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Neutrophil Lymphocyte Ratio of Ischemic Stroke Based on Region of Lesion Michelle Tandiono; Rizki Edmi Edison; Suhartomi Suhartomi
Jurnal Kesehatan - STIKes Prima Nusantara Vol 14 No 3 (2023): Jurnal Kesehatan
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v14i3.1026

Abstract

Background: Ischemic stroke is a type of stroke that occurs when blood arteries get blocked as a result of embolic or thrombotic events. Brain imaging tools, particularly CT Scans, are the gold standard for diagnosing stroke. Blood tests were also performed, focusing on neutrophils and lymphocytes in particular. The prognosis for stroke can be determined by the neutrophil lymphocyte ratio (NLR). However, based on CT Scan imaging, it is currently unknown how the NLR and brain region of ischemic stroke are related.  Purpose : This study investigates the correlation between  CT scan images in ischemic stroke patients with Neutrophil Lymphocyte Ratio (NLR).Methods: It is a cross-sectional design study with observational method, this study involved 36 patients that were selected based on inclusive and exclusive criteria. Data was collected from medical records in Royal Prima Hospital and analyzed with Mann-Whitney Test.Results: The result shows that CT scan images in ischemic stroke patients does not have a significant correlation to NLR, with p value > 0,05.Conclusion:This study reveals that there is no significant correlation between CT scan images in patients with ischemic stroke and NLR. There may be other factors that influence the NLR such as age, stress level, obesity and medication. Further research needs to be conducted to study those other factors. 
DETEKSI BAKTERI ENTEROBACTERIACEAE PADA AIR MINUM ISI ULANG YANG DIPRODUKSI OLEH DEPOT ISI ULANG DI SEKITAR MEDAN PETISAH Ginting, Audi Torry; Suhartomi, Suhartomi; Wardhani, Fiska Maya; Amelia, Sri; Sembiring, Mediana Br.
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.37479

Abstract

Air merupakan kebutuhan utama bagi manusia. Kehidupan manusia tidak bisa terlepas dari air, terutama kebutuhan akan air minum. Pentingnya peran air dalam kebutuhan sehari-hari mendorong peneliti untuk mendeteksi keberadaan bakteri family Enterobacteriaceae yang berpotensi menyebabkan berbagai penyakit saluran cerna pada air minum yang diproduksi oleh depot isi ulang di Kecamatan Medan Petisah. Penelitian ini menganalisa 10 sampel air minum isi ulang dari beberapa depot air minum di kawasan Kecamatan Medan Petisah melalui Total Sampling Tecnique. Untuk isolasi dan identifikasi bakteri menggunakan media MacConkey Agar (MAC) dan Eosin Mehylen Blue (EMB), serta dilakukan berbagai reaksi biokimia. Hasil penelitian menunjukkan bahwa 8 dari 10 depot air minum terkontaminasi bakteri family Enterobacteriaceae dengan tingkat kontaminasi berkisar antara 2.00 x 101 sampai dengan 5.20 x 103 CFU/ml, nilai ini tidak melebih nilai ambang yang telah ditetapkan SNI tahun 2006. Isolat bakteri yang dijumpai dalam penelitian ini adalah Klebsiella sp.,dan Eschericia coli, kedua bakteri ini merupakan lactose fermenter Enterobacteriaceae, berdasarkan kemampuannya memfermentasi gula-gula menjadi senyawa yang bersifat asam. Oleh karena itu dapat disimpulkan bahwa mayoritas air minum isi ulang pada depot air minum di Kecamatan Medan Petisah terkontaminasi Enterobacteriaceae dalam jumlah yang rendah, sehingga memerlukan pemantauan lebih ketat demi menjamin kesehatan masyarakat
HUBUNGAN ANTARA GAMBARAN RUAM DENGAN HASIL PEMERIKSAAN KOH PADA PEMULUNG DI KOTA MEDAN Panjaitan, Joice Sonya Gani; Suhartomi, Suhartomi; Tarigan, Juliyanti
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 10 No. 4 (2024)
Publisher : Faculty of Medicine, Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/htj.v10i4.1314

