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EVALUATION OF THE USE OF THE DRUG IN PATIENTS ACUTE RESPIRATORY TRACT INFECTION (ARI) NON PNEUMONIA AT PUSKESMAS SIGUMPAR Sihombing, Yanna Rotua; Romauli Anna teresia Marbun; Friska Novita Pasaribu; Novidawati Br Situmorang
Jurnal FARMASIMED (JFM) Vol 6 No 1 (2023): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v6i1.1630

Acute Respiratory Infection (ARI) is one of the main causes of patient visits to health centers (40%-60%) and hospitals (15%-30%). In Indonesia the level of use of antibiotics is still quite high. The unwise use of antibiotics and the incorrect application of standard precautions in health care facilities an lead to the occurrence of resistane. This study aims to determine the evaluation of drug use in non-pneumonia Aucute Respiratory Infection (ARI) patients at the Sigumpar Health Center. This Type of research is an observational study with a descriptive design and data taken retrospectively. The total sample of 101 medical records was taken by purposive sampling technique. The patients who often suffer from non-pneumonia acute respiratory infections at the Sigumpar Health Center occur in the age group of 6-11 years, namely children by 20,79%. Based on the results of this study, the most widely used drugs were analgesic-antipyretic (69.30%), antihistamine (65.34%), vitamins (62.37%), mucolytics (48.51%), expectorants (32.67%), antibiotics (27.72%) and corticosteroids (23.76%). The use antibiotics for non-pneumonia ARI patients at the Sigumpar Health Center was 27,72% so that it was categorized as not in accordance with the provisions of the Inonesian Ministry of Health in 2017 that the use of antibiotics in non-pneumonia ARI patients was ? 20%.

Comparison Of Naso Faring And Oro Pharynx Swab Samples On Positivity Rate For Covid – 19 With The Reverse Transcription Method Pcr (Rt–Pcr) In The Lab. Rsud Pcr. City Padang Sidempuan Sihombing, Yanna Rotua; Romauli Anna Teresia Marbun; Lenni Rismayanti; Ratih Anggraeni; Octavian Ashido Nababan; Kristian Cahayani Zebua
Jurnal FARMASIMED (JFM) Vol 6 No 2 (2024): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v6i2.2021

Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) could be a coronavirus that causes COVID-19 infection. SARS-CoV-2 is classified as an RNA infection that can cause gentle to severe respiratory diseases. Viral contaminations proceed to extend quickly, so it is critical to prevent the spread of the infection through nasopharyngeal and/or oropharyngeal swabs within the community. The point of this consider was to decide the exactness of nasopharyngeal or pharyngeal spread testing and the inspiration rate in RSUD patients. Padang Sidempuan City This think about was performed by collecting 20 nasopharyngeal swabs and 20 pharyngeal swabs from RSUD patients. City of Padang Sidempuan Infection testing was performed within the research facility by turn around transcriptase polymerase chain response (RT-PCR). Information were analyzed employing a chi-square test with p < 0.05. Judging from the nasopharynx and oropharynx positive rate comes about, the nasopharynx positive rate esteem is higher than the nasopharynx positive rate esteem, indeed in case it is the same persistent. The conclusion of this ponder is that the discovery of SARS-CoV-2 by nasopharyngeal swab will be more precise.

The Effectiveness of Team-Based Care Approach in Managing Heart Attack Patients in Primary Care Romauli Anna Teresia Marbun
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2564

Primary healthcare facilities play a crucial role in delivering rapid and effective healthcare services, especially in managing medical emergencies. These emergency situations require a swift response and well-coordinated teamwork among various healthcare professionals. Interprofessional competencies can be enhanced through scenario-based simulations, allowing healthcare providers to train in a safe yet realistic environment. This article discusses strategies for implementing simulations to improve communication skills, team coordination, and healthcare professionals’ decision-making abilities. Simulations not only enhance healthcare workers' preparedness in emergency situations but also help reduce medical errors and improve patient safety. Through a systematic approach and continuous training, primary healthcare facilities can ensure that their healthcare providers possess optimal competencies in emergency management. Furthermore, the integration of technology in simulations, such as augmented reality and virtual reality, further strengthens the effectiveness of training. Therefore, incorporating simulations in interprofessional competency enhancement should be a key component of routine training policies for medical personnel in primary healthcare facilities.

