Jambi Medical Journal "Jurnal Kedokteran dan Kesehatan"
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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<![CDATA[The Relationship Between Leucocytes and Bacterial Count in The Wound Swab Sample with Colony Counting In Wound Tissue Infection ]]>
<![CDATA[Maria Estela Karolina]]>;
<![CDATA[Mujahidah Mujahidah]]>;
<![CDATA[Rebriarina Hapsari]]>;
<![CDATA[Subakir Subakir]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.22061
<![CDATA[ABSTRACT Background: Wound tissue infection is a problem in developing countries. The cause of the infection must be known, so that appropriate antibiotics are given for that required microbiological examination. The number of Polymorphonuclear leukocytes (PMN) >25/HPF and the number of colonies >105/Colony Forming Unit (CFU) determine the occurrence of infection. Proving the relationship between the number of leukocytes and bacteria in the wound swab sample to the number of colonies in superficial Surgical site infection (SSI). Methods: This study was an Observational analytical research design with 35 samples of superficial SSI. Microscopic examination: gram stain to see the number of leukocytes and bacteria in a large field of view. Culture examination: number of colonies, identification of microorganisms, and patterns of antibiotic sensitivity with automatic machines. Statistical analysis for the relationship between the number of leukocytes and bacteria to the number of colonies was Chi-square and logistic regression. Results: Superficial SSI samples were more common at the age <60 years, with malignancy comorbid. The most common cause of infection is Escherichia coli. The results of the Chi-square test showed that the number of leukocytes (p=0.017) and the number of bacteria (p=<0.01) were related to the number of colonies, and logistic regression tests found that the number of bacteria was significant to the number of colonies (p=0.010, 95% C1: 0.030–0.624). Conclusion: The number of bacteria associated with the number of bacterial colonies in patients with superficial SSI.]]>
<![CDATA[A Comparison Of Hematocrit, MCV, MCH And MCHC Amount Between Rats On Vegan Dan Standard Diet After Routine Physical Exercise ]]>
<![CDATA[Arwan Laeto]]>;
<![CDATA[Rara Inggarsih]]>;
<![CDATA[Septi Purnamasari]]>;
<![CDATA[Masayu Farah Diba]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.22638
<![CDATA[ABSTRACT Background: The prevalence of non-communicable diseases in Indonesia, such as diabetes mellitus and obesity, continues to increase. The main factors are diet errors and mistakes in sport. Methods: This study used an in vivo experimental method with a pretest-posttest design with a non-equivalent group. The research sample consisted of 16 white rats, which were divided into two groups based on diet. The treatment given was in the form of dietary and routine physical exercise. Blood sampling was conducted to analyze hematocrit, MCH, MCV and MCHC levels. Results: The results showed that the change in body weight of the white rats on vegan diet was higher than the standard diet group. Routine physical exercise had significant effect on hematocrit levels in the standard white rats (p=0.034) compare to the vegan diet. In addition, routine physical exercise had a significant effect on MCV (p=0.026), MCH (p=0.027) and MCHC (p=0.026) levels in the vegan compared to the standard diet white rats. Conclusion: Changes in the number of hematocrits in the standard diet white rats is significant compared to the vegan diet group. Meanwhile, the levels of MCH, MCV and MCHC changed significantly in the white rats that were given a vegan diet compared to the white rats on a standard diet after routine physical exercise.]]>
<![CDATA[Dextran Sulfate Sodium Effectiveness As Inflammatory Bowel Disease Inducer In BALB/c Mice ]]>
<![CDATA[Hanina Hanina]]>;
<![CDATA[Lipinwati Lipinwati]]>;
<![CDATA[Tia Wida Ekaputri Hz]]>;
<![CDATA[Hasna Dewi]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.22941
<![CDATA[ABSTRACT Background: Inflamatory Bowel Disease (IBD) in animal model could be induced by chemical agents such as dextran sulfate sodium (DSS),  trinitrobenzene sulfanic acid and oxazolone. The inflammation induced by DSS gave many clinical symptoms and immnulogic reactions like in human. In the recent study, the disease activity index has been assessed on the BALB/c mice that induced by DSS 2% and 3%, the result was no significant result. Therefore, DAI score was not necessarily describe the intestinal tissue real condition, so the researcher want to continue assessing DSS influence to the microscopic features of BALB/c mice intestine and colon. Methods: Nine male BALB/c mice 6-8 weeks, weight 25-40 g divided in 3 groups. Group I as control, while group II and III induced by  2 cycles of 2% DSS for 5 days followed by drinking water for 10 days and 3 cycles of 3% DSS for 7 days followed by drinking water for 7 days. Assesment of DSS effectiveness by microscopic examination of intestine and colon to observe inflammatory features. Results: . The microscopic features of group II and group III mice intestine and colon has no inflammatory features as control group. Oral admission DSS 2% and DSS 3% did not establish microscopic changes in BALB/c mice intestine and colon, so it was not effective as mice IBD inducer.  ]]>
