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Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan

kedokteran
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Published by Universitas Jambi

ISSN : 2339269X EISSN : 25806874 DOI : -

Core Subject : Health,

Medicine & Pharmacology

Jambi Medical Journal is a Journal for Medical And Health Issues, in Scope: Medical Education, Farmakology, Mikrobiology, PUblic Health, Clinical Patology, Medical Nutrition, Clinical Medicine, Pediatric, Immunology, Patology Anatomi, Orthopedy, Obstetri and Gynekology, Internal Medicine, Endocrine and Metabolic, Genetics & Molecular Biology.

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Articles 380 Documents

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SKRINING MALARIA DENGAN RAPID DIAGNOSTIC TEST DAN PERILAKU PENGOBATAN MALARIA PADA ORANG RIMBA DI DESA BUKIT SUBAN DAN DESA SEKAMIS KABUPATEN SAROLANGUN TAHUN 2016 Karolina, Maria Estela; Nurmaajid, Oktovia Rezka; Darmawan, Armaidi; Elfrida, Solha
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Abstract Backgrounds : Rapid Diagnostic Test (RDT) is a imunologic methode to diagnose malaria. Mostly, Orang Rimba hunt nomadically. Orang Rimba have traditional medicine to cure malaria. The purposes of this research are to know the incident of malaria based on RDT and malaria treatment behaviour of Orang Rimba. Methode : This research was descriptive study. The populations of this research were Orang Rimba in Desa Bukit Suban and Sekamis, Kabupaten Sarolangun. The number of samples in this research is 49 respondents. The sample was taken by systematic random sampling. Data were analyzed with univariat analysis. Result : The result showed that 16,7 % had malaria positive, P. vivax was the dominat species of plasmodium (62,5%). Mostly the aged of respondent was 5-11 years old (41,7%), the gender was male (58,3%), occupation was doesn’t work (56,3%), marriage status was marriage (56,3%). Most of Orang Rimba had worse knowladge level (53,6%), the mostly used term in Orang Rimba was demam kuro (50%), only (42,9%) respondents knew the trias of malaria, only 9 respondents knew that cause of malaria was mosquito’s bites, Orang Rimba mostly knew the danger of malaria (85,7%) and the complication of malaria (89,3%), and knew that malaria could be cured (82,1%). The users of modern combined with traditional medicine were as much as 57,1%, Orang Rimba mostly used ≥ 3 kinds of traditional medicine 53,6%, traditional medicine was mostly processed by boiling (24 respondents) and mostly knew one way of processing the traditional medicine (57,1%), traditional medicine was mostly for being eaten or drunk and external medicine (50%), the duration of using traditional medicine was mostly 2-3 days (46,4%), Orang Rimba mostly said that traditional medicine was efficacious (92,9%). Conclusions : The incident number of malaria was 16,7% and the mostly users of modern combined with traditional medicine were as much as 57,1%. Keywords : Malaria, RDT, orang rimba, malaria treatment behaviour Abstrak Latar Belakang : Rapid Diagnostic Test (RDT) merupakan metoda imunologik untuk mendiagnosis malaria. Lokasi berburu Orang Rimba cenderung berpindah-pindah. Orang Rimba memiliki kearifan lokal dalam mengobati malaria. Tujuan penelitian ini adalah untuk mengetahui skrining malaria berdasarkan RDT dan perilaku pengobatan malaria pada Orang Rimba. Metode : Penelitian ini merupakan penelitian deskriptif. Populasi penelitian seluruh Orang Rimba yang berada di Desa Bukit Suban dan Sekamis. Jumlah sampel pada penelitian ini adalah 48 responden. Pengambilan sampel menggunakan teknik Systematic Random Sampling. Data dianalisis dengan analisis univariat. Hasil : Dari hasil penelitian didapatkan 16,7% positif malaria, jenis plasmodium yang dominan adalah P. vivax (62,5%). Sebagian besar responden berusia 5-11 tahun (41,7%), sebagian besar berjenis kelamin laki-laki (58,3%), sebagian besar pekerjaan responden tidak bekerja (56,3%), sebagian besar berstatus kawin (56,3%). Sebagian besar Orang Rimba memiliki tingkat pengetahuan kurang baik (53,6%), sebagian besar menggunakan istilah demam kuro untuk menyebutkan malaria (50%), hanya 42,9% yang mengetahui trias malaria, hanya 9 responden yang menjawab penyebab malaria adalah gigitan nyamuk, sebagian besar mengetahui bahaya malaria 85,7%, jenis bahaya malaria 89,3%, dan mengetahui bahwa malaria dapat disembuhkan 82,1%. Pengguna pengobatan modern dikombinasi dengan pengobatan tradisional sebanyak 57,1%, sebagian besar menggunakan ≥ 3 jenis obat tradisional (53,6%), cara pengolahan yang paling banyak dengan cara direbus (24 responden) dan mengetahui 1 cara pengolahan (57,1%), cara pemakaian yang paling banyak dengan dimakan atau diminum dan obat luar (50%), lama penggunaan yang paling banyak selama 2-3 hari (46,4%), sebagian besar mengatakan obat tradisional berkhasiat (92,9%). Kesimpulan : Angka kejadian malaria sebesar 16,7% dan upaya pengobatan malaria terbanyak adalah dengan pengobatan modern dikombinasi dengan pengobatan tradisional (57,1%). Kata Kunci : Malaria, RDT, orang rimba, perilaku pengobatan malaria

