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All Journal Journal Of Vocational Health Studies Jurnal Penelitian Pendidikan IPA (JPPIPA) Pendas : Jurnah Ilmiah Pendidikan Dasar Journal Health & Science : Gorontalo Journal Health and Science Community JURNAL MUTIARA KESEHATAN MASYARAKAT Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Jurnal Scientia Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences International Journal Of Science, Technology & Management (IJSTM) Archives of The Medicine and Case Reports Jurnal EduHealth Jurnal Ekonomi Multidiciplinary Output Research for Actual and International Issue (Morfai Journal) INTERNATIONAL JOURNAL OF CULTURAL AND SOCIAL SCIENCE Jurnal Multidisiplin Madani (MUDIMA) JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) International Journal of Health and Pharmaceutical (IJHP) International Journal of Science and Environment Jurnal An-Najat: Jurnal Ilmu Farmasi dan Kesehatan The International Journal of Medical Science and Health Research 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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Test of Antioxidant And Antibacterial Activity of Ethanol Extract of Andaliman Fruit (Zanthoxylum Acanthopodium Dc.) With Dpph (1.1-Diphenyl-2-Picrylhydrazil) Trapping Method And Minimum Inhibitory Concentration Ira Syaputri; Ermi Girsang; Linda Chiuman
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 2 (2022): May 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.591 KB) | DOI: 10.51601/ijhp.v2i2.36

Abstract

Utilization of bioavailability according to World Health Organization (WHO) records is very large, it is estimated that almost 80% of mankind, especially in developing countries, still use plants as medicinal ingredients to maintain their health (Nugraheni, 2007). Andaliman (Zanthoxylum acanthopodium DC.) which belongs to the Rutaceae tribe which is one of the plants known to the Batak community, is classified as a wild plant and is a typical plant of Province North Sumatra. The method used in this research is experimental research. The research included collecting and processing andaliman fruit, making simplicia, making ethanol extracts, and examining antioxidant activity tests using the DPPH free radical scavenging method (1,1-diphenyl-2-picrylhydrazil) and antibacterial activity using the minimum inhibitory concentration method. The results of the antibacterial activity test of the ethanolic extract of andaliman fruit showed that the extract had antibacterial activity in the moderate category at a concentration of 300 mg/ml with an inhibition zone of 10.17 mm for Staphylococcus aureus bacteria and a moderate category for Staphylococcus epidermidis bacteria with an inhibition zone of 10.80 mm. The ethanol extract of andaliman fruit can inhibit Staphylococcus aureus and Staphylococcus epidermidis, effective at a concentration of 300 mg/ml with inhibitory diameters of 10.17 mm and 10.80 mm, respectively.
An Effect Virgin Coconut Oil Oral And Topical On Volume Decrease Of Foot Edema Of Male Wistar Flows Induced By –Caragenan Dzil Fikri; Ermi Girsang; Ali Napiah Nasution; Linda Chiuman
International Journal of Health and Pharmaceutical (IJHP) Vol. 2 No. 1 (2022): February 2022
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.702 KB) | DOI: 10.51601/ijhp.v2i1.38

Abstract

Virgin Coconut Oil(VCO) is virgin coconut oil that is made enzymatically. The content of saturated fatty acids and flavonoid compounds in VCO can be used as an anti-inflammatory drug. This study aims to determine the activity of VCO as an anti-inflammatory. Anti-inflammatory activity was tested using the method of calculating the percentage of inflammation inhibition in white rat paws induced by intraplantar 1% carrageenan solution. The decrease in edema in the rat's feet was measured using a plethysmometer for 360 minutes. The results showed that VCO at a dose of 0.4 ml/200 g BW and 0.8 ml/200 g BW gave anti-inflammatory activity with the percentage of inflammation inhibition of 64.34 ± 9.90 and 52.66 ± 8, respectively. 94. The anti-inflammatory activity of VCO at a dose of 0.4 ml/ 200 g BW and a dose of 0.
The Role of Health Workers in Managing Degenerative Diseases in the Elderly at the Negeri Lama Community Health Center: A Case Study Dhyta Nurhasanah Janas; Ermi Girsang; Sri Lestari Ramadhani Nasution
The International Journal of Medical Science and Health Research Vol. 30 No. 1 (2026): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/4sh2rn33