<![CDATA[The Correlation Of Ujian Tahap Bersama (UTB) With Grade Point Average (GPA) ]]>
<![CDATA[Nyimas Natasha Ayu Shafira]]>;
<![CDATA[Risa Nabila]]>;
<![CDATA[Susan Tarawifa]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.23428
<![CDATA[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.  ]]>
<![CDATA[Instructor’s Role In The Conduction Of Basic Clinical Fitness In The Clinique Fitness Laboratory / Skills Laboratory ]]>
<![CDATA[Agneta Irmarahayu Irawan]]>;
<![CDATA[Mila Citrawati]]>;
<![CDATA[Sri Wahyuningsih]]>;
<![CDATA[Hikmah Muktamiroh]]>;
<![CDATA[Tiwuk Susantiningsih]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.23883
<![CDATA[ABSTRACT Teaching clinical skills is a must in the 21st century. Medical school is required to make its graduates as skilled and professional doctors need a lot of support such as clinical skill laboratory facilities (Skills Lab) and instructors. Students need to be given sufficient opportunities to practice basic clinical skills in a place that is comfortable, safe and controlled without fear of harming patients and can be monitored and assessed in accordance with the expected competencies. Clinical skill instructors are the cornerstones of basic clinical skills teaching process. The role of the instructor includes building two-way relationships for each individual student, giving feedback, becoming role models so that students will be responsible for carrying out each procedural step of clinical skills. Their role is very important in guiding and facilitating the students to practice clinical skill, making sure their skills progress, and preparing them to obtain the predetermined competency as a doctor.]]>
<![CDATA[Comparison Of Non-Surgical Managements Versus Surgical Managements Of Chronic Anal Fissure ]]>
<![CDATA[Gita Prinita]]>;
<![CDATA[Andre Setiawan Suryadi]]>;
<![CDATA[Teinny Suryadi]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.24618
<![CDATA[ABSTRACT Anal fissure is a tear of the anoderm distal to the dentate line and is very common in all age groups, with an equal incidence in males and females. Most acute anal fissures heal without surgical intervention but chronic anal fissures are usually more difficult to treat due to recurrence and complications. In addition, chronic anal fissures also have a negative impact on quality of life. Management of anal fissures consists of non-surgical and surgical where the healing rate of chronic anal fissures is higher with surgical management. However, surgery carries a risk of incontinence. This article discusses the comparison of the results of non-surgical management with surgical management of chronic anal fissures. Â ]]>
<![CDATA[Immunoserology Tests In Myastenia Gravis ]]>
<![CDATA[Lydia Susanti]]>;
<![CDATA[Husni Minanda Fikri]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.27686
<![CDATA[ABSTRACT Â Myasthenia Gravis (MG) is an autoimmune neuromuscular disease that cause weakness due to the presence of autoantibodies that affect acetylcholine receptors (AChR) at the post synapse. Myasthenia gravis is a rare disease, but its prevalence is increasing. Classic clinical symptoms are characterized by fluctuating weakness. Diagnosis of myasthenia gravis requires a combination of clinical symptoms, physical examination and confirmatory tests in the form of bedside tests, serological tests, electrodiagnostics and imaging. Among the confirmatory tests available, serological tests has high sensitivity and specificity. In most cases of myasthenia gravis due to the presence of autoantibodies against AChR, other endplate proteins, such as muscle-specific receptor tyrosine kinase (MuSK) or lipoprotein-related protein 4 (LRP4) can be targets of autoantibodies. There are several examination methods for detecting autoantibodies in myasthenia gravis, several tests have been developed and commercialized such as radioimmunoprecipitation assay (RIPA), enzyme-linked immunosorbent assay (ELISA), there are also tests using antigen-expressing cells/cell-based assay (CBA), which is still being developed. The RIPA examination method is still the examination of choice due to its high specificity and sensitivity. ELISA can be an alternative to RIPA examination. CBA is more sensitive than RIPA but its use is still limited. Â ]]>