EFEK HEPATOPROTEKTOR EKSTRSAK JINTAN HITAM (Nigella sativa) TERHADAP KERUSAKAN HEPAR TIKUS PUTIH (Rattus norvegicus) JANTAN GALUR Sparague Dawley YANG DIINDUKSI ETANOL Afdin, Rizky Rafiqoh; Quzwain, Fairuz
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Background: Among the various medicinal plants, black cumin (Nigella sativa) appears as an herb with a historical and religious background due to a lot of research. One of the most important effects on Nigella sativa is the hepatoprotective that has been shed in various studies. Thymoquinone which is the content of Nigella sativa has the ability to inhibit lipid peroxidation. Thymoquinone can reduce oxidative stress and increase antioxidants in the body. The objectives of this study were to overcome the effects hepatoprotector of black cumin extract (Nigella sativa) on the damage of hepatic of male white rat (Rattus norvegicus) sparague dawley strain induced by ethanol. Methodology: It is a kind of experimental laboratory research used that uses random controlled design method with the pattern of post test-only control group design. The subject of this research is 25 adult male white rats (Rattus norvegicus) Sparague Dawley strain aged 3-4 months, weight 150-300 grams, that are divided in to five groups. Group one (normal control) is given aquades dose 0,01 ml/grBB/day, group two (pathologic control) is given ethanol with dose o,o1 ml/grBB/day, group three is given 25% concentration of black cumin extract and 50% ethanol, group four is given 37,5% concentration of black cumin extract and 50% ethanol, and group five is given 50% concentration of black cumin extract and 50% ethanol. After 14th days, the treatment was stopped and the rats got dislocation cervical, and then laparotomy for made histopathology preparation. After getting observed, the data that is gotten is analyzed with Kruskal-Wallis test and then Mann-Whitney test. Result: The result of Kruskal-Wallis test showed that there was an effect of black cumin extract (Nigella sativa) on the damage of hepatic of male white rat (Rattus norvegicus) sparague dawley strain induced by ethanol with p = 0,001 (p <0,05) . Mann Whitney test show there is a means difference between group I (normal control) with group II (pathologic control), group III (dose I), group IV (dose II) and group V (dose III). Conclusion: There is a hepatoprotector effect of black cumin (Nigella sativa) extract to liver’s damage of white rats (Rattus norvegicus) sparague dawley strain induced by ethanol. Key words: Black cumin extract, ethanol, fatty degeneration of liver rats. ABSTRAK Latar Belakang: Di antara berbagai tanaman obat, jintan hitam (Nigella sativa) muncul sebagai ramuan dengan latar belakang sejarah dan agama karena banyak penelitian mengungkapkan potensi farmakologis dari tanaman tesebut. Salah satu efek yang paling penting pada Nigella sativa adalah hepatoprotektif yang ditelah dijelaskan dalam berbagai penelitian. Thymoquinone yang merupakan kandungan jintan hitam memiliki kemampuan untuk menghambat peroksidasi lipid. Thymoquinone dapat mengurangi stress oksidatif dan meningkatkan pertahanan antioksidan dalam tubuh. Tujuan penelitian ini untuk meneliti efek hepatoprotektor jintan hitam (Nigella sativa) terhadap kerusakan hepar tikus putih (Rattus norvegicus) jantan galur Sprague Dawley yang diinduksi etanol. Metode: Jenis penelitian ini adalah eksperimental laboratorik menggunakan metode rancangan acak terkontrol dengan pola post test-only control group design. Subjek penelitian adalah 25 ekor tikus putih (Rattus norvegicus) jantan galur sparague dawley berumur 3-4 bulan, berat badan 150-300 gram, yang dibagi menjadi 5 kelompok. Kelompok I (kontrol normal) diberi aquades dosis 0,01 ml/grBB/hari, kelompok II (kontrol patologis) diberi etanol 50% dosis 0,01 ml/grBB/hari, kelompok III diberi ekstrak jintan hitam konsentrasi 25% dan etanol 50%, kelompok IV diberi ekstrak jintan hitam konsentrasi 37,5% dan etanol 50%, serta kelompok V diberi ekstrak jintan hitam konsentrasi 50% dan etanol 50%. Setelah hari ke-14, perlakuan dihentikan, dilakukan dislokasi pada leher tikus kemudian dilakukan laparotomi untuk pengambilan hepar tikus untuk dibuat preparat histopatologis. Setelah diamati, data dianalisis dengan uji Kruskal-Wallis dan dilanjutkan dengan uji Mann Whitney. Hasil: Hasil uji Kruskal-Wallis menunjukkan terdapat pengaruh ekstrak jintan hitam (Nigella sativa) terhadap kerusakan hepar tikus putih (Rattus norvegicus) jantan galur sparague dawley yang diinduksi etanol, dengan nilai p = 0,001 (p<0,05). Uji Mann Whitney menunjukkan perbandingan yang bermakna didapatkan pada kelompok I (kontrol normal) dengan kelompok II (kontrol patologis), kelompok III (dosis I), kelompok IV (dosis II) dan kelompok V (dosis III). Kesimpulan: Terdapat efek hepatoprotektor ekstrak jintan hitam (Nigella sativa) terhadap kerusakan hepar tikus putih (Rattus norvegicus) jantan galur Sprague Dawley yang diinduksi etanol. Kata kunci: ekstrak jintan hitam, etanol, degenerasi lemak hepar tikus.

