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All Journal Journal of Midwifery and Nursing PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Journal of Public Health Science (JoPHS) Tour Health Journal
Helvinus Laia
ATRO Yayasan Amal Bhakti Sinar Medan
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Cases of Acute Abdomen Radiography With Perforation At General Hospital Haji Adam Malik: Cases of Acute Abdomen Radiography With Perforation At General Hospital Haji Adam Malik Nita Triana Saragih; Nelida Pasaribu; Helvinus Laia
Journal of Midwifery and Nursing Vol. 2 No. 1 (2020): Health Science
Publisher : Institute Of Computer Science (IOCS)

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Abstract

This examination is discussed on the level of success in doing Techniques Radiography Acute Abdomen By Case Perforations, data was obtained by firstly be the Formation of Shadows with menggnakan Computed Radiography, Aircraft X-ray used is a plane general X-ray unit, with the projection used is Antero-posterior supine, Antero-posterior erect, and Left Lateral Decubitus, on examination Abdomen Perforation Wide Field irradiation should be tailored to the size of the object to reduce the radiation scattering, and use the grid to absorb radiation hamburg and reduce the radiation dose, Placement Marker should be on the object to be photographed , These checks are carried out directly and relate to patients.
The Relationship between Health Service Quality and Outpatient Satisfaction Level at Kenangan Health Center, Deli Serdang Regency Ivan Elisabeth Purba; Taruli Rohana Sinaga; Rahmat Alyakin Dachi; Helvinus Laia
TOUR HEALTH JOURNAL Vol. 1 No. 3 (2022): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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Abstract

Purpose: Quality of service is a form of patient assessment of the level of service received with the expected level of service. Quality service gives satisfaction to its users. Patient satisfaction is a form of reaction as an attitude that arises as a result of the evaluation process within the individual which then provides conclusions on the stimuli that can be in the form of good or bad, positive, negative, pleasant or unpleasant or emotional ratings related to the quality of services provided by the Puskesmas and patient expectations of the service. This study aims to determine the relationship between the quality of health services and the satisfaction level of outpatients at the Kenangan Health Center, Deli Serdang Regency in 2022. Method: The correlation analytic study design used a cross sectional approach. The population in this study were outpatients at the Kenangan Health Center, Deli Serdang Regency, from January to May 2022, with an average of 869 patients per month. The sampling technique used the Purpose Sampling technique so that the number of samples in this study were 90 people. The instruments used were questionnaires, the data were analyzed using the Chi-Square test. Results: The results showed that the quality of outpatient services at the Kenangan Health Center in Deli Serdang Regency in 2022 assessed the quality of health services as not good at 51.1% with a total of 46 respondents and outpatient satisfaction at the Kenangan Health Center in Deli Serdang Regency in 2022 which assessed patient satisfaction was not satisfied by 53.3% with a total of 48 respondents, there is a significant relationship between the relationship between the quality of health services and the level of outpatient patient satisfaction at the Kenangan Health Center, Deli Serdang Regency, in 2022 (p value = 0.000 <0.05). Disscusion and Conclusion: Suggestions to the Kenangan Health Center in Deli Serdang Regency for service workers to further increase empathy for patients so that patients feel really cared for by officers so they feel satisfied with the services provided.
ANALISIS IMPLEMENTASI MUTU PELAYANAN PADA PASIEN RAWAT JALAN DI UPT PUSKESMAS TUNTUNGAN KOTA MEDAN Laia, Helvinus; Utama, Indra; Purba, Agnes Erna Taulina; Ketaren, Otniel; Tarigan, Frida Lina
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.44046

Abstract

Penelitian ini bertujuan untuk menganalisis implementasi mutu pelayanan pada pasien rawat jalan di UPT. Puskesmas Tuntungan Kota Medan Tahun 2024. Penelitian ini menggunakan pendekatan kualitatif dengan rancangan studi deskriptif. Informan dipilih menggunakan teknik purposive sampling. Jumlah Informan utama adalah 6 pasien rawat jalan sebagai informan utama dan 2 orang informan pendukung (triangulasi) yaitu kepala Puskesmas dan ketua mutu Puskesmas Tuntungan. Pengumpulan data dilakukan dengan teknik observasi, wawancara mendalam, dan studi dokumentasi. Hasil penelitian menunjukkan, ditinjau dari dimensi kelangsungan pelayanan, berdasarkan hasil penelitian, 5 dari 6 orang informan menyatakan sudah puas dengan kelangsungan pelayanan yang ada di Puskesmas Tuntungan Kota Medan. Pasien merasa bahwa prosedur yang ada di Puskesmas tidak berbelit-belit (mudah) untuk dijalankan pasien, sehingga pasien tidak bingung saat mengakses pelayanan kesehatan di Puskesmas Tuntungan Kota Medan dan tidak terjadi pengulangan prosedur yang dapat mengurangi efektivitas dan efisiensi pelayanan. Ditinjau dari dimensi kelangsungan pelayanan, berdasarkan hasil penelitian, 5 dari 6 orang informan menyatakan sudah puas dengan kelangsungan pelayanan yang ada di Puskesmas Tuntungan Kota Medan. Pasien merasa bahwa prosedur yang ada di puskesmas tidak berbelit-belit (mudah) untuk dijalankan pasien, sehingga pasien tidak bingung saat mengakses pelyanan kesehatan di Puskesmas Tuntungan Kota Medan dan tidak terjadi pengulangan prosedur yang dapat mengurangi efektivitas dan efisiensi pelayanan. Tingkat kepuasan pasien rawat jalan di Puskesmas jika dilihat secara keseluruhan pasien sudah merasa puas akan tetapi perlu dilakukan evaluasi dan perbaikan terhadap pelayanan Puskesmas, sehingga harapan semua pasien yang datang dapat terpenuhi.
LUMBAR VERTEBRAE RADIOGRAPHY WITH SUSPECTED SPONDYLOSIS AT MEDAN ADVENTIST HOSPITAL Laia, Helvinus; Sihotang, Sri Nanda
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v2i4.3454

