UMPAN BALIK PENERAPAN METODE CASE-BASED TEACHING PADA PERKULIAHAN FARMAKOLOGI BLOK KELAINAN SISTEM RESPIRASI MAHASISWA KEDOKTERAN UNIVERSITAS JAMBI

Background: In the medical program of Jambi University, Lectures on pharmacology use conventional methods. Teaching-learning with the case-method can improve critical reasoning and problem-solving analysis. Objective: to develop pharmacology lectures with the case-method and receive feedback from students and lecturer. Methods: The questionnaire contains several statements with answer choices using a 5-point Linkert scale, strongly agree-strongly disagree. The post-test assessment uses vignette questions, while the CBT test scores come from study program data. Results: Most of the students accepted the application of the case-method in pharmacology lectures. Some of the benefits that are felt by students include increasing understanding of pharmacology material, helping exam preparation, and the knowledges integration in learning. There is a significant relationship between post test scores and CBT test scores (p<0.05). Conclusion: There is good acceptance of students in pharmacology lectures using the case-method. Keywords: pharmacology, medical program student, block system curiculum, case-method, case-based teaching

Persepsi Mahasiswa Terhadap Tahap Persiapan Bedside Teaching Pada Pembelajaran Rotasi Klinik

ABSTRACT Background: Bedside teaching is an integral process of medical education.  It will run effectively if only the preparation process prepared well. Preseptor need to comprehend curriculum in order to formulate purpose and theme in learning activity. Patient and setting for bedside teaching also need to be arranged carefully. As for student, preceptor needs to motivate them to occupy themselves with knowledge and clinical skills related to the bedside theme. Objectives: This research aim to evaluate bedside teaching preparation based on student perception. Methods: This descriptive study purposively involved 81 interns who were conducting learning at internal medicine, obstetric-gynecology, pediatric, and surgery department by the time of data collection performed. Questioner consists of 6 items to describe bedside teaching preparation phase (Corrected Item Total correlation > 0,3;  Alpha Cronbach’s 0,826) was delivered among all respondents. Results: 66.7% respondents perceived that bedside teaching was not well prepared. Some students admit that preseptor do not always inform them about the theme, learning objective, and which patient that will involve in bedside teaching. Some of them also answer that they were not instructed to prepare themselves with knowledge and skills needed for bedside teaching. Conclusion: Institution needs to facilitate training to maximize preceptor comprehension to conduct well prepared bedside teaching. Keywords : preparation, bedside teachin

ADIKSI INTERNET: STUDI PADA REMAJA SMA KOTA JAMBI

Background: Patients with internet addiction are known to experience changes in brain structure with manifestations of impaired executive function planning-reasoning and increase the risk of impulsivity. Adolescents are considered more susceptible to internet addiction than adults. Physical-social distancing during the Covid-19 pandemic increases the risk of internet exposure among adolescents. Research in 2021 on 2,932 adolescents from 33 provinces in Indonesia found 19.3% of internet addiction incidences in adolescents. Objective: This study aims to determine the incidence of internet addiction in high school students in Jambi City. Methods: A cross sectional study with multistage sampling technique on an affordable population of all  Jambi City Senior High School students by using instrument Internet Addiction Diagnostic Questionnaire. Results: Among 529 high school students, 123 students (23.2%) experienced internet addiction (38.2% male, 61.8% female). The increase in internet access during the Covid-19 pandemic was agreed by 46.5% students with the majority use of the internet were 6-10 hours (52.2%). The duration of internet use during the pandemic and the main motive for internet use had a significant relationship with internet addiction (p = 0.000; 0.025). Internet use with a duration of 11 hours/day in adolescents has a 6-fold risk of internet addiction (OR = 6,539). Conclusions: Internet addiction among adolescents in Jambi City is higher than the national data. Collaboration between the government, schools, communities and health service providers is needed to find solutions for the prevention and adequate management of internet addiction in adolescents, especially in the Jambi City. Keyword: internet addiction, adolescents, Jambi cit

PEMERIKSAAN STATUS GIZI DAN PENYULUHAN KESEHATAN ANAK MENGENAI PENGARUH GADGET PADA PERKEMBANGAN ANAK

ABSTRACT The process of growth and development can be considered from two aspects that describe physical changes and developments that describe a more complex structure and function of the body. This activity aims to screen the nutritional status of children and educate parents about the effect of gadgets on children's development. The outreach activities which were planned to be carried out directly  due to the COVID 19 pandemic conditions were changed to a Health Webinar which was held on September 27, 2020 with 103 participants. The webinar participants in this activity did not only come from Jambi city but also from outside Jambi province such as Malang, Bali, Java, Surabaya, Aceh, Banyuwangi, Palembang, Surakarta, Jakarta, and Bangka Belitung.   Keywords: nutritional status, growth and development, gadgets   ABSTRAK Proses tumbuh kembang dapat diperhatikan dari dua aspek yaitu tumbuh yang menggambarkan perubahan fisik dan perkembangan yang menggambarkan kemampuan struktur dan fungsi tubuh yang lebih komplek. Kegiatan ini bertujuan untuk melakukan skrining status gizi pada anak dan mengedukasi para orangtua tentang pengaruh gadget pada perkembangan anak. Kegiatan penyuluhan yang rencananya akan dilakukan secara langsung tetapi karena kondisi pandemi COVID 19 dialihkan menjadi Webinar Kesehatan yang dilaksanakan pada tanggal 27 September 2020 dengan jumlah peserta 103 orang. Peserta webinar pada kegiatan ini bukan hanya berasal dari kota Jambi tapi juga dari luar provinsi Jambi seperti Malang, Bali, Jawa, Surabaya, Aceh, Banyuwangi, Palembang, Surakarta, Jakarta, dan Bangka Belitung.   Kata kunci : status gizi, tumbuh kembang, gadge