PENGETAHUAN IBU TENTANG KELENGKAPAN IMUNISASI DASAR PADA BAYI Mulyani, Sri; Shafira, Nyimas Natasha Ayu; Haris, Abdul
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Background: Based on a preliminary survey conducted by researchers at Public Health Center Paal Merah II Jambi City conducted an interview with 3 out of 10 mothers saying that the baby was not immunized DPT II on the grounds for fear of side effects experienced by children after getting immunization is fever. Mother also said that the previous child also not immunized and still healthy until today. As many as 4 out of 10 mothers say that sometimes forget the immunization schedule is caused by being busy with work until night so do not immunize the child for fear of hassle if the night child awake due to fever, and as many as 3 out of 10 mother say that parents (grandmother of baby) do not allow to be immunized on the grounds that immunization can only cause the baby to become ill. Methods: This research is a descriptive research . The population is all mothers who have babies at Public Health Center Paal Merah II Jambi City 2015, amounting to 481 people. The number of samples amounted to 88 people to prevent the occurrence of drop out at the time of the study then the sample plus 10% so that the whole sample as much as 97 respondents. The study was conducted at Public Health Center Paal Merah II Jambi City in November 2017 and the data were analyzed univariatally.. Results: The result of univariate analysis showed that 22.7% of respondents had low knowledge, 46.4% had medium knowledge, and (30.9%) had high knowledge. Suggestion: Low knowledge of mother's knowledge about frequency and time of giving basic immunization in baby because mother rarely read and understand result of recording of growth of baby at its contents of KIA book. Suggestion from this research is expected to apply strategy and program of comprehensive basic immunization education activity to baby by considering mother's criteria and knowledge about basic immunization completeness in baby Keyword: Knowledge, Completeness, of Baby, Basic Immunization ABSTRAK Latar Belakang : Berdasarkan survei awal yang dilakukan oleh peneliti di Puskesmas Paal Merah II Kota Jambi dengan melakukan wawancara 3 dari 10 ibu mengatakan bahwa bayinya tidak dilakukan imunisasi DPT II dengan alasan karena takut akan efek samping yang dialami anak setelah mendapatkan imunisasi yaitu demam. Ibu juga mengatakan bahwa anak sebelumnya juga tidak diimunisasi dan masih sehat hingga saat ini. Sebanyak 4 dari 10 ibu mengatakan bahwa kadang-kadang lupa jadwal imunisasi disebabkan oleh karena sibuk dengan pekerjaan hingga malam sehingga tidak mengimunisasikan anak karena takut repot jika malam anak terjaga karena demam, dan sebanyak 3 dari 10 ibu mengatakan bahwa orang tua (nenek dari bayi) tidak mengijinkan untuk diimunisasi dengan alasan bahwa imunisasi hanya dapat meyebabkan bayi menjadi sakit. Metode : Penelitian ini merupakan penelitian deskriptif . Populasi adalah seluruh ibu yang memiliki bayi di Puskesmas Paal Merah II Kota Jambi tahun 2015 yang berjumlah 481 orang. Jumlah sampel berjumlah 88 orang untuk mencegah terjadinya drop out pada saat penelitian maka sampel ditambah 10% sehingga sampel seluruhnya sebanyak 97 responden. Penelitian dilakukan di Puskesmas Paal Merah II Kota Jambi pada bulan November 2017 dan data dianalisis secara univariat. Hasil : Hasil analisis univariat diperoleh gambaran sebanyak (22,7%) responden memiliki pengetahuan rendah, (46,4%) responden memiliki pengetahuan sedang, dan (30,9%) responden memiliki pengetahuan tinggi. Kesimpulan : Pengetahuan yang masih rendah yaitu pengetahuan ibu tentang frekuensi dan waktu pemberian imunisasi dasar pada bayi dikarenakan ibu jarang membaca dan memahami hasil pencatatan tumbuh kembang bayinya pada isi buku KIA. Saran dari penelitian ini diharapkan dapat menerapkan strategi dan program kegiatan penyuluhan pemberian imunisasi dasar secara lengkap pada bayi dengan mempertimbangkan kriteria dan pengetahuan ibu tentang kelengkapan imunisasi dasar pada bayi. Kata Kunci : Pengetahuan, Kelengkapan, Imunisasi Dasar, Bayi