Abstract

Latar Belakang: Pemeriksaan KOH dari kerokan kulit dapat menunjukkan gambaran mikrobiologis yang beragam. Pemulung yang bekerja di Tempat Pembuangan Akhir (TPA) berisiko tinggi mengalami penyakit kulit, termasuk tinea pedis. Jadi, penting untuk memahami hubungan antara gambaran klinis ruam kulit dengan hasil pemeriksaan KOH pada populasi ini. Tujuan: untuk mengetahui hubungan antara gambaran ruam kulit dengan hasil pemeriksaan KOH kerokan kulit pada pemulung di TPA Kota Medan. Metode: Penelitian ini merupakan penelitian cross sectional terhadap 79 orang pemulung di Kota Medan yang dipilih secara purposive sampling. Pemeriksaan KOH dilakukan untuk mendeteksi adanya infeksi jamur, sementara gambaran klinis ruam kulit dianalisis untuk mengetahui faktor-faktor yang mempengaruhi kejadian tinea pedis. Hasil: gambaran klinis makula (nilai P= 0.014) dan squama (nilai P= 0.006) secara signifikan mempengaruhi kejadian tinea pedis pada pemulung di Kota Medan. Gambaran klinis makula memiliki nilai spesifisitas 80.95% yang lebih tinggi dibandingkan dengan nilai sensitivitas 50.00%. Sementara itu, gambaran klinis squama memiliki nilai sensitivitas yang lebih tinggi (51.72%) dibandingkan dengan nilai spesifisitas 14.29%. Kesimpulan: Gambaran klinis makula dan squama dapat saling melengkapi dalam menapis (screening) kejadian tinea pedis saat pemeriksaan fisik. Dengan demikian, pemeriksaan fisik yang mencakup identifikasi makula dan squama dapat meningkatkan akurasi diagnosa tinea pedis sebelum dilakukan pemeriksaan penunjang
Analysis of factors influencing smoker behavior in designated non-smoking zone on campus Leonardi, Felix; Trirasetya, Mutiara Ulfa; Suhartomi, Suhartomi; Sihotang, Widya Yanti; Edison, Rizki Edmi
MEDIA ILMU KESEHATAN Vol 13 No 2 (2024): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v13i2.1365

Abstract

Background: The GATS research findings indicate that tobacco use in Indonesia is the highest worldwide among teenagers, with a percentage of 34.8% consumed by individuals aged 15 and above. Tobacco companies leverage this legality to market cigarettes widely to students, including university students. Smoke-free areas are government efforts to prevent smoking on campuses.Objective: To identify determinant factors affecting non-smoking behavior among smokers in smoke-free campus areas.Methods: This research study is descriptive quantitative with a cross-sectional design. It used a purposive sampling technique with criteria of 74 male smoker students from the Faculty of Medicine and Dentistry at Universitas Prima Indonesia and was analyzed using a chi-square test.Results: The chi-square test analysis results indicated an effect between knowledge and attitude on non-smoking behavior in smoke-free campus areas with a P-value of 0.001.Conclusion: The research findings found that knowledge and attitude are determinant factors of non-smoking behavior among smokers in smoke-free campus areas.
Antibacterial Activity of Sweet Orange (Citrus sinensis) Peel Tea against Enterobacteriaceae Isolated from a Water Depot Yumiko, Yumiko; Suhartomi, Suhartomi; Nasution, Sri Wahyuni; Syarifah, Siti; Simaremare, Ade Pryta R.
Biology, Medicine, & Natural Product Chemistry Vol 13, No 2 (2024)
Publisher : Sunan Kalijaga State Islamic University & Society for Indonesian Biodiversity

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14421/biomedich.2024.132.449-458

Abstract

Most orange peels are not utilized and become useless waste that is thrown away. Orange peels contain many nutrients and compounds, such as flavonoids, terpenoids, alkaloids, and essential oils, which are secondary metabolites that act as antibacterial agents. This study intends to investigate the antibacterial activity of sweet orange peel tea against isolated Enterobacteriaceae from a random water depot sample around Universitas Prima Indonesia. This experiment used disc diffusion for antibacterial assay. Meanwhile, the sweet orange peel was brewed using two different methods, including infusion and decoction, in two different masses (3 grams and 5 grams). These sweet orange peel tea formulations were compared to standard (chloramphenicol) and control (distilled water). Enterobacteriaceae was isolated and identified from a random water depot sample around Universitas Prima Indonesia, which included colony identification in EMB agar and MacConkey agar, gram staining, and biochemical test. This study showed that a random water depot sample contaminated by Enterobacteriaceae had properties similar to Citrobacter sp. Sweet orange tea formulation inhibited this isolated Enterobacteriaceae growth (P-Value: 0.010). Antibacterial activity was observed in 3-gram infusion, 5-gram infusion, and 5-gram decoction. However, the antibacterial activity was not better than the standard (chloramphenicol). Overall, it can be concluded that the sweet orange peel tea as infusion or decoction has weak antibacterial activity against Enterobacteriaceae bacteria isolated from water depots, which had some properties similar to Citrobacter sp.
PERBANDINGAN OBAT ANTI JAMUR KETOCONAZOLE DAN SALEP 2-4 PADA KASUS TINEA PEDIS DI TEMPAT PEMBUANGAN AKHIR SAMPAH TERJUN KOTA MEDAN Ketaren, Divanya Regatha; Suhartomi, Suhartomi; Fadillah, Qori; Panjaitan, Joice Sonya Gani; Syarifah, Siti; Sihombing, Jenny Ria
Kieraha Medical Journal Vol 6, No 2 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i2.9100