Abstract

Introduction: The increasing elderly population in Indonesia presents significant challenges in managing degenerative diseases, particularly in primary health care facilities with limited resources. This study aims to explore the role of health workers in managing degenerative diseases in the elderly at the Negeri Lama Community Health Center. Methods: This research employed a qualitative approach with a case study design. Data were collected through in-depth interviews with seven informants (elderly cluster officers, non-communicable disease program holders, doctors, pharmacists, and nutritionists), observation, and documentation. Data analysis used thematic analysis with source triangulation, method triangulation, member check, and audit trail to ensure data validity. Results: Health workers performed curative roles through integrated medical services including comprehensive examinations, diagnosis, medication provision (amlodipine, metformin, glimepiride, simvastatin, allopurinol), pharmaceutical and nutritional counseling, and referral systems. Preventive roles were implemented through routine health screenings using E-pus and P-care applications, counseling on healthy lifestyles, education on balanced nutrition, and lifestyle modifications. Challenges included complex disease complications (multimorbidity), unpredictable drug shortages from the District Health Office, limited diagnostic facilities, declining memory and cognitive function in the elderly, low health literacy, irregular visits, unstable internet networks, poor road conditions, flooding, geographical distance, and economic constraints. Communication patterns applied were patient-centered with specific adjustments for the elderly including louder volume, slower speech, simple language, and family involvement in the education process. Interprofessional collaboration involved medical records staff, elderly cluster officers, pharmacists, and nutritionists working according to standard operating procedures. Discussion: The findings align with previous research emphasizing comprehensive geriatric assessment, the effectiveness of pharmacist counseling in improving medication adherence, the importance of family support in chronic disease management, and the impact of geographical and economic barriers on healthcare access. The study highlights the need for integrated approaches addressing both clinical and social determinants of health in elderly care. Conclusion: Health workers at the Negeri Lama Community Health Center have implemented comprehensive curative and preventive roles despite various challenges. Improvements are needed in logistics management systems, development of educational media, strengthening interprofessional collaboration, innovation in education methods, and family and community support to optimize health services for the elderly with degenerative diseases.
ANALYSIS OF LEADERSHIP AND MANAGEMENT GOVERNANCE IN THE ACCREDITATION POLICY OF MEDAN CITY AIR FORCE HOSPITAL Lisa Yunita Marnas; Ermi Girsang; Sri Lestari Ramadhani Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

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Abstract

Hospital management, leadership, and governance have an important role in ensuring the successful implementation of hospital accreditation policies. This study aims to analyze the influence of leadership and management governance on the implementation of accreditation policies at the Medan City Air Force Hospital. This study uses a mixed-methods approach with a sequential explanatory design, in which quantitative research is conducted first, followed by qualitative analysis to deepen the research findings. The quantitative sample comprised 80 health workers and managerial staff, selected using the total sampling technique. At the same time, qualitative data were obtained through purposive sampling involving five key informants: the hospital head, the hospital secretary, and the head of the installation. Data were collected through structured questionnaires with a Likert scale, in-depth interviews, observations, and document review. Quantitative data were analyzed using descriptive statistics and multiple linear regression, while qualitative data were analyzed using thematic analysis. The results showed that leadership had a significant effect on the implementation of hospital accreditation policies (β = 0.228; p < 0.05). Management governance also exerted a significant influence on the implementation of accreditation policies (β = 0.716; p < 0.05). These findings show that effective leadership and good management governance are important factors in strengthening the hospital's quality management system and ensuring the sustainability of accreditation implementation.
ANALYSIS OF THE INFLUENCE OF WORKPLACE ENVIRONMENTAL HEALTH CONDITIONS ON THE QUALITY OF HEALTH SERVICES AND PATIENT SATISFACTION AT EVI MARELAN PRIMARY CLINIC Akhyar Al Fauzi Lubis; Ermi Girsang; Sri Lestari Ramadhani Nasution
Pendas : Jurnal Ilmiah Pendidikan Dasar Vol. 11 No. 02 (2026): Volume 11 No. 2, Juni 2026 Release
Publisher : Program Studi Pendidikan Guru Sekolah Dasar FKIP Universitas Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23969/jp.v11i02.45728

Abstract

Clinics are healthcare facilities that provide medical services to the community. This study aims to analyze the influence of workplace environmental health conditions, healthcare service quality, and human resource (HR) competence on patient satisfaction at Evi Primary Clinic. Despite being accredited and having a strong vision, the clinic still receives complaints regarding suboptimal services and facilities.Using a quantitative analytic correlational design with a cross-sectional approach, this study examined variable relationships at a single point in time. The population included all patients visiting the clinic within one month, with data collected through questionnaires and interviews. A total sampling technique was applied, and the data were analyzed using univariate, bivariate (Chi-Square), and multivariate (Discriminant Analysis) methods.Results show that HR competence significantly influences healthcare service quality, with a coefficient of 0.806 (p = 0.000), and also impacts patient satisfaction (coefficient 0.609; p = 0.000). Most respondents (62.8%) rated HR competence as fair, and 19.9% as good. Workplace environmental conditions and health facilities also significantly influence service quality (coefficient 0.639; p = 0.000) and patient satisfaction (coefficient 0.527; p = 0.000). Multivariate analysis further revealed that facilities affect service quality with a coefficient of 0.748.In conclusion, HR competence, healthcare facilities, and service quality all significantly affect patient satisfaction. A comprehensive approach is needed to enhance staff competence, improve infrastructure, and optimize service procedures. These strategies are essential for achieving high patient satisfaction and realizing the clinic’s mission of delivering excellent healthcare.
BEYOND COMPLIANCE: EXPLORATION OF PSYCHOSOCIAL AND ORGANIZATIONAL FACTORS THAT AFFECT PERSONAL PROTECTIVE EQUIPMENT COMPLIANCE AND ITS IMPLICATIONS FOR THE INCIDENCE OF HAIS IN EMERGENCY DEPARTMENT HEALTH WORKERS AT RSIA ARTHA MAHINRUS Jennifer Tiosanna; Ermi Girsang; Sri Lestari Ramadhani Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 4 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

