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Factors Related to the Utilization of the National Health Insurance Program (JKN) at Batang Toru Community Health Center, South Tapanuli Regency in 2019 Siregar, Leli Khairani; Nasution, Sri Lestari Ramadhani; Ginting, Johannes Bastira; Girsang, Ermi
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 4, No 2 (2021): Budapest International Research and Critics Institute May
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v4i2.1826

Abstract

This study aims to determine the factors associated with the use of the JKN program, namely individual characteristics (age, education, and employment), capability characteristics (availability of health workers and location accessibility), and characteristics of needs (illness perception). The populations in this study are all people who underwent health services at Batang Toru Health Center in South Tapanuli Regency with a total sample of 98 people. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was a significant relationship with age (p = 0,000); education (p = 0.001); occupation (p = 0,000); availability of health workers (p = 0,000); location accessibility (p = 0,000) and pain perception (p = 0, 000) with the use of the JKN program at Batang Toru Health Center. The results of paper multivariate analysis and modeling showed that the factors that were significantly and dominantly related to the use of the JKN program at Batang Toru Health Center were the availability of health workers, location accessibility factors, and illness perception factors. Thus it was concluded that the availability of health workers, accessibility of location, and perception of pain were significantly and dominantly related to the use of the National Health Insurance (JKN) program at Batang Toru Health Center in South Tapanuli Regency in 2019 of health workers is the most dominant factor and has the biggest influence on the use of the JKN program location accessibility factors and illness perception factors.  
EFEKTIVITAS PEMBERIAN JUS WORTEL (Daucus Carota L) DAN JUS ALPUKAT (Persea Americana) TERHADAP DISMENOREA PRIMER PADA MAHASISWI FKM UNPRI ANGKATAN 2017 Ginting, Johannes Bastira; Angin, Jerry Primsa Perangin-; Simbolon, Paska Yolastri; Ginting, Rapael; Simangunsong, Pahala Maringan J.; Hulu, Viktor Trismajaya
(Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Vol 6, No 4 (2021): JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat)
Publisher : Universitas Halu Oleo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37887/jimkesmas.v6i4.21720

Abstract

ABSTRAKPrevalensi dismenorea primer banyak terjadi di luar negeri maupun di Indonesia, berdasarkan data World Health Organization (WHO) berkisar antara 16,8 – 81% yang dialami oleh perempuan umur produktif serta tingkatan paling tinggi terjadi pada remaja. Permasalahan reproduksi yang dirasakan oleh seorang perempuan adalah haid yang terjadi setiap bulannya. Dismenorea Primer telah menjadi permasalahan remaja di Dunia karna lebih dari 50% rata- rata perempuan merupakan angka kejadian yang besar. Di Amerika angka presentasinya kurang lebih 60%, di Swedia sekitar 72% dan di Inggris serta pada penelitian sebelumnya menyatakan jika 10% dari remaja sekolah lanjut tingkat atas (SLTA) dan Mahasiswi absen 1-3 hari dalam setiap bulan karena mengalami dismenorea. Tujuan penelitian ini adalah untuk mengetahui adanya perbedaan efektivitas pemberian jus Daucus Carota L dan jus Persea Americana terhadap dismenorea primer pada mahasiwi Fkm Unpri Angkatan 2017. Jenis penelitian ini adalah quasi experiment dengan desain pre test and post test with control group. Penelitian ini menggunakan teknik purposive sampling dengan jumlah sampel 34 orang mahasiswi. Berdasarkan hasil uji statistik dengan uji Wilcoxon menunjukkan adanya ada pengaruh yang signifikan secara statistik (p-value < 0,05), artinya terdapat efektivitas pemberian jus wortel dan jus alpukat terhadap penurunan dismenorea primer pada mahasiswi yaitu menurun sebesar 2,3529 (p-value=0,0004) dan 2,1764 (p-value=0,0002) dan uji Mann-Whitney menunjukkan ada perbedaan efektivitas pemberian jus Daucus Carota L dan jus Persea Americana terhadap dismenorea primer pada mahasiswi (p-value = 0,0118). Kesimpulan dari penelitian ini adalah ada perbedaan efektivitas pemberian jus Daucus Carota L dan jus Persea Americana terhadap dismenorea primer pada mahasiswi. Saran untuk mahasiswi adalah sebaiknya dapat mengonsumsi jus Daucus Carota L dan jus Persea Americana sebagai alternatif alami untuk meredakan nyeri dismenorea primer. Kata kunci: Dismenorea Primer, Skala Intensitas Nyeri, Jus Wortel, Jus Alpukat  
ANALISIS DETERMINAN DAN PREDIKSI PENYAKIT DIABETES MELITUS TIPE 2 MENGGUNAKAN METODE MACHINE LEARNING: SCOPING REVIEW Rapael Ginting Ginting; Ermi Girsang; Johannes Bastira Ginting; Hartono Hartono
Jurnal Maternitas Kebidanan Vol. 7 No. 1 (2022): Jurnal Maternitas Kebidanan
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jumkep.v7i1.2538