KORELASI ANTARA ASUPAN VITAMIN D DENGAN KADAR 25(OH)D SERUM PADA PASIEN LUPUS ERITEMATOSUS SISTEMIK PEREMPUAN DEWASA Suzan, Raihanah
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Objective: the aim of the study is to investigate the correlation between vitamin D intake and serum 25(OH)D concentration of adult woman SLE patients. Methods: A cross-sectional study was conducted in 36 adult woman patients with SLE from Rheumatology Clinic of the Departemen of Internal Medicine Dr. Cipto Mangunkusumo hospital. Data collection included age, SLE classification, drugs, skin type, use of sunscreen, part of the body covered by clothes, length of sun exposure, body mass index (BMI), vitamin D intake, and serum 25(OH)D concentration. Results: Most of the subjects (41.7%) aged 36–45 years old, classified as mild SLE (52.8%), always used sunscreen (63.9%), skin type IV (69.4%), wearing clothes that covered all or almost of the body (69.4%), and not exposed or had sun exposure less than 30 minute (77.8%). All subjects used corticosteroid. Based on BMI half of the subjects had normal body weight, Based on AKG 2012 most (55.6%) had adequate vitamin D intakes, and 28 subjects (77.8%) were in vitamin D-deficient (serum 25(OH)D concentration <50 nmol/L). There were moderate positive correlation between vitamin D intake and serum 25(OH)D concentration in subjects (r = 0.52; P <0.01). Conclusion: There were moderate positive correlation between vitamin D intake and serum 25(OH)D concentration of adult woman SLE patients (r = 0.52; P <0.01). Key Words: Vitamin D; SLE; vitamin D intake; serum 25(OH)D concentration. ABSTRAK Tujuan: Tujuan penelitian ini adalah mengetahui korelasi antara asupan vitamin D dengan kadar 25(OH)Dserum pada pasien lupus eritematosus sistemik perempuan usia dewasa. Metode: Penelitian ini merupakan penelitian potong lintang pada 36 pasien SLE perempuan dewasa dari Poliklinik Reumatologi di RS Dr. Cipto Mangunkusumo. Pengambilan data subyek meliputi usia, klasifikasi penyakit SLE, obat-obatan yang digunakan, tipe kulit, penggunaan tabir surya, bagian tubuh yang tertutup pakaian, lama terpajan sinar matahari, indeks massa tubuh (IMT), asupan vitamin D, dan kadar 25(OH)D serum. Hasil: Sebagian besar (41,7%) subyek berusia antara 36–45 tahun, tergolong klasifikasi SLE ringan (52,8%), selalu menggunakan tabir surya (63,9%), tipe kulit IV (69,4%), dan memakai pakaian yang menutupi seluruh/sebagian besar tubuh (69,4%), serta tidak terpajan dan terpajan sinar matahari <30 menit (77,8%). Semua subyek menggunakan kortikosteroid. Separuh subyek memiliki berat badan normal berdasarkan IMT, sebagian besar (55,6%) subyek mempunyai asupan vitamin D cukup berdasarkan AKG 2012, dan 28 subyek (77,8%) menderita defisiensi vitamin D ( kadar 25(OH)D serum <50 nmol/L). Didapatkan korelasi positif yang sedang antara asupan vitamin D dengan kadar 25(OH)D serum pada subyek penelitian (r = 0,52; P <0,01). Kesimpulan: Terdapat korelasi positif yang sedang antara asupan vitamin D dengan kadar 25(OH)D serum pada pasien SLE perempuan dewasa (r = 0,52; P <0,01). Kata Kunci: Vitamin D; SLE; asupan vitamin D; kadar 25(OH)D serum.

