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IDENTIFICATION OF MALARIA INCIDENCE IN LANGKAT REGENCY NORTH SUMATERA PROVINCE Rahmadani Sitepu; Irnawati Marsaulina; Nurmaini; Taufik Ashar
Muhammadiyah International Public Health and Medicine Proceeding Vol. 4 No. 1 (2024): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v4i1.641

Abstract

Malaria was transmitted through the bite of female Anopheles mosquitoes which is still a threat to global health including Indonesia which is a tropical country. This study aimed to identify the number of malaria cases in Langkat Regency, North Sumatera province. This research used a descriptive approach using secondary data on malaria at the North Sumatra Provincial Health Office and the Langkat District Health Office. Secondary data was viewed and identified based on the annual report on malaria incidence from 2016 to 2021. There were 125 cases of malaria in Langkat Regency in 2016. In 2017 a total of 93 cases of malaria were recorded with the highest cases in Kuala District (41.9%) and the lowest in Bahorok District (3.2%). There were 51 confirmed cases of malaria in 2018, with Kuala District having the greatest number of cases (54.9%) and the lowest in Padang Tualang District (2%). In 2019, there were 10 malaria cases with the highest cases in Kuala District (40%) and the lowest in Kutambaru District (10%). There were 26 cases of malaria reported in 2020, with Kutambaru District having the greatest percentage of infections (84.6%), and in 2021 Kutambaru District had a highest cases of malaria (91.2%) from 34 total cases. There was a decrease in the incidence of malaria from 2016 to 2019, but it increased again in 2020 and 2021. Serious attention is needed from all related parties, such as the Langkat Regency government, the North Sumatra Provincial Hhealth Office, or the Langkat Regency health office.
Analisis spasial persebaran dan faktor risiko tuberkulosis paru di wilayah kerja Puskesmas Hutabaginda Kecamatan Tarutung Kabupaten Tapanuli Utara tahun 2022 Sitompul, Indah Sari; Ashar, Taufik
TROPHICO: Tropical Public Health J. Vol. 4 No. 2 (2024): TROPHICO: Tropical Public Health Journal
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/trophico.v4i2.17401

Abstract

Pulmonary tuberculosis is one of the top 10 diseases that need to be addressed and is one of the most common diseases that cause death. Tarutung Subdistrict with Hutabaginda Health Center is the subdistrict with the highest cases of pulmonary tuberculosis in North Tapanuli Regency. The number of cases of pulmonary tuberculosis patients in 2022 was obtained as many as 59 cases, of which 40 cases with complete and traceable addresses. This research is a descriptive analysis research using quantitative research method with Cross Sectional research design. This study analyzed the distribution mapping and risk factors for the incidence of pulmonary tuberculosis in the Working Area of Puskesmas Hutabaginda, Tarutung Subdistrict, North Tapanuli Regency with a total sampling technique with a sample size of 40 people. Data were collected directly by the researcher through observation and interview with a research questionnaire. Data analysis showed that the majority of research respondents were male (70%), productive age (77.5%), with low education level (80%), still working (52.5%), not consuming alcohol (52.5%), not smoking (55%), no history of diabetes (62.5%), unqualified residential density (80%), unqualified house temperature (70%), unqualified house ventilation (77.5%), unqualified house humidity (97.5%), qualified wall type (60%), qualified floor type (57.5%), and qualified house lighting (62.5%). It is recommended that patients with pulmonary tuberculosis be able to maintain the health of the housing environment, and the Puskesmas is expected to be able to increase the promotion of clean and healthy living behaviors (PHBS) through socialization and counseling.
Effectiveness of Epidermal Growth Factor Receptor (EGFR) Tyrosine Kinase Inhibitor (TKI) on Life Expectancy in Non-Small Cell Lung Cancer Patients in Medan City Harahap, Putri Wulandari; Tarigan, Setia Putra; Soeroso, Noni Novisari; Ashar, Taufik
Journal of Society Medicine Vol. 4 No. 2 (2025): February
Publisher : CoinReads Media Prima