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ABSTRACT The prevalence of diabetes mellitus is increasing globally, nationally, and regionally, and most of them are type 2 diabetes mellitus, which can cause complications, economic losses, and death. The purpose of this study is to examine the analysis of determinants and predictions of type 2 diabetes mellitus using machine learning methods. This study uses the scoping review method to view, accumulate and synthesize the results of previous studies on the analysis of determinants and predictions of type 2 diabetes mellitus using machine learning methods. The inclusion criteria in this study were articles published in the indexed journal database PubMed, Google Scholar, Crossref in English and Indonesian, journals published in the 2017-2021 range and 15 articles that met the inclusion criteria. The search results were a total of 860 articles from 3 databases (PubMed, Google Scholar, Crossref) in which 98 of them were duplicate articles and were excluded. Of the remaining 762 articles, 142 were not full text and 605 were excluded after eligibility screening because they were irrelevant. The remaining 15 articles were systematically reviewed and qualitatively analyzed using the NVIVO-12 Plus application. From the analysis of previous studies concluded that age, obesity, family history of disease, and lack of physical activity are risk factors for type 2 diabetes mellitus, while the gender variable from the analysis of previous research shows that there is no significant relationship between gender and type 2 diabetes. With early prediction of type 2 diabetes mellitus preventive measures, treatment can be carried out immediately and reduce the incidence of complications that can worsen the condition of people with type 2 diabetes.    
HUBUNGAN PENGETAHUAN, PERSEPSI, DAN SIKAP MAHASISWA DENGAN PERILAKU PENCEGAHAN PENYEBARAN VIRUS CORONA Johannes Bastira Ginting
Jurnal Keperawatan Priority Vol. 4 No. 2 (2021)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v4i2.1837

Abstract

Coronavirus disease (COVID-19) is an infectious disease caused by a coronavirus that can be transmitted from person to person, resulting in a worldwide pandemic. A person's knowledge, perceptions, and attitudes greatly affect the behavior of preventing Covid-19 by tightening the Covid-19 health protocol recommended by the Government. This study's aim was to determine the relationship between knowledge, perceptions, and attitudes of students with the behavioral of preventing the coronavirus. This type of research uses a cross-sectional design, research conducted at the University of Prima Indonesia, with consecutive sampling techniques. The analysis used univariate and bivariate with Chi-square test, the significance level was p<0.05. The knowledge variable of the majority of the population has a very good level of knowledge 72 people (72%) with a p-value of 0.002 < 0.05, the perception variable of the majority of the population has a very good perception 62 people (62%) with a p-value of 0.022 < 0.05, the variable the attitude of the majority of the population has a very good attitude 81 people (81%) with a p-value of 0.000 <0.05, the main behavioral variable who has very good behavior in preventing the spread of Covid-19 is 77 people (77%). From the results of the study, it was found that the variables of knowledge, perception, and student attitudes had a significant relationship with the behavior of preventing the spread of the coronavirus at Prima Indonesia University.
Influence before and after Early Mobilization of Changes in Pain Levels in Post Orthopedic Surgery Patients at Royal Prima Medan Hospital in 2021 Zhan Chengwu; Florenly; Johannes Bastira Ginting; Fioni
Britain International of Exact Sciences (BIoEx) Journal Vol 4 No 1 (2022): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v4i1.541

