Competition to ensure sustainable conditions for graduates’ knowledge, skills, and competencies (KSC) and employability for sustainable development of human resources has long been present in higher education institutions (HEIs). The purpose of this study is to examine the roles of educational processes, practical activities, and research activities as key determinants to predict KSC and employability in the context of medical education in Indonesian HEIs. Moreover, this study also reports the role of facilities in predicting educational processes, practical activities, and research activities. This survey study obtained data from 1086 respondents, who are students of two medical schools. The data were analyzed by assessing the measurement and structural model in the partial least square structural equation model (PLS-SEM). Overall, all hypotheses were supported; the strongest relationship emerged between facilities and research activities, while the lowest relationship was present between practical activities and employability. From a theoretical perspective, the findings offer a conceptual framework related to HEIs’ quality management factors. Highlighting the significant relationships, appropriate policies can be produced for more quality institutions in improving graduates’ KSC and employability for the labor market.

Background Preeclampsia is a complication during pregnancy characterised by new-onset hypertension and proteinuria that develops after 20 weeks of gestation. Dyslipidemia in pregnancy is correlated with an increased risk of preeclampsia. However, the dynamic changes in lipid metabolic product, particularly fatty acid fraction, in preeclampsia maternal circulation, are not well understood. This study aimed to investigate fatty acid fraction in preeclampsia maternal blood compared with normotensive normal pregnancy. Methods A total of 34 women who developed preeclampsia and 32 women with normotensive normal pregnancy were included in our case-control study. Maternal blood samples were collected for serum fatty acid fractions analysis and other biochemical parameters. Serum fatty acid fractions included long-chain polyunsaturated fatty acid (LCPUFA), monounsaturated fatty acid (MUFA), saturated fatty acid, and total fatty acid, measured with gas chromatography-mass spectrometry (GC-MS). The mean difference of fatty acid level was analysed using parametric and non-parametric bivariate analysis based on normality distributed data, while the risk of preeclampsia based on fatty acid fraction was analysed using a logistic regression model. Results Women with preeclampsia have lower high-density lipoprotein (53.97 ± 12.82 mg/dL vs. 63.71 ± 15.20 mg/dL, p = 0.006), higher triglyceride (284.91 ± 97.68 mg/dL vs. 232.84 ± 73.69 mg/dL, p = 0.018) than that in the normotensive group. Higher palmitoleic acid was found in women with preeclampsia compared to normotensive normal pregnancy (422.94 ± 195.99 vs. 325.71 ± 111.03 μmol/L, p = 0.037). The binary logistic regression model showed that pregnant women who had total omega-3 levels within the reference values had a higher risk of suffering preeclampsia than those with the higher reference value (odds ratio OR (95% CI): 8,5 (1.51–48.07), p = 0.015). Pregnant women who have saturated fatty acid within reference values had a lower risk for suffering preeclampsia than those in upper reference value (OR (95% CI): 0.21 (0.52–0.88), p = 0.032). Conclusion Overall, palmitoleic acid was higher in women with preeclampsia. Further analysis indicated that reference omega-3 in and high saturated fatty acid serum levels are characteristics of women with preeclampsia.

