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Demographic characteristics and mortality of dengue fever in Medan City (2021-2024) Iqbal, Muhammad; Silalahi, Marlinang Isabella; Pane, Putri Yunita; Sibagariang, Eva Ellya; Munthe, Dewi Sartika; Nardi, Leo; Fransiskus, Antonius; Lawrence, Christopher; Ongko, Nicolas Xavier
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7350

Abstract

Dengue Hemorrhagic Fever (DHF) is a significant public health challenge in Indonesia, including the city of Medan. This study aimed to determine the prevalence, demographic distribution (by sex and age group), and mortality rates of DHF in Medan from 2021 to 2024. This study used secondary data from reports provided by the Medan City Health Office, which compiled information from all public health centers (Puskesmas) in the region. Analysis of the data revealed that the pediatric age group (5–14 years) was the most affected population. The distribution of cases showed a relatively balanced proportion between males and females. DHF mortality rates fluctuated annually, with a notable downward trend observed in 2024. These findings underscore the critical need to strengthen DHF prevention and control programs, with a specific focus on vulnerable age groups and high-incidence areas. This study is expected to serve as a foundational resource for public health policy planning and to enhance the capacity of primary healthcare services to effectively manage DHF cases.
Prevent Stunting Early: Implementing Nutrition Education through a Shared Breakfast Program in Elementary Schools Nurlela Petra Saragih; Almina Rospitaria Tarigan; Eka Isranil Laily; Elfrida Nainggolan; Ruth Sarah Julfrida Saragih; Dewi Sartika Munthe
International Journal of Community Service Implementation Vol. 3 No. 3 (2025): IJCSI DECEMBER 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijcsi.v3i3.411

Abstract

Stunting (chronic malnutrition) remains a serious public health challenge in Indonesia, with a prevalence of 21.6% (2022) above the WHO threshold (20%). While interventions are intensive during the First 1000 Days of Life, management during the school-age period (the second golden phase) is often neglected. This study aims to measure the effectiveness of nutritional education intervention and hands-on practice through a Shared Breakfast Program in Elementary Schools (SD) in improving nutritional knowledge and stunting prevention. This community service activity used a simple pre-test and post-test design with a participatory education method on 49 students from grades 1 to 3 at Talang Bukit Hutabayu State Elementary School. The material focused on the dangers of stunting, the concept of Balanced Nutrition (Isi Piringku or My Plate Content), and the importance of breakfast. The results showed a significant increase in students' knowledge levels, with average score improvements ranging from 23.6% to 33.5% between the pre-test and post-test. The greatest improvement occurred in Grade 1 students. The Shared Breakfast Program proved effective as a live laboratory that transformed abstract nutritional concepts into tangible practice. The intervention not only enhanced nutritional literacy but also built awareness of the link between a healthy breakfast and learning concentration. It is recommended that a comprehensive nutrition program, supported by continuous teacher training and active parental involvement, be integrated into the school curriculum to ensure the sustainability of healthy behavior changes
Queueing theory and simulation for reducing patient waiting time in emergency departments Aminah, Aminah; Manalu, Harauly Lady Lusiana; Silaban, Verawaty Fitrinelda; Munthe, Dewi Sartika; Harahap, Rahmaini Fitri
International Journal of Basic and Applied Science Vol. 13 No. 4 (2025): Computer Science, Engineering, Basic and Applied mathematics Science
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/ijobas.v13i4.639

Abstract

Emergency Departments (EDs) are increasingly overwhelmed by rising patient volumes and limited service capacity, leading to long waiting times and reduced care quality. This study addresses the inefficiencies of conventional queue policies by proposing a dynamic scheduling approach known as the Accumulative Priority Queue with Finite Horizon (APQ-h). APQ-h integrates time-based priority accumulation with triage thresholds, allowing for a more realistic representation of how clinicians manage patient flow. Using discrete-event simulation and simulation-based optimization, the research calibrates accumulation rate parameters (β) to minimize total waiting time (TWT) and ensure compliance with clinical response time targets (APT). A real-world case study and sensitivity analysis reveal that optimal configurations of β enable balanced and adaptive queue management without disadvantaging any patient group. The findings contribute a hybrid queue discipline that bridges mathematical modeling and clinical practice, offering practical implications for improving ED throughput and resource utilization. Although the simulation relies on stylized assumptions, it opens avenues for real-time validation, integration with adaptive triage systems, and scalability across diverse healthcare settings.
Iklim Kerja, Stres Kerja, Motivasi Kerja dan Disiplin Kerja terhadap Kinerja Karyawan Munthe, Dewi Sartika; Aritonang, Murni; Siregar, Siti Arofah; Sartika, Dewi; Saragih, Ruth Sarah Julfrida
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.5661

