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Silaban, Hertina
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Perception and use of herbal medicine by Indonesian Medical Doctors Simatupang, Abraham; Widyawati, Tri; Susilaningsih, Neni; Tobing, Romauli; Kurniaty, Linggom; Silaban, Hertina; Djojosaputro, Mulyadi; Mahabuana, Bintang
Indonesian Journal of Biomedicine and Clinical Sciences Vol 57 No 1 (2025)
Publisher : Published by Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/inajbcs.v57i1.15768

Abstract

Indonesia has a long experience in traditional medicine such as jamu. The government has been encouraging all sectors, especially pharmaceutical industries together with research institutions and academia to increase herbal medicine research so that herbal medicine is increasingly used in health services, including by medical doctors. Various efforts have been made but empirically it seems that this goal has not been achieved. For this reason, it is necessary to conduct a survey to determine the understanding and use of herbal medicine among doctors. I was a cross-sectional study using an electronic questionnaire distributed to doctors who are members of the Indonesian Medical Association (IMA) per province. Three-hundred sixty-two respondents from 29 out of 38 (76%) provinces of Indonesia responded, and 263 out 362 respondents (72%) are general practitioners. In prescribing herbal medicines only 18.5% prescribed, 35% did not and 46.6% sometimes prescribed, respectively. Of the eleven phytopharmaceuticals/standardised herbal medicines only one medicine No. 5 was widely recognized by respondents (46.6%). This study showed that doctors' understanding of herbal medicine still needs to be improved through various means including webinars/seminars, journals that show good clinical trials so that they are more confident when prescribing herbal medicine to their patients. There is a need for more comprehensive information regarding the indications, efficacy and side effects of herbal medicine, through books or formularies that can be accessed by doctors. In addition, respondents agreed that herbal medicine should be taught in medical schools both in the pre-clinical and clinical phases.
The journey of Indonesian traditional medicine Yunita, Fenny; Gunawan, Shirly; Silaban, Hertina; Chaidir
Tarumanagara Medical Journal Vol. 6 No. 2 (2024): TARUMANAGARA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran Universitas Tarumanagara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24912/tmj.v6i2.33351

Abstract

Indonesia is the second mega biodiversity country in the world, with more than 17.000 islands and 1.340 tribes with abundant potency in traditional medicine. Traditional medicine in Indonesia has a long history. It has been greatly influenced by foreign cultures, such as India (Ayurveda), China (Traditional Chinese Medicine), and the Middle East (Arabic/Islamic/Thibbun Nabawi). Traditional Indonesian medicine is also known as Jamu, which refers to prayer, physical and non-physical techniques, and herbal medicine that aims to maintain and improve health. Many national surveys have shown that Indonesian people strongly believe in traditional medicine and still use it daily. The development of traditional medicine in Indonesia started early in the 8th century, as shown in the reliefs of Borobudur and many other temples. The development of traditional medicine in Indonesia also refers to the WHO's traditional medicine strategy, which focuses on the 3Ps (Products, practices, practitioners). World Health Organization (WHO) recommends using traditional medicines to maintain public health, preventing and treating diseases, especially chronic and degenerative diseases. WHO also supports efforts to improve the safety and efficacy of traditional medicines. Traditional Indonesian medicine has great potential to help improve the community's health. Cross-sectoral cooperation from all sectors, such as academics, business, government, and the community, is needed to develop traditional Indonesian medicine and support its use in health service facilities towards independence in the health sector.
The Relationship Between the Level of Knowledge and Patterns of Use of Traditional Medicine As Self-Medication on Health Maintenance in the Kelurahan Cawang, East Jakarta Silaban, Hertina; Utomo, Tranggono Yudo; Pangestika, Vania
International Journal of Health Engineering and Technology Vol. 4 No. 2 (2025): IJHET JULY 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i2.288

