Journal of Medical Studies

The Overview of Ureteral Colic in Ureterolithiasis Patients Based on the Location of Stones Observed on Urographic CT-scan

Faris Taufiqurrahman — 2024-12-03

ABSTRACT

Background: Ureterolithiasis is a crystal concretion formed within the ureter that can lead to obstruction. Ureteral colic is one of the most common clinical manifestations with different characteristics depending on the location of the stone in the ureter. This research aims to determine the overview of ureteral colic in ureterolithiasis patients based on the location of stones that appeared on the urographic CT-Scan examination at RSUD Raden Mattaher Jambi. Methods: This research uses a qualitative study with a descriptive observational design, with 43 samples from the medical record data of ureterolithiasis patients in RSUD Raden Mattaher Jambi for January-December 2022. Results: The most incidence was male (69.8%) with age 41-60 years (44.2%). Ureteral colic predominates on the right side (53.5%), with the most radiating to the umbilical (44.2%). The most location was in the proximal ureter (44.2%), with hounsfield units <1000 HU (53.5%), and stone sizes were 5-10 mm and >10 mm (41.9%). Conclusion: Based on this research, the overview of ureteral colic in ureterolithiasis patients at RSUD Raden Mattaher Jambi was more common on the right side with the colic radiating to the umbilicus and the location stones in the proximal ureter.

Keywords: ureterolithiasis; CT-scan urography; colic

Effects of Sub-acute Ethanol Extract Toxicity of Karamunting (Rhodomyrtus tomentosa) Leaves on Hematological Profile in Female White Rats

Tia Wida Ekaputri — 2024-12-03

ABSTRACT

Background: Karamunting leaves (Rhodomyrtus tomentosa) are a medicinal plant widely used in Indonesia for their bioactive compounds, which exhibit anti-inflammatory, antibacterial, antioxidant, antidyslipidemic, and anti-hyperglycemic properties. However, the safe dosage for human use remains undetermined. This study aims to assess the sub-acute toxicity of ethanol extracts of karamunting leaves on the hematological profile of female white rats. Methods: This study used an experimental laboratory design with a post-test control group. Karamunting leaves were extracted by maceration using 70% ethanol as the solvent. The hematological profiles measured included erythrocytes, leukocytes, platelets, and hematocrit levels. Female white rats of the Wistar were randomly divided into six groups. The negative control group received only a 0.5% Na CMC suspension, while the treatment groups received ethanol extracts of karamunting leaves at doses of 200 mg/kg BW, 400 mg/kg BW, 800 mg/kg BW, 1600 mg/kg BW, and 3200 mg/kg BW. Blood samples were collected after 14 days of treatment. Results: The hematological profiles indicated no significant differences among the groups. However, the treatment group that received extracts at a dose of 1600 mg/kg BW showed a poor hematological profile. Conclusion: Generally, the ethanol extract of karamunting leaves did not affect the hematological profiles of the test animals.

Keywords: Rhodomyrtus tomentosa; hematological profile; sub-acute toxicity

Pre-Matrical Nutrition Counseling, Anthropometric and Hemoglobin Examination In Women Of Fertile Age

Huntari Harahap — 2024-12-03

ABSTRACT

Background: The government's stunting prevention measures begin with improving nutrition, namely during adolescence, in the case of prospective brides, pregnant women, postpartum mothers, and toddlers. Empowerment for women in the community or at home is expected to reduce stunting problems and various child health problems. This study aims to screen for risk factors and prevent stunting in women of childbearing age. Methods: Thirty-six women of childbearing age attended this research activity in the Olak Kemang Health Center working area. The activities included pre-marital nutrition education for women of childbearing age, examination of weight, height, arm circumference, and measurement of blood haemoglobin. Results: The body mass index of Women of Childbearing Age was the most in the thin category, namely 39% (BMI <18.5), haemoglobin levels >12 as much as 58,33%, upper arm circumference above 22 as much as 78% and there was an increase in knowledge assessed from the results of the pretest and posttest, it is known that the average pretest value is 60, and the posttest value is 80. Conclusion: Management of iron tablet administration is needed for women of childbearing age who experience anaemia and increased nutritional intake in women of childbearing age.

