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All Journal Jurnal Kesehatan Masyarakat Althea Medical Journal Jurnal Berkala Epidemiologi JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Public Health of Indonesia Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Global Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Maternitas Kebidanan Jurnal Keperawatan Priority Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Kesmas Prima Indonesia Health Information : Jurnal Penelitian Jurnal Prima Medika Sains Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Darma Agung Academia Open JURNAL PENELITIAN KESMASY COMMUNITY : Jurnal Pengabdian Kepada Masyarakat Buletin Kedokteran dan Kesehatan Prima International Journal of Health and Pharmaceutical (IJHP) Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Eduvest - Journal of Universal Studies Innovative: Journal Of Social Science Research Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Journal of Foundational Learning and Child Development
Rapael Ginting
Magister Public Health, Faculty Of Medicine, Universitas Prima Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Inhibitory ability of robusta coffee bean extract against Staphylococcus epidermidis Lister, Clarissa; Ginting, Rapael; Panggabean, Endah Ansylla; Tarigan, Ermilia Laurensya
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 1 (2024): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i1.5710

Abstract

Background: Treatment of infections generally uses chemical antibiotics, but chemical antibiotics have effects such as increasing toxicity to the body. The solution to overcome this problem is to use antibiotics from natural ingredients, such as coffee. Objective: This study aims to determine the effectiveness of robusta coffee bean extract (Coffea canephora) in inhibit the growth of Staphylococcus epidermidis bacteria. Methods: This research is an experimental study with a post test only control group design. There were 10 groups in this study, namely 2 control groups and 8 treatment groups. The technique used is disc diffusion to see the role of robusta coffee bean ethanol extract in inhibiting the growth of Staphylococcus epidermidis bacteria. The data was analyzed using the Mann-Whitney test to determine the difference between treatments. Results: The results of the Mann-Whitney test showed that there were differences in the average inhibition zone of Robusta coffee bean extract and the inhibitory power at each concentration (p<0.05). The concentration that has the highest inhibition is the concentration of 500 mg/ml. Conclusion: It can be said that there is an effectiveness of robusta coffee bean extract in reducing Staphylococcus epidermidis bacteria because the specified concentration inhibition zone is obtained.
The effect of physical exercise on blood glucose levels in patients with type 2 diabetes mellitus Siregar, Annisa Surto; Ginting, Rapael; Leslie, William; Putri, Nadya Nazimuddin; Hutabarat, Bartimeus Nicomama; Syahputra, Ari Denggan
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6583

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia. This study aimed to analyze the effect of physical exercise on blood glucose levels in patients with Type 2 DM at the Medan Johor Public Health Center. This analytical observational study utilized a case-control design and involved 34 respondents, divided into a case group (with uncontrolled blood glucose levels) and a control group (with controlled blood glucose levels). Data on physical activity, including frequency, duration, and intensity of exercise, were obtained through interviews using the GPAQ questionnaire, while blood glucose level data were sourced from medical records. The results showed a significant relationship between physical activity (p=0.028), frequency of physical exercise (p=0.006), duration of physical exercise (p=0.015), and intensity of physical exercise (p=0.034) with blood glucose levels. Physical exercise performed at least three times a week, for a minimum duration of 30 minutes per session, and at an appropriate intensity proved effective in controlling blood glucose levels in patients with Type 2 DM. This study emphasizes the importance of incorporating physical exercise into the management plan for Type 2 DM.
The impact of work commitment and motivation on the performance of nurses at Muyang Kute Hospital, Bener Meriah Regency Jumiati, Jumiati; Hartono, Hartono; Ginting, Rapael; Wilvia, Wilvia; Setiawan, Linda Novelgia; Chiuman, Veranyca; Yuni, Yuni; Pratiwi, Tari Dwi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6678

Abstract

This study investigates the influence of work commitment and motivation on nurse performance at Muyang Kute Regional General Hospital, Bener Meriah Regency, Indonesia, using an analytical survey with a cross-sectional design. A total sampling of 49 nurses from inpatient wards participated in the study. Data were collected via questionnaires measuring work commitment (Guttman scale), work motivation (Guttman scale), and nurse performance (Likert scale). Bivariate analysis using Fisher’s Exact Test revealed a significant association between both work commitment and nurse performance (p = 0.000) and work motivation and nurse performance (p = 0.003). Nurses with high commitment demonstrated significantly higher performance, with 81.8% exhibiting high performance compared to 25.9% of nurses with low commitment. Similarly, nurses with high work motivation showed significantly higher performance, with 70.4% categorized as high performers compared to 27.3% of those with low motivation. These findings highlight the critical role of work commitment and motivation in enhancing nurse performance, suggesting that interventions aimed at improving these factors could lead to significant improvements in healthcare delivery at Muyang Kute Hospital. The study underscores the importance of addressing factors that influence nurse commitment and motivation to optimize patient outcomes and organizational success.
Health service quality and outpatient hypertension patient satisfaction: A cross-sectional study Olidya, Desyoma; Ginting, Rapael; Siagian, Masryna; Yulizal, OK; Lumbantobing, Christina JRE.; Edlin, Edlin; Fibrini, Dewi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6755

