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All Journal Folia Medica Indonesiana Journal Of Vocational Health Studies Jurnal Penelitian Pendidikan IPA (JPPIPA) Journal Health & Science : Gorontalo Journal Health and Science Community JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Ners Jurnal Scientia Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences International Journal Of Science, Technology & Management (IJSTM) Jurnal Kesehatan Saintika Meditory Archives of The Medicine and Case Reports INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) International Journal of Health and Pharmaceutical (IJHP) Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health
Ermi Girsang
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The Compliance Evaluation of Type-2 Diabetes Mellitus Patients Treating Therapy Diet Review from Theory of Planned Behavior Sri Lestari Ramadhani Nasution; M. Ridho Fitra Alamsya; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) Vol 5, No 3 (2022): Budapest International Research and Critics Institute August
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i3.6739

Abstract

Diabetes mellitus (DM) is a chronic condition that occurs when there is an increase in blood glucose levels because the body cannot produce insulin or use insulin effectively. This study aims to evaluate more in-depth information about compliance with Type-2 DM undergoing diet therapy from the perspective of the Theory of Planned Behavior. The informants in this study consisted of 17 informants consisting of 1 Doctor, 1 Nurse, and 15 Type 2 DM patients. This type of research was qualitative using in-depth interviews related to dietary compliance with Type 2 DM patients, then analyzed by triangulation. The results showed that diet-adherent behavior was significantly influenced by attitudes, subjective norms, individual behavior control, and intentions. The amount of intention and obedient attitude and behavior possessed by Type 2 DM patients will make it easier for Type 2 DM patients to carry out diet therapy. The level of adherence to diet therapy in this study with a high category of 10 patients with a percentage of 66.7%, patients with a level of adherence to diet therapy with a moderate category of 4 patients with a percentage of 26.7%, and patients with a level of adherence to diet therapy with a low category as many as 1 patient with a percentage of 6.7%. The amount of intention and obedient attitude and behavior possessed by Type 2 DM patients will make it easier for Type 2 DM patients to carry out diet therapy.
Affecting Factors BPJS Users on the Tiered Referral System in the Pokenjior Community Health Center, Padang Sidempuan City Ria Hartaty; Sri Lestari Ramadhani Nasution; Ali Napiah Nasution; Ermi Girsang
Budapest International Research and Critics Institute-Journal (BIRCI-Journal) 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.v4i2.1860

Abstract

This study aims to determine the factors that influence BPJS users of the Tiered Referral System in the Work Area of Pokenjior Health Center, Padangsidimpuan City. This research is an analytical research type with explanatory research type. The populations in this study were all BPJS users or patients undergoing health services at the Pokenjior Public Health Center in Padang Sidempuan City with a sample of 98 patients participating in the Health BPJS. Data were collected using a questionnaire and analyzed using the Pearson Correlation test and multiple logistic regression tests. The results showed that there was an influence of BPJS user knowledge (p = 0.007), officer attitudes (p = 0.003), availability of infrastructure and human resources (p = 0.002), and referral information (p = 0.003) to the tiered referral system at Pokenjior Public Health Center. The results of multivariate analysis and modeling show that BPJS user knowledge, availability of infrastructure, and human resources and referral information are the dominant factors influencing the tiered referral system. Thus it was concluded that the knowledge factor of BPJS users, the availability of infrastructure and human resources as well as the referral information had a significant effect on the tiered referral system in Pokenjior Public Health Center, and the availability of infrastructure and human resources was the biggest or most dominant factor affecting the tiered referral system in the work area Pokenjior Public Health Center in Padangsidimpuan City
Analysis of Implementation of Infection Prevention and Control at Royal Prima Marelan General Hospital Fajar Sahputra; Ermi Girsang; Ali Napiah Nasution
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.5421