ABSTRACT Background: Tutorial is one of the learning methods that is used in the implementation of Problem Based Learning (PBL) in the medical education. The effectiveness of PBL tutorial discussions is influenced by three basic aspects, i.e. students, tutors, and scenario. The effectiveness of the group tutorial must be ensured because it determines the success of PBL learning in medical education.  Research Objective : This study aims to look at the effectiveness of  tutorials  groups discussion on medical students at the Faculty of Medicine and Health Sciences University of Jambi (FKIK UNJA) based on students’ perceptions. Method : This research is a combination of quantitative research and qualitative research. Quantitative research conducted was a cross sectional study using,  using the Tutorial Group Effectiveness Instrument (TGEI) questionnaire. The use of the TGEI questionnaire in this study was to find out the effectiveness of tutorials groups discussion on FKIK UNJA medical students based on students’ perceptions. Furthermore, qualitative research was conducted with focus group discussions (FGD) to confirm and explore students’ perceptions based on the results of the questionnaire analysis. Results : Overall, based on the cognitive, motivational and demotivational aspects, the  majority of the effectiveness of  tutorial discussion of medical students of FKIK, belongs to moderate category (>95%) based on student perceptions. Conclusion : The results of the study show that the tutorial discussion of medical students of FKIK UNJA  was going quite efficient and effective. Keywords : PBL, tutorials, medical students, TGEI   ABSTRAK Latar Belakang: Tutorial merupakan salah satu metode pembelajaran  yang digunakan dalam pelaksanaan Problem Based Learning (PBL) di pendidikan kedokteran. Keefektifan diskusi tutorial PBL dipengaruhi oleh tiga aspek dasar yaitu, mahasiswa, tutor, dan skenario.  Keefektifan kelompok tutorial harus dipastikan karena menentukan kesuksesan pembelajaran PBL di pendidikan kedokteran. Tujuan Penelitian: Penelitian ini bertujuan untuk melihat keefektifan kelompok diskusi tutorial pada mahasiswa kedokteran Fakultas Kedokteran dan Ilmu Kesehatan  Universitas Jambi (FKIK UNJA) berdasarkan persepsi mahasiswa Metode: Penelitian ini merupakan gabungan antara penelitian kuantitatif dan penelitian kualitatif. Penelitian kuantitatif yang dilakukan merupakan, studi cross sectional dengan menggunakan kuesioner Tutorial Group Effectiveness Instrument (TGEI). Penggunaan kuesioner TGEI pada penelitian ini untuk mengetahui gambaran keefektifan kelompok diskusi tutorial pada mahasiswa kedokteran FKIK UNJA berdasarkan persepsi mahasiswa. Selanjutnya  dilakukan penelitian kualitatif dengan diskusi kelompok terfokus (DKT) untuk mengkonfirmasi dan mengeksplorasi persepsi mahasiswa tersebut berdasarkan hasil analisis kuesioner Hasil: Secara keseluruhan dari segi aspek kognitif , motivasi dan demotivational , berdasarkan persepsi mahasiswa , kefektifan diskusi tutorial mahasiswa kedokteran FKIK masuk dalam kategori sedang (>95%). Kesimpulan: Hasil penelitian menunjukkan diskusi tutorial mahasiswa kedokteran FKIK UNJA sudah berjalan cukup baik dan efektif. Kata kunci: PBL, tutorial, mahasiswa kedokteran, TGEI

Current medical education curriculum refers to the Indonesian Medical Doctor’s Standard of Competence 2012. Competencies are detailed in seven general areas of competence to be achieved by medical students. This study focused on the development of learning media in the form of guide book and video related to the basic obstetric ultrasound examination and its influence in improving student’s knowledge of basic obstetric examination skills. A quantitative method used to see the effectiveness of the learning media that we developed. Twenty-one under graduate medical students who undertook clinical rotation in the Department of Obstetrics and Gynecology participated in this study through completing the pre-post student’s questionnaires to assess the students' knowledge before and after the delivery of learning media. The collected data were analyzed with a computer program; Means and Standard Deviation were calculated as descriptive parameters. Parametric tests were used to test the hypotheses. The pre-post results were compared using the Wilcoxon statistical test. The results showed a significant difference in the score of pretest and posttest. There was an increase in the average score of pretest and posttest for students after obtaining the teaching media and clinical supervision. The value of each individual was also increased. The analysis with the Wilcoxon statistical test showed significant differences which mean that there were improvements on student’s knowledge of basic obstetric examination skills after the delivery of guide book and video. The use of teaching media in the form of basic obstetric ultrasound module and video contributed to positive results to improve the student’s knowledge.

Objective Calcitonin receptor-like receptor (CRLR) regulates vasoconstriction and dilatation; the expression increases during hypoxia via activation of hypoxia response element (HRE) in CRLR gene promoter region. Variant in HRE, as well short tandem repeat (STR) variants near HRE in CRLR alters the gene expression. This study focused on a case–control study to investigate the expression of genetic typing CLRL promoter variant in pregnant women with severe preeclampsia and normal pregnancies, we also tried to describe interesting findings of the genetic expression in anemic patients in the severe preeclampsia group. Our aimed to observe the correlation of CRLR gene promoter variant and anemia in severe preeclampsia. Results There was no nucleotide variant in HRE; CACA box prior to HRE varied in length (15–24); CACA box with length > 20 was used as cut off point. Hb was lower in CACA box length ≥ 21 (10.33 ± 1.57) vs. < 21 (11.01 ± 1.67; p = 0.391). CACA box polymorphism and anemia were correlated in severe preeclampsia (p = 0.005) OR 0.038 (CI 0.003–0.544); not in normal (p = 0.069).

