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Stunting Risk Factors For Children Aged 6 - 36 Months in The Region of Sambirejo Health Center, Langkat, North Sumatera Harahap, Juliandi; Amelia, Rina; Andayani, Lita Sri; Lubis, Nenni Dwi Aprianti; Aulia, Destanul
Jurnal KESANS : Kesehatan dan Sains Vol 2 No 3 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v2i3.121

Abstract

Introduction: Stunting is a chronic malnutrition condition caused by a numeuros of factors, including inadequate maternal nutritional nutrition during pregnancy, inadequate exclusive breastfeeding, and infectious diseases. There are also some indirect factors .Objective: The objective of this study was to investigate the risk factors for stunting in children aged 6-36 months in the Sambirejo Health Center area. study. Method: This study is an observational analytic study using a cross-sectional approach that gathers data via a questionnaire. Sampling Techniques using the Non- Probability Sampling technique, and the sample size was estimated using the Lemeshow formula. The Prevalence Ratio (PR) was calculated to evaluate the strength of the link between the factors assumed to be linked with stunting. Result and Discussion: Of the 65 samples,  Four children were stunted, while 61 were not. Infants who were not exclusively breastfed, infants with a history of LBW, infants with a history of SBL, and family planning of 2 years both were risk factors for stunting in this study. Conclusions: Some variables in this study had no impact on the incidence of stunting. In this study, the risk factors for stunting were LBW, SBL, and infants without exclusive breastfeeding, and child spacing was a neutral factor for the occurrence of stunting in children aged 6-36 months.
Age and Diabetes Mellitus Associated with Hematological Disorders and Peripheral Neuropathy in MDR-TB Patients Treated with the BPaL/M Regimen Tako, Frida Welhelmina; Sinaga, Bintang Yinke Magdalena; Harahap, Juliandi; Daulay, Rini Savitri; Siregar, Jelita; Samodra, Yoseph Leonardo
Jurnal Respirasi Vol. 11 No. 3 (2025): September 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.3.2025.241-249

Abstract

Introduction: Tuberculosis (TB) is a disease with a significant treatment burden. Current multidrug-resistant (MDR)-TB therapy uses the bedaquiline, pretomanid, linezolid, and moxifloxacin (BPaL/M) combination. This combination is effective with a short treatment duration. Linezolid is one of the components of the BPaL/M regimen. However, despite its effectiveness, it has side effects that impact treatment management and success. This study aimed to find the association between characteristics and comorbidities with the incidence of linezolid side effects in patients with MDR-TB treated with the BPaL/M regimen. Methods: This was a retrospective analytic study of MDR-TB patients receiving BPaL/M combination. Data were collected from medical records and analyzed using Fisher's exact test to analyze the association between patient characteristics and comorbidities with the incidence of linezolid side effects, namely hematological disorders, peripheral neuropathy, and visual disturbances. Results: There was no significant association between overall patient characteristics and the incidence of linezolid adverse events. However, the results of bivariate analysis showed a significant association in age >50 years old with the incidence of hematological disorders, as well as in patients who have diabetes mellitus (DM) with the incidence of peripheral neuropathy as a side effect of linezolid. Conclusion: Monitoring of MDR-TB patients aged >50 years old and those with DM to minimize the incidence of side effects during treatment is essential. This effort is expected to support the success of the national TB control and treatment program.
Association Between Glycaemic Control and Cardiac Function in Children with Diabetes Mellitus Ridho, M; Lubis, Siska Mayasari; Amelia, Putri; Harahap, Juliandi; Evalina, Rita; Meirina, Fathia
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.7020