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71197/jsocmed.v4i2.193

Abstract

Introduction: Non-small cell lung cancer (NSCLC) is strongly linked to epidermal growth factor receptor (EGFR) mutations, with tyrosine kinase inhibitors (TKIs) serving as a primary treatment. While TKIs demonstrate substantial antitumor effects, resistance differs across generations. This study evaluates the impact of first- and second-generation EGFR TKIs on the survival outcomes of NSCLC patients in Medan. Method: A retrospective cross-sectional study was conducted on 67 EGFR-positive NSCLC patients treated with TKIs between 2017 and 2022. Medical records from four hospitals-Haji Adam Malik Hospital, Elisabeth Hospital, Prof. Dr. Chairuddin Panusunan Lubis USU Hospital, and Pirngadi Hospital-were analyzed. Patients aged >18 years with EGFR mutations (exon 18, 19, or 21) and complete records were included. Survival outcomes, including Progression-Free Survival (PFS), Median Survival Time (MST), and Overall Survival (OS), were compared using the Mann-Whitney test. Results: All 67 patients received either first- or second-generation TKIs. Statistical analysis revealed that patients treated with second-generation TKIs had significantly better PFS, MST, and OS than those receiving first-generation TKIs (p < 0.05). Conclusion: This retrospective study faced limitations due to incomplete data and did not assess adverse effects. However, findings indicate that second-generation EGFR TKIs provide superior survival benefits for NSCLC patients compared to first-generation TKIs. Further prospective studies are needed to validate these results and explore the impact of treatment-related toxicity.
FAKTOR-FAKTOR RISIKO PENYAKIT MALARIA: STUDI KARAKTERISTIK, LINGKUNGAN DAN PERILAKU: MULTIFACTORIAL RISKS FOR MALARIA INCIDENCE: CHARACTERISTIC, ENVIRONMENT AND BEHAVIORAL STUDY Sitepu, Rahmadani; Marsaulina, Irnawati; Nurmaini; Ashar, Taufik
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 24 No. 2 (2025): Juli 2025
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/ibnusina.v24i2.923

Abstract

Malaria masih menjadi masalah kesehatan global yang utama, terutama di Indonesia. World Malaria Report 2020 melaporkan terdapat 229 juta kasus dan 409.000 kematian akibat malaria. Di Indonesia, Kecamatan Kutambaru, Kabupaten Langkat, Sumatera Utara, melaporkan 22 kasus (84%) pada tahun 2020. Penelitian ini bertujuan untuk menganalisis faktor risiko malaria di Kecamatan Kutambaru. Penelitian ini menggunakan desain studi potong lintang dengan sampel sebanyak 283 orang yang dipilih secara accidental sampling. Data dikumpulkan melalui wawancara dengan menggunakan kuesioner. Analisis data meliputi analisis univariat, bivariat, dan multivariat dengan menggunakan regresi logistik. Hasil uji bivariat menunjukkan bahwa pendidikan, pengetahuan, penerangan rumah, semak belukar, rumah berdinding kayu tanpa plafon, genangan air, rumah dekat kebun atau sungai, dan sering keluar rumah pada malam hari berhubungan dengan kejadian malaria. Hasil multivariat menunjukkan bahwa pengetahuan merupakan faktor yang dominan dengan nilai OR sebesar 5,766 yang mengindikasikan bahwa pengetahuan yang kurang baik berpengaruh besar terhadap kejadian malaria di Kutambaru. Kearifan lokal dapat dimanfaatkan dalam memberdayakan masyarakat dengan tujuan meningkatkan pengetahuan masyarakat melalui pendidikan kesehatan dengan melibatkan peran pelayanan kesehatan dan instansi pemerintah terkait khususnya di Kecamatan Kutambaru Kabupaten Langkat.
Correlation Between Noise Levels and Noise-Induced Hearing Loss in Ground Handling Officers at Kualanamu Airport Putra, Aldi Maulana; Herwanto, Yusa; Lubis, Yuliani M.; Ashar, Taufik
Jurnal Biologi Tropis Vol. 25 No. 2 (2025): April-Juni
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i2.8867