Abstract

Orthopedic surgery is a surgical action associated with the correction of musculoskeletal system deformities and orthopedic problems that aim to improve function by restoring movement and stability and reducing pain and disabilities. Early mobilization is a prominent factor in speeding up postoperative recovery and may prevent postoperative complications. This study aims to find out the influence before and after early mobilization of changes in pain levels in orthopedic postoperative clients at RSU Royal Prima. This type of research uses a correlational descriptive research design, using the One Group Pretest-Postest approach. The location of this study was conducted at RSU Royal Prima Medan in March 2021. The population of all patients’ post-surgery orthopedic hospitalization amounted to 176 patients. The size of the sample uses the formula Structural Equation Modelling (SEM), then the number of samples is determined to be 100 people. Univariate analysis, bivariate with t-dependent test (paired t-test) with a meaningful limit of 0.05. The results of the study that there was a change in the level of pain Wilcoxon test results at the time of the pre-test the result of the mean value of 3.82, at the time of the post-test test the mean value was 2.34. So the result of Z = -5,358 then p-value as much as 0.004 < 0.05 so that Ho is rejected and Ha accepts. The conclusion of the level of pain before early mobilization in the client post orthopedic surgery the majority feels even more pain and the minority experience severe pain. The level of pain after early mobilization in the majority of orthopedic postoperative clients was slightly more painful and the minority felt even more pain. There is an early mobilization effect on pain changes in orthopedic postoperative clients in patients in the hospital room of RSU Royal Prima in 2021.
Analysis of Wound Healing from Andaliman Fruit Essential Oil Ointment (Zanthoxylum Canthopodium Dc.) on Wistar Rats (Rattus Norvegicus) Xu Xuliang; Florenly; Johannes Bastira Ginting; Fioni
Britain International of Exact Sciences (BIoEx) Journal Vol 4 No 1 (2022): Britain International of Exact Sciences Journal, January
Publisher : Britain International for Academic Research (BIAR) Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/bioex.v4i1.542

Abstract

Injuries are cases of injury that are often experienced by every human being. A wound is the loss or damage of some body tissue. Many andaliman fruits contain many phytochemicals such as phenols, saponins, flavonoids, triterpioids, and alkaloids. Its terpenoid content has antioxidant and antimicrobial activity repellents. Iris / incision wounds, which are wounds caused by sharp object slices such as knives, cause damage to vessels that are large enough if the slice is deep enough. This study aims to find out the effect of Andaliman Fruit Essential Oil Saleb (Zanthoxylum acanthopodium DC.) on wound healing in white rats. This experimental study with the approach of Pre-test and Post-test group only control design was conducted January to February 2021, at the Herbarium Medanese FMIPA USU, the Pharmacognosive Laboratory of the Faculty of Pharmacy USU, and the Laboratory of Pharmaceutical Pharmacology USU. The samples were Andaliman Fruit (Zanthoxylum acanthopodium DC.), and male white rats. The number of samples using frederer formula, so determined the number of as many as 25 rats selected randomly divided into 5 groups. Data analysis uses the normality test statistical data test, and the ANOVA test. The results of the study that andaliman fruit extract has several bioactive compounds such as alkaloids, flavonoids, saponins, and tannins that play a role in wound healing. The optimum concentration of Saleb Andaliman fruit essential oil that can heal wounds in white rats is 5%. The highest percentage of cures on the 14th day was in positive control (Bioplacenton®) which was 95% and followed by an extract of 5% v/v with a cure percentage of 90%. Essential oil of andaliman fruit extract has the ability to approach Bioplacenton® in healing wounds in mice.
Effect of Turmeric Ethanol Extract Ointment (Curcuma Longa) on the Healing of Grade II Burns in Wistar Rats (Rattus Norvegicus) Ji Junfeng; Florenly Florenly; Johannes Bastira Ginting; Fioni Fioni
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 4 (2021): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i4.3053

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Burns is still a choir for clinical nurses as severe burns have led to high postburn morbidity. In Indonesia, the death rate from burns is still high at about 40%, mainly caused by severe burns. Curcuma longa herbal products have several such antioxidants, anti-inflammatory, anti-cancer. The purpose of this study was to find out the phytochemical content and effect of turmeric Ethanol Extract Ointment (Curcuma longa Linn) in curing grade II burns in Wistar rats (Rattus norvegicus). This study is an experimental study with a pre and post-test control group design approach. This research was conducted at Riwandi Pet Shop and Animal House and Laboratoirum Taxonomy of Plants, Department of Biology, Faculty of Mathematics and Natural Sciences (FMIPA), the University of North Sumatra in February-March 2021. The study sampled 20 turmeric rhizomes and male Wistar rats (Rattus norvegicus) divided into 4 treatment groups. Independent variables of topical formulation (base ointment, nebacetin ointment®, Turmeric Ethanol Extract Ointment (Curcuma longa) 5% and Turmeric Ethanol Extract Ointment (Curcuma longa) 10%, as well as independent variables that include wound contraction and epithelial period. The results of phytochemical screening in turmeric found phytochemicals in the form of flavonoids, alkaloids, and tannins. The results of the study obtained significant differences in the epithelial period of the standard group, turmeric ointment 5% and 10% against the control group. However, in the turmeric ointment group and the standard group, there was no difference in epithelialization periods. This is evident from the value P < 0.05 (Value P = 0.028). Where the wound contraction rate of turmeric ointment is 10% better than nebacetin ointment as standard. But in both turmeric ointments, both 5% and 10% and nebacetin ointment as standard did not show significant differences in the parameters of the epithelial period.
Analysis of Grade II Burns Healing from Andaliman Fruit Ethanol Extract Ointment (Zanthoxylum Acanthopodium Dc.) in Wistar Rats (Rattus Norvegicus) Li Sha; Florenly Florenly; Johannes Bastira Ginting; Fioni Fioni
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 4 (2021): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i4.3054