Relationship Between Dental and Oral Health Services in Dental Polyclinic to Patient Satisfaction in Community Health Centerpasar Gambir Kota Tebing Tinggi 2025 Naro Ida Sari G. Manihuruk; Romauli Anna Teresia Marbun; Novita Br Ginting Munthe
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/dq2hmr71

Patient visits to obtain dental and oral health services have decreased significantly in recent years in carrying out dental and oral examinations with Patient Satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City. The purpose of this study was to describe and analyze the relationship between dental and oral health services and patient satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City. This type of research is quantitative research using a cross-sectional design. Descriptive research is research directed at describing or describing a condition in a community or society. The population in this study were patients with patient satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City in August-October 2024. The sample in this study was patients at the Pasar Gambir Health Center, Tebing Tinggi City, totaling 65 people. This study will be conducted from November 2024 to April 2025. The level of patient satisfaction is generally in the moderate to high category, but service improvements are still needed in terms of physical facilities and time management. There is a significant relationship between all dimensions of SERVQUAL (tangibles, reliability, responsiveness, assurance, and empathy) with the level of patient satisfaction. The conclusion is that there is a relationship between the level of patient satisfaction from the aspects of tangibles, reliability, responsiveness, assurance, and empathy towards dental and oral health services with patient satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City.

The Influence of Inpatient Service Quality on Patients' Decisions to Go Home at Their Own Request (Paps) at The Mayjen H.A Thalib Regional Hospital, Sungai Penuh City Putri, Puji Audina; Romauli Anna Teresia Marbun; Tati Murni Karokaro
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/3nn67r29

"Discharge at Own Request (PAPS)" is one of the indicators used to assess the quality of inpatient care services. Based on direct interviews with several PAPS patients in the inpatient ward of a particular regional public hospital (RSUD), several factors were identified as triggers for their decision to leave, including the waiting time for treatment and the condition of the treatment room and walls, which appeared uncomfortable—especially for patients who did not yet have a BPJS National Health Insurance) card.The high incidence of patients discharging themselves at their own request (PAPS) has an impact on the hospital, including a potential decrease in service efficiency, as indicated by a reduction in the length of stay (LOS). This study aims to identify and analyze the influence of inpatient service quality on the decision of patients to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025.This is a quantitative study using a cross-sectional study design. The research was conducted at RSUD Mayjen H.A. Thalib, Sungai Penuh City, from November 2024 to April 2025. The sample consisted of 125 patients hospitalized in the inpatient ward of RSUD Mayjen H.A. Thalib, Sungai Penuh City. The sampling technique used was accidental sampling.The research findings indicate a correlation between patient satisfaction—based on the aspects of tangibles, reliability, Responsiveness , assurance, and empathy—and the decision to discharge themselves at their own request (PAPS) at RSUD Mayjen H.A. Thalib, Sungai Penuh City, in 2025. Therefore, it is recommended that regular training be provided to all medical personnel and hospital staff to enhance their competence and ability to deliver optimal healthcare services.

Testing the Activity of Chitosan Nanohydrogel from Belut Sawah (Monopterus albus) Extract as a Future Anti-Aging Candidate anggraeni, Ratih; Romauli Anna Teresia Marbun
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/x4nw7q34

Background: Premature aging has become a serious concern, especially among women. The aging process can occur at any time and progress rapidly. This condition may be caused by exposure to sunlight, which induces the formation of Reactive Oxygen Species (ROS) in the skin. When the amount of ROS exceeds the antioxidant defense capacity of skin cells, it can lead to dryness, thinning, loss of elasticity, wrinkles, and even skin cancer. The swamp eel (Monopterus albus) is commonly used as food by the community. Previous studies have shown that eel extract has been used to treat incision wounds, gastric ulcers, and anemia. It contains vitamin A, vitamin B, and selenium. This species is abundantly found in rice fields and muddy ponds in the Lubuk Pakam area. The formulation of the extract into nan chitosan derived from shrimp shells has been reported to improve the delivery of antioxidant effects into the skin layers. Objective: This study aimed to analyze the activity of a hydrogel combining swamp eel extract with nanochitosan, evaluate its antioxidant activity, and assess the physical stability of the hydrogel formulation as an anti-aging preparation. Methods: Extraction was carried out using the maceration method. The nanochitosan-based hydrogel formulation was designed to enhance the delivery of the eel’s active compounds. Antioxidant activity was tested using the 2,2-Diphenyl-1-picrylhydrazyl (DPPH) method, and the physical stability of the hydrogel was evaluated. Results: The physical evaluation showed that the nanochitosan hydrogel containing swamp eel extract maintained good stability during storage. Organoleptic tests indicated a consistent yellowish-white color, characteristic aroma, and uniform texture (homogeneity) from day 0 to day 4. The pH value remained stable at 5.2 throughout weeks 0 to 4, within the physiological range of skin pH. Viscosity measurements were 10,350 cps for F1, 11,750 cps for F2, and 23,650 cps for F3. These findings suggest that the formulation possessed good physical stability and an appropriate consistency for topical application. Conclusion: Skin elasticity and biological activity tests showed an increase in skin firmness, likely due to the collagen, flavonoid, and antioxidant content in the swamp eel extract. Irritation and panelist preference tests confirmed its safety and user acceptability. Therefore, this hydrogel shows potential to be developed as a natural, safe, and consumer-friendly anti-aging formulation.

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