Abstract

Airport ground handling officers are highly exposed to noise from aircraft operations, potentially leading to Noise-Induced Hearing Loss (NIHL). This study aims to investigate the correlation between noise levels and NIHL among ground handling officers at Kualanamu Airport. A cross-sectional observational design was applied. Data on noise levels were obtained using a sound level meter, and NIHL was assessed with a calibrated Interacoustics audiometer AD528. Among 23 officers exposed to 95 dB, 16 (69.6%) had NIHL, and among 5 officers exposed to 100 dB, 4 (80%) had NIHL. Statistical analysis using the Kruskal-Wallis test confirmed a significant relationship between noise levels and NIHL (p<0.001). The study highlights the need for preventive strategies in noisy airport environments. The conclusion is that there is a significant correlation between occupational noise exposure and the incidence of Noise Induced Hearing Loss (NIHL) among ground handling officers at Kualanamu International Airport.
The Association Between Allergic Rhinitis and Chronic Suppurative Otitis Media Simanjutak, Yohana; Zahara, Devira; Sofyan, Ferryan; Ashar, Taufik
Jurnal Biologi Tropis Vol. 25 No. 2 (2025): April-Juni
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i2.8880

Abstract

Tympanic membrane perforation and continuous discharge are hallmarks of chronic suppurative otitis media, a chronic inflammation of the middle ear. Through the malfunction of the Eustachian tube brought on by allergic inflammation, allergic rhinitis may contribute to the development of CSOM. This study aimed to analyze the relationship between allergic rhinitis and CSOM, identify common allergens, and assess the association between eosinophil levels and CSOM. A case-control study was conducted at RSUP H. Adam Malik and RS Murni Teguh Medan involving 72 participants: 36 CSOM patients and 36 healthy controls. Skin prick tests (SPT) and eosinophil counts were used to assess allergic status. Statistical analysis used Chi-square and Fisher’s exact test with significance set at p < 0.05. The results showed a significant association between allergic rhinitis and CSOM (p = 0.001; OR = 6.192). Common allergens found in CSOM patients were D. pteronyssinus (66.7%), D. farinae (63.9%), and cockroach (47.2%), with significant associations (p < 0.05). No significant relationship was found between allergic rhinitis and CSOM sides or type (p > 0.05). Elevated eosinophil levels were more common in the CSOM group but were not statistically significant (p = 0.624). In conclusion, allergic rhinitis is significantly associated with CSOM. Allergen screening is recommended for CSOM patients to improve diagnosis, treatment, and recurrence prevention.
Hubungan Sikap dan Tingkat Aktivitas Fisik dengan Kejadian Noncommunicable Disease pada Tenaga Pendidik dan Tenaga Kependidikan di SMAN 15 Medan: Penelitian Lorensia Eninta; Alam Bakti; Taufik Ashar; Kintoko Rochadi
Jurnal Pengabdian Masyarakat dan Riset Pendidikan Vol. 3 No. 4 (2025): Jurnal Pengabdian Masyarakat dan Riset Pendidikan Volume 3 Nomor 4 (April 2025
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jerkin.v3i4.1183