Abstract

Many Indonesians use traditional medicine to maintain their health status. Self-medication is a common practice that many people do to overcome minor health problems before seeking professional medical help.  The purpose of this study was to determine how well the residents of RW 11 Kelurahan Cawang East Jakarta know about traditional medicine and how to use it to maintain health. The research method was a cross-sectional questionnaire survey with an observational analytic design. In this study, a total of 147 participants were selected using a selective selection strategy, which is not a random sampling procedure. According to the data collected, most of the respondents were male (55.1%), the highest age range was 50-59 years old (33.3%), and the education level was high school (59.9%). The results showed that 76.2% (112 people) had a good level of knowledge in the use of traditional medicine. The majority of Cawang people have used traditional medicine as self-medication, classified as a good group of 78.9% (116 people). To maintain health in the use of traditional medicine is classified as a good group of 59.9% (88 people). The linear graph also shows there is a linear relationship between the extent of the Cawang community's knowledge of traditional medicine and the frequency with which they use it as self-medication to maintain health. There needs to be more emphasis on educating the community about the benefits of traditional medicine and how to use it safely and effectively.
The Calm Before the Storm: Wellens Syndrome Revisited Rantung, Nolly O. H; Azria, Nurul; Suling, Jeremy P. D.; Silaban, Hertina
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.v7i5.6908

Abstract

Wellens syndrome is a characteristic electrocardiographic pattern indicating a critical stenosis of the left anterior descending (LAD) coronary artery and is a warning sign for an impending anterior myocardial infarction. Early recognition is crucial, as this pattern typically appears when the patient is pain-free and cardiac biomarkers are standard, which can potentially mislead clinicians. This case report aims to highlight the importance of recognizing the pattern of Wellens Syndrome through the clinical description of patient Mr. A, a 61-year-old male with hypertension and chronic kidney disease who presented with chest pain that has subsided. We present a 61-year-old Melanesian man with a history of hypertension and stage 3 chronic kidney disease, who had recent anginal chest pain that resolved upon evaluation. On examination, blood pressure was 154/80 mmHg, heart rate 78/min, respiratory rate 20/min, temperature 36.7°C, oxygen saturation 99% on room air, and minimal pitting oedema in both legs. The ECG obtained showed biphasic T waves in leads V2–V4 with the patient feels no chest pain at all, consistent with a type A Wellens pattern. Troponin T was negative (< 40 ng/L), and no ST elevation or pathologic Q waves were observed. Chest X-ray showed cardiomegaly. Coronary angiography revealed a critical stenosis in the proximal LAD. The patient underwent percutaneous coronary intervention with stent placement to the proximal LAD. Wellens syndrome represents a “pre-infarction” state that should be identified to prompt urgent revascularization before extensive myocardial infarction occurs. This case underscores the importance of recognizing Wellens syndrome as “the calm before the storm” and avoiding conservative management that could lead to adverse outcomes.
Rationality of Prescription of Antibiotics in Patients with Acute Upper Respiratory Tract Infection Silaban, Hertina; Dami, Welita Selyn; Simanjuntak, Erica Gilda Misnawati; Situmorang, Daniel Reinaldo Parsaoran; Aritonang, Jimmi M. P.
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.v7i3.6520

