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Blood Pressure Reduction in Patients with Hypertension Through Soursop Leaf Tea Consumption Siagian, Masryna; Hulu, Victor Trismanjaya; Ginting, Rapael; Manalu, Putranto; Sijabat, Vina Helsa Laora; Tarigan, Nita Kastrina
Althea Medical Journal Vol 11, No 4 (2024)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v11n4.3342

Abstract

Background: Controlling hypertension through pharmacological treatment is effective but can potentially lead to long-term side effects. Thus, more patients with hypertension have turned to herbal plants for treatment. The objective of this study was to examine the effectiveness of soursop leaf tea in reducing blood pressure in patients with hypertension.Methods: This study employed a quasi-experimental approach with a non-randomized pretest-posttest control group design, involving 30 participants in the intervention group and 30 participants in the control group. Data was analyzed using the Wilcoxon test to assess the disparity in mean blood pressure levels before and after consumption of soursop leaf tea. The Mann-Whitney test was used to examine the distinction in mean blood pressure between the intervention group and the control group.Results: In the intervention and control groups, most respondents were aged 56–65 years (60% and 66.7%), male (70% and 56.7%) and had suffered from hypertension for more than 5 years (70% and 56.7%). There was a significant difference in systolic blood pressure (p<0.001) and diastolic blood pressure (p<0.001) before and after the administration of soursop leaf tea. The mean systolic and diastolic blood pressure in the intervention group decreased significantly compared to the control group (p<0.001).Conclusions: Consumption of soursop leaf tea can reduce systolic and diastolic blood pressure, suggesting that this local herb has a potential effect on individuals diagnosed with hypertension.
Incidence and risk factors of asbestosis among workers in industrial sector: literatur review Sihotang, Widya Yanti; Wicaksana, Praja Dwi; Hakim, Mia Amara; Simangunsong, Pahala Maringan J.; Manalu, Putranto; Siagian, Masryna
MEDIA ILMU KESEHATAN Vol 13 No 3 (2024): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v13i3.1387

Abstract

Background: The industrial sector is a vulnerable place for diseases, especially lung diseases such as asbestosis. Continuous exposure of workers to asbestos has caused the incidence rate to increase over time.Objective: This review aimed to explore the factors influencing the increased incidence of asbestosis in workers in the industrial sectoreMethods: The investigation involved analyzing the results of 17 relevant previous studies using qualitative analysis procedures, variables, themes and factors were extracted from the studies.Results: The analysis revealed eight main categories: age, gender, occupation, industry type, length of exposure, education, income and smoking history. Age, gender and length of exposure were found to be the most important risk factors for asbestosis in workers at an average age of 54 years in men who had been exposed for 21 years.Conclusion: In conclusion, with the increasing incidence of asbestosis from past exposure, this study is needed as an evaluation and consideration in reducing asbestosis in workers.
Factors Associated With Cessation of Exclusive Breastfeeding Among Working Women Kalimah, Kalimah; Girsang, Ermi; Manalu, Putranto
Jurnal Ilmu Kesehatan Masyarakat Vol. 15 No. 3 (2024): Jurnal Ilmu Kesehatan Masyarakat (JIKM)
Publisher : Association of Public Health Scholars based in Faculty of Public Health, Sriwijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26553/jikm.2024.15.3.387-400

Abstract

Exclusive breastfeeding for the first six months are crucial for infant nutrition. The condition of mothers as workers is reported to be one of the factors that hinders exclusive breastfeeding, while the number of working mothers continues to increase every year. This study aimed to evaluate the level of exclusive breastfeeding and identify factors associated with the cessation of exclusive breastfeeding among working mothers. This research employed an analytical observational study. Data was collected from five health center areas in Langkat district, involving 165 working mothers. Samples were taken using a purposive sampling technique. Data analysis included univariate, bivariate (chi-square), and multivariate (logistic regression) analyses. This study reported low levels of exclusive breastfeeding among working mothers. Several factors were associated with breastfeeding, namely age (OR=2.13, 95% CI, 1.07-4.24); p=0.044), education (OR=2.40, 95% CI, 11.24-4.64; p = 0.009), knowledge (OR= 27.08, 95% CI, 10.88-67.37; p<0.001), attitude (OR=18.80, 95% CI,8.33-42.43; p<0.001) and husband's support (OR=8.14, CI 95%, 3.92-16.87; p<0.001). This study concluded that adequate knowledge, a positive attitude towards breastfeeding, and a husband's support are key factors for the success of exclusive breastfeeding for working mothers. Therefore, health workers must pay special attention to these aspects by providing education on the importance of breastfeeding for pregnant women and husbands by providing education of exclusive breastfeeding. It is suggested that future research design a model of public health education to increase the quality and quantity of exclusive breastfeeding among employed women.
Paparan Emisi Gas Kendaraan dan Kebisingan Berhubungan Dengan Tekanan Darah Petugas Pengujian Kendaraan Bermotor Hartono, Hartono; Silalahi, Marlinang Isabella; Nadapdap, Thomson Parluhutan; Manalu, Putranto; Putri, Faradiba Fatillah; Nadapdap, Marshall Jeremia
Jurnal Kesehatan Lingkungan Indonesia Vol 24, No 1 (2025): Februari 2025
Publisher : Master Program of Environmental Health, Faculty of Public Health, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jkli.24.1.95-100