GAMBARAN ASUPAN CAIRAN DAN STATUS GIZI PADA MAHASISWA KEDOKTERAN UNIVERSITAS JAMBI Halim, Rita; Hana, Marisa; Mardhiyah, Mardhiyah
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Background: Fluids are one of the essential nutritional elements in the body. The Indonesian Regional Dehydration Study (THIRST) finds that 46.1% of Indonesians are mildly dehydrated and the number is higher in adolescents at 49.5%. The RISKESDAS report in 2013 states that some teenage groups in Indonesia are also experiencing overweight and the number continues to increase every year. This study aims to determine the fluid intake and nutritional status in medical students of Jambi University in 2017. Method: This research is a descriptive research with cross-sectional approach conducted in August-September 2017. The number of samples was 90 people. Data of fluid intake was obtained from the filling of 3x24 hour fluid diary and nutritional status based on Body Mass Index (BMI). Results: The results show the average fluid intake of the study subjects was 2100 ml / day, but 74.4% are categorized as insufficient fluid intake. The average nutritional status of research subjects based on BMI was 22.36 kg / m2, with the normal nutritional status was 45.6%, above normal was 40%, and below normal was 14.4%. Conclusions: Most of the study subjects were included in the category of insufficient fluid intake and overweight occurred more in women. Keywords: Fluid intake, Nutrition Status, Medical Student ABSTRAK Latar Belakang : Cairan merupakan salah satu unsur gizi esensial dalam tubuh. Hasil penelitian The Indonesian Regional Dehydration Study (THIRST) menyebutkan bahwa 46,1% penduduk Indonesia mengalami dehidrasi ringan dan jumlah tersebut lebih tinggi pada remaja yaitu 49,5%. Laporan RISKESDAS tahun 2013 menyebutkan bahwa sebagian kelompok remaja di Indonesia juga mengalami gizi lebih dan angka tersebut terus mengalami peningkatan setiap tahun. Penelitian ini bertujuan untuk mengetahui Gambaran Asupan Cairan dan Status Gizi Pada Mahasiswa Kedokteran Universitas Jambi Tahun 2017. Metode : Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional yang dilakukan pada Agustus-September 2017. Jumlah sampel sebanyak 90 orang. Data asupan cairan diperoleh dari pengisian fluid diary 3x24 jam dan status gizi berdasarkan indeks massa tubuh (IMT). Hasil : Hasil penelitian menunjukkan rerata asupan cairan subjek penelitian yaitu 2100 ml/hari, akan tetapi sebagian besar termasuk dalam kategori asupan cairan kurang yaitu sebanyak 74,4%. Sedangkan status gizi subjek penelitian berdasarkan IMT didapatkan rerata 22,36 kg/m2 dengan status gizi normal sebesar 45,6%, status gizi lebih sebesar 40%, dan status gizi kurang sebesar 14,4%. Kesimpulan : Sebagian besar subjek penelitian termasuk dalam kategori asupan cairan kurang dan status gizi lebih lebih bayak terjadi pada perempuan . Kata kunci : Asupan Cairan, Status Gizi, Mahasiswa Kedokteran