Abstract

Acute upper respiratory tract infection is an infectious disease caused by microorganisms, one of which is bacteria, so antibiotics are given. Rational use of antibiotics can provide benefits for recovery and does not cause harm that can cause problems or threats to the health of sufferers. Inappropriate administration of antibiotics can hurt patients, one of which is antibiotic resistance. Objective to obtain an overview of the rationality of antibiotic prescription in patients with acute upper respiratory tract infections at the Baun Health Center, Kupang Regency in 2020. This study was conducted using non-experimental research that is descriptive by taking medical record data retrospectively. Sampling was carried out using the non-probability sampling technique and the purposive sampling type, namely determining the sample based on certain considerations where the sample must meet the inclusion criteria, the number of cases of acute upper respiratory tract infections in 2020 was 226 cases. Data collection using secondary data, namely data obtained from medical records of patients with acute upper respiratory tract infections in 2020 at the Baun Health Center, Kupang Regency. The data obtained will be analyzed descriptively quantitatively, including: the percentage of rational and irrational antibiotic prescriptions, the frequency of types of antibiotics used. Acute upper respiratory tract infections (URTIs) in Baun Health Center mostly occurred in the 20–44 years age group (32.7%) and were more often experienced by women (59.3%), with the most common diagnosis being rhinosinusitis (48.2%); The most commonly used antibiotic was amoxicillin monotherapy, given to 89.4% of patients; The use of antibiotics showed 100% accuracy of indication and patient, 90.3% accuracy of drug, 65% accuracy of dose, and 55.3% rationality of use. Most in the 20–44 years age group (28.3%) and women (39.3%). Acute upper respiratory tract infections (URTIs) at the Baun Health Center, Kupang Regency, occurred most in the 20–44 years age group and were more often experienced by women, with rhinosinusitis as the most common diagnosis. Antibiotic use was dominated by amoxicillin monotherapy. Evaluation of the appropriateness of antibiotic use showed quite good results in terms of indications, patient selection, and type of drug, but there were still shortcomings in the appropriateness of dosage and overall rationality of use. The rationality of treatment was most often found in the 20–44 years age group and in female patients.
Knowledge of hypertension and its therapy in lay people Simatupang, Abraham; Sitompul, Fransiska; Kurniaty, Linggom; Djojosaputro, Mulyadi; Lumbantobing, Romauli; Silaban, Hertina
Indonesian Journal of Pharmacology and Therapy Vol 3 No 3 (2022)
Publisher : Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Indonesian Pharmacologist Association or Ikatan Farmakologi Indonesia (IKAFARI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijpther.4468

Abstract

Hypertension is one of the non-communicable diseases that is becoming a global health problem. Hypertension can be identified by systolic blood pressure of 140 mmHg and diastolic 90 mmHg . Uncontrolled hypertension can lead to complications such as stroke, ischemic heart disease, heart attack, heart failure, kidney failure, blindness, etc. According to Basic Health Research 2018 ( Ris et Kesehatan Dasar 2018/Ris kesdas 2018) the prevalence of hypertension for >18 years old wa s 8.4%, and through measurements taken in health care facilities by 34.1%. Prevalence in the city was 34.4%, in the village was 33.7%, while according to gender 31.3% f or male and 36.9% for female. The study aimed to find out the knowledge and awareness of laypeople on hypertension and its therapy. This was a cross-sectional online study with 11 questions. Respondents were recruited from social media groups. The results showed 5 00 respondents (62.8 % female and 37.2 % male) involved in this study . The most common age range was 21-40 years (36.2 %), followed by 41-55 years (38.2%) , and the least was 56-65 years old (18.4%). Seventy-two percent of respondents did not have hypertension, and 9% said they did not know. Fifty-three percent of respondents knew about the value of high blood pressure, and 89% of the respondents said hypertension should be treated regularly. The most hypertension complications answered by respondents were stroke (40%), heart attack (26%) , and heart failure (16%). Amlodipine was the most mentioned by the respondents, and the second was ACE-inhibitor. However, omeprazole and omega-3 were also mentioned as anti-hypertension. Genetic s and a high salt diet were risk factors that many respondents chose. In conclusi on, the r espondents have a good understanding of hypertension. Information related to behaviour is needed to discontinue the increasing prevalence.
Co-Authors Abraham Simatupang Aritonang, Jimmi M. P. Azria, Nurul Chaidir Dami, Welita Selyn Kurniaty, Linggom Lumbantobing, Romauli Mahabuana, Bintang Mulyadi Djojosaputro, Mulyadi Neni Susilaningsih Pangestika, Vania Rantung, Nolly O. H Shirly Gunawan Simanjuntak, Erica Gilda Misnawati Sitompul, Fransiska Situmorang, Daniel Reinaldo Parsaoran Suling, Jeremy P. D. Tobing, Romauli Tranggono Yudo Utomo Tri Widyawati, Tri Yunita, Fenny