Abstract

This study aims to determine the relationship of attitudes and physical activity levels with the incidence of noncommunicable diseases in educators and educational staff at SMAN 15 Medan. This type of research uses quantitative research with a Cross Sectional approach. The sampling technique in this study used total sampling, the number of samples was 90 respondents. Data analysis using univariate analysis and bivariate analysis using chi-square statistical test. The results of this study indicate that there is a relationship between age and the incidence of noncommunicable disease in educators and education staff at SMAN 15 Medan with a ρ-value = 0.001, there is no relationship between gender and the incidence of noncommunicable disease in educators and educational staff at SMAN 15 Medan with a p-value = 0, 274, there was no relationship between attitude and the incidence of noncommunicable disease in educators and educational staff at SMAN 15 Medan with p-value = 0.552, there was no relationship between physical activity level and the incidence of noncommunicable disease in educators and educational staff at SMAN 15 Medan with p-value = 0.922.
Contact Investigation Among Household Contacts of Drug-Resistant Tuberculosis Patients in Medan Rizky, Handan; Sinaga, Bintang Yinke Magdalena; Siagian, Parluhutan; Ashar, Taufik
Jurnal Impresi Indonesia Vol. 4 No. 8 (2025): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i8.6938

Abstract

Household contacts of Drug-Resistant Tuberculosis patients potential to develop latent tuberculosis infection (LTBI) or active tuberculosis (TB) infection. This research aims to determine the prevalence of LTBI and Pulmonary TB and the characteristic of household contact with Drug-Resistant Tuberculosis (DR-TB) patients. This is a descriptive analytical study using a cross-sectional approach in people aged > 18 years who have household contact with DR-TB patients whom confirmed by sputum GeneXpert and treated at Adam Malik Hospital Medan. The research subjects then underwent examinations including symptom anamnesis, chest X-ray, sputum GeneXpert, and IGRA blood test From 105 people who had household contact with DR-TB patients, the most common cases found were LTBI cases (55%), followed by uninfected cases (40%). Meanwhile, the only cases of Pulmonary TB found were Drug-Sensitive Pulmonary TB were 6 cases (5%) which are bacteriologically confirmed drug-Sensitive TB was 4 cases and clinically confirmed drug-sensitive TB was 2 cases. Majority of patients were in 18-30 year old group (30.5%), female (70%), high school graduates (61%), housewives (41%), normoweight (80%), no smoking habit (78%), no consuming alcohol (97%), and no comorbid diseases (87.5%). Based on contact duration, 70 people (67%) were found with > 5 hours and 35 patients (33%) with < 5 hours. In addition, the majority of samples (70%) did not sleep in the same room with MDR-TB patients.  LTBI cases were the most common cases found among household contact with DR-TB patients.
Correlation Between Fagerstrom Score and Brinkman Index With Spirometry Results in Lung Cancer Patients at Haji Adam Malik General Hospital and Prof. Dr. Chairuddin Panusunan Lubis Hospital University of North Sumatera Medan Pinem, Agung Haganta; Tarigan, Setia Putra; Tarigan, Amira P.; Ashar, Taufik
Jurnal Impresi Indonesia Vol. 4 No. 8 (2025): Jurnal Impresi Indonesia
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jii.v4i8.6944

Abstract

Lung cancer is one of the leading causes of cancer-related deaths globally. Cigarette smoking remains the primary risk factor. The Fagerstrom Test for Nicotine Dependence (FTND) and the Brinkman Index are used to assess nicotine addiction and smoking intensity, respectively. These indices are associated with pulmonary function, typically assessed through spirometry. Objective: To determine the relationship between Fagerstrom scores and Brinkman Index with spirometry results in lung cancer patients. Methods: This quantitative observational study applied a cross-sectional design involving 68 smoking lung cancer patients at RSUP Haji Adam Malik and RS Prof. CPL Universitas Sumatera Utara. Data were collected via FTND and Brinkman Index questionnaires and spirometry testing. Data were analyzed using the Kruskal-Wallis test with a significance level of p<0.05. Results: Most patients exhibited moderate nicotine dependence (44.1%) and moderate smoking history per Brinkman Index (52.9%). Spirometry results indicated a high prevalence of obstructive and restrictive impairments. There was a significant correlation between FTND/Brinkman Index and lung function (p<0.001). Conclusion: Both Fagerstrom scores and Brinkman Index show a strong relationship with spirometry outcomes, indicating impaired pulmonary function among lung cancer patients.
The Relationship Between Age and Comorbidities (Type 2 Diabetes Mellitus and Hypertension) and Hearing Loss in Women Over 40 Years of Age Simanjuntak, Saurma O S; Herwanto, H R Yusa; Lubis, Yuliani M; Zahara, Devira; Kananda, Vive; Ashar, Taufik
Jurnal Biologi Tropis Vol. 25 No. 3 (2025): Juli-September
Publisher : Biology Education Study Program, Faculty of Teacher Training and Education, University of Mataram, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jbt.v25i3.9999