<![CDATA[Pituitary Apoplexy Induced by Anticoagulant Therapy in Patient with Acute Coronary Syndrome ]]>
<![CDATA[Michael Johan]]>;
<![CDATA[Handry Pangestu]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.27776
<![CDATA[Pituitary apoplexy, defined as bleeding or infarct on pituitary gland which often occurs in undiagnosed pituitary tumour. Some of the mechanisms thought to trigger pituitary apoplexy are fluctuations in blood pressure, hormonal stimulation of the pituitary gland, coagulation disorders or vascular disorders. We reported the case of a male patient, aged 73 years from India who came to the emergency department with complaints of chest pain in the last four hours. Electrocardiographic (ECG) and laboratory examination results lead to an acute coronary syndrome (ACS) event. Patients are given blood thinners in the form of fondaparinux, aspirin, and clopidogrel. On the 4th day of hospitalization, the patient experienced a severe headache, projectile vomiting, and double vision. Radiological examination reveals a pituitary tumour with signs of diffuse haemorrhage compressing the optic chiasma, suggesting an apoplexy of a pituitary tumour. Hormone function tests show a non-functioning pituitary tumour. The blood thinners were discontinued, then vitamin K and dexamethasone were given to reduce the patient's symptoms. After a few days, the headaches and double vision began to improve. Another MRI of the head was done and the result shoed that the mass remained the same and the bleeding did not expand. It is known that patients with pituitary tumors are at risk of experiencing bleeding after administration of blood thinners. The presence of a pituitary tumour may be a relative contraindication to the use of dual antiplatelets and anticoagulants in acute coronary syndromes especially in group with renal or liver comorbidities.]]>
<![CDATA[ABO Blood Group: Risk factors for malaria in hypoendemic areas? ]]>
<![CDATA[Lambok Siahaan]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.28515
<![CDATA[ABSTRACT Background: Malaria is a parasitic infectious disease that is transmitted by vectors. This disease can cause death, especially in babies, toddlers and pregnant women. This research was conducted to prove whether there was a relationship between blood group and the occurrence of malaria infection. Methods: The sample was people who permanently reside in the research area and have risk factors for exposure to malaria. Diagnosis was made through microscopic examination. Blood type was tested using the slide method. Results: The most common cause of malaria was Plasmodium vivax. There were no significant differences between etiology, clinical symptoms, hemoglobin levels and parasite density with ABO blood group. This study found no significant differences between ABO and malaria blood types. Conclusion: ABO blood type cannot be used as a risk factor in hypoendemic areas which have the majority of vivax malaria sufferers.]]>
<![CDATA[Risk Factor Analysis of Diarrhea in Medical Students ]]>
<![CDATA[Warda Elmaida Rusdi]]>;
<![CDATA[Irmawan Farindra]]>;
<![CDATA[Muhammad Salsabeela Rusdi]]>;
<![CDATA[Irsandi Rizky Farmananda]]>;
<![CDATA[Ayu Aisyah Alya Hamida]]>
<![CDATA[ Jambi Medical Journal : Jurnal Kedokteran dan Kesehatan Vol. 11 No. 4 (2023): JAMBI MEDICAL JOURNAL Jurnal Kedokteran dan Kesehatan ]]>
Publisher : <![CDATA[FAKULTAS KEDOKTERAN DAN ILMU KESEHATAN UNIVERSITAS JAMBI ]]>
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DOI: 10.22437/jmj.v11i4.28764
<![CDATA[ABSTRACT Background: Diarrhea is a condition of increased frequency of defecation more than 3 times along with liquid stool consistency followed by mucus or blood. In Indonesia alone in 2019, the reported incidence of diarrhea was 2,549 people with a case fatality rate of 1.14%. This study aims to analyze the risk factors for diarrhea in university students. Methods: This study is an observational analytic descriptive study with a cross sectional study design. This study used a sample of 132 students who were determined by purposive sampling technique. Questionnaires were used as data collection instruments. Data analysis was carried out using bivariate and univariate tests with logistic regression techniques with a p <0.05 indicating data significant. Results: Based on the research that has been done, 54 male subjects and 78 female subjects were obtained. Most of the research subjects experienced diarrhea with a frequency of 3 to 4 times a month (55.3%) which was associated with environmental and psychological factors with significant levels of p < 0.043 and p < 0.049, respectively. Conclusion: Environmental and psychological factors have a significant relationship partially with the incidence of diarrhea in students of the Faculty of Medicine, Universitas Nahdlatul Ulama Surabaya.]]>