Keywords: nutrition counseling; anthropometry; hemoglobin; Women of Childbearing Age (WCA); stunting

Overview of Learning Motivation and Learning Strategies of Students In The Medical Study Program

Sholahuddin Tumanggor — 2024-12-03

ABSTRACT

Background: Medical education is not easy and requires concentration and a strong will to be able to complete all stages of education. Students must have strong motivation and learning strategies that are considered to have contributed to the success of the learning process because of a lack of motivation and strategy in learning. With that, motivation and learning strategies influence a person's activities to achieve the results he wants. Method: This research is included in the category of associative research using a quantitative approach. The sample is 285 undergraduate students of the Medical Education Study Program at the Faculty of Medicine and Health Sciences active in the odd semester of the 2022/2023 academic year. The data analysis technique used is univariate analysis. Results: The results show that 75.5% of students from the class of 2020 have moderate learning motivation, 86.6% of students from the class of 2021 have moderate learning motivation, 72.8% of the class of 2020 students have moderate learning strategies, and 90.3% of the class of 2021 students have moderate learning strategies. Conclusion: Most of the 2020 and 2021 active Medical Education Study Program undergraduate students at the Faculty of Medicine and Health Sciences in the odd semester of the 2022/2023 academic year have moderate motivation and learning strategies.

Keywords: learning motivation; learning strategy; medical student

Relationship between Knowledge Level and Community Attitude in Dengue Fever Prevention Behavior

Arief Romadhan — 2024-12-03

ABSTRACT

Background: Dengue Hemorrhagic Fever (DHF) is an acute infectious disease caused by the Dengue virus which is transmitted by the Aedes aegypti mosquito. In cases of dengue fever, the symptoms often experienced by sufferers are sudden high fever, frequent bleeding, and if it is severe, they will experience shock and death. This research aims to determine the relationship between the level of knowledge and attitudes of the community in the behavior of preventing Dengue Fever in Jambi city in 2023. Methods: This research design used quantitative research with a cross-sectional design. The sample for this study comprised of residents from Kenali Besar, Paal V, and Payo Silincah Health Centers, totaling 86 respondents. Research instruments utilized questionnaires. The data were analyzed univariately and bivariately with the chi-square test. Results: Among the respondents, 41 individuals (47.7%) exhibited a good level of knowledge, 52 individuals (60.5%) demonstrated a positive attitude, and 37 individuals (43%) displayed good behavior. From the chi-square test, a p-value of 0.000 was obtained between the level of knowledge and preventive behavior towards dengue fever. A p-value of 0.000 was also obtained between attitudes and preventive behavior towards dengue fever. Conclusion: The level of knowledge and attitude of the community has a relationship with dengue prevention behavior in Jambi city.

Keywords: dengue hemorrhagic fever (DHF); dengue fever; behavior; knowledge; attitude

Cervical Cancer Knowledge, Attitudes, and VIA Willingness among Married Women

Shabrina Nadilah Zahra — 2024-12-03

ABSTRACT

Background: Indonesia has the highest rate of cervical cancer in Southeast Asia. However, early detection through Visual Inspection of Acetate Acid (VIA) among Women of Childbearing Age (WCA) in Indonesia, including Jambi City, remains low. This research aims to determine knowledge and attitudes toward cervical cancer prevention, and the willingness undergo VIA examination among married WCA at the Kenali Besar Public Health Center in Jambi City. Methods: An observational-analytical study with a cross-sectional design was conducted using questionnaires. 110 samples were chosen by accidental sampling technique and analyzed using descriptive statistics. Results: Most participants were in early adulthood (52.7%), had secondary education (50.9%), were unemployed (59.1%), had sufficient knowledge (40%) and attitudes (51.8%), but low willingness for VIA (47.3%). The main reason for not undergoing VIA was the absence of symptoms (22.7%). Most who had VIA had only been tested once (70%), with all results negative (100%). Conclusion: The willingness to undergo VIA screening is still low. Increasing the VIA screening coverage requires the improvement of knowledge about cervical cancer and attitudes toward cervical cancer prevention through effective health promotion.

Keywords: cervical cancer; women of childbearing age; VIA test; knowledge; attitudes; willingness; behavior