Abstract

Latar belakang: Paparan polutan seperti emisi gas kendaraan dan kebisingan yang dihasilkan oleh aktivitas pengujian kendaraan bermotor dapat membahayakan kesehatan petugas. Berbagai literatur telah mengaitkan peningkatan tekanan darah yang dialami pekerja dengan paparan polutan di lingkungan kerja. Penelitian ini bertujuan untuk mengetahui apakah ada hubungan antara emisi gas kendaraan dan kebisingan terhadap tekanan darah pada petugas pengujian kendaraan bermotor.Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Penelitian dilakukan mulai dari Desember 2020 sampai Juni 2021. Populasi pada penelitian ini adalah 54 petugas pengujian kendaraan bermotor Dinas Perhubungan Kabupaten Deli Serdang dan keseluruhan populasi dijadikan sampel (total sampling). Pengukuran paparan karbon monoksida dan hidrokarbon menggunakan emission analyzer AET-2000S. Sedangkan pengukuran kebisingan menggunakan sound level meter. Data dianalisis dengan menggunakan uji Chi Square (α=0,05).Hasil: Hasil penelitian menunjukkan sebanyak 13 petugas terpapar karbon monoksida dengan paparan di atas nilai ambang batas. 25 petugas terpapar hidrokarbon yang melebihi nilai ambang batas. Sebanyak 21 petugas terpapar kebisingan melebihi ambang batas selama bekerja. Dari hasil pengukuran tekanan darah terlihat bahwa 20 orang memiliki tekanan darah di atas 140/90 mmHg. Uji statistik menunjukkan paparan karbon monoksida (0,006), hidrokarbon (0,014) dan kebisingan (0,001) berhubungan signifikan dengan peningkatan tekanan darah pada petugas pengujian kendaraan bermotor.Simpulan: Tindakan pencegahan yang disarankan berupa penggunaan alat pelindung diri selama melakukan pengujian kendaraan bermotor. Selain itu, perlu dilakukan pembatasan jam kerja untuk meminimalisir durasi paparan polutan pada petugas. ABSTRACT Title: Exposure to Vehicle Emissions and Noise in Relation to Blood Pressure Among Motor Vehicle Testing Officers Background: Exposure to pollutants, such as vehicle gas emissions and noise generated by motor vehicle testing activities, can jeopardize officers' health. Various studies have linked the increase in blood pressure experienced by workers with exposure to pollutants in the work environment. This study aimed to determine whether there is a relationship between vehicle gas emissions and noise on blood pressure among motor vehicle testing officers.Method: This study used a quantitative approach with a cross-sectional design. This study was conducted from December 2020 to June 2021. The population in this study was 54 motor vehicle testing officers of the Deli Serdang Regency Transportation Office, and the entire population was sampled (total sampling). Carbon monoxide and hydrocarbon exposure was measured using an AET-2000S emission analyzer. Noise measurements were performed using a sound-level meter. Data were analyzed using the chi-square test (α=0.05).Result: The results showed that 13 officers were exposed to carbon monoxide with exposure above the threshold value. 25 officers were exposed to hydrocarbons that exceeded the threshold value. A total of 21 officers were exposed to noise exceeding the threshold during work. Blood pressure measurements showed that 20 people had a blood pressure above 140/90 mmHg. Statistical tests showed that exposure to carbon monoxide (0.006), hydrocarbons (0.014), and noise (0.001) were significantly associated with increased blood pressure in motor vehicle testing officers. Conclusion: To mitigate the risks associated with pollutant exposure, it is recommended that workers engaged in motor vehicle testing wear personal protective equipment (PPE) and that working hours are limited.
RISK FACTORS OF HYPERTENSION IN PREGNANT WOMEN IN LABUHANBATU REGENCY: A CROSS−SECTIONAL STUDY: Faktor Risiko Hipertensi Pada Ibu Hamil di Kabupaten Labuhanbatu Hartono, Hartono; Manalu, Putranto; Janas, Dhyta Nurhasanah; Siagian, Masryna; Nadapdap, Marshall Jeremia
Jurnal Berkala Epidemiologi Vol. 13 No. 1 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I12025.85-92

