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Prevalence of chronic obstructive pulmonary disease among TB patients at Royal Prima Hospital Cristoffel, Abraham; Wienaldi, Wienaldi; Suandy, Suandy
Buletin Kedokteran & Kesehatan Prima Vol. 3 No. 2 (2024): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v3i2.6308

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a respiratory disease characterized by a reduction in lung capacity and is the third leading cause of death worldwide. COPD is a complex disease involving various environmental and genetic factors. This study aimed to determine the prevalence of COPD among TB patients at Royal Prima Hospital in Medan. This was a retrospective descriptive study with a cross-sectional design. The population of this study was all outpatient TB medical records at Royal Prima Hospital in Medan. Purposive sampling was used, resulting in a sample size of 68 individuals. Data was analyzed univariately using descriptive statistics presented in frequency distribution tables and percentages. The results showed that most COPD patients at Royal Prima Hospital were elderly (73.5%), male (85.3%), employed (64.7%), had a junior high school education (47.1%), had suffered from COPD for less than 10 years (70.3%), and were active smokers (63.2%). Most COPD patients were categorized as having moderate disease (39.7%). It is hoped that Royal Prima Hospital will continue to develop prevention programs for Chronic Obstructive Pulmonary Disease to reduce the number of cases, and that COPD patients who frequently visit healthcare facilities will receive instructions on self-care management for their long-term condition to reduce disease severity.
Faktor yang Mempengaruhi Kejadian Stunting pada Balita Umur 24-60 Bulan di Desa Dusun Bagot Raja Purba, Greace Hasianna; Wienaldi, Wienaldi; Fachrial, Edy
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i10.62339

Abstract

Stunting merupakan salah satu masalah gizi kronis yang masih tinggi di Indonesia dan menjadi prioritas nasinal dalam bidang kesehatan, Kondisi ini terjadi akibat kekurangan giji dalam waktu yang lama, infeksi berulang, serta pola asuh dan lingkungan yang kurang mendukung. Stunting berdampak pada pertumbuhan fisik, perkembangan kognitif, dan produktivitas anak di masa depan. Berdasarkan data Riset Kesehatan Dasar (Riskesdas) tahun 2018, prevalens stunting di indonesia mencapai 30,7% angka ini masih di atas ambang batas yang ditetapkan WHO yaitu 20%. Penelitian ini bertujuan untuk mengetahui faktor faktor yang mempengaruhi kejadian stunting pada balita usia 24-60 Bulan di Desa Dusun Bagot Raja, Kecamatan Purba, Kabupaten Simalungun. Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Populasi penelitian adalah seluruh balita usia 24-60 bulan di Desa Dusun Bagot Raja sebanyak 41 responden yang diambil dengan teknik total sampling. Data dikumpulkan melalui wawancara menggunakan kuisioner dan dianalisis dengan Chi-Square menggunakan program SPSS. Variabel independen dalam penelitian ini meliputi berat badan lahir, asupan energi, pemberian ASI eksklusif, pola asuh, pendapatan keluarga, dan keragaman pangan Hasil penelitian menunjukkan bahwa prevalensi stunting di Desa Dusun Bagot Raja sebesar 63%. Anaisis bivariat menunjukkan adanya hubungan yang signifikan antara kejadian stunting dengan berat badan lahir (p= 0,011), asupan energi (p=0,009),pemberian ASI eksklusif (p=0,003), pendapatan keluarga (p=0,001), dan kergaman pangan (p=0,001). Sementara itu pola asuh tidak menunjukkan hubungan yang signifikan (p=0,082). Faktor yang paling dominan mempengaruhi kejadian stunting adalah pendapatan keluarga dan keragaman pangan Tingginya angka stunting di Desa Dusun Bagot Raja dipengaruhi oleh rendahnya pendapatan keluarga. Kurangnya keragaman pangan, aupan energi yang tidak terpenuhi, riwayar berat badan lahir rendah, dan pemberian ASI ekskusif yang tidak optimal. Upaya pencegahan perlu difokuskan pada peningkatan gizi keluarga, edukasi pola makan, gizi seimbang, serta pemberdayaan ekonomi masyarakat untuk meningkatkan kesejahteraan keluarga.
Analysis of Patient Satisfaction and Loyalty Mediated by Reputation and Conduct of Public Hospital Staff Government of North Sumatra Province Nasution, Sri Lestari Ramadhani; Sitompul, Fernades; Wienaldi, Wienaldi; Girsang, Ermi
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3482