Abstract

Nosocomial infections or Healthcare-Associated Infections (HAIs) are a serious problem for global public health, including Indonesia. HAIs are infections experienced by patients during treatment and health care procedures ≥ 48 hours and ≤ 30 days after leaving the health facility. This study aims to analyze the implementation of infection prevention and control at the Royal Prima Marelan General Hospital. This research is a quantitative study with an observational analytical approach with a Cross Sectional Study design, namely in the form of data collection aimed at analyzing the implementation of infection prevention and control at the Royal Prima Marelan General Hospital for the period July to August 2023. The population in this study was 100 people who included hospital management who were considered competent in providing information. The population sample for this study that met the inclusion and exclusion criteria was 50 people. The results of bivariate analysis show that the variables related to infection prevention and control are knowledge, motivation, supervision and workload. The results of multivariate analysis show that the variable that partially influences the prevention and control of nosocomial infections in hospitals is knowledge.
Testing Of The Nephroprotective Effectiveness Of Sail Leaf (Syzygium Polyanthum (Wight.)Walp.) In DoxorubisinInduced Male Wistar Rat Dewi; Ali Nafiah Nasution; Ermi Girsang
International Journal of Science, Technology & Management Vol. 2 No. 6 (2021): November 2021
Publisher : Publisher Cv. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46729/ijstm.v2i6.372

Abstract

Cancer is one of the leading noncommunicable diseases leading to death worldwide. Cancer treatment has progressed but has side effects including nephrotoxic effects. The toxicity of doksorubisin has been widely known which is likely to be chained by the metabolic conversion of doxorubicin to doxorubicinol. The main mechanism of doxorubicinol toxicity occurs due to its interaction with iron and the formation of ROS that damages cell macromolecules. One of the plants that are widely used by the community to deal with various diseases and prevention is bay leaves. Bay leaves contain secondary metabolites that are antioxidant in nature. Antioxidants are needed to protect the body's cells from oxidative damage, preventing various degenerative diseases such as cancer, cardiovascular disease. The study aimed to determine the content of nephroprotective EEDS chemical compounds in phytochemical screening, EEDS characterization and EEDS nephroprotective activity in doxorubicin-induced mice based on uric acid, ureum and creatine levels. The study was experimentally laboratory using mice as test animals. The treatment group consisted of CMC-Na 0.5%, Nature E, EEDS doses of 100 mg/kgBB, 300 mg/kgBB and 500 mg/kgBB followed by administration of doxorubicin. The results showed phytochemicalally EEDS contains chemical compounds that are nephroprotective namely flavonoids, steroids / triterpenoids, saponins . EEDS has a water soluble sari content value of 21.64%, total ash content of 1.79%, water content of 9.98%. Ethanol soluble juice levels were 45.38% and acid insoluble ash levels were 0.39%. EEDS doses of 100 mg/kgBB, 300 mg/kgBB and 500 mg/kgBB can lower uric acid, ureum and cretinine levels and can picture the histopathology of doxorubicin-induced mouse kidneys with an effective dose of 500 mg/kgBB. It can be concluded that ethanol extract of bay leaves has nephroprotective activity.
Pengaruh Pemberian Ekstrak Etanol Daun Kunyit (Curcuma Domestica Val) Terhadap Kadar Glukosa Darah Tikus Putih (Rattus Norvegicus) Jantan Yang Di Induksi Akmalul Habib Damanik; Asyrun Alkhairi Lubis; Ermi Girsang
An-Najat Vol. 2 No. 4 (2024): NOVEMBER - An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v2i4.1682