Abstract

Background: Pregnant women with hypertension face elevated risks of complications, including preeclampsia and maternal mortality. Despite the increasing prevalence of gestational hypertension and its associated burdens, limited research—particularly at the local level—hinders effective prevention and management strategies. Purpose: This research aimed to investigate the risk factors associated with hypertension in pregnant women in Labuhan Batu Regency. Methods: This cross-sectional study involved 80 pregnant women from Labuhanbatu Regency, North Sumatra, Indonesia. Data on obesity, age, physical activity, and secondhand smoke exposure were collected through measurements and questionnaires. Obesity was assessed using mid-upper arm circumference (MUAC), while other variables were determined through interviews. Data were analyzed descriptively, and Fisher’s exact test was employed to compare risk factors between hypertensive and non-hypertensive pregnant women. Results: Obesity (p=0.29) and age (p=0.84) were not significantly associated with hypertension. However, pregnant women with light physical activity had a lower risk of hypertension compared to those with heavy physical activity (p=0.02). There was no significant association between exposure to cigarette smoke and hypertension (p=0.20). Conclusion: The findings suggest that light physical activity might be protective against hypertension during pregnancy among homemakers in Labuhanbatu regency.
OSTEOPOROSIS KNOWLEDGE, ATTITUDES, AND PRACTICES AMONG STUDENTS Subrata, Mariany Puspita; Girsang, Ermi; Manalu, Putranto
Kesmas Indonesia Vol 17 No 1 (2025): Jurnal Kesmas Indonesia
Publisher : Jurusan Kesehatan Masyarakat dan Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.ki.2025.17.1.14181

Abstract

Prevention of osteoporosis at a young age is very necessary. Evidence suggests that modifying some lifestyle habits can help reduce the incidence of osteoporosis. However, limited research has been conducted to assess knowledge, attitudes, and lifestyles related to osteoporosis among young people. Good knowledge and attitude towards osteoporosis will result in real osteoporosis prevention actions. Therefore, this study aims to evaluate knowledge, attitudes and practices about osteoporosis in a group of students.This study was conducted using an analytical observational method using a cross-sectional design. The subjects of this study were 384 students of Universitas Prima Indonesia. Data were analyzed in univariate and bivariate forms. Bivariate analysis was used to see the difference in total scores of knowledge, attitudes and practices based on gender and field of science using the t-independent test and the Mann Whitney test. In analyzing the influence of knowledge and attitudes on the formation of practices, the Pearson product moment test was used. The results showed that the average knowledge (34.61 ± 4.77) and attitudes (28.57 ± 6.56) of students regarding osteoporosis were classified as moderate, student practices regarding osteoporosis were classified as poor (4.58 ± 2.24). The results of the bivariate test showed that there was a difference in the average total score of knowledge about osteoporosis between men and women (p = 0.021), health and non-health fields (p = 0.003). Furthermore, there was a correlation between attitudes and practices regarding osteoporosis (r: 0.144; p = 0.005). This study shows the need for the implementation of educational and awareness programs for students about risk factors and prevention of osteoporosis which must be designed based on the parameters of the health belief model.
Complaints of Low Back Pain in Tailors Santy Deasy Siregar; Putranto Manalu; Rapael Ginting; Victor Trismanjaya Hulu; Jeremia Chandra Partogi Siallagan
Jurnal Kesehatan Masyarakat Vol 18, No 3 (2023)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i3.39909