Abstract

This research investigates the pivotal role of hospitals in healthcare, categorizing them into general and specialized facilities based on resources and capabilities. Focusing on North Sumatra, the study explores the significance of hospital conditions in influencing patients' choices, particularly in a competitive healthcare landscape driven by responsiveness to quality information. Employing a quantitative approach with non-probability sampling, the research follows a positivist philosophy to examine the connection and influence between independent and dependent variables. Conducted at the General Government Hospital in North Sumatra, the study spans from a preliminary survey in September 2023 to November 2023, with data collection ongoing and results to be presented in a seminar. The analysis reveals a substantial impact of Patient Satisfaction (PS) on Patient Loyalty (PL) (coefficient = 0.581), supported by a t-statistic value of 5.572 (>1.96) and a p-value of 0.000 (<0.05). PS also significantly influences Hospital Staff Behavior (HSB) (coefficient = 0.280, t-statistic = 2.630, p-value = 0.009 < 0.05) and Hospital Reputation (HR) (coefficient = 0.450, t-statistic = 4.789, p-value = 0.000 < 0.05). Hospital Staff (HS) demonstrates a notable influence (coefficient = 0.101) on PL, though the relationship is not statistically significant (t-statistic = 1.520, p-value = 0.129 > 0.05). Similarly, HR influences PL (coefficient = 0.124), but the relationship is not statistically significant (t-statistic = 1.402, p-value = 0.161 > 0.05). Furthermore, PS exhibits a mediated influence on PL through HSB (coefficient = 0.028, t-statistic = 1.221, p-value = 0.223 > 0.05) and through HR (coefficient = 0.056, t-statistic = 1.269, p-value = 0.205 > 0.05). These findings underscore the critical role of patient satisfaction in shaping loyalty, highlighting the mediating effects of Hospital Staff Behavior and Hospital Reputation. Understanding these dynamics is crucial for promoting healthcare competition and enhancing care quality in the North Sumatra region.
Effectiveness Test of Topical Application of Coffee Bean Extract in Accelerating the Wound Healing Process of Incised Wounds on the Dorsal Area of White Rats (Rattus norvegicus) Wistar Strain Chandra, Dody; Nasution, Sri Wahyuni; Wienaldi, Wienaldi
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study aimed to evaluate the effectiveness of the topical application of coffee bean extract (Coffea) in accelerating the wound healing process of cut wounds on the backs of Wistar strain white rats (Rattus norvegicus). The research was conducted using an experimental design with a completely randomized design (CRD) consisting of four treatment groups, namely the negative control group (receiving base ointment), the positive control group (receiving antibiotic ointment), and two treatment groups receiving coffee bean extract at concentrations of 1% and 2%. A total of 20 Wistar-strain white rats were used as the research subjects. Cut wounds were created on the backs of the rats using sterile sharp instruments. After the formation of the cut wounds, the treatments were applied topically to the wound area according to the assigned treatment groups. Observations were made periodically for 14 days, and the parameters observed included wound healing time, presence of secondary infection, inflammation, and scar formation. The study showed that topical application of coffee bean extract at concentrations of 1% and 2% significantly accelerated the wound healing process in the Wistar strain white rats. The wound healing time in the treatment groups receiving 1% and 2% coffee bean extract was significantly faster compared to the negative control group (p < 0.05). Still, it did not differ significantly from the positive control group (p > 0.05). Furthermore, the treatment groups receiving coffee bean extract also exhibited a significant reduction in inflammation and secondary infection compared to the negative control group. However, there was no significant difference in scar formation between the treatment and control groups. In conclusion, topical application of 1% and 2% coffee bean extract effectively accelerated the wound healing process of cut wounds on the backs of Wistar strain white rats. This study provides insights into the potential use of coffee bean extract as an alternative therapy for wound healing. However, further research is needed to evaluate the mechanisms of action and possible side effects associated with using coffee bean extract.
Comparison of the Effectiveness of Dermapen Using Trambosit Plasma and Scar Serum Dermapen Actions on Scar Acne Areas on the Skin Surface of Wistar Female Rats (Rattus Norvegicus) Riza Al Djoefri, Mohamad; Wienaldi, Wienaldi; Chailur, Muhammad; Marthin Simbolon, Boyke
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