Abstract

The prevalence of Diabetes Mellitus (DM) among children and adolescents has been progressively increasing, with Type 1 DM constituting the majority of cases. Cardiovascular disease (CVD) is a major long-term complication, yet early cardiac involvement remains poorly understood in this population. This study aimed to assess the association between glycaemic control and cardiac function in paediatric patients with DM. A cross-sectional observational study was conducted involving 30 children with type 1 or type 2 DM at H. Adam Malik General Hospital, Medan. Glycaemic control was assessed using HbA1c levels. Cardiac function was evaluated using electrocardiography (ECG) and echocardiographic parameters, including ejection fraction (EF), fractional shortening (FS), tricuspid annular plane systolic excursion (TAPSE), and E/A ratio. Data were analysed using Chi-Square and Mann-Withney Test. Most subjects (90%) had poor glycaemic control (HbA1c ≥7%). Cardiac dysfunction (reduced EF <55%) was identified in 16.7% of patients. However, no statistically significant associations were found between cardiac function and HbA1c, duration of diagnosis, blood pressure, or body mass index (BMI) (p>0.05). There was no significant relationship was found between glycaemic control and cardiac function, highlighting the need for more sensitive diagnostic tools and long-term follow-up to detect subclinical cardiovascular complications.
Analysis of Factors Influencing Nursing Discipline at Banda Regional General Hospital Central Maluku Regency Mayasari, Dyah Fitrah; Harahap, Juliandi; Effendy, Ismail
PROMOTOR Vol. 8 No. 5 (2025): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i5.1393

Abstract

Background: Discipline is a crucial aspect of delivering quality healthcare services in hospitals, yet it is often overlooked. Effective service delivery can significantly enchance the overall quality of a hospital. This study aims to analyze the factors affecting the work discipline of nurses at Banda Regional General Hospital in Central Maluku. Methodology: This research employs a quantitative analytical survey design with a cross-sectional approach. The study population consists of 46 nurses employed at Banda Regional General Hospital. Data were collected using questionnaires and analyzed through Logistic Regression with significance level of α = 0,05. Results: The Chi-Square test results indicate that factors influencing the work discipline of nurses at Banda Regional Hospital include achievement, the job itself, leadership role models, close supervision and punitive sanctions. Logistic regression analysis revealed that most significant factor affecting nurses’work discipline is the job itself, with a p-value (sig) of 0,003. The limited number of nurses, coupled with the delegation of tasks that do not align with their core responsibilities, significantly increases their workload. As a results, nurses may struggle to maintain discipline in performing their duties. Conclusion: The study concludes that both internal and external factors impact the work discipline of nurses. Internal factors influencing nurse discipline at Banda Regional Hospital include achievement and the job itself. External factors include leadership role models, close supervision, punitive sanctions. Among these, the study highlights that the most influential internal factor is the job itself. Based on the findings, it is recommended that the management of Banda Regional Hospital in Central Maluku Regency implement strategies to enchance nurse discipline by addressing the influencing factors identified in this study. Additionally, nurses are expected to maintain high level of discipline and consistently deliver the highest quality of care.
Risk Factors Influencing the Occurrence of Urinary Tract Infections in Inpatients Ardiana, Ardiana; Warli, Syah Mirsya; Ritarwan, Kiking; Kusumawati, R. Lia; Harahap, Juliandi
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4016

Abstract

A urinary tract infection is an infection of the urinary tract both upper and or lower, where the number of bacteria is greater than 10⁵ bacterial colonies per unit per ml in a urine specimen. Several studies have shown that there are risk factors that can cause urinary tract infections such as age, gender, long lying down, and other predisposing factors. Objective: To identify the factors that influence the occurrence of urinary tract infections in H. Adam Malik Hospital Medan. Method: This study was designed cross-sectional approach. 59 patients were applied in this study using consecutive sampling. Data were collected using a questionnaire and analyzed using chi-square and Fisher. Results: the results showed that there was no relationship (p>0.05) among age (p=0.869; OR=0.9), gender (p=0.812; OR=1.1), predisposing factors with diabetes mellitus (p=0.146), human immunodeficiency virus (p=0,286), kidney disease (p=0,386), autoimmune (p=0,641) and there were significant relationship (p< 0.05) among prolonged lying down (p=0.04; OR=3,1) were the most significant factor related to urinary tract infection without urinary catheter. Conclusions: the results showed that there was no relationship among age, gender, or predisposing factors such as diabetes mellitus, human immunodeficiency virus, kidney disease, or autoimmune disease with the incidence of urinary tract infection. Long lying down is a relationship with urinary tract infection.
The Impact of Age on Seizure Severity Characteristics in Children With Drug Resistant Epilepsy Lestari, Tria Diana; Tanjung, Ika Citra Dewi; Lubis, Syamsidah; Harahap, Juliandi; Saing, Johannes Harlan; Dalimunthe, Wisman
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5890