Abstract

Indonesia is the largest archipelago in the world (17,504 islands). In addition, Indonesia has abundant natural resources and fertile soil that allows a wide variety of plants to live. Curcuma domestica val, known as turmeric, is one of Indonesia's medicinal plants. A number of active ingredients found in turmeric have been shown in studies to have potential health benefits, including anti-diabetic anti-inflammatory, anti-cancer, cough medicine, liver medicine, and Alzheimer's disease. Based on the results of phytochemical research, flavonoids, alkaloids, tannins, triterpenoids, steroids, saponins, and glycosides are present in the ethyl ethanol extract of turmeric leaves (Curcuma domestica Val). Diabetes mellitus is a metabolic condition characterised by increased blood glucose levels caused by disruption of the insulin hormone which functions to lower blood glucose levels to maintain body homeostasis. Because of the close relationship between diabetes mellitus and lifestyle, diet, sleep, work, daily routine activities and others must be balanced. This study was conducted in the laboratory and was experimental in nature using male white rats as research subjects. Rats were induced using Alloxan at a dose of 100 mg/kgBB. Rats were divided into 6 groups, each consisting of 5 rats. Group 1 is a normal group, Group 2 is a negative group only given aquadest and induced with Alloxan.
Obstacles to the Implementation of clinical practice guidelines at Mandau District General Hospital. Sindy Zelvia; Sri Wahyuni Nasution; Ermi Girsang; Sri Lestari Ramadhani Nasution
Folia Medica Indonesiana Vol. 60 No. 2 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v60i2.42556

Abstract

Highlights:1. Given the suboptimal implementation of clinical practice guidelines at Mandau District General Hospital, it is important to conduct research on potential obstacles to this problem.2. The findings of this study can encourage hospitals to develop and apply effective clinical practice guidelines while also addressing the obstacles to their implementation.   Abstract Clinical practice guidelines are procedures followed by physicians to optimize healthcare services and achieve more effective outcomes. Conducted in October 2022, this study aimed to analyze the factors that hinder the implementation of clinical practice guidelines among physicians at Mandau District General Hospital, Bengkalis, Indonesia. This study used an analytical survey design and a cross-sectional approach. This study included all 85 individuals who were employed as general practitioners at the Mandau District General Hospital. The data were subjected to univariate, bivariate, and multivariate analyses. The independent t-test was used in the data analysis, with a value of p<0.05 considered significant. The results showed that there was an association between the implementation of clinical practice guidelines and several variables, including the levels of ability in recognizing and explaining clinical pictures of diseases (p=0.008), diagnosing diseases (p=0.004), carrying out initial management (p=0.000), and carrying out independent and directed management (p=0.001). Upon conducting the follow-up analysis on logistic regression, it was found that the variables that were associated with the implementation of clinical practice guidelines were the ability to carry out initial management (p=0.000, OR=65.512, 95% CI=22.048–98.835). In conclusion, physicians' insufficient ability to perform initial management hinders the implementation of clinical practice guidelines. This study suggests incorporating the findings as input in the evaluation and development of training for physicians on the implementation of clinical practice guidelines.
SYSTEMATIC RIVIEW : POLARISASI MAKROFAG PADA ULKUS DIABETIKUM Margareta Pratiwi; Ermi Girsang; Ali Napiah
Jurnal Kesehatan Saintika Meditory Vol 7, No 1 (2024): Mei 2024
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v7i1.2477

Abstract

Luka diabetik ditandai dengan peningkatan sitokin proinflamasi dan disfungsi seluler yang konsisten dengan peningkatan kadar spesies oksigen reaktif (ROS). Gangguan penyembuhan luka merupakan salah satu komplikasi diabetes yang parah. Makrofag memiliki peran penting dalam penyembuhan luka. Pada luka yang berbeda, makrofag diklasifikasikan menjadi dua fenotipe: makrofag yang diaktifkan secara klasik dan diaktifkan secara alternative makrofag. Disregulasi fenotip makrofag menyebabkan gangguan penyembuhan luka yang parah pada diabetes. Makrofag adalah salah satu partisipan kunci dalam penyembuhan luka dan terus berlanjut memberikan perubahan fungsional pada lokasi luka sejak cedera. Secara ekstensif proses polarisasi makrofag dan modulasinya modifikasi epigenetik. Data dari model diabetes pra-klinis dan klinis mempunyai hubungan hiperglikemia yang menyebabkan perubahan ekspresi gen sehingga meningkatkan kejadian diabetes. Hiperglikemia dan stres oksidatif menjadikan lingkungan yang rentan terhadap perubahan kode epigenetic yang dimanifestasikan sebagai gen inflamasi yang berubah ekspresi. Berbagai modulasi epigenetik itu mungkin berkontribusi terhadap disregulasi polarisasi makrofag yang mengakibatkan penyembuhan luka tertunda. Kata Kunci : Luka diabetes, Polarisasi makrofag, Jalur sinyal, Penyembuhan luka
An Analysis Of Determinants Stunting Incidents In Toddlers At Mazo Puskesmas UPT, South Nias District Waoziduhu Ndruru; Ermi Girsang; Sri Lestari Ramadhani Nasution; Liani Br Ginting
Jurnal Scientia Vol. 13 No. 03 (2024): Education and Sosial science, June - August 2024
Publisher : Sean Institute