Orang tua merupakan pihak yang sangat berpengaruh dalam pemantauan maupun untuk pemenuhan kebutuhan tumbuh kembang anak terutama pada lima tahun kehidupan yang merupakan masa keemasan bagi tumbuh kembang anak. Data dari riset menunjukkan peningkatan prevalensi orangtua yang tidak melakukan pemantauan tumbuh kembang anak berkala,   padahal   pemantauan tumbuh kembang balita selaras dengan deteksi dini gangguan tumbuh kembang balita sehingga intervensi dan simulasi dapat memberikan hasil yang optimal. Oleh karena hal tersebut penulis mengusulkan pengabdian masyarakat ini. Pengabdian masyarakat diselenggarakan di klinik social MER-C didapatkan sampel sebanyak 66 anak dalam kurun waktu Mei hingga Juni 2016. Kegiatan pemantauan tumbuh kembang dilakukan sesuai kurva pertumbuhan WHO dengan pengukuran berat badan  dan  tinggi  badan.  Pemantauan  perkembangan  anak  dilakukan  dengan  instrument  KPSP. Edukasi kepada orangtua dilakukan dengan penyuluhan tentang tumbuh kembang anak dan asupan nutrisi yang bergizi dan sesuai. Hasil deteksi dini penilaian pertumbuhan dengan kurva WHO didapatkan  sebanyak  53%  anak  yang  diperiksa  memiliki  perawakan  normal  dan  gizi  normal. Sebanyak 31, 7 % anak yang diperiksa memiliki masalah gizi lebih dengan rincian  15,1 %  terdeteksi resiko gizi lebih,  4,5 % overweight dan 12, 1 % obesitas. Pemeriksaan perkembangan anak dengan instrument KPSP didapatkan sebanyak 97% anak perkembangannya sesuai dengan usia, hanya 3% atau 2 orang dari 66 anak yang diperiksa nilai KPSP meragukan. Edukasi yang diberikan kepada orang tua berupa pentingnya orangtua memeriksa pertumbuhan dan perkembangan balita, waktu dan kekerapan orangtua melakukan pemeriksaan dan bagaimana memberikan asupan gizi daan stimulasi yang benar dan seimbang sesuai usia anak sehingga tercapai tumbuh kembang anak yang optimal.

Introduction: Ex-drug addicts might potentially experience a relapse. Previous research hadfound that one of the factors that could affect ex-drug addicts to survive from a relapse was selfesteem.Self-esteem is essential for every human being, especially for the ones who are in theirrecovery, such as addiction recovery. This research aimed to describe the self-esteem of ex-drugaddicts working at a rehabilitation center.Method: The participants of this research were three men working at a rehabilitation center andhad stopped using drugs minimum in a year. This research was conducted in Jambi in 2018, useda qualitative research method with a phenomenology approach. The data collection techniqueused an in-depth interview.Result: All of the participants still disregarded some values yet had some appropriateexperiences in other aspects of self-esteem. The main factors that significantly contributed totheir self-esteem were relatively different. Conclusions and recommendation: It appears that the self-esteem of all the participants tendsto lead to the mediumcategory Keywords: addiction recovery, ex-drug addict, rehabilitation, self-esteem   ABSTRAKLatar Belakang: Mantan pecandu narkoba yang berhasil lepas dari ketergantungan narkobaberpotensi untuk mengalami kekambuhan. Penelitian sebelumnya menemukan salah satu faktoryang dapat mempengaruhi mantan pecandu narkoba mampu bertahan untuk tidak kembalimenggunakan narkoba adalah harga diri. Harga diri penting dalam kehidupan seseorang, terutamabagi seseorang yang sedang dalam masa pemulihan, seperti pemulihan adiksi. Penelitian inimendeskripsikan mengenai harga diri pada mantan pecandu narkoba yang bekerja di pusatrehabilitasi “X” Jambi.Metode: Partisipan penelitian ialah tiga orang laki-laki dewasa yang berusia antara 25-45 tahun,sedang bekerja sebagai staf di pusat rehabilitasi “X” Jambi, dan telah berhenti menggunakannarkoba minimal satu tahun. Penelitian dilakukan di Kota Jambi pada tahun 2018, menggunakanmetode penelitian kualitatif dengan pendekatan fenomenologi, serta metode pengumpulan datamelalui teknik wawancara mendalam.Hasil: Ketiga partisipan masih belum memenuhi beberapa nilai-nilai kebajikan, namun partisipantelah berhasil memenuhi sebagian besar nilai yang terkandung dalam aspek harga diri. Faktoryang paling berperan dalam pembentukan harga diri masing-masing partisipan secara khususmemiliki perbedaan yang mendasar. Kesimpulan dan Saran: Harga diri ketiga partisipan cenderung mengarah ke dalamkategori harga dirisedang berdasarkan keseluruhan aspek yang hampir terpenuhi dan beberapayang tidak terpenuhi.Kata kunci: harga diri, mantan pecandu narkoba, pemulihan adiksi, rehabilitasi

