universitas Jambi

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Abstract

Preeclampsia is a leading cause of maternal and perinatal complications. Preventive strategies based on local food resources offer a sustainable approach aligned with the Sustainable Development Goals. This study describes a community-based intervention integrating nutrition, health education, and periodic monitoring among pregnant women in the Puskesmas Tahtul Yaman area, located along the riverside in Jambi. The intervention applied the Health Belief Model to enhance perceived benefits and reduce barriers, the Theory of Planned Behavior to strengthen attitudes and behavioral control, and Knowles’ Adult Learning Theory for contextual learning. Activities were conducted in two phases. In the first phase (gestational age 26–28 weeks, trimester 2), pregnant women attended sessions on preeclampsia and safe fish consumption, supported by cooking demonstrations using nutrient-dense river fish. They received fish-based meals twice weekly for six weeks. Maternal health was monitored through blood pressure, weight gain, and symptoms, while fetal well-being was assessed by ultrasonography. The second phase, eight weeks later (trimester 3), repeated maternal examination and ultrasonography for follow-up of pregnancy. None of the participants developed hypertension, fetal growth matched gestational age, and mothers showed improved knowledge of preeclampsia and its prevention, particularly through fish consumption. This community-driven model demonstrates the effectiveness of combining local nutrition, adult learning strategies, and regular maternal-fetal monitoring. It highlights a feasible, culturally sensitive, and sustainable approach to strengthen maternal health and prevent preeclampsia in resource-limited settings. Keywords:; community-based intervention; Health Belief Model; maternal health; preeclampsia prevention; river fish consumption
Co-Authors Abdul Haris Agnesia Feronika Panggabean Ahmad Syauqy Albashir Feriohadi Amatullah, Afifah Amelda Mutia Sabrini Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri Amelia Dwi Fitri, Amelia Dwi Anati Purwakanthi Anati Purwakanthi, Anati Anggelia Puspasari Annissa Delfira Anwar Jusuf Arif, Cut Wulan Armaidi Darmawan Aryanti, Nindya ATTIYA ISTARINI Ave Olivia Rahman Bulqis, Ratu Citra Maharani Citra Maharani De Jonge, Laury P.J.W.M. Dhea Assyifa Effendi, Ian Ekaputri, Tia Wida Elfiani Erny Kusdiyah Esa Indah Ayu, Esa Indah Faila Sufa Fairuz Quzwain Fauzan, Randy Fenny Febrianty Firmansyah Firmansyah Gading, Patrick William Haifa Nida Firdausa Hanina Harahap, Asro Hayani Hasmita, Debby Hasna Dewi Herlambang Herlambang Herlambang HERLAMBANG HERLAMBANG Herlambang Herlambang Huntari Harahap Irlianissa, Mutiara Iskandar, Mirna Marhami JMJ, Jurnal Lipinwati ., Lipinwati Lisa, Mei Nabila, Risa Nindya Aryanty Nofrans Eka Saputra, Nofrans Eka Nur Id&#039;ys Nuriyah, Nuriyah Oktari, Intan Patrick William Gading Putri Sari Wulandari Putri, Loli Melatina Putri, Nadhilah Aulia Raudhoh, Siti Rina Nofri Enis Rina Nofrienis Rita Halim Rita Halim Sabar Hutabarat Salsabila, Amalya Sari, Anggia Rohdila Setyawati Budiningsih Shabrina Nadilah Zahra Sholahuddin Tumanggor Siti Hediaty Sri Mulyani Suhaimi, Novadian Suprapti Suprapti Suryati Suryati Susan Tarawifa Syatria Esa Putra Tarawifa, Susan Tengku Arief Buana Perkasa Tia Wida Ekaputri Virginsia, Sonya Vivekanantharasa, Raveenthiran Wahyu Indah Dewi Aurora Zulkhair Ali