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

Abstract

The problem of stunting is a disturbance in the growth of a child's height or body length, where the height growth does not match with increasing age, which is also an abnormal condition of the body caused by more than one factor (multifactor). So this re-search discusses many things, including analyzing the influence of clean water access, latrine access, hand washing behavior with soap (CTPS), history of exclusive breastfeed-ing and MP-ASI on the growth and development of toddlers aged 24-59 months. This research used a cross sectional study design. The research was conducted in March-April 2020. Respondents were 118 children under five (aged 24-59 months) who lived in Og-an Ilir. The selection of respondents was taken using a simple random sampling tech-nique. Stunting, a condition characterized by impaired growth and development in chil-dren due to poor nutrition, recurrent infections, and inadequate psychosocial stimulation, is a significant public health problem. Statistical analysis was carried out to identify cor-relations and potential causal relationships between these variables and the incidence of stunting. The results show that low socio-economic status and maternal education are significantly related to high stunting rates. Inadequate food intake and poor sanitation practices are also important factors. Frequent infections, especially gastrointestinal dis-eases, are known to worsen the risk of stunting in toddlers.The study concludes that a multifaceted approach is needed to address stunting, involving improved economic con-ditions, educational initiatives for mothers, improved nutrition programs, better access to health services, and improved sanitation facilities. These findings highlight the im-portance of integrated public health strategies to reduce stunting and improve the wel-fare of children in South Nias District. Further research is recommended to explore long-term interventions and their effectiveness in various settings.
Analisis Pengaruh Kelengkapan Pencatatan Rekam Medis Pada Patient Safety Goals Di RS Royal Prima Tahun 2024 Dirgantara, Oscar; Ermi Girsang; Nasution, Ali Napiah
Jurnal Ners Vol. 9 No. 1 (2025): JANUARI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i1.30835

Abstract

Tingkat kejadian kematian yang terjadi karena kesalahan medis telah meningkat secara signifikan selama 10 tahun terakhir. Salah satu kesalahan medis yang sering terabaikan adalah pencatatan rekan medis khususnya pada asesmen awal pasien. Pencatatan Rekam Medis yang lengkap yang baik adalah komponen penting dalam pengelolaan informasi kesehatan di Rumah Sakit. Mengidentifikasi apakah faktor kelengkapan pencatatan Rekam Medisdapat mempengaruhi pencapaian International Patient Safety Goals. Penelitian ini menggunakan penelitian survei yang bersifat analitik deskriptif dengan menggunakan desain cross sectional study. Sampel diambil dari Rekam Medis pasien rawat inap di Rumah Sakit Royal Prima Medan periode Januari 2024 yang berjumlah 218 pasien. Pada penelitian yang dilakukan di RS Royal Prima Medan pada periode Januari 2024, didapatkan hasil kelengkapan pencatatan Rekam Medis mencapai 82% dan standarisasi JCI 7th edition yang menggunakan IPSG di RS Royal Prima Medan pada periode Januari 2024 mencapai 84,17%. Dari penelitian ini dapat disimpulkan sementara bahwa semakin tinggi nilai pencatatan Rekam Medis, maka nilai IPSG juga akan meningkat pada faktor identifikasi pasien, komunikasi yang efektif, dan keamanan penggunaan obat.Kendati demikian, harus ada perubahan dalam penyusunan tujuan utama akreditasi JCI, karena tidak dapat diletakkan pada seluruh lapisan Rumah Sakit.
An Evaluation Of The Effectiveness Of Using The Self-Registration Station (ADM) Method At The Community Health Center, Batugana District North Padang Lawas S. Shelly Hazlina Hararap; Ermi Girsang; Sri Lestari Ramadhani Nasution; Liani Br Ginting
Jurnal Scientia Vol. 13 No. 04 (2024): Education and Sosial science, September-December 2024
Publisher : Sean Institute