Abstract

This study aimed to evaluate the impact of healthcare service quality on patient satisfaction among hypertensive outpatients at Muyang Kute Regional General Hospital. Employing a quantitative, cross-sectional design, data were collected from 79 patients using a questionnaire assessing five service quality dimensions (tangibles, reliability, responsiveness, empathy, and assurance) and overall patient satisfaction. Bivariate analysis, utilizing the chi-square test, was conducted to examine relationships between service quality dimensions and patient satisfaction. Results indicated generally positive perceptions of service quality dimensions, with tangibles, reliability, and assurance rated highly. However, empathy and responsiveness showed higher dissatisfaction rates. Notably, only assurance demonstrated a statistically significant association with patient satisfaction (p=0.002), where patients perceiving "Good" assurance were more likely to report satisfaction. Overall patient satisfaction was mixed, with 54.43% reporting satisfaction and 45.57% reporting dissatisfaction. The study highlights the critical role of staff competence and patient confidence (assurance) in driving satisfaction. Recommendations include targeted interventions to improve empathy and responsiveness, continuous monitoring of all service quality dimensions, and further investigation into potential underlying factors affecting overall satisfaction.
The association between snacking habits and the incidence of diarrhoea among school-aged children at SD Negeri 060834 Medan Petisah Gea, Lestin; Hartono, Hartono; Ginting, Rapael
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.6786

Abstract

Background: Diarrhoea remains a significant health concern among school-aged children, with snacking habits playing a potential role in its occurrence. Aim: This study aimed to examine the relationship between snacking habits (frequency, type, and consumption practices) and the incidence of diarrhoea among primary school students at SDN 060834 Medan Petisah. Methods: A cross-sectional study was conducted with 56 students in grades IV–VI. Data were collected using a structured questionnaire assessing snacking habits and diarrhoea incidence. Statistical analysis employed chi-square tests to determine associations. Results: The majority of respondents (60.7%) reported frequent snacking, with 58.9% exhibiting healthy snacking practices. No significant association was found between the frequency (p=0.549) or type (p=0.122) of snacks consumed and diarrhoea. However, unhealthy snacking practices showed a significant association with diarrhoea incidence (p=0.001), with 64.3% of students engaging in unhealthy practices experiencing diarrhoea. Conclusion: Unhealthy snacking practices significantly increase the risk of diarrhoea among schoolchildren. Interventions promoting hygienic and nutritious snacking habits are essential to reduce diarrhoea prevalence in this population.
Factors affecting community waste disposal in the Deli River, Medan Petisah Batu, Artosi Sumana Lumban; Ginting, Rapael; Hartono, Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7234

Abstract

Humanity and other living organisms coexist within the environment. Rivers, as essential components of the environment, provide critical benefits for human survival, including supplying water for daily use, supporting fisheries, and facilitating water transportation. However, human activities frequently exert negative impacts on river ecosystems, such as the disposal of solid and industrial waste. This study aimed to identify the factors influencing community waste disposal practices in the Deli River, Petisah Village, in 2023. Employing a quantitative, descriptive-analytical cross-sectional survey design, the study population comprised 250 residents residing along the Deli River, from which a sample of 154 participants was selected through simple random sampling. Bivariate analyses were conducted using the Chi-square test. The findings demonstrate significant associations between waste disposal behavior and knowledge (p=0.004), attitude (p=0.004), practices (p<0.001), and infrastructure (p=0.008). Furthermore, logistic regression analysis identified infrastructure as the strongest predictor of waste disposal behavior, indicating that inadequate infrastructure increases the likelihood of respondents disposing of waste into the river.
Differences in nutritional status of exclusively breastfed and non-exclusively breastfed infants aged 0-6 months in Kutambaru Village, Munte Subdistrict Tarigan, Denada Br; Sibagariang, Eva Ellya; Ginting, Rapael; Halim, Binarwan; Kuswani, Lili; Silaen, Mangatas; Hutapea, Johnson; Iskandar, Dalmy; Nasution, Syamsul Arifin
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7564