Abstract

The prevalence of injuries has increased every year, from riskesdas results data in 2013 reported that burns are the sixth cause of accidental injuries with a prevalence of 0.7 percent of the Indonesian population. Andaliman fruit extract with various phytochemicals has active physiological activity as a potential antioxidant and antimicrobial. The study aims to explore the wound healing effects of andaliman fruit ethanol extract. This study was an experimental study using 20 rats divided into 4 groups (Control, Standard, Essential Oil 10%, and Essential Oil 15%). Wound healing parameters are assessed through wound contraction and epithelial period. Samples of andaliman fruit used in this study were obtained from one of the traditional markets in the city of Medan. Essential oils are obtained from the hydrodistillation process. The results of the study showed significant differences in the epithelial period of the standard group, 10% and 15% in the control group. However, in the andaliman ointment group and the standard group, there was no difference in the epithelial period. This is evident from the value P < 0.05 (Value P = 0.029). The conclusion of the healing effects of burns possessed by andaliman ointment both 10% and 15% and nebacetin ointment as standard shows a significant difference. Where the wound contraction rate of your ointment is 15% better than nebacetin ointment as standard. But in both andaliman ointments, both 10% and 15% and nebacetin ointment as standard did not show significant differences in the parameters of the epithelial period.
Effectiveness of Turmeric Ethanol Extract (Curcuma Longa) in Accelerating Wound Healing After in Wistar Rats Zhou Guoqing; Florenly Florenly; Liena Liena; Johannes Bastira
Budapest International Research in Exact Sciences (BirEx) Journal Vol 3, No 4 (2021): Budapest International Research in Exact Sciences, October
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v3i4.2975

Abstract

RISKESDAS results in 2018 showed the DMFT (Decay, Missing and Filled Teeth) index of Indonesian people nationally 2.5% in 2013, rising to 57.6% in 2018. The main cells involved in the wound healing process are fibroblasts. Fibroblasts are stem cells that play a role in forming and putting fibers in the matrix, especially collagen fibers. Turmeric (Curcuma longa) has several pharmacological properties, including anti-inflammatory, anticancer, antioxidant, antiulcus, and antibacterial actions. The content of flavonoids in Curcuma longa, as an immunostimulating substance, then the production of growth hormones such as EGF, TGFα, PDGF, VEGF, FGF, and TGFβ will also increase, so that wound healing can be accelerated. This study was conducted to find out the effectiveness of turmeric ethanol extract (Curcuma Longa) in accelerating wound healing after tooth extraction. This study used 32 male Wistar rats divided into 2 groups, namely the treatment group given turmeric extract (Curcuma Longa) 45% and the treatment group given turmeric (Curcuma Longa) 90%. The wound healing process was assessed by observing fibroblast tissue on the 5th day after the extraction of Wistar mouse teeth. The results of the Chi-Square Test statistical analysis showed a significant difference in the number of fibroblasts in the wound healing process in Wistar rats after tooth extraction between the treatment group given turmeric extract (Curcuma Longa) 45% and the treatment group given Turmeric extract (Curcuma Longa) 90% after the 5th day with p-value (0.032)<0.05). Turmeric extract (Curcuma longa) is 45% and 90% effective in speeding up the healing time of post-extraction wounds of Wistar mouse teeth. Turmeric extract (Curcuma longa) is 90% more effective than turmeric extract (Curcuma longa) 45% in speeding up wound healing time after extraction of rat teeth Wistar because of the flavonoid content in turmeric extract (Curcuma longa) 90% which helps accelerate wound healing higher than turmeric extract (Curcuma longa) 45%.
Anti-Dislipidemia Effectiveness Test of Turmeric Ethanol Extract (Curcuma Longa) in Male Wistar Mice Given Propylthiouracil (PTU) Ke Huajing; Florenly Florenly; Johannes Bastira Ginting; Fioni Fioni
Budapest International Research in Exact Sciences (BirEx) Journal Vol 4, No 1 (2022): Budapest International Research in Exact Sciences, January
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birex.v4i1.3475