This study aimed to analyze and compare the effectiveness of the action of dermapen using plasma from platelets with the movement of dermapen using scar serum on pockmarked areas on the skin surface of female Wistar rats (Rattus norvegicus). The results of wound observations based on the period (days) with an average healing time of 10.4 days and 12 days needed by each mouse to close the wound in the PRP dermapen group were faster than the serum scar group. This can be explained by the PRP content containing growth factors important for wound healing and tissue regeneration, thus accelerating healing. Meanwhile, scar serum contains concentrates that are useful for nourishing and moisturizing the skin, which can easily penetrate the deepest layers of the skin, thereby accelerating skin regeneration. Further microscopic studies, such as histopathological studies, are needed to examine the number of fibroblasts.
Hubungan Kualitas Tidur dengan Indeks Massa Tubuh (IMT) di Fakultas Kedokteran Universitas Prima Indonesia Angkatan Tahun 2022 Mahani, Yensielia; Wienaldi, Wienaldi; Fachrial, Edy
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i11.62564

Abstract

Kualitas tidur yang buruk dapat memengaruhi keseimbangan metabolik tubuh dan berdampak pada perubahan Indeks Massa Tubuh (IMT). Mahasiswa kedokteran merupakan kelompok yang rentan mengalami gangguan tidur akibat beban akademik yang tinggi dan pola hidup tidak teratur. Penelitian ini bertujuan untuk mengetahui hubungan antara kualitas tidur dengan Indeks Massa Tubuh (IMT) pada mahasiswa Fakultas Kedokteran Universitas Prima Indonesia angkatan tahun 2022. Jenis penelitian ini adalah kuantitatif dengan metode analitik cross-sectional. Data dikumpulkan melalui kuesioner Pittsburgh Sleep Quality Index (PSQI) untuk menilai kualitas tidur serta pengukuran berat dan tinggi badan untuk menentukan IMT. Jumlah sampel sebanyak 178 mahasiswa yang dipilih dengan metode total sampling. Analisis data dilakukan menggunakan uji Chi-Square dan uji Cramer’s V dengan bantuan program SPSS. Hasil penelitian menunjukkan bahwa 94 responden (52,8%) memiliki kualitas tidur baik dan 84 responden (47,2%) memiliki kualitas tidur buruk. Mayoritas responden memiliki IMT normal sebanyak 113 orang (63,5%), sedangkan 29 orang (16,3%) tergolong obesitas. Uji Chi-Square menghasilkan nilai p < 0,001 yang menunjukkan adanya hubungan signifikan antara kualitas tidur dengan IMT, dengan kekuatan hubungan sedang (Cramer’s V = 0,492). Kesimpulan penelitian ini adalah semakin buruk kualitas tidur seseorang, semakin tinggi kecenderungan mengalami peningkatan IMT.
Application Of Consumption Method With Eoq, Mmsl Forecasting And Abc-Ven Analysis In Pharmaceutical Briefing Management In Hospitals General Royal Prima Marelan Afni Kartika, Ajeng; Girsang, Ermi; Wienaldi, Wienaldi; Novalinda Ginting, Chrismis
International Journal of Science, Technology & Management Vol. 4 No. 4 (2023): July 2023
Publisher : Publisher Cv. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v4i4.850

Abstract

Hospitals should plan for drug needs using accountable methods to avoid empty drugs. Good drug planning can improve pharmaceutical stock control in hospitals. The purpose of this study was to find out about the application of consumption methods with EOQ, MMSL and ABC-VEN forecasting in the management of pharmaceutical supplies in hospitals. This study used retrospective mix-method data, quantitative data and qualitative primary data. The research was conducted at RSU Royal Prima Marelan. The results showed that drug supply control using the EOQ method of getting drugs reordered: cefixime 200MG ordered at 447, ondacetron 4MG 740, gabapentin 300MG 706, ranitidine 25MG 1467, novorapid flexpen / 5" 42. In the SS method, the number of drugs available at delivery, cefixime 200MG should be 627 drugs at the time of shipment, ondacetron 4MG should be 522, gabapentin 300MG should be 470, ranitidine 25MG should be 940, and novorapid flexpen/5" should be 26. In the ROP method the drug was reordered at cefixime 200MG it was reordered when the stock was 447 and the quantity ordered was 12027, ondacetron 4MG 740 and 10000, gabapentin 300MG 706 and 9020, ranitidine 25MG 1467 and 18040, novorapid flexpen 42 and 502. In the ABC method, group A as many as 59 types 70.59% with a total investment of 70.59% drug use and an investment value of IDR 606,511,106, group B 64 drug investment 20.33% investment 20.33% drug use investment 174,722,327, group C 146 types (9.08%) investment 9.08% drug use and investment 78,028,263.