Abstract

Nutritional status in children under five remains a critical public health issue in Indonesia, characterized by high rates of stunting (21.6%) and wasting (7.9% in North Sumatra). Exclusive breastfeeding (EBF) for the first six months is vital for optimal growth, but compliance is low. This study aimed to analyze the determinants of nutritional status, focusing on the differences between infants aged 0-6 months receiving exclusive breastfeeding and those receiving breastfeeding plus early complementary feeding (MPASI). This research employed a comparative analytical design with a total sampling of 40 mothers and their infants (0-6 months) in Kutambaru Village, Munte Subdistrict. The independent variables were breastfeeding status (exclusive vs. non-exclusive) and complementary feeding status. The dependent variable was infant nutritional status (weight-for-length). Data were analyzed using the Chi-Square test. The results demonstrated a statistically significant association between exclusive breastfeeding and infant nutritional status (p = 0.019). Infants who received EBF were significantly more likely to have an optimal nutritional status. Complementary feeding also showed a significant association (p = 0.033). In conclusion, exclusive breastfeeding is the dominant factor significantly associated with optimal nutritional status in infants 0-6 months. Strengthening interventions to promote EBF is critical to prevent malnutrition.
Analysis Of Factors Associated With The Occurrence Of Tuberculosis Treatment Dropout In The Work Area Of The Subulussalam City Health Office Year 2023 Fatmasari Bangun, Nita; Girsang, Ermi; Ginting, Rapael
Eduvest - Journal of Universal Studies Vol. 4 No. 4 (2024): Journal Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v4i4.1180

Abstract

Tuberculosis (TB) poses a grave threat to those afflicted, contributing significantly to the global mortality rate. Caused by the infectious bacterium Mycobacterium tuberculosis, TB primarily targets the lungs, with Indonesia ranking second in its prevalence worldwide. This study aims to scrutinize factors associated with TB treatment discontinuation within the Subulussalam City Health Service Work Area in 2023, employing a quantitative, cross-sectional approach. A sample of 203 TB patients under treatment within the area was subjected to logistic regression and multiple logistic regression analyses. Findings revealed a correlation between treatment discontinuation and factors such as inadequate knowledge (p = 0.00; OR = 27.81) and adverse drug reactions (p = 0.02; OR = 13.05). Recommendations include enhancing patient education on TB risks to bolster awareness and deter treatment abandonment, instituting recognition programs within health centers to incentivize treatment completion, and acknowledging the proactive role of healthcare personnel in facilitating patient adherence.
Efficiency Of Transition From Manual Medical Records To Electronic Medical Records On  The Speed Of Patient Service At RSU Royal Prima Medan Laurenxius, Vanessa Sinana; Ginting, Chrismis Novalinda; Ginting, Rapael
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 7 No. 2 (2025): May
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v7i2.79

Abstract

In the digital era, the integration of quality and routine data is key to transforming healthcare services. The utilization of information technology continues to grow, spanning from planning to providing individual and community health data. One of the innovations implemented is the transition from manual medical records to electronic medical records (RME), which despite its many benefits, still faces various challenges. RSU Royal Prima Medan started this transition process at the end of 2023 until early 2024, with the main obstacles being infrastructure limitations, suboptimal system integration, and adaptation difficulties that impacted the efficiency of patient services.  This study aims to analyze the efficiency of the RME transition in improving patient service speed at RSU Royal Prima Medan. The method used was descriptive qualitative with an exploratory approach, involving in-depth interviews, direct observation, and document analysis. Data were analyzed using the Miles and Huberman interactive model. The results showed that the implementation of RME has achieved about 80% effectiveness in improving service efficiency. The data retrieval process became 50% faster than the manual system, while the RME utilization rate reached 85%. Patient waiting time was also reduced by an average of 15 minutes per consultation. Despite this, obstacles such as network instability and technical issues were still encountered. In conclusion, the transition to RME at RSU Royal Prima Medan has improved service efficiency and patient data management. However, continuous system development, more comprehensive integration, as well as infrastructure improvements are needed to optimize the benefits of RME in improving healthcare quality
Barriers to Stunting Intervention at a Community Health Center: A Qualitative Study Ginting, Rapael; Girsang, Ermi; Sinaga, Megasilvia; Manalu, Putranto
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.4656

Abstract

Stunting is one of Indonesia's most prevalent nutritional problems, with a prevalence rate of 24.4%. In Samosir Regency, the prevalence of stunting remains relatively high at 28.4%. Community health centers are crucial in the community's efforts to accelerate stunting reduction. This study aimed to explore the barriers a community health center faces in implementing the stunting reduction acceleration program. Method: Using a qualitative case study design, the study was conducted at Buhit community health center in Samosir Regency from August to December 2022. The key informants for this study included the community health center leader, head of administration, nutritionist, and midwife. Data were collected through in-depth interviews and document review. The results identified several barriers to the implementation of the Accelerated Stunting Reduction Programme. These barriers encompassed limited staff resources and concurrent positions, the availability and suitability of anthropometric tools, a lack of coordination in planning activities between management and program officers, families' fear of the negative stigma associated with stunting, and low levels of community participation. Farmers who do not comply with safe behavior will have a higher health risk because of the toxicity of pesticides that can be directly inhaled and enter through the pores of the farmers' skin
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