Abstract

Drug-resistant epilepsy (DRE) is found in up to one-third of individuals with epilepsy who have received appropriate therapy and this condition causes significant child morbidity and mortality. Epilepsy that appears at an early age is at higher risk of developing DRE. Objective to assess the effect of age on the characteristics of seizure severity in children with DRE. This study used a cross-sectional design involving 36 DRE patients aged 2-18 years at the Child Neurology Polyclinic, Adam Malik Hospital Medan, from September to October 2024. Seizure severity characteristics were assessed using the Global Assessment of the Severity of Epilepsy (GASE) questionnaire instrument. The categorical data are presented in the form of proportions and the effect of age on seizure severity characteristics was analyzed using the chi-square test. There were 36 children with DRE in this study, predominantly aged ≥ 10 years. Bivariate analysis showed a significant effect of age in children with drug resistant epilepsy only on the disruption of activity experienced by children with a p value = 0.036 (p <0.05). Most patients aged ≥ 10 years did not experience activity disorders or experienced mild activity disorders (73.9%), while in patients aged <10 years, most patients experienced severe activity disorders (61.5%). The age of children with drug resistant epilepsy have a significant effect on daily activity disorders.
Education and Socialization of Mosquito Nest Erradication with 3M Plus Movement to Students and Teachers at SMA Negeri 1 Binjai District, Langkat District, North Sumatera, Indonesia Amelia, Rina; Wijaya, Hendri; Eyanoer, Putri Chairani; Yunanda, Yuki; Wahyuni, Arlinda Sari; Fujiati, Isti Ilmiati; Harahap, Juliandi; Alona, Ivana
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 9 No. 1 (2024): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/abdimastalenta.v9i1.17177

Abstract

Until now, there has been a tendency for dengue fever patients to increase, and its transmission has become one of Indonesia's most common public health problems. Getting rid of mosquito nest eradication (MNE) with the 3M Plus Movement regularly, which includes draining water reservoirs, burying used items, and closing water reservoirs, which make it harder for mosquitoes to breed, can stop the spread of dengue. Even though this disease can attack all groups, several studies have shown that children and teenagers are more susceptible to dengue fever, so it is essential to make efforts to increase understanding and education for school-aged children, including high school students and teachers, who must work together to prevent dengue fever. As a result, the community service team from the Medical Faculty of Universitas Sumatera Utara carried out this activity using an outreach strategy that included questions and answers with students about MNE, Clean and Healthy Living Behavior, and other topics as well as the actual implementation of 3M Plus. A good understanding of MNE among students and teachers allows for the formation of awareness of MNE's significance in the school environment, which is the outcome of this activity.
Analisis Kepuasan Pasien dan Kualitas Pelayanan Kesehatan di Rumah Sakit Gigi dan Mulut Pendidikan Universitas Sumatera Utara Khairun Nisa; Harahap, Juliandi; Umar Zein
SCRIPTA SCORE Scientific Medical Journal Vol. 1 No. 1 (2019): SCRIPTA SCORE Scientific Medical Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (493.644 KB) | DOI: 10.32734/scripta.v1i`1.1163