STUDI LITERATUR: GAMBARAN DEPRESI PASIEN SARKOMA JARINGAN LUNAK EKSTREMITAS

ABSTRACT Background: Depression caused by feeling desperate on chronic diseases, like extremity soft tissue sarcoma and the treatment, especially excessive procedure like limb amputation, may deteriorate  emotional status then further impact patient’s quality of life. Objectives: To discover depression among extremity soft tissue sarcoma patient. Methods: This study uses a literature study by using twelve articles from Search Engine Science Direct, Google Scholar, PubMed Central, DOAJ, Biomed Central, and Semantic Scholar according to the inclusion criteria set by the researcher. Results: Depression on sarcoma patients is more often found in women, aged> 39 years, do not have a job, live in a non-urban environment, do not have children, marital status, economic and functional body. Post chemotherapy patients are found to have worse quality of life. The type of tumor resection was not associated with worse quality of life. Conclusions: Psychological disorders such as depression can cause a decrease in quality of life. Highest depression that patient suffered, the  quality of life will decrease.  The results of the study shows that depression on extremity soft tissue sarcoma patients was found in several groups of categories. However, a decrease in         patient,s quality of life are average on the beginning post therapy. Overtime, patients will show results of improvement in depressive symptoms, body function, and quality of life after 1 year post therapy. Keywords: Soft Tissue Sarcoma, Depression, Quality of Life   ABSTRAK Latar Belakang: Depresi yang diakibatkan oleh rasa putus asa terhadap diagnosis penyakit kronis, seperti sarkoma jaringan lunak ekstremitas dan terapinya, yang sering kali mendapatkan tindakan berlebih seperti   amputasi tungkai, dapat menyebabkan perburukan status emosional lebih lanjut. Kondisi ini akan berdampak pada kualitas hidup pasien sehingga dirasa perlu menjadi perhatian dokter. Tujuan Penelitian: Untuk mengetahui gambaran depresi pasien sarkoma jaringan lunak ekstremitas. Metode: Penelitian ini menggunakan pendekatan studi literatur dengan menggunakan dua belas artikel yang diperoleh dari Search Engine Science Direct, Google Scholar, PubMed Central, DOAJ, Biomed Central, dan Semantic Scholar sesuai dengan kriteria inklusi yang telah ditetapkan peneliti. Hasil:  Depresi pada pasien sarkoma lebih sering ditemukan pada wanita, usia >39 tahun, tidak memiliki pekerjaan, tinggal di lingkungan bukan perkotaan, tidak memiliki anak, status perkawinan, ekonomi dan fungional tubuh. Pasien pasca kemoterapi didapat mengalami perburukan kualitas hidup. Jenis reseksi tumor tidak berhubungan dengan perburukan kualitas hidup. Kesimpulan: Hasil dari penelitian menunjukkan depresi pada pasien sarkoma jaringan lunak ekstremitas banyak ditemukan pada beberapa kelompok kategori. Namun, rata-rata pasien mengalami penurunan kualitas hidup hanya di awal pasca terapi. Seiring berjalannya waktu, pasien akan menunjukan hasil perbaikan gejala depresi dan peningkatan fungsional serta perbaikan kualitas hidup yang terjadi setelah 1 tahun pasca terapi. Kata Kunci: Sarkoma Jaringan Lunak, Depresi, Kualitas Hidu

CONTENT VALIDITY OF PBL TUTORIAL INSTRUMENT FOR PROBLEM-BASED LEARNING

Background: Problem-based Learning (PBL) is characterized by tutorial learning method where learning triggered using structured scenarios to initiate and stimulate student discussion in a small group, with facilitation by a tutor. Student performance during tutorial should be assessed by the tutor. Sim et al. from the University of Malaya developed PBL Tutorial Instrument measuring participation and communication ability, cooperation/team building skills, understanding/ reasoning skills, knowledge/skills gathering information. PBL Instrument Objective: This study aims to construct a new valid tutorial assessment instrument through adaptation and modification of the previous instrument developed by Sim et al.   Method: This study consisted of 3 stages: forward translation, backward translation, and expert review. Forward translation is the process of translating instruments from English to Indonesian language. The results of the forward translation are given to different translators for a backward translation process. Instrument then submitted to seven experts to be validated and provide suggestions regarding the content and sentences used in the instrument items. The content validation process is carried out using the CVI and S-CVI score. Results: Forward and backward translation results shows that 20 items in the instrument were confirmed to be consistent with the original instrument. However, the first round of content validity process resulted I-CVI score for every item is ≥ 0.86 and the S-CVI score 0.99. Several experts suggested revision for item sentences corresponding with actual PBL implementation in the institution. Items were revised then the same experts then re-validated the revised instrument. Result showed the I-CVI and S-CVI score are 1.00. Conclusion: This research produced a valid Indonesian language version of the PBL assessment instrument, so that it can be used as an instrument to evaluate student performance in tutorial. Pilot studies need to be carried out further to obtain an analysis of the validity and reliability of the instrument. Keyword: instrument, PBL Tutorial, assessmen