Abstract

Banyak manfaat yang didapatkan dari penilaian kinerja, salah satunya adalah membantu perusahaan untuk membuat keputusan, memperlakukan karyawannya, kebutuhan pelatihan dan pengembangan, dan pemutusan hubungan kerja. Beberapa faktor yang dapat mempengaruhi kinerja sumber daya manusia adalah stress kerja, fisik, kesehatan, lingkungan kerja, iklim kerja, lamanya waktu bekerja, pengetahuan dan keterampilan yang dimiliki oleh seorang karyawan. Penelitian ini bertujuan untuk mengetahui apakah ada pengaruh iklim kerja terhadap kinerja karyawan, pengaruh stress kerja terhadap kinerja karyawan, pengaruh motivasi terhadap kinerja karyawan dan pengaruh disiplin kerja terhadap kinerja karyawan di Rumah Sakit Royal Prima. Jenis penelitian adalah analitik kuantitatif bersifat deskriptif analitik dengan desain cross-sectional. Populasi dalam penelitian ini adalah seluruh karyawan yang bekerja di Rumah Sakit Royal Prima pada waktu peneliti melakukan survey pendahuluan. Teknik pengambilan sampel dalam penelitian ini adalah total populasi. Berdasarkan teknik penentuan sampel ini maka jumlah sampel dalam penelitian sebanyak 240 karyawan. Teknik pengumpulan data menggunakan kuesioner yang telah di uji validitas dan reliabilitasnya. Teknik analisa data yang digunakan untuk menjawab hipotesa adalah regresi linear berganda. Hasil penelitian menunjukan bahwa: ada pengaruh positif dan signifikan dari masing pengujian antara lain iklim kerja terhadap kinerja karyawan, stress kerja terhadap kinerja karyawan, motivasi terhadap kinerja karyawan dan pengaruh disiplin kerja secara bersamaan terhadap kinerja karyawan di Rumah Sakit Royal Prima.
Improving Clean and Healthy Living Behavior Through Education for Students of State Elementary School 096125 Tobasari: Peningkatan Perilaku Hidup Bersih dan Sehat Melalui Edukasi Pada Siswa SDN 096125 Tobasari Petra Saragih, Nurlela; Laora Silitonga, Lisbeth; Rospitaria Tarigan, Almina; Isranil Laily, Eka; Sartika Munthe, Dewi; Sarah Jufrida Saragih, Ruth; Sari Siregar, Patimah; Rinawati, Rinawati; Nainggolan, Elfrida
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Edisi Januari 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v5i1.903

Abstract

Clean and Healthy Living Behavior (PHBS) is a behavior formed by learning that enables a person or family to help themselves in terms of health and actively participate in improving the health of their community. To reduce health financing, PHBS is one of the main pillars of Healthy Indonesia. One important component in the process of Human Resources (HR) development is health, which includes education. In Indonesia, formal education starts at the Primary School (SD) level, with an emphasis on children aged six to twelve, which is an age vulnerable to disease. Promoting healthy lifestyles among students is crucial given the importance of health for the growth of human capital, the nature of primary school-age children, and how behavior affects health. It is imperative to encourage primary school students to lead a healthy lifestyle due to the fact that health is essential for the growth of human capital, the nature of primary school-age children, and how behavior affects their health. This community service uses a hands-on approach that allows for quick action. To achieve the goal, the Clean and Healthy Living Behavior (PHBS) program is used to increase the awareness of teachers and students. The methods used included instruction, mentoring, counseling, and self-practice of PHBS as well as provision of basic facilities. The results included increased knowledge of teachers and students of SD Negeri 096125 Tobasari about PHBS, daily application of PHBS values, and availability of public trash bins.
Predisposing, supporting and reinforcing factors of stunting risk: A case-control study Sitorus, Rotua; Munthe, Dewi Sartika; Br Sinuhaji, Lidya Natalia; Situmorang, Tetti Seriati; Sitorus, Samsider
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 11 ISSUE 1, 2023
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2023.11(1).11-21