Abstract

ABSTRAK Dalam konteks pelayanan kesehatan, kepuasaan pasien adalah suatu keadaan dimana keinginan, harapan dan kebutuhan pasien dipenuhi.Suatu pelayanan dinilai memuaskan bila pelayanan tersebut dapat memenuhi kebutuhan dan harapan pasien.Terdapat lima dimensi kualitas pelayanan yang akan dinilai yaitu kehandalan, daya tanggap, jaminan, empati dan bukti fisik. Penelitian ini bertujuan untuk menganalisis hubungan antara kualitas pelayanan dengan kepuasan pasien di RSGMP.Jenis penelitian mixed method dengan pendekatan cross sectional study. Sampel penelitian untuk data kuantitatif adalah 100 pasien, dan 10 informan untuk data kualitatif. Sampel diambil dengan teknik accidental sampling.Hasil penelitian menunjukkan variabel kualitas pelayanan (kehandalan, daya tanggap, jaminan, empati dan bukti fisik) memiliki hubungan yang signifikan dengan variabel kepuasan pasien di RSGMP dengan p-value=0,001. Hasil kualitatif diketahui pasien mengeluhkan waktu tunggu dan waktu pelayanan yang lama, tidak jelasnya perawatan dan kurangnya keterampilan dari dokter yang bertugas.Sedangkan pimpinan rumah sakit menyatakan bahwa kepuasan adalah hal yang subjektif dan telah melakukan pelayanan dengan maksimal.Penelitian ini menyimpulkan adanya hubungan yang signifikan antara pelayanan kesehatan dengan kepuasan pasien.Oleh karena itu diperlukan upaya untuk meningkatkan kualitas pelayanan kesehatan seperti manajemen waktu pelayanan dan peningkatan skill petugas kesehatan. Kata Kunci : Kualitas Pelayanan, Kepuasan Pasien, RSGMP ABSTRACT In the context of health services, patient satisfaction is a condition where the patient's wishes, expectations and needs are met. A service is considered satisfactory if the service can meet the needs and expectations of the patient. There are five dimensions of service quality to be assessed, namely reliability, responsiveness, assurance, empathy and physical evidence. This study aims to analyze the relationship between service quality and patient satisfaction in the RSGMP. This type of research is mixed method with a cross sectional study approach. The sample was 100 patients for quantitative and 10 informants for qualitative data. Samples were taken by accidental sampling technique. The results showed variable service quality had a significant relationship with the variable patient satisfaction in RSGMP with p-value = 0.001. Qualitative results revealed that patients complain of long waiting times and service times, unclear care and lack of skills of health workers. While the head of the hospital stated that satisfaction is a subjective matter and has done the maximum service. This study concluded that there was a significant relationship between health services and patient satisfaction. Therefore efforts are needed to improve service quality such as service time managementand skills improvement of health workers. Keyword: Service Quality, Patient Satisfaction, RSGMP
Pencegahan Tingginya Angka Stunting Pada Usia Balita Dengan Pola Asuh Yang Baik Harahap, Juliandi; Sri Andayani, Lita; Aprianti Lubis, Nenni Dwi; Keumala Sari, Dina; Amelia, Rina
Journals of Ners Community Vol 13 No 6 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i6.2313

Abstract

Pada masa kehamilan gizi ibu hamil harus memenuhi kebutuhan gizi untuk dirinya dan untuk pertumbuhan serta perkembangan janin. Pengetahuan ibu hamil tentang gizi dan kebutuhan gizi selama proses kehamilan. Kekurangan gizi saat hamil dapat menyebabkan berbagai risiko komplikasi pada ibu hamil, seperti anemia, pendarahan, berat badan ibu tidak bertambah secara normal, dan juga resiko melahirkan bayi dengan masalah gizi yang menjadi faktor resiko kejadian stunting di masa mendatang. Tujuan penelitian adalah untuk menganalisis Hubungan Pengetahuan ibu hamil tentang gizi wanita hamil dan status gizi dengan hb ibu hamil di Kota Medan.Disain penelitian adalah analitik dengan pendekatan cross sectional. Populasi penelitian adalah ibu hamil yang berada di beberapa wilayah di Kota Medan dengan jumlah sampel sebanyak 157 orang. Pengambilan sampel dilakukan dengan consecutive sampling yaitu yang memenuhi kriteri inklusi dan eklusi. Penentuan pengetahuan menggunakan instrument tingkat pengetahuan ibu hamil tentang gizi, untuk penilaian status gizi yaitu dengan antropometri berdasarkan Berat badan dan Tinggi badan pasien, untuk pemeriksaan hb menggunakan intrumen pemeriksaan hb portable. Analisis data menggunakan Uji Chi square dengan menggunakan SPSS. Hasil penelitian: pengetahuan Ibu hamil tentang gizi wanita hamil adalah baik sebanyak 112 orang (71.3%), 22 orang ibu hamil yang mengalami anemi (14,0%), status gizi ibu hamil mayoritas gizi normal sebanyak 80 orang (59.3%). Hasil Uji chi square menyatakan bahwa terdapat hubungan antara pengetahuan ibu hamil dengan Hb ibu (p<0.05), tidak terdapat hubungan antara status gizi dengan anemi pada ibu hamil (p>0.05)
Gambaran Pengetahuan Ibu Tentang Stunting Dan Pencegahannya Pada Ibu Memiliki Balita Di Kota Medan Harahap, Juliandi; Andayani, Lita Sri; Aprianti Lubis, Nenni Dwi; Keumala Sari, Dina; Amelia, Rina
Journals of Ners Community Vol 13 No 6 (2022): Journals of Ners Community
Publisher : Fakultas Ilmu Kesehatan Universitas Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55129/jnerscommunity.v13i6.2419