Abstract

Low back pain (LBP) is one of the musculoskeletal disorders as a result of incorrect ergonomics. The impact caused by low back pain is bad posture, stiffness, pinched nerve, and muscle weakness. This study aims to determine the relationship between ages, years of service, length of sitting, work posture, and the chair’s ergonomics with complaints of low back pain in tailors at Pasar Petisah, Kota Medan, with 35 workers based on inclusion and exclusion criteria. The research tools are interviews, observations, and filling out questionnaires. This sampling technique is used purposive sampling methods. Data were analyzed using the STATCAL application with a 5% chi-square test. Based on the result, we concluded that there is a long relationship between ages (p=0,02), years of service (p=0,04), length of sitting (p=0,01), and work posture (p=0,03) with the occurrence of low back pain tailors. Tailors in the Petisah Market in Medan City are at risk for complaints of low back pain based on age, long years of service, a risky length of sitting, and a risky work posture. If the workers ignore low back pain, the impact is the emergence of serious problems such as stiffness in the spine, fractures, pinched nerves, and can even cause death.
Cost Minimization Analysis of Analgesics for Tooth Extraction Lubis, Yolanda Eliza Putri; Rizky, Muhammad Irvan; Ginting, Chrismis Novalinda; Manalu, Putranto
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 14 No. 1 (2025): April 2025
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v14i1.529

Abstract

Tooth extraction remains a common dental procedure in Indonesia owing to the increasing prevalence of oral health problems. Despite standard operating procedures and analgesics, pain management following tooth extraction remains a challenge. By analyzing different analgesic options and their associated costs, this study seeks to provide valuable insights for healthcare providers and patients in selecting the most effective and affordable pain management strategies. This study aimed to assess the cost-effectiveness of analgesic drugs for pain management after tooth extraction. This cross-sectional study was conducted on 92 patients who underwent dental extractions in Pabatu Hospital, Serdang Bedagai. Secondary data from the medical records were analyzed to assess patient demographics, diagnoses, analgesics used, pain levels, and treatment costs. Cost minimization analysis (CMA) was employed to compare the direct medical costs associated with different analgesics. The analysis highlighted that the combination of paracetamol and Na-diclofenac had the lowest average cost per patient (IDR 238,150.00), making it a financially viable option for both healthcare providers and patients. In contrast, the average cost of ibuprofen was significantly higher (IDR 433,954.97), suggesting that it may not be the best choice when considering both effectiveness and expense. Approximately 80% of the total direct medical costs for all three analgesics are attributed to procedure and treatment expenses, indicating that the choice of analgesics has a relatively small impact on overall costs. These findings advocate the use of cost-effective analgesic combinations in clinical practice, particularly in settings in which budget constraints are a concern.
Using Progressive Muscle Relaxation for Reducing Fatigue among Truck Drivers Santy Deasy Siregar; Frans Judea Samosir; Marlinang Isabella Silalahi; Muhammad Aditya Kurnia; Putranto Manalu; Ray Sweeta Silaban; Rimma Sabarina Tarigan
Journal of Health Education Vol. 9 No. 1 (2024)
Publisher : Universitas Negeri Semarang

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

Abstract

Background: Long working hours, poor working conditions, and irregular sleep patterns increase the risk of burnout in freight truck drivers. Progressive muscle relaxation (PMR) is a procedure to relax muscles. This study aims to analyze the effectiveness of progressive muscle relaxation on truck drivers. Methods: This research is a quasi-experimental study with one group pretest-posttest design. 60 truck drivers working in Belawan Port were given PMR video tutorials and underwent PMR therapy for two months. The researcher used the standard KAUPKK questionnaire to measure subject fatigue. The data were tested using the Wilcoxon Signed-Rank test. Results: With a z score (-5.798) greater than the z-table value (-1.645) and a p-value of 0.000, it can be concluded that there are differences in complaints of fatigue among truck drivers before and after PMR. Conclusions: The results of this study indicate that the fatigue of truck drivers can be reduced by PMR therapy.
Evaluating the Implementation of the Stunting Prevention Program at the Regional Technical Unit of Binjai Estate Health Center in Binjai City Manalu, Putranto; Br Ginting, Margaretha Febrina; Girsang, Ermi
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 1 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i1.24225