Abstract

Tinea Pedis merupakan salah satu infeksi jamur superfisial kulit yang paling umum di seluruh dunia yang bersifat menular dan berulang. Infeksi ini sering kali tertular secara kontak langsung dengan spora organisme penyebab atau bagian kulit yang terinfeksi. Prevalensi global tinea pedis diperkirakan sekitar 3% dengan risiko seumur hidup mencapai 70%. Prevalensi pada remaja dan dewasa lebih tinggi dibandingkan pada anak-anak. Kejadian tertinggi terjadi antara usia 16 dan 45 tahun saat aktivitas tinggi. Tujuan penelitian ini adalah untuk melihat perbandingan efektivitas antara obat anti jamur ketoconazole dengan Salep 2 - 4 yang mengandung salisilat dalam mengobati penyakit infeksi jamur di Tempat Pembuangan Akhir Sampah Terjun Kota Medan. Penelitian ini merupakan penelitian eksperimental uji klinis, yakni uji klinis acak terkontrol (Randomized Controlled Trial) yang dilakukan di Tempat Pembuangan Akhir Sampah Terjun Kota Medan sebanyak 32 pemulung dan petugas sampah, dibagi menjadi dua kelompok yaitu salep ketoconazole dan salep 2 - 4 dilakukan selama 14 hari dengan follow up pada hari ke - 4, 8, 14. Hasil pengobatan pada hari ke - 4 dengan angka kesembuhan salep ketoconazole (56.25%), salep 2-4 (18.75%) dengan nilai P = 0.028. Pada hari ke - 8 angka kesembuhan salep ketoconazole (68.75%) salep 2 - 4 (31.25%) dengan nilai P = 0.034. Pada hari ke – 14 angka kesembuhan salep ketoconazole (93.75%) salep 2-4 (56.25%) dengan nilai P = 0.037. Kesimpulan dari terdapat perbandingan efektivitas antara obat anti jamur ketoconazole dan salep 2-4 dalam mengobati infeksi jamur tinea pedis.
Effectiveness of Smoke-Free Campus Implementation on Smoking Behavior Control Trirasetya, Mutiara Ulfa; Leonardi, Felix; Suhartomi, Suhartomi; Sihotang, Widya Yanti; Edison, Rizki Edmi
Jurnal Kesehatan Vol 15 No 2 (2024): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v15i2.4538

Abstract

The tobacco industry is a significant obstacle in the effort to control smoking behavior, especially since they are allowed to promote their products to the public, including students. To address this issue, the Ministry of Health developed a smoke-free zone that may be implemented in universities to reduce smoking rates among adolescents. To know the effectiveness of implementing a smoke-free campus policy on smoking behavior control at Universitas Prima Indonesia by assessing aspects of student knowledge and compliance levels. This research is a descriptive quantitative study with a cross-sectional design and uses purposive sampling techniques with the criteria of active smoker students, 74 people in the medical study program of the Faculty of Medicine, Dentistry, and Health Sciences at Universitas Prima Indonesia. Data was obtained in February-April by distributing questionnaires directly to student smokers. The results showed that smoking behavior control among students increased in 50 (67.6%) out of 74 respondents. This is supported by the relationship between the level of knowledge and students' attitudes toward smoking behavior control in the smoke-free campus area, as indicated by a p-value<0.05 (0.005<0.05 and 0.001<0.05). This study found that students’ knowledge and attitudes towards smoke-free campus areas are important aspects influencing the effectiveness of the smoke-free campus policy in controlling smoking behavior.
Systematic Review: Pengaruh Penggunaan Kosmetik Terhadap Kejadian Acne vulgaris Suhartomi, Suhartomi; Panjaitan, Joice Sonya Gani; Syarifah, Siti; Marpaung, Okto Parningotan Elia
Nommensen Journal of Medicine Vol 10 No 1 (2024): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v10i1.1609

Abstract

Background: Several factors reported to be associated with the incidence of acne vulgaris include genetics, race, stress, diet, cosmetics, drugs, and smoking habits. Many studies have been performed to look for the effect of cosmetic use on the incidence of acne vulgaris, but these studies are still limited to observational studies. Therefore, this study aimed to analyze the effect of cosmetic use on the incidence and severity of acne vulgaris through several studies in the 2018-2023 period. Methods: This systematic review was performed by systematically searching for some literatures on Google Scholar with the keywords Cosmetics and Acne vulgaris. The results of this systematic searching found 21 scientific articles in either English or Indonesian. Results: The most of literatures obtained reported that the use of cosmetics, in the form of compact powder, BB cream, and foundation affected the incidence of acne vulgaris. Meanwhile, patients suffered from acne vulgaris, who used compact powder and foundation consistently aggravated acne vulgaris. There is still limited study on other decorative cosmetics such as concealers and primers on the incidence of acne vulgaris. Conclusion: The use of cosmetics such as compact powder, BB cream, and foundation can cause acne vulgaris, furthermore compact powder and foundation can also aggravate acne vulgaris that has occurred.
Pengaruh Media Sosial, Persepsi Penyembuhan, dan Perilaku Self-Medication terhadap Terjadinya Akne Vulgaris Panjaitan, Joice Sonya Gani; Suhartomi, Suhartomi; Panjaitan, Rudyn Raymond
Nommensen Journal of Medicine Vol 11 No 1 (2025): Nommensen Journal of Medicine Edisi: Agustus 2025
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v11i1.1937