Abstract

Dyslipidemia is a lipid metabolic disorder that is a risk factor for coronary heart disease (CHD). According to the American Heart Association, data from 2013 to 2016, as many as 92.8 million adults in America have total cholesterol of more than 200 mg / dL. Curcumin, the main compound in turmeric, can lower cholesterol levels due to inhibiting the reabsorption of cholesterol derived from the outside (exogenous) and increasing the enzyme HMG-CoA reductase inhibitor so that fat synthesis can run well. The purpose of this study was to find out the effectiveness of mangosteen peel ethanol extract as an anti-dyslipidemia in male Wistar rats given Propylthiouracil (PTU). This study is an experimental study with a Pre-test and Post-test group only control design approach that uses male Wistar rats as test animals and turmeric extract. The study was conducted in March 2021, at the Herbarium Medanese FMIPA USU, the Pharmacognosy Laboratory of the FACULTY of Pharmacy USU, and the Laboratory of Pharmaceutical Pharmacology USU. Descriptive data analysis (Central tendency and Dyspersi) in the form of lipid profiles (LDL, HDL, Total Cholesterol, and Triglycerides), color, texture, weights. Then analyzed with One-Way Anova if the distributed data is normal, if the distributed data is not normal, then the Kruskal-Wallis test is used. The results and conclusions, turmeric ethanol extract (Curcuma Longa) III (151.70 ± 0.95 mg/dl) can significantly decrease total cholesterol compared to the control group (178.50 ± 6.05mg/dl) (P-value < 0.05). Turmeric ethanol extract (Curcuma Longa) III (110.00 ± (109-112) mg/dl) may significantly lower triglyceride levels compared to the control group (167.00 (162-179) mg/dl). (Value P = 0.027). Turmeric ethanol extract (Curcuma Longa) III (68.50 ± 1.28 mg/dl) significantly lowered LDL levels compared to the control group (107.20 ± 3.60 mg/dl). (P-value < 0.05). Turmeric ethanol extract (Curcuma Longa) III, (61.00 (60-62) mg/dl) may significantly increase HDL levels compared to the control group (28.50 (37-45) mg/dl). (Value P = 0.027). Turmeric ethanol extract (Curcuma Longa) III significantly lowered SGOT (Value = 0.027) and SGPT (Value P < 0.05) compared to the control group. 
Co-Authors Ahmad Rafli Bintang Andry Simanullang Angin, Jerry Primsa Perangin- Ayu Sibagariang Ayu Suntiarma Situmeang, Hasnita Bella Syukriyah Syaputri Pasaribu Br Manurung, Anastasya Buenita Buenita Chrismis Novalinda Chrismis Novalinda Ginting Chrismis Novalinda Ginting Dameria Deasy Siregar, Santy Devita Butar Butar Dheanissa Syalwa Khabija Irawan Elisabet Tampubolon Elma Elvia Grace Damanik Ermi Girsang Eva Ellya Sibagariang Eva Flourentina Kusumawardani Fioni, Fioni Florenly Florenly Florenly Florenly Florenly Florenly Florenly Florenly Florenly Ginting, Chrismis Novalinda Ginting, Jesika Br Ginting, Rapael Girsang, Ermi Hariani - Hartono Hartono Hartono Hartono Hartono Herbert Wau Herlina Natalina Hutasoit Hsb, Khairiyani Asri Hulu, Viktor Trismajaya Hulu5, Victor Trismanjaya Israknur, Israknur Ji Junfeng Karo-Karo, Styfani Ke Huajing Leli Khairani Li Sha Liena Liena Liena Liena Lin Shikun Manurung, Sofy Angel Hita Br Mardi Fadilah Masryna Siagian Mei Riauly Wira Purba Meutia Paradhiba Mustika Ananda, Putri NANA ALDRIANA NASRIANTI SYAM Nasution, Sri Lestari Ramadhani Nazila Anggraini Oktavia, Melyn Oktaviani, Emma Onetusfifsi Putra Pakpahan, Elfrida Perry Boy Chandra Siahaan Purba, Mei Rapael Ginting Rehan Nur Rijsubo, Primawaty Dwi ROMY WAHYUNY, ROMY Rubi Rimonda S, Buenita Santy Deasy Siregar Sari, Anggi Puspita Sherina Putri Aulia Siagian, Masryna Siburian, Dina Amelia Novatama Simangunsong, Pahala Maringan J. Simanullang, Andry Simbolon, Paska Yolastri Situmorang, Lusiana Jesika Sri Wulandari Suci, Tri Sukiyem Tampubolon, Roy's Grace Telaumbanua, Andika Syahputra Tobing, Indridani Rogate Tri Suci Vania Amanda Tambunan Wang Xiqin Wen Shiqi Xu Xuliang Yulia Fitriani, Yulia Zhan Chengwu Zhou Guoqing