UJI DIAGNOSTIK POLYMERASE CHAIN REACTION DIBANDINGKAN DENGAN PENGECATAN GIEMSA PADA INFEKSI MALARIA Hanina, Hanina
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Plasmodium is a parasite causing malaria, the most important infection disease in the world. Gold standard of malaria diagnosis was founded Plasmodium by Giemsa staining method. Fundamental difference between Giemsa and Polymerase Chain Reaction (PCR) is the ability to detect parasite. Giemsa can detect minimal 50-100 parasit/μl whereas PCR detect parasite DNA in lower parasitemia. The purpose of this study was to determine the sensitivity and specificity of the PCR compared to blood slide with Giemsa in detecting of malaria infection. A diagnostic test has been conducted in Laboratorium Biomedik Fakultas Kedokteran Universitas Jambi and Laboratorium Biomolekuler Fakultas Kedokteran Universitas Sriwijaya. There were 87 subjects who fulfilled the criteria inclusion and drawn by consecutive sampling. Blood samples were taken from venous blood. Detection of Plasmodium used Giemsa and PCR method. Detection of Plasmodium from 87 subjects, Giemsa and PCR method founded 1 subject (1.1%) P. falciparum and 4 subjects (4.6%) P. vivax. 82 subjects (94.3%) were negative. The sensitivity and specificity of PCR was 100%, positive predictive value and negative predictive value was 100%.Conclusion is higher sensitivity and spesificity PCR methode in the malaria diagnosis was proven and PCR methode able to identified Plasmodium species accuratly. Keywords: Plasmodium, Malaria, Giemsa, PCR, Diagnostic Test ABSTRAK Plasmodium merupakan parasit penyebab malaria, suatu penyakit infeksi paling penting di dunia. Baku emas diagnosa malaria adalah menemukan Plasmodium melalui pemeriksaan mikroskopis dengan pengecatan Giemsa. Perbedaan mendasar antara metode Giemsa dengan metode Polymerase Chain Reaction (PCR) terletak pada kemampuan mendeteksi parasit. Metode Giemsa hanya mampu mendeteksi Plasmodium dengan ambang batas antara 50-100 parasit/μl sedangkan metode PCR dapat mendeteksi DNA parasit pada parasitemia yang lebih rendah. Tujuan penelitian ini adalah untuk mengetahui sensitivitas dan spesifisitas metode PCR dibandingkan dengan pengecatan Giemsa dalam menegakkan diagnosis infeksi malaria. Penelitian ini merupakan uji diagnostik yang dilakukan di Laboratorium Biomedik Fakultas Kedokteran dan Ilmu Kesehatan Universitas Jambi dan Laboratorium Biomolekuler Fakultas Kedokteran Universitas Sriwijaya. Penelitian dilakukan mulai bulan Januari sampai April 2017. Subjek penelitian berjumlah 87 orang yang diambil secara consecutive sampling dari laboratorium RS Theresia Jambi. Semua subjek diambil sampel darah venanya, kemudian dilakukan pengecatan Giemsa dan pemeriksaan PCR. Hasil pemeriksaan PCR nested menggunakan primer genus dan primer spesies Plasmodium ditemukan P.falciparum positif sebanyak 1 sampel (1,1%). Sedangkan P.vivax positif sebanyak 4 sampel (4,6%). Sebanyak 82 sampel (94,3%) negatif. Hal ini sesuai dengan hasil pemeriksaan mikroskopis dengan pengecatan Giemsa. Metode PCR dibandingkan dengan metode pengecatan Giemsa sensitivitas dan spesifisitasnya 100%, nilai prediksi positif dan nilai prediksi negatifnya 100%. Dapat disimpulkan bahwa metode PCR sangat sensitif dan spesifik dalam penegakan diagnosis malaria dan mampu mengidentifikasi spesies parasit secara akurat. Kata Kunci: Plasmodium, Malaria, Giemsa, PCR, Uji Diagnostik.