Abstract

Latar belakang: Akne vulgaris sebagai suatu bentuk peradangan kronis pada kelanjar sebasea yang dapat terjadai pada kelompok usia produktif terutama mahasiswa. Pada era digitalisasi saat ini, aksestabilitas media sosial yang mudah dan cepat berkontribusi dalam peningkatan perilaku self medication. Tujuan: Untuk menganalisis hubungan paparan media sosial, perilaku swamedikasi, dan persepsi kesembuhan swamedikasi terhadap kejadian akne vulgaris. Metode: Penelitian obervasional ini menggunakan model case-control pada sekitar 190 orang mahasiswa maupun mahasiswi di Program Studi Pendidikan Dokter Umum Fakultas Kedokteran, Universitas HKBP Nommensen yang dipilih melalui simple random sampling. Variabel penelitian yang diukur dalam penelitian ini meliputi umur, jenis kelamin, paparan media sosial, Self-Medication, serta persepsi kesembuhan. Analisa data dalam penelitian ini diawali dengan analisa statistic deskriptid, kemudian diikuri dengan chi square dan data penelitian yang memiliki hubungan yang secara statistic signfikan pada chi square kemudian dimasukan dalam model regresi logistic. Hasil: Paparan sosial media (Nilai P: 0.020; Unadjusted OR [IK95%]:2.357 [1.132-4.909]; Adjusted OR [IK95%]: 0.577 [0.262-1.270]), perilaku self medication (Nilai P: 0.001; Unadjusted OR [IK95%]: 3.272 [1.630-6.569]; Adjusted OR [IK95%]: 0.497 [0.175-1.414]), dan persepsi kesembuhan swamedikasi (Nilai P: 0.001; Unadjusted OR [IK95%]: 2.773 [1.509-5.099]; Adjusted OR [IK95%]: 0.633 [0.246-1.629]) secara terpisah menunjukkan hubungan yang signifikan terhadap terjadinya akne vulgaris. Namun, ketiga faktor tersebut tidak menunjukkan hubungan yang signifikan terhadap terjadinya akne vulgaris pada model regresi logistic
ICU dan Non-ICU MRSA: Kejadian dan Faktor Risiko di Rumah Sakit Tersier Tarigan, Junita; Putri, Maulinda; Suhartomi, Suhartomi; Sitompul, Owen
Nommensen Journal of Medicine Vol 11 No 1 (2025): Nommensen Journal of Medicine Edisi: Agustus 2025
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v11i1.1939

Abstract

Background: Methicillin-resistant Staphylococcus aureus (MRSA) is a major nosocomial pathogen that is resistant to penicillin-class antibiotics and poses a serious threat to healthcare facilities. Its global prevalence reached 30% in 2020, while in Indonesia it ranges from 0.3% to 52%, with the highest rate reported in Jakarta. Objective: To compare the incidence and risk factors of MRSA among patients in the Intensive Care Unit (ICU) and general wards (non-ICU) at RSUP Haji Adam Malik Medan, during 2022–202. Methods: A cross-sectional study was performed on 569 patients in ICU and non-ICU wards with culture examinations performed from January 2022 to December 2023. Bivariate analysis was conducted for nine independent variables, followed by multivariate logistic regression for variables with p-values < 0.25. Results: From 18,121 culture examinations, 569 isolates of Staphylococcus aureus were identified. MRSA incidence was higher in non-ICU wards (246 of 441 isolates; 55.7%) than in the ICU (63 of 128 isolates; 49.2%). Statistically significant risk factors differed between the two groups: in ICU patients, only diabetes mellitus (OR 2.50; p = 0.017) was significant; while in non-ICU patients, chronic kidney disease (OR 0.644; p = 0.037) and a history of prior antibiotic use (OR 3.037; p = 0.011) were significant factors. Additionally, 4.21% of all isolates were confirmed as VRSA. Conclusion: MRSA incidence was higher among patients in non-ICU wards. The main risk factors differed between units: diabetes mellitus was prominent among ICU patients, whereas chronic kidney disease and previous antibiotic use played a role among non-ICU patients. These differences highlight the need for infection prevention and control strategies tailored to the specific risk profiles of each care unit.