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Abstract

This study aimed to analyze psychosocial and organizational factors influencing Personal Protective Equipment (PPE) compliance and their implications for Healthcare-Associated Infections (HAIs) among emergency department healthcare workers at RSIA Artha Mahinrus. This study used a mixed-methods approach with a sequential explanatory design, in which quantitative data were collected first, followed by qualitative data to deepen the findings. The quantitative sample comprised 16 healthcare workers (4 doctors, 4 nurses, and 8 midwives) using a total sampling approach. Data were analyzed using univariate, bivariate (Fisher's Exact Test), and multivariate (multiple linear regression) analyses. Qualitative data were obtained through in-depth interviews. The results showed that psychosocial factors (p = 0.030) and organizational factors (p = 0.012) significantly influenced PPE compliance, with organizational factors as the dominant predictor. The findings also revealed the phenomenon of clinical discretion, in which emergencies and time pressure led to intentional noncompliance with PPE protocols. In addition, a paradox was identified: high organizational involvement was associated with noncompliance due to safety complacency and perceived bureaucratic burden. These findings indicate that PPE compliance is not merely adherence to standard procedures but reflects a complex interaction between individual and organizational factors in maintaining patient and worker safety.
THE EFFECT OF THE GOVERNMENT'S FREE NUTRITIOUS FOOD PROGRAM ON CHANGES IN LEARNING CONCENTRATION AND NUTRITIONAL STATUS IN STUDENTS OF SDN NO. 075062 DOLI-DOLI MANDREHE DISTRICT, WEST NIAS REGENCY Ernawati Hondro; Ermi Girsang; Sri Lestari Ramadhani Nasution
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 4 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

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Abstract

This study aims to analyze the effect of the Government’s Free Nutritious Food Program (MBG) on changes in learning concentration and nutritional status among students at SDN No. 075062 Doli-Doli, Mandrehe District, West Nias Regency. This research used a quantitative, quasi-experimental design with a pretest and posttest (no control group). The population consisted of 168 students, with a sample of 128 students selected using the Slovin formula and purposive sampling. Learning concentration was measured using a structured test, while nutritional status was assessed using Body Mass Index (BMI) based on anthropometric measurements. Data were analyzed using univariate methods and the Wilcoxon signed-rank test due to non-normal distributions. The results showed a significant increase in learning concentration (from pretest 30.19 to posttest 34.91; p < 0.001) and nutritional status (from pretest 15.33 to posttest 16.17; p < 0.001). These findings indicate that the MBG program significantly improves students' cognitive performance and nutritional status. The study concludes that school-based nutrition interventions are effective in supporting both health and educational outcomes, particularly in disadvantaged areas.
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.
Co-Authors Akhyar Al Fauzi Lubis Akmalul Habib Damanik Ali Nafiah Nasution Ali Napiah Nasution Alvin Abrar Harahap Analita Khoironissa Anita Merry Cisca Arie - Vonikartika Ary Denggan Syahputra Lubis Asri Widiya Sitompul Asyrun Alkhairi Lubis Ayu Hasanah Panjaitan Benedictus Juve Bethania Nadi Ida Febrina Siagian Chiuman, Linda Clinton Antony Dennis Wijaya Depi Yunaspi Dewi Dhyta Nurhasanah Janas DIAN MELANI Diana Agustina Ritonga Disti Amanda Putri Djohan Djohan Dzil Fikri Erisman Hondro Ernawati Hondro Eva Kristina Pelawi Fajar Sahputra Fioni Fioni Firdha Muharraran Ginting, Chrismis Novalinda Gusbakti Gusbakti Hanjaya hardiansyah siregar Hariyento Halim Ibnu Rushd Ira Syaputri Irfan Aulia irza Haicha Pratama Jennifer Tiosanna Jeri Yuliansyah Liani Br Ginting Liena Lisa Yunita Marnas M. Ridho Fitra Alamsya Maria Seri Arihta Marlinang I. Silalahi Martin Loodwyck Simanjuntak Maya Sari Mutia Maya Sari Mutiara Muhammad Agus Muljanto Muhammad Insan Andika Muhammad Nawal Hasya Nadia Zenni Andari Nasution, Ali Napiah Noni Rokaya Pasaribu 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 Stefenie SURYANI Syaifullah Syaifullah Tan Suyono Tommy Adhi Wijaya Ulina Karo Karo Ulina Karo-karo Vijay Dhillon Waoziduhu Ndruru Welly Ria Utami Lubis Widya Pasca Amir Widyaningsih Oentari Widyaningsih Oentari Winda Tri Mutia Wiwin Dwi Handayani Wulan Dhari Yuliani Yuliani Zsa Zsa Ranty Bianca Saragih