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E-Cigarettes and Gingival Pigmentation: A Public Health Concern Among Adolescents Ermi Girsang; Firdha Muharraran; Irfan Aulia
Archives of The Medicine and Case Reports Vol. 6 No. 2 (2025): Archives of The Medicine and Case Reports
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/amcr.v6i2.691

Electronic cigarette (e-cigarette) use has rapidly increased among adolescents, raising concerns about its impact on oral health. This study investigated the association between e-cigarette and gingival pigmentation among adolescents in a community setting. A cross-sectional study was conducted in November 2024 among members of the Vapers City of Medan community. Data were collected through a Google Form questionnaire and photographic documentation of participants' gingiva. The questionnaire assessed e-cigarette use patterns, including frequency and duration, and any concurrent use of conventional cigarettes. Gingival pigmentation was assessed through photographs, noting the presence and extent of pigmentation. Data were analyzed using SPSS, employing Chi-Square, correlation, and multivariable tests to determine the association between e-cigarettes and gingival pigmentation. E-cigarette use was significantly associated with gingival pigmentation (p=0.026). Adolescents who used e-cigarettes had a higher prevalence of gingival pigmentation compared to those who did not. Correlation analysis revealed a moderate positive correlation between e-cigarette use and gingival pigmentation severity (r=0.54, p=0.01). Duration and frequency of e-cigarette use were also weakly positively correlated with gingival pigmentation severity. Multivariable analysis confirmed that e-cigarette use (OR=4.5, 95% CI=1.2-16.8, p=0.024), duration of use (OR=2.1, 95% CI=1.1-4.0, p=0.028), and frequency of use (OR=1.8, 95% CI=1.0-3.2, p=0.046) were independently associated with gingival pigmentation. In conclusion, e-cigarette use is significantly associated with gingival pigmentation in adolescents. This finding underscores the potential adverse effects of e-cigarettes on oral health, highlighting a growing public health concern.

Analysis of Hospital Health Service Quality Towards Patient Loyal-ty Through Leadership Style at Tgk. Chik Ditiro Sigli Regional General Hospital Rakhmat Akbar Dinur; Ermi Girsang; Fioni Fioni
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.158

This study examines the relationship between Hospital Healthcare Service Quality (HCSQ) and patient loyalty at Tgk. Chik Ditiro Sigli Regional General Hospital, with a focus on the mediating role of patient satisfaction and the influence of leadership styles. Employing a qualitative approach, data were collected through in-depth interviews, focus group discussions, and document analysis to capture the perspectives of patients, healthcare professionals, and hospital administrators. The findings reveal that key dimensions of HCSQ—such as responsiveness, empathy, communication, and facility environment—significantly impact patient satisfaction, which in turn mediates patient loyalty. Leadership styles emphasizing collaboration, communication, and patient-centeredness were found to enhance service quality and foster stronger patient-hospital relationships. Conversely, authoritarian leadership styles or those lacking effective communication negatively affected both employee performance and patient perceptions. The study highlights the importance of empowering employees, fostering teamwork, investing in infrastructure, and prioritizing patient-centered care to improve service quality and loyalty. These findings provide actionable insights for hospital management to enhance organizational performance and build long-term trust with patients. Future research is recommended to explore these relationships quantitatively across diverse healthcare settings and examine the role of cultural factors in shaping patient expectations and loyalty behaviors.

Analysis of the Suitability of the Head Nurse's Leadership Style Mediated by Job Satisfaction and Organizational Commitment to Nurse Performance at Pidie Jaya Regional General Hospital Dian Melani; Ermi Girsang; Tan Suyono
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.161

This study examines the relationship between the leadership styles of nurse managers, job satisfaction, organizational commitment, and their combined influence on nurse performance in Pidie Jaya Regional General Hospital. Using a qualitative approach, the research explores how transformational and transactional leadership styles affect organizational outcomes through the mediating variables of job satisfaction and commitment. The findings contribute to understanding the dynamics of effective nursing leadership in improving healthcare delivery.

A COMPARATIVE STUDY OF PHYSIOTHERAPY OUTCOMES BETWEEN INFRARED-TENS COMBINATION AND PNF THERAPIES IN NPH PATIENTS Nasution, Sri Lestari Ramadhani; Ermi Girsang; Siti Aminah
Journal of Vocational Health Studies Vol. 8 No. 3 (2025): March 2025 | JOURNAL OF VOCATIONAL HEALTH STUDIES
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jvhs.V8.I3.2025.191-199

Background: The pain experienced by Nucleus Pulposus Herniation (NPH) patients can have an impact on productivity and may lead to disability. Therefore, non-pharmacological therapies can serve as alternatives in reducing pain levels for Grade I and Grade II NPH patients. Purpose: To compare the difference in effectiveness between Infrared-Transcutaneous Electrical Nerve Stimulation (IR-TENS) combination and Proprioceptive Neuromuscular Facilitation (PNF) therapies in reducing pain among NPH patients. Method: This research employed a quasi-experimental design with a two group before and after intervention conducted at the Physical Medicine and Rehabilitation Unit of Royal Prima Hospital in Medan. A total of 20 NPH patients were provided with interventions, consisting of a combination of IR and TENS therapies for 10 patients, and PNF therapy for the other 10 patients, administered eight times for one month. Pain measurement was conducted using a Visual Analogue Scale (VAS) questionnaire before and after the interventions. The statistical analysis employed an Independent Sample T test, with a significance level (α) set at 0.05. Result: There was a reduction in moderate and severe pain scales in both groups, and no subjects were experiencing severe pain anymore. However, the reduction in moderate pain scale was higher in the group receiving the combination of infrared and TENS therapies (80%) compared to the PNF therapy (70%). The Independent T test showed that there was no significant difference between the effectiveness of the combination of IR-TENS therapies and PNF therapy on pain in NPH patients (p-value = 0.075). Conclusion: Both groups of patients experienced a reduction in pain scale after the interventions, although there was no significant difference in the outcome between the two treatment groups. This implies that both therapies are equally effective in suppressing pain in NPH patients.