Abstract

Anak pendek atau stunting adalah gangguan pertumbuhan yang disebabkan oleh kekurangan asupan nutrisi dalam jangka waktu yang lama yang menimbulkan dampak jangka pendek dan jangka panjang bagi kondisi kesehatan anak. Tujuan penelitian adalah untuk mengetahui tingkat pengetahuan ibu-ibu dengan balita tentang stunting dan pencegahannya di Kota Medan. Populasi adalah ibu dengan balita dengan sampel sebanyak 160 orang. Pengambilan data dilakukan dengan menggunakan kuisioner, pengolahan data menggunakan SPSS dengan menggunakan statidtik deskriptif. Hasil penelitian menunjukkan tingkat pengetahuan ibu tentang stunting adalah baik (45%). Edukasi bersimabung perlu dilakukan untuk meningkatkan pemahaman ibu dan aplikasi pencegahan stunting
Co-Authors Afriadi Afriadi Alharbi, Olayan Alia, Dina Alona, Ivana Alviani, Aisyah Alvionita, Vinny Amelia, Putri Amirah, Asriwati Aprianti Lubis, Nenni Dwi Ardiana Ardiana, Ardiana Asriwati, Asriwati Aznan Lelo Begum Suroyo, Razia Beni Satria Chairani Chairani Damayanti, Heditya Destanul Aulia, Destanul Dewi, Ika C. Dimyati, Yazid Dwi Aprianti Lubis, Nenni Effendy, Ismail ELMAN BOY Erawati, Susina Fathia Meirina, Fathia Fitriani, Arifah Devi Fujiati, Isti Ilmiati Hanidi, Hanidi Harahap, Erika Maryanti Haryuna, Tengku Siti Hajar Hendri Wijaya, Hendri Hidayatul Fitria Irina, Rr Sinta Jamaluddin Jamaluddin Jenny Bashiruddin Kathy, Kathy Keumala Sari, Dina Khairun Nisa Kiking Ritarwan Kusumawati, R. Lia Lestari, Tria Diana Lita Sri Andayani Lubis, Andriamuri Primaputra Lubis, Mahrani Lubis, Masnelly Lubis, Nenni Dwi Aprianti Mayangsari, Ika Dwi Mayasari, Dyah Fitrah Miadi, Yesindi Nakita Mukhtar, Fatima AS. Mustika Sari, Yulin Nasution, Ramadhani Syafitri Nur Aini Olga R. Siregar, Olga R. Priyono, Harim Putri Chairani Eyanoer, Putri Chairani Putri, Monica Dwi Qalbi, Kamila Harisah Ranakusuma, Respati Ridho, M Rina Amelia Rini Savitri Daulay, Rini Savitri Rita Evalina Rohana Sofyana, Cut Saing, Johannes Harlan Samodra, Yoseph Leonardo Samosir, Fauzan Azmi Hasti Habibi Santi Syafril, Santi Sembiring, Rosita Juwita Silitonga, Nency Respina Sinaga, Bintang Yinke Magdalena Siregar, Jelita Siska Mayasari Lubis, Siska Mayasari Soetjipto, Damayanti Sosmira, Eri Sri Sumartiningsih Suistaya, Novi A. Supartono, Natasha SUROYO, RAZIA BEGUM Syamsidah Lubis, Syamsidah Syaputra, Adhika Tako, Frida Welhelmina Tamin, Susyana Tanjung, Ika Citra Dewi Tanjung, Sri Maryani Tarigan, Amira Permatasari Theo, Deli Umar Zein Umar Zein Wahyuni, Arlinda Sari Warli, Syah Mirsya Warto, Nirza Widayat Alviandi Wijaya, Vincent Wisman Dalimunthe, Wisman Yetty Machrina Yuansyah, Romi yulia, Luh Anggreni Yunanda, Yuki Yuniati Yuniati Yusni Yusni Zachreini, Indra Zebua, Markus Sastra Eli Zizlavsky, Semiramis