Performa Tutor Sebagai Pendiagnosis Dalam Tutorial Menurut Persepsi Mahasiswa

Background: Tutors are needed to facilitate tutorial in order to ensure student achieving learning objective. In tutorial, tutor has a role as diagnostician that is tutor need to diagnose student prior knowledge. Tutors performance as diagnostician in medical faculty of Jambi University never have been studied. Objectives: This study aim to analyse tutors performance as diagnostician on tutorial in medical faculty of Jambi University based on students perception. Methods: This descriptive study involved 108 students of Block 17 (Reproductive System Block) and 98 students of Block 11 (Urogenital System and Body Fluid Block) who are devided into 20 different tutorial groups. Tutor performance is assessed using questioners constructed based on theory (α cronbach 0,9093). Results: Data of 22 tutors performance were collected. Students perceived 2 tutors performed very good as a diagnostician. Another 19 tutors (86,4%) performance were rated as good, and 1 tutors (4,5%) were rated as fair. Data also showed that tutors performed poor on conducting several activities, such as come on time and stimulate students to discuss the next question if the student's response to the questions declining. Conclusion: Students perceived numbers of tutor in medical faculty of Jambi University performed well as a diagnostician. However, Institutions still need to improve tutors performance by training and comprehensive evaluatio

Efektivitas Edukasi Gizi Terhadap Pengetahuan dan Perilaku Ibu Tentang Pemberian Makanan Bergizi Pada Balita di Posyandu Kenanga Kelurahan Cempaka Putih Wilayah Kerja Puskesmas Simpang Kawat Kota Jambi

Gizi kurang pada anak dapat diakibatkan oleh kurangnya pengetahuan ibu tentang bagaimana pemberian makanan yang bergizi pada anak serta anak tidak memperoleh cakupan konsumsi makanan yang memiliki gizi seimbang. Praktek pemberian makanan pada anak merupakan intervensi yang efektif untuk meningkatkan status kesehatan anak. Tujuan penelitian ini untuk mengetahui pengetahuan dan perilaku ibu dalam pemberian makanan bergizi pada balita di posyandu kenanga kelurahan cempaka putih wilayah kerja puskesmas simpang kawat kota jambi. Penelitian ini menggunakan desain penelitian quassy experiment dengan rancangan penelitian one group pretest dan posttest. Jumlah sampel dalam penelitian yaitu 56 responden. Metode yang digunakan berupa ceramah dan demonstrasi dengan analisa data univariat berupa distribusi frekuensi dan bivariat dengan uji non-parametik Wilcoxon. Hasil penelitian ini didapatkan bahwa setelah diberikan intervensi tingkat pengetahuan ibu meningkat dari 1 orang (1,8%) menjadi 51 orang (91,1%) dan perilaku ibu meningkat dari 24 orang (42,9%) menjadi 53 orang (94,6%). Hasil uji non parametik Wilcoxon sebelum dan sesudah intervensi didapatkan nilai p-value 0,000 dengan rentang nilai perbedaan pengetahuan sebesar 4,9642 dan perilaku sebesar 17,7143, berarti terdapat pengaruh edukasi gizi terhadap pengetahuan dan perilaku ibu

Performa Tutor Sebagai Pendiagnosis Dalam Tutorial Menurut Persepsi Mahasiswa

ABSTRACT Background: Tutors are needed to facilitate tutorial  in order to ensure student achieving learning objective. In tutorial, tutor has a role as diagnostician that is tutor need to diagnose student prior knowledge. Tutors performance as diagnostician in medical faculty of Jambi University never have been studied. Objectives: This study aim to analyse tutors performance as diagnostician on tutorial in medical faculty of Jambi University based on students perception. Methods: This descriptive study involved 108 students of Block 17 (Reproductive System Block)  and 98 students of Block 11 (Urogenital System and Body Fluid Block) who are devided into 20 different tutorial groups. Tutor performance is assessed using questioners constructed based on theory (α cronbach 0,9093). Results: Data of 22 tutors performance were collected. Students perceived 2 tutors performed very good as a diagnostician. Another 19 tutors (86,4%) performance were rated as good, and 1 tutors (4,5%) were rated as fair. Data also showed that tutors performed poor on conducting several activities, such as come on time and stimulate students to discuss the next question if the student’s response to the questions declining. Conclusion: Students perceived numbers of tutor in medical faculty of Jambi University performed well as a diagnostician. However, Institutions still need to improve tutors performance by training and comprehensive evaluation Keyword: Diagnostician, Performance, Tutor