Analysis of Hospital Health Service Quality Towards Patient Loyal-ty Through Leadership Style at Tgk. Chik Ditiro Sigli Regional General Hospital Rakhmat Akbar Dinur; Ermi Girsang; Fioni Fioni
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.158

This study examines the relationship between Hospital Healthcare Service Quality (HCSQ) and patient loyalty at Tgk. Chik Ditiro Sigli Regional General Hospital, with a focus on the mediating role of patient satisfaction and the influence of leadership styles. Employing a qualitative approach, data were collected through in-depth interviews, focus group discussions, and document analysis to capture the perspectives of patients, healthcare professionals, and hospital administrators. The findings reveal that key dimensions of HCSQ—such as responsiveness, empathy, communication, and facility environment—significantly impact patient satisfaction, which in turn mediates patient loyalty. Leadership styles emphasizing collaboration, communication, and patient-centeredness were found to enhance service quality and foster stronger patient-hospital relationships. Conversely, authoritarian leadership styles or those lacking effective communication negatively affected both employee performance and patient perceptions. The study highlights the importance of empowering employees, fostering teamwork, investing in infrastructure, and prioritizing patient-centered care to improve service quality and loyalty. These findings provide actionable insights for hospital management to enhance organizational performance and build long-term trust with patients. Future research is recommended to explore these relationships quantitatively across diverse healthcare settings and examine the role of cultural factors in shaping patient expectations and loyalty behaviors.

Analysis of the Suitability of the Head Nurse's Leadership Style Mediated by Job Satisfaction and Organizational Commitment to Nurse Performance at Pidie Jaya Regional General Hospital Dian Melani; Ermi Girsang; Tan Suyono
Proceeding of The International Conference of Inovation, Science, Technology, Education, Children, and Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.161

This study examines the relationship between the leadership styles of nurse managers, job satisfaction, organizational commitment, and their combined influence on nurse performance in Pidie Jaya Regional General Hospital. Using a qualitative approach, the research explores how transformational and transactional leadership styles affect organizational outcomes through the mediating variables of job satisfaction and commitment. The findings contribute to understanding the dynamics of effective nursing leadership in improving healthcare delivery.

THE USE OF BPJS DIGITALIZATION PROGRAMS TO IMPROVE SERVICE QUALITY IN FACING THE INDUSTRIAL REVOLUTION 4.0 ERA Clinton Antony; Ermi Girsang; Sri Lestari Ramadhani Nasution
International Journal of Cultural and Social Science Vol. 6 No. 1 (2025): International Journal of Cultural and Social Science
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/ijcss.v6i1.997

The Industrial Revolution 4.0 era demands digital transformation in various sectors, including the health sector. One form of innovation in health services is the digitalization of the BPJS Kesehatan program, which aims to improve the efficiency and quality of services in health facilities. This study aims to assess the effectiveness of the use of BPJS program digitalization to improve the quality of services in facing the industrial revolution 4.0 era at Royal Prima Medan Hospital, as well as to identify obstacles faced in its implementation. The research method used is a qualitative study, where data was obtained through interviews with the hospital director, the head of the BPJS primary benefit guarantee division, and six patients using BPJS services. The results of this paper indicate that the use of BPJS digitalization at Royal Prima Medan Hospital has been running in accordance with the Standard Operating Procedure (SOP) and has had a positive impact on the acceleration of the administrative process, queue efficiency, and patient data integration. However, there are still several obstacles, such as technical disruptions in the system, limited patient understanding of technology, and instability of the internet network, which can affect the effectiveness of services. To overcome these obstacles, the hospital has made various efforts, such as providing a help desk, improving digital infrastructure, and education for patients and medical personnel. Overall, the digitalization of the BPJS Kesehatan program at RSU Royal Prima Medan has proven effective in improving the quality of service, although further system optimization and innovation are still needed so that the implementation of this digitalization can run optimally in accordance with the demands of the Industrial Revolution 4.0.

The Influence Of Role, Supervision, Controlling And Motivation Health Personnel On Stunting Coverage In Health Center South Nias District Putri Satriani Dachi; Ermi Girsang; Sri Lestari Ramadhani Nasution
Jurnal Scientia Vol. 13 No. 02 (2024): Education and Sosial science, March - May 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58471/scientia.v13i02.2976

According to the Indonesian Ministry of Health, there are several factors that cause stunting in children, including mothers not having access to healthy and nutritious food such as high protein foods, which causes their children to also lack nutrition. The incidence of stunting has decreased between 2020 and 2021, the prevalence of stunting globally has decreased from 32.6 percent to 22.2 percent, the number of children affected by stunting has decreased from 198 million to 151 million. The aim of this research is to determine whether there is an influence between the role, supervision, control and motivation of health workers on stunting coverage in the South Nias District Health Center. The type of research used is quantitative analytics. The research design is a cross-sectional study. The sampling technique in this research is the total population, that is, the entire population is used as the research sample, so the total sample in the research is 360 employees. The results of the research explain that there is an influence between the role, supervision, control and motivation of health workers on stunting coverage in the South Nias District Health Center. It is hoped that this research can have a positive impact on the coverage of stunting in the South Nias Regency Health Center.

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