POWER POINT: ISTRUCTIONAL DESIGN AND THE ROLE IN TEACHING AND LEARNING Wijayanto, Rhendy
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 1 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

ABSTRACT Instructional design is undoubtfully an important part of a teaching learning process. An integration between the teacher and the tools maximize the learning impact of the process. Several characteristics of a good instructional design are considered essential in achieving desired goals. In order to construct such instrument certain steps such as Analyze, Design, Develop, Implement, and Evaluate should be followed. Internal process of learning should also be considered so that the information effectively reached the desired outcome. In First Aid block , a PowerPoint Presentation was chosen because of its versatility to accommodate various type of modality in instructional design. Keyword: Instructional design, powepoint, lecture, , teaching learning ABSTRAK Media pembelajaran tidak dapat dipungkiri memainkan peranan penting dalam proses belajar. Integrasi antara dosen dan materi akan memaksimalkan efek pembelajaran. Beberapa karakteristik dari media pembelajaran yang baik dianggap sangat penting untuk mencapai tujuan yang diinginkan. Dalam rangka mengembangkan media tersebut, langkah-langkah Analisis, Desain, Develop, Implementasi dan Evaluasi haruslah diikuti. Proses pembelajaran internal juga harus dipertimbangkan agar informasi dapat secara efektif mencapai hasil yang diinginkan. Dalam Blok Pertolongan Pertama, presentasi dengan PowerPoint dipilih karena kefleksibelannya dalam mengakomodasi berbagai modalitas media pembelajaran. Kata Kunci: Media pembelajaran, powerpoint, kuliah, proses belajar