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

Abstract

Queues arise due to the need for services exceeding the capacity of services or service facilities so that users of facilities cannot immediately get services due to busy services. Very long queues and taking too long to get a turn for service are very dissatisfying for patients with the Self-Registration Kiosk (ADM) method at Batugana Health Center aims to maximize the outpatient registration process in order to create easy, fast and comfortable services for patients. However, in its implementation there are still many elderly people who do not understand its use and sometimes there are problems with the system, thus slowing down the service process at Batugana Health Center. The purpose of this study was to evaluate the effectiveness of the use of the Self-Registration Kiosk Method (ADM) at Batugana Health Center. The method in this study is qualitative analytic. The sample in this study consisted of 4 informants including: Head of the Health Center, Head of the Self-Registration Kiosk Division, Self-Registration Kiosk Officers and Outpatients. Data were obtained through in-depth interviews with informants, then the data was analyzed by data reduction through Data Triangulation and sources, then displayed in narrative form. The results of the study showed that there was an influence of human resources, SOPs and facilities and infrastructure on the use of the Self-Registration Kiosk (ADM) method at Batugana Health Center on the evaluation of the effectiveness of the use of the Self-Registration Kiosk (ADM) Method at Batugana Health Center., has not fully implemented the use of APM effectively because the expected results have not been in accordance, namely creating fast service. At Batugana Health Center, the efforts that will be made are to re-evaluate the performance of officers on APM, determine officers who really understand the APM machine. And what will be done is to create an SOP on the use of the APM machine, check the function of the APM machine, add internet quality and add electric generators.
Co-Authors Akmalul Habib Damanik Ali Nafiah Nasution Ali Napiah Analita Khoironissa Anita Merry Cisca Arie - Vonikartika Asyrun Alkhairi Lubis Bethania Nadi Ida Febrina Siagian Chiuman, Linda Clinton Antony Depi Yunaspi Dewi Dewi Sri Rezeki DIAN MELANI Diana Agustina Ritonga Dirgantara, Oscar Fajar Sahputra Fioni Fioni Firdha Muharraran Ginting, Chrismis Novalinda Gusbakti Gusbakti hardiansyah siregar Ibnu Rushd Irfan Aulia Liani Br Ginting M. Ridho Fitra Alamsya Mangatas Silaen Margareta Pratiwi Maria Seri Arihta Marlinang I. Silalahi Muhammad Agus Muljanto Muhammad Insan Andika Muna Soraya Putri Nadia Zenni Andari Nasution, Ali Napiah Nasution, Sri Lestari Ramadhani Primanita Novi Andriati Putri Satriani Dachi Rakhmat Akbar Dinur Ramadhan Efendi Rapael Ginting Redo Widhio Mahatvavirya Ria Hartaty S. Shelly Hazlina Hararap Saprilliani . Sindy Zelvia SITI AMINAH Sri Lestari Nasution Sri Lestari Ramadhan Sri Lestari Ramadhani Sri Lestari Ramadhani Nasution Sri Ramadhani Nasution Syaifullah Syaifullah Tan Suyono Tommy Adhi Wijaya Vijay Dhillon Waoziduhu Ndruru Yuliani Yuliani Zsa Zsa Ranty Bianca Saragih