Abstract

Hearing loss is a public health problem that increases with age and can be exacerbated by comorbidities such as type 2 diabetes mellitus (DM) and hypertension. This study analyzed the relationship between age and comorbidities (DM type 2 and hypertension) on hearing loss in women over 40 years old. A cross-sectional analytical study of 34 women over 40 years old in Kotamatsum IV Village, Medan. Hearing examinations were performed using pure tone audiometry and otoacoustic emission (OAE). Statistical analysis was performed using the Chi-Square, Mann-Whitney, and Kruskal-Wallis tests. There was a significant relationship between age and the degree of hearing loss (p=0.047), with the majority of subjects aged >50 years experiencing mild deafness. However, no significant relationship was found between comorbidities of type 2 DM and/or hypertension on the degree, type of hearing loss, or OAE results (p>0.05). Age was significantly associated with the degree of hearing loss, while type 2 DM and hypertension did not show a significant relationship. Further research is needed considering disease duration and treatment adherence to further understand the contribution of comorbidities to hearing loss.
Co-Authors Adida, Fiony Adri Deslita Situmorang Afiani, Dina Ahmad Fandi Irfandi Alam Bakti Alam Bakti Keloko Alam Bakti Keloko, Alam Bakti Aliandri, Aliandri Amin, Mona N. Andika Pradana Andin Rizqika Aliunputri Andin Anggrainy, Putri Annisa Rizka Lestari Arfah Mardiana Lubis Ariantika, Ariantika Arifa Masyitah Panjaitan Arini Agustina Aritonang, Minarni ES. Asfriyati ,MKes Ayu Ulfah Nur Lubis Azmi Ervita Purnama Bambang Wispriyono Berta Kartina Bihar, Syamsul Br. Tobing, Netty Elida Bukit, Dhani Syahputra Chrestella, Jessy Chrestella, Jessy Dangana, Amos Darren Wan-Teck Lim Dealita Khairani Daulay Dedy Dwi Putra Delfi Delfitri Munir Delita Br Panjaitan Delvina Sinaga Dessy Irfi Jayanti Dessy Irfi Jayanti Destanul Aulia, Destanul Destanul Aulia, SKM., MBA., M.Ec., Ph.D Devi Nuraini Santi Devi Nuraini Santi Dinda Sekar Mentari Dody usman dr. Surya Dharma MPH Eka Lestari Mahyuni Eka Purnamasari Elisna Syahruddin Erman Munir Erna Mutiara Erna Mutiara ERNA VERONIKA SINAGA Eva Valentine Br. Hotang Evawany Aritonang Evawany Y Aritonang Evi Naria evi naria Evi Naria EVLINA SUZANNA, EVLINA Evo Elidar Harahap fadhil munthe Fadillah Ismy Faridah Hanum Rajagukguk Fathia Amanda Fatiyah Tul Khoir Nasution Fazidah Aguslina Siregar, Fazidah Aguslina Ferryan Sofyan Fithria Aldy Fransiska, Rosa Berlina Gerry Silaban Gerry Silaban Gerry Silaban Gifani Anastasya Gustina Fajarwati Sihombing Hamidah Fadhilah Hamonangan Nainggolan Hapsari, Sukma Harahap, Pahala Hanafi Harahap, Putri Wulandari Hasbullah Hasbullah Hasbullah Hasbullah Henny Maisara Sipahutar Heru Santosa