PERBANDINGAN EFEKTIFITAS CUCI TANGAN TUJUH LANGKAH DENGAN AIR DAN DENGAN SABUN CUCI TANGAN CAIR DALAM MENJAGA KEBERSIHAN TANGAN PADA MAHASISWA/I FAKULTAS KEDOKTERAN UNIVERSITAS JAMBI
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 2 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Background: Hand washing is one indicator of Clean and Healthy Lifestyle. One of the scopes is in a school environment or educational institution. Hand washing with water alone is more common, it is not effective in maintaining health than hand washing with soap. Washing hands with soap causes us to allocate more time while washing hands, but the use of soap is more effective because the fat and dirt on the hands will be released when the hands are rubbed and rubbed with soap. The purpose of this research is to know the comparison of the effectiveness of hand washing seven steps with water and with handwashing soap in order to keep hand hygiene. Methods: This study used analytical method with two groups pretest-posttest experimental design with random sampling technique. The sample in this study was cotton swap on the fingers of students with 90 students. The cotton swab is grown on a nutrient agar medium in a petri dish, and counts the number of colonies after incubation 16-18 hours at the incubator at 37 °C. Data analysis technique using statistik with p value which is considered significant is p <0,1. Result: The effectiveness of handwashing with water and soap use is defined as the sum of germ colonies washing seven-step hands with water group and the sum of germ colonies washing seven-step hands using liquid hand soap group. The results of statistical analysis with Mann Whitney test, significance value P = 0.071. Significance value P <0.1 indicates that there is a difference between the effectiveness of handwashing with water and soap in reducing the number of bacterial colonies. Conclusion: Hand washing seven steps with soap more effective than washing hands seven steps with water only. Keywords: Hand washing seven steps, liquid hand washing soap

KORELASI ASUPAN ASAM LEMAK OMEGA-3 DENGAN KEMAMPUAN KOGNISI MAHASISWA KEDOKTERAN
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 2 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Background: Cognitive performance increases along brain development until 20-30 years old, then it’s become flat and decrease in 40-50 years old. Optimal cognitive function is very important in every stage of human development. There is a possibility that omega 3 long chain fatty acid have an importan role for that. Currently there is no research publication that related omega 3 fatty acid intake with cognitive performance of medical student in Indonesia. Methods: A cross-sectional study was conducted in 60 medical students of Medicine and Health Faculty in Jambi University. Data collection included sex, body mass index, omega 3 fatty acid intake, and cognitive performance. Results: Most of the subjects are woman (68,9%), had normal body mass index (BMI) (58,3%), 42 subjects (70%) had low omega 3 fatty acid intake, and good cognitive performance with total 44 (73,3%) subject high average, superior, and very superior. There is very low corelation (r = 0,09) between omega 3 fatty acid intake and cognitive performance with Pearson’s correlation test and it’s not significant (P>0,05). Conclusion: Omega 3 fatty acid intake may not fully supported the students cognitive performance. Keywords: cognitive performance, omega 3 fatty acid intake

ATTITUDE OF UNDERGRADUATE MEDICAL STUDENTS TO PATIENT SAFETY
JAMBI MEDICAL JOURNAL "Jurnal Kedokteran dan Kesehatan" Vol. 6 No. 2 (2018): JAMBI MEDICAL JOURNAL Jurnal Kedokteran Dan Kesehatan
Publisher : FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI

Background: To assess undergraduate medical students’ attitudes to the patient safety issue and their interest in patient safety education. Method: The cross-sectional survey of 519 undergraduate students was conducted at the Faculty of Medicine, Universitas Yarsi, in September 2017. A structured and anonymous self-administered questionnaire was handed to medical students, including preclinical and clinical undergraduate students. Results: Overall, 308(59%) students agreed that medical errors were inevitable, but 391(75%) students thought competent physicians do not make errors. More than half of the students said medical errors should be reported even if there is no harm to the patient (59% and 73% respectively). Less than half (29%) students believe reporting systems do little to reduce future errors. Almost all of the students (94%) thought work harder and more careful is an effective strategy after an error occurs. Over 80% of students thought physicians routinely share information about medical errors. The majority agreed that patient safety should be part of medical curriculum and physician should spend their time to improve patient care (66% and 86% respectively). Most students (94%) would like to receive teaching on patient safety further. Conclusion: This study revealed that undergraduate students had a positive attitude to patient safety and teaching of 'patient safety' needs to be promoted in the medical curriculum. Keywords: patient safety, medical error, curriculum, medical students

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