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Artritis gout dan perilaku dokter keluarga di Kota Manado Tabalujan, Joice Angela; Palandeng, Henry Malcom Frank; Ottay, Ronald Imanuel
Jurnal Kedokteran Komunitas dan Tropik JKKT Volume 11 Nomor 2 (2023)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Untreated hyperuricemia can develop into uric acid-related diseases, such as gout arthritis. Research indicates that 35% of the population in the North Sulawesi Province has elevated uric acid levels. Data from the Social Security Administrative Body for Health (BPJS Kesehatan) in 2022 showed that the number of gout arthritis cases in this province reached 8,781 cases, with Manado City ranked second. This figure increased compared to previous years. According to healthcare procedures, the management of gout arthritis begins at the Primary Health Care (FKTP) such as community health centers and private practice doctors. However, in practice, there are still differences in the approach to gout arthritis management among family physicians, influenced by factors such as their behavior toward disease management. Aim: To assess the overview of behavior (knowledge, attitudes, and practice) of family physicians in the management of gout arthritis in Manado City. Methods: This study is a descriptive study with a cross-sectional research design. Results: The level of knowledge of family physicians in Manado City is considered good by 86% of the respondents, and 14% of the respondents categorized as sufficient The attitude of family physicians was rated as good by 98% of the respondents, and their practice rated as good by 98% of the respondents. Conclusion: The level of behavior of family physicians in the management of gout arthritis in Manado City is considered good.Keywords: behavior; family physicians; gout arthritis
Perilaku dokter keluarga dan asma di Kota Manado Sirait, Rolan Anderson; Ottay, Ronald Imanuel; Kuhon, Frelly Valentino
Jurnal Kedokteran Komunitas dan Tropik JKKT Volume 11 Nomor 2 (2023)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Asthma is a heterogeneous disease typically characterized by chronic inflammation of the airways, manifested by respiratory symptoms such as wheezing, shortness of breath, and coughing. Data from Social Security Administrative Body for Health (BPJS Kesehatan) in 2019 showed significance increase in this province reached 1974 cases. Lifestyle in big cities like Manado City can increase the risk factors for asthma. The management of asthma requires a holistic approach, starting at the Primary Health Care Facilities (FKTP—Fasilitas Kesehatan Tingkat Pertama), such as community health centres and private practices doctors. However, studies have found that family physicians’ behaviour have limited knowledge concerning their knowledge, attitudes, and practices in asthma management.Aim: To assess the overview of behaviour (knowledge, attitudes, and practice) of family physicians regarding management of asthma in Manado City. Methods: This study was a descriptive study with a cross-sectional research design.Results: The level of knowledge was in the good category for 82% of family doctors in Manado City and in the sufficient category for 18% of family doctors. Attitude was categorized as good for 39% of family doctors and fair for 61% of them. The proportion of family doctors who had actions in the good category was 75%, 23% in the fair category, and 2% in the poor category.Conclusion: The behaviour of family doctors in the aspect of asthma knowledge was considered good, attitudes were at a sufficient level, and actions were concluded to be good.Keywords:behaviour; family physicians; asthma
Penyuluhan tentang CERDIK dalam Upaya Pencegahan Penyakit Tidak Menular pada Siswa SMA Negeri 6 Kota Manado Ottay, Ronald Imanuel; Pali, Cicilia; Kuhon, Frelly Valentino; Sumampouw, Oksfriani Jufri; Nelwan, Jeini Ester
Nawasena Bhakti Vol. 1 No. 1 (2025): NAWASENA BHAKTI: Jurnal Pengabdian Masyarakat
Publisher : Badan Usaha Milik Desa Berkaho Pungpungan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64084/nawasenabhakti.v1i1.5

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Background: Non-Communicable Diseases (NCDs) can be prevented by promoting the CERDIK behavior in daily life. The CERDIK behavior consists of several key actions: regular health check-ups, avoiding cigarette smoke, engaging in physical activity, maintaining a balanced diet, getting adequate rest, and managing stress. The aim of this activity was to provide health education focused on the prevention of NCDs, targeting students of SMAN 6 Kota Manado. Adolescents were chosen as the primary audience to raise early awareness and encourage the implementation of CERDIK behavior from a young age. Methods: This activity was conducted on Friday, September 6, 2024, starting at 08:00 AM until completion. Health education was delivered by Dr. Ronald I. Ottay, M.Kes, and a team of master's students from the public health sciences program. The session lasted for two hours and concluded with a friendly gathering. A total of 60 students and teachers participated in the event. Pre- and post-educational assessments were conducted to measure changes in knowledge levels among the participants. Results: The results of this activity showed that the total knowledge score increased from 625 before the session to 670 afterward, indicating a gain of 45 points. The average score increased from 35.2 to 38.7, showing a 3.5-point improvement. This indicates a noticeable difference in knowledge scores before and after the health education session. Conclusion: This community service activity demonstrated that the educational intervention had a positive impact on students' knowledge regarding the prevention of non-communicable diseases through the implementation of CERDIK behavior at SMAN 6 Manado.
The Acceptance of Covid-19 Vaccine in North Sulawesi Community: Prevalance and Risk Factor Nelwan, Jeini Ester; Sumampouw, Oksfriani Jufri; Ticoalu, Jansje Vera; Musa, Ester Candrawati; Ottay, Ronald Imanuel
International Journal of Natural and Health Sciences Vol. 2 No. 1 (2024): January 2024
Publisher : MultiTech Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59890/ijnhs.v2i1.1186