Herwanto, H R Yusa Herwanto, H. R. Yusa Herwanto, R. Yusa Herwanto, Yusa hiswani . Hiswani Hiswani Ida Rizkia ika surya agustiani Ikhsan Ibrahim Imerlyn A Silitonga Indirawati, Sri Malem indra cahaya Indra Chahaya Irma Damayanti Irnawati Marsaulina Irnawati Marsaulina Ita Fitriyani Lubis Juanita Juanita Juanita Juita Asnipa Kananda, Vive Kezia Purba Khairiah . kiki agusty lamtiur junita bancin Launeta Maruyun Purba lidia oktavia Lim, Darren Wan-Teck Listyoko, Aditya S. Lita Sri Andayani Lorensia Eninta Lubis, Rodiah Rahmawaty Lubis, Yuliani M Lubis, Yuliani M. lulu marbun Marlina Renta Juyanti Butarbutar Meirindany, Tina Melati Silvanni Nasution Melisah Pitri Siregar Merylanca Manalu Michico Eloista Br. Ginting Minar Indriasih Muhammad Harbi Praditya Muhammad Harbi Praditya Muhammad Syafii Mutiara Nauli Nadhira Marsha Audiva Harahap Nadia Arini Nahrisyah, Putri Nailatun Nadrah Namora Lumongga Lubis Nasution, Annisa Nasution, Erizal Salam Putra Nasution, Nurhalimah Naysya Vitianoza Noni Novisari Soeroso Noni Novisari Soeroso Nurhandini, Astri nurma irama Nurmaini . Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini Nurmaini olivia via Osareniro, Osakue E. Pandia, Pandiaman Pandiaman Pandia Parinduri, Anggi Isnani Parluhutan Siagian Pinem, Agung Haganta Purba, Jenny Marlindawani Putra, Aldi Maulana Putra, Muhammad Yusuf Adira Putra, Wahyu Medsa Yeltas Putri, Syafreni Annisa Ayu R.Kintoko Rochadi Rahayu Lubis Rahayu Lubis Rahmadani Sitepu Rahmi Wardani Rambe, Alvin Rambe, Andriana Yunita Murni Rambe, Andrina Yunita Murni Rasmaliah ,MKes Rasmaliah . reni indra aristi Rio Ferdi Yuandra riris lumban Risanti Febrine Ropita Situmorang Rizka Fiqih Ertika Rizky, Handan Rochadi, Raden Kintoko Rocky Malindo Sidabutar saddam musthofa Sagala, Irwan Pernandi Samuel Marganda Halomoan Manalu Sari, Masitha Dewi Setiaty Pandia, Setiaty Siagian, Novi Andriani Silvia, S Simanjuntak, Amran Simanjuntak, Saurma O S Simanjutak, Yohana Sinaga, Bintang Yinke Magdalena Sinaga, Bintang YM. Sinulingga, Herison E. Siregar, Annisa Febriana Siregar, Kamal Basri Siregar, Nur Khaidah Siregar, Nurul Rahmah Siswahyudianto Sitepu, Rahmadani Siti Khadijah Siti Khadijah Nasution siti rahmah Siti Zahara Nasution, Siti Zahara Sitompul, Indah Sari Sormin, Cynthia sri dewi puspita Sri Malem Indirawati Sufia Idya Suriani Gultom Surya Darma Surya Dharma Syahrani, Fajrinur Syarani, Fajrinur Tarigan, Amira P. Tarigan, Amira Permatasari Tarigan, Lina Tarigan, Setia Putra Tatiana, Melza Thomson Siahaan Tony Wibowo Tukiman Tukiman Tukiman Umi Salmah Utama, Surya Verarica Silalahi, Verarica Winni R.E Tumanggor Wirsal Hasan Wirsal Hasan Yenni Yulfida Harahap Yudhi Pratama Yuslina FNB Siahaan Yusniar Zahara, Devira Zikri Putra Lan Lubis Zulfendri Zulfendri Zulfendri Zurhayati, Zurhayati