Abstract Pulmonary tuberculosis (TB) is a contagious disease caused by Mycobacterium tuberculosis with the highest mortality rate in worldwide. Indonesia is one of big five country with the highest incidency. Based on distribution per province, Lampung was in the tenth with 7,627 new TB cases in 2017. The purpose of this research was to determine the risk factors of pulmonary tuberculosis in Perumnas Way Kandis Subdistrict. Methods:This is a qualitative research with phenomenological approach. Samples was determined purposively based on appropriateness and adequateness. This research involved 5 people with BTA (+) who are undergoing treatment and 5 people who are the patients’ close family as informant. Data was collected by observation and interview. Data validity was maintained with triangulation and analysed with Milles and Huberman Model. Results: Based on indepth interview, understanding of the informants of TB was good; most of informants did not know the ways and the sources of TB transmission; informants had a habit of not using masks; most of informants with TB do a routine treatment; the close family of informants with TB support and remind them taking medication; distance of the houses between informants with TB is close enough, do not have good sun lighting and air circullation. Conclusion: The priority cause of TB is the low compliance in using masks so the priority solution is to distribute masks for TB patients. Keywords: Indepth interview, mask, tuberculosis   Abstrak Tuberkulosis (TB) merupakan penyakit menular yang disebabkan oleh Mycobacterium tuberculosis dengan angka kematian tertinggi di dunia. Indonesia termasuk dalam lima besar negara dengan insiden tertinggi. Berdasarkan sebaran per provinsi, Lampung berada di posisi kesepuluh dengan 7.627 kasus TB baru pada tahun 2017. Penelitian ini bertujuan untuk mengetahui faktor risiko penularan TB paru di Kelurahan Perumnas Way Kandis. Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Pemilihan sampel ditetapkan secara langsung (purposive) dengan prinsip kesesuaian (appropriateness) dan kecukupan (adequateness). Jumlah sampel terdiri dari 5 orang pasien BTA (+) yang sedang menjalani pengobatan dan 5 orang keluarga terdekat pasien sebagai informan. Pengumpulan data dilakukan dengan observasi dan wawancara. Validitas data dijaga dengan triangulasi dan analisis data menggunakan model Milles dan Huberman. Hasil: Berdasarkan indepth interview, pengetahuan informan mengenai TB sudah baik; sebagian informan tidak mengetahui cara dan sumber penularan TB; informan memiliki kebiasaan tidak menggunakan masker; sebagian besar informan dengan penyakit TB melakukan pengobatan secara rutin; keluarga besar informan dengan penyakit TB mendukung dan mengingatkan untuk minum obat; jarak rumah antarpenderita TB berdekatan serta tidak memiliki pencahayaan matahari dan sirkulasi udara yang baik. Kesimpulan: Prioritas penyebab TB adalah rendahnya kepatuhan menggunakan masker sehingga jalan keluar yang diprioritaskan adalah dengan kegiatan pembagian masker bagi para penderita TB. Kata kunci: Indepth interview, masker, tuberkulosis