Abstract

Stunting remains a critical public health issue affecting the quality of human resources, particularly in Indonesia, where its prevalence remains high across various regions. According to the 2021 Indonesia Nutritional Status Survey (SSGI), the national stunting prevalence was 24.4%, with North Sumatra reporting 30.11% and Binjai City 21.7%, all of which exceed the WHO target of below 20%. These statistics underscore the urgent need for effective prevention strategies, particularly through nutritional interventions at the primary healthcare level. This study aims to evaluate the implementation of the stunting prevention program at the Regional Technical Implementation Unit of the Binjai Estate Community Health Center in Binjai City. The program components include nutrition education, regular monitoring of pregnant women and toddlers, and the provision of supplementary feeding. A qualitative descriptive approach was employed, utilizing in-depth interviews with healthcare personnel and field observations conducted in 2023. Findings indicate that although the program is generally well-implemented, several challenges persist. These include low community participation in outreach activities and persistent cultural myths that impede proper understanding of stunting. Nonetheless, there has been a noticeable increase in awareness regarding balanced nutrition among pregnant women and caregivers of toddlers. Monitoring is routinely conducted via the SIMPUS and SIP systems; however, long-term impact evaluation remains insufficient. In conclusion, while the stunting prevention program demonstrates promising outcomes, further improvements are necessary in enhancing community engagement, strengthening communication strategies, and developing a more robust evaluation system. Strengthening human resource capacity, improving inter-sectoral coordination, and expanding public access to accurate nutritional information are recommended to more effectively combat stunting Keywords: Stunting, Program Implementation, Primary Health Care, Nutrition Education,  Monitoring and Evaluation
Co-Authors ACHMAD RIFAI Addin Amrulah Aditya Bastanta Guru Singa Aminuyati Aulia, Yuli Binarwan Halim Boas, Richie Ray Barry Br Ginting, Margaretha Febrina Buenita Sinurat Buenita, Buenita Butar-Butar, Erika Fatrecia Marsaulina Chinintya, Dwi Putri Chrismis Novalinda Ginting Chrismis Novalinda Ginting Damanik, Marco Frans Hernandes DAMERIA DAMERIA Dameria Dameria Dameria Gultom Dameria Gultom Desi Lustiyani Putri Ndruru Efendy Pakpahan Ellista Anatasia Sinaga Ermi Girsang Ermi Girsang Ermi Girsang Ermi Girsang Eva Ellya Sibagariang Fadilla Ripta Fahmi Syahpreza Tarigan Frans Judea Samosir Frans Judea Samosir Ginting, Chrismis Novalinda Ginting, Rapael Girsang, Ermi Girsang, Ermi Gunarto Sinaga Hafizah, Nandani Zakia Hajijah I. L. Panjaitan Hakim, Mia Amara Hamdi, Sintiya Harahap, Emira Nadiah Hartono Hartono Hartono Hartono Hasibuan, Nadilla Herbert Wau Hulu, Victor Trismanjaya Hutagalung, Priscilla Grace J Ikadawaty Hutabarat Janas, Dhyta Nurhasanah Jeremia Chandra Partogi Siallagan Kalimah, Kalimah Linda Suryani Sihaloho Maler, Tangge Mangatas Silaen Manullang, Melisa Masryna Siagian Masryna Siagian Megasilvia Sinaga Meyliana Ginting Milka Rositi Sianipar Mita Sahara Muhammad Aditya Kurnia Nadapdap, Marshall Jeremia Nasution, Ali Napiah Nasution, Sri Lestari Ramadhani Noor, Asri Nurhafsyah Daulay Perry Boy Chandra Siahaan Pratama, Irza Haicha Putri Marlinang Manalaksak Hutajulu Putri Yunita Pane Putri Yunita Pane Putri Yunita Pane Putri, Faradiba Fatillah Rambe, Fadilah Ummul Choiriyah Rapael Ginting Rapael Ginting Rara Vyani Adistira Ray Sweeta Silaban Reh Malem Br Karo Ribka Rusiani Pardede Rimma Sabarina Tarigan Ripta, Fadilla Rizki Luthfita Sari Rizky, Muhammad Irvan Samosir, Frans Judea Santy Deasy Siregar Santy Deasy Siregar Sembiring , Jessyca Siagian, Masryna Sijabat, Vina Helsa Laora Silalahi, Marlinang I. Simangunsong, Pahala Maringan J. Simangunsong, Pahala Maringan Jubel Simanjuntak, Mafe Robbi Sinaga, Suharni Pintamas Sindy Andari Sinurat, Jhon Patar Sitanggang, Rido Aliberto Sri Lestari Ramadhani Nasution Subrata, Mariany Puspita Suhartina Suyono, Tan Tan Suyono Tarianna Ginting Tarigan, Nita Kastrina Thomson Parluhutan Nadapdap, Thomson Parluhutan Ulina Karo Karo Ulina Karokaro Vera Prianggi Hutabarat Victor Trismanjaya Hulu Villia Sitepu Vina Helsa Laora Sijabat Virgin Tursulawati Panggabean Wau, Herbert Wela Tresia Nababan Wicaksana, Praja Dwi Widya Yanti Sihotang Wulan Indah Damanik Yani Sri Ningsih Yolanda Eliza Putri Lubis Yoridha Aulia Sinuraya Zega, Nensi Febriani Zendrato, Victorwan Novri