Abstract

Lumbar Radiography with suspected Spondylosis is an examination to show anatomy and abnormalities in the lumbar spine using x-rays. Spondylosis is a term used to describe degenerative changes that occur in the articular components of the spine. Spondylosis can be said to be the development of osteophytes (bone spurs) along the joints of the vertebral body and intervertebral discs. The projections used are Antero-Posterior and Lateral x-ray planes used general x-ray unit using 200 mA. Image recording using Digital Radiography (DR) The type of research conducted is a qualitative and descriptive method. Data collection techniques using documentation and observation.
RADIOGRAPHY OF OS HUMERUS SINISTRA WITH SUSPENSION MULTIPLE FRACTURES OF THE MIDDLE 1/3 OF THE HUMERUS AT THE Drs. H. AMRI TAMBUNAN LUBUK PAKAM REGIONAL HOSPITAL Laia, Helvinus; Tarigan, Liberti
Journal of Public Health Science Vol. 2 No. 4 (2025): Desember
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v2i4.3458

Abstract

The humerus is the longest and largest bone in the upper extremity. It articulates proximally with the scapula and distally with the elbow or antebrachium. The proximal end of the humerus has a rounded head (caput humeri) that articulates with the glenoid cavity of the scapula to form the glenohumeral joint. Distal to the humeral head is the anatomical neck, which appears as an oblique groove. Distal to the anatomical neck is the greater tubercle. The greater tubercle is the most palpable lateral landmark of the humerus in the shoulder region. Between the greater tubercle and the lesser tubercle is a groove called the intertubercular sulcus. The primary function of the humerus is to provide attachment for arm muscles and support various physical functions of the arm. A fracture is a condition in which the continuity of bone and cartilage is disrupted due to impact or osteoporosis. Multiple fractures are a condition in which the continuity of bone tissue is lost in more than one line. This study aims to produce an optimal radiographic image of the left humerus with suspected Multiple Fractures of the Middle 1/3 of the Humerus, so that the photo results can be used as accurate results for further treatment. This study was conducted at the Radiology Installation of Drs. H. Amri Tambunan Regional General Hospital, the research time was in April 2025, the research method used was the interview method, and direct observation. Examination of the left humerus with suspected Multiple Fractures of the Middle 1/3 of the Humerus was carried out using Antero-Posterior and Lateral projections. In this examination the author used a general X-ray unit, with the image recording process using digital radiography (DR).
Radiografi Abdomen Dengan Sangkaan Fecal Impaction: Studi Kasus di Rumah Sakit Royal Prima Medan Laia, Helvinus; Tarigan, Liberti
Jurnal Ners Vol. 10 No. 2 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54802

Abstract

Radiografi Abdomen adalah pemeriksaan radiologi yang memanfaatkan sinar-X untuk melihat kelainan pada rongga perut, seperti fecal impaction. Fecal impaction merupakan komplikasi dari konstipasi kronis di mana feses keras menumpuk di saluran pencernaan distal, paling sering di rektum. Penelitian ini bertujuan untuk mengetahui prosedur pemeriksaan, hasil gambaran, serta upaya optimalisasi radiografi abdomen dengan sangkaan fecal impaction di Rumah Sakit Umum Royal Prima Medan. Jenis penelitian ini adalah deskriptif kualitatif dengan pendekatan studi kasus. Pengumpulan data dilakukan melalui observasi langsung, dokumentasi, dan wawancara pada bulan April 2025. Pemeriksaan dilakukan menggunakan pesawat General X-ray Siemens Multix Select dan Digital Radiography (DR) dengan tiga proyeksi utama: Antero Posterior (AP) Supine, Antero Posterior (AP) Erect, dan Left Lateral Decubitus (LLD). Hasil interpretasi menunjukkan adanya distribusi udara usus yang meningkat dan gambaran fecal material yang prominen pada kolon asendens, transversum, dan desendens, yang mengarah pada diagnosa fecal impaction. Penggunaan tiga proyeksi (3 posisi) mampu memberikan informasi diagnostik yang optimal untuk menegakkan diagnosa fecal impaction dan menyingkirkan kemungkinan ileus atau perforasi.
Co-Authors Frida Lina Tarigan Ivan Elisabeth Purba Ketaren, Otniel Nelida Pasaribu Nita Triana Saragih Purba, Agnes Erna Taulina Rahmat Alyakin Dakhi Sihotang, Sri Nanda Tarigan, Liberti Taruli Rohana Sinaga Utama, Indra