Abstract

ABSTRAK Latar Belakang: Pemerintah Indonesia telah menetapkan stunting sebagai isu prioritas nasional dalam Rencana Pembangunan Jangka Menengah Nasional (RPJMN) dengan target penurunan stunting yang signifikan sebesar 14% pada tahun 2024.Tujuan: Penelitian ini bertujuan untuk membahas prevalensi terkini dan mengungkap faktor risiko terbesar kasus stunting di kota Medan dengan metode kuantitatif dengan desain case-control. Kasus stunting tertinggi di Kota Medan terdapat di Puskesmas Kecamatan Medan Tembung yaitu 442 anak dari 6.603 anak balita.Metode: Penelitian ini menggunakan desain kasus-kontrol. Data diperoleh dengan teknik purposive sampling. Data populasi adalah 442 ibu balita stunting yang terdiri dari 30 ibu sebagai kasus dan 30 ibu sebagai kontrol. Data dianalisis dengan analisis univariat, bivariat, dan multivariat.Hasil: Hasil penelitian menunjukkan bahwa pengetahuan (p = 0,034), tindakan (p = 0,033), sikap (p = 0,029), dukungan kader (p = 0,027), pendapatan keluarga (p = 0,019), dan dukungan keluarga (p = 0,008). ) berpengaruh pada ibu yang berisiko melahirkan balita stunting. Dukungan keluarga yang buruk sebagai faktor dominan memiliki risiko 12,6 kali ibu melahirkan balita stunting.Kesimpulan: Kajian ini menyarankan agar Dinas Kesehatan Kota Medan memperkuat koordinasi lintas sektoral antara pemerintah kecamatan, puskesmas, dan kelurahan secara bersama-sama dan berkomitmen untuk menurunkan angka kejadian stunting di Kota Medan. KATA KUNCI: dukungan Keluarga; faktor risiko; Kota Medan; stunting   ABSTRACTBackground: The Indonesian government has designated stunting as a national priority issue in the National Medium-Term Development Plan (RPJMN) with a target of a significant stunting reduction to be 14 % in 2024.Objectives: This research aims to address the recent prevalence and to reveal the most risk factor of stunting cases in Medan city with a quantitative method with a case-control design. The highest cases of stunting in Medan city were found at the Public Health Center in Medan Tembung district, namely 442 children out of 6,603 children under five.Methods: This study used a case-control design. Data were obtained by the purposive sampling technique. The population data was 442 mothers with stunting toddlers consisting of 30 mothers as cases and 30 as controls. Data were analyzed by univariate, bivariate, and multivariate analyses.Results: The results showed that knowledge (p = 0.034), actions (p = 0.033), attitudes (p = 0.029), cadre support (p = 0.027), family income (p = 0.019), and family support (p = 0.008) had an effect on mothers at risk of giving birth to stunting toddlers. As the dominant factor, poor family support had a 12.6 times higher risk of mothers giving birth to stunted toddlers. Conclusions: This study suggests that the Health Services in Medan city must strengthen the cross-sectoral coordination between sub-district administrations, health centers, and villages jointly and commit to reducing the incidence of stunting in Medan city. KEYWORD: family support; risk factor; Medan city; stunting 
Facebook Addiction, Game online, Physical Health Among Indonesian Students Hutapea, Dwight Mahaputera Marulitua; Sitopu, Robin Ferdiansyah; Silalahi, Kristina L; Halawa, Afeus; Munthe, Dewi Sartika; Siregar, Ryskina Fatimah
Jurnal Keperawatan Priority Vol. 7 No. 1 (2024)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v7i1.4732

Abstract

This study is essential for students to know about Facebook addiction, Game online, and physical health. The study aims to describe the level of Facebook addiction, play online, and physical health and examine their relationship. The total sample was 206 people selected using the purposive sampling method. The research design was correlational; two hundred-six participants joined this study. Each participant filled out all of the questionnaires (demographic data, the Bergen Facebook Addiction (BFAS), Game Addiction (GAS), and Physical Questionnaire (PHQ). All questionnaires were taken from the previous research and validated; the reliability test was high. Based on the Pearson correlation tests, relationships were shown between Facebook addiction, games online, and physical health. There is a significant positive correlation between Facebook addiction and physical health and games online and physical health. Facebook addiction has a positive impact on physical health. Facebook addiction will impact a student's physical health. This study findings that Facebook addiction is low level, game online moderate level, and moderate level of physical fitness. The best way to prevent students from Facebook addiction is to make them busy with school activities. Games online also have a positive impact on physical health. The longer we play the Game online, the more physical health problems we will have. Say no to Facebook addiction and games online.