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Vaccination stands as the sole preventive measure against the transmission of COVID-19. The vaccination rollout in Indonesia comprises three stages: primary vaccinations 1 and 2, along with an additional 3rd or booster vaccination. However, certain regions still exhibit a stage 2 vaccination coverage below 70%. Various factors, including age and gender, impact the acceptance of the Covid-19 vaccine. The objective of this study was to scrutinize the association between age, gender, and the acceptance of Covid-19 vaccination in the jurisdiction of the Kawangkoan Barat Public Health Center. Conducted between February and July 2022, this correlational research involved 400 respondents aged 18 and above. The study variables encompassed age, gender, and vaccination acceptance, assessed through a fill-in sheet. Bivariate data analysis employed the chi-square test, revealing a significant correlation between age and vaccination acceptance. The prevalence ratio (PR) of 1.504 indicated that individuals aged 18-59 years were 1.504 times more likely to have incomplete vaccinations. However, gender did not exhibit a significant correlation with vaccination acceptance. In conclusion, age emerges as a correlated factor influencing the acceptance of Covid-19 vaccination
Risk Factors of Coronary Heart Disease in North Sulawesi Indonesia Ottay, Ronald Immanuel; Nelwan, Jeini Ester; Sumampouwa, Oksfriani Jufri; Ticoalu, Jansje Vera
International Journal of Natural and Health Sciences Vol. 2 No. 1 (2024): January 2024
Publisher : MultiTech Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59890/ijnhs.v2i1.1187

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Coronary heart disease (CHD) is caused by multifactorial such as age, gender, blood pressure, blood sugar, and lipid profiles. This study aims to analyze the description of risk factors for CHD at the North Sulawesi, Indonesia. This is a descriptive research conducted at the Cardio Vascular and Brain Center Cardiology Polyclinic, General Hospital Prof. Dr. R. D. Kandou Manado in December 2021 to January 2022. The respondents of this study were CHD patients, totaling 100 people. The variables in this study were age, gender, blood pressure, blood sugar, and lipid profiles. The data was obtained from the patient's medical record data. Data analysis performed univariately. The results showed that the respondents are most distributed in the age group ≥40 years as many as 99 people (99%), and male sex as many as 73 people (73%). Respondents who do not suffer from hypertension are 56 people (56%) more than those who suffer from hypertension, namely 44 people (44%). Respondents with GDP >126 mg/dL were 57 people (57%) more than those with GDP < the same as 126 mg/dL, namely 43 people (43%). Respondents whose total cholesterol level was < equal to 240 mg/dL were more than 60 people (60%) compared to patients with cholesterol levels > 240 mg/dL which were 40 people (40%). It can be concluded that the risk factors for CHD at the North Sulawesi, Indonesia was ≥40 years old, male, more patients with blood pressure <140/90 mmHg, more patients with GDP >126 mg/dL and more patient with total cholesterol level <240 mg/dL
Dengue Hemorrhagic Fever in North Minahasa Regency in 2021-2022: Study Epidemiological Ottay, Ronald Immanuel; Sapulete, Ivonny Melinda; Sapulete, Margareth Rosalinda; Sumampouw, Oksfriani Jufri; Nelwan, Jeini Ester
International Journal of Natural and Health Sciences Vol. 2 No. 1 (2024): January 2024
Publisher : MultiTech Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59890/ijnhs.v2i1.1232

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Dengue Hemorrhagic Fever (DHF) is a disease that rapidly spreads, particularly in tropical and subtropical regions. One of the places affected by DHF cases is North Minahasa Regency, which is one of the top donors to cases in North Sulawesi Province. The purpose of this study is to describe the prevalence of DHF in North Minahasa Regency between 2021 and 2022 in terms of time, place, and person. This is a quantitative descriptive study. This study employed secondary data. This data was collected from the North Minahasa Regency Health Office. Data will be collected from July to October 2023. The data collected were examined univariately. The data showed that the most DHF cases occurred in 2022, with an increase in incidence in March and November. Furthermore, DHF cases were prevalent in Dimembe District (working area of Tatelu Health Center), Kauditan District (working area of Kauditan Health Center), Talawaan District (working area of Talawaan Health Center), Airmadidi District (working area of Airmadidi Health Center), and Kalawat District (working area of Puskesmas Kolongan). The prevalence of DHF cases in 2021-2022 was higher in men, with a total of 150 cases and an average of 76 instances. DHF incidences increased in 2021, particularly in February, August, and December. It can be determined that the largest frequency of DHF in North Minahasa Regency in 2021-2022 occurs between February-March and November-December, were identified in Dimembe District, and the majority of the DHF cases are male
Gambaran status vaksinasi human papillomavirus (HPV) dan faktor penghambat pada mahasiswi Fakultas Kedokteran Universitas Sam Ratulangi Gultom, Cristin; Monintja, Tyrsa Christine Natalia; Ottay, Ronald Imanuel
Jurnal Kedokteran Komunitas dan Tropik Vol 13 No 2 (2025)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Human Papillomavirus (HPV) is the leading cause of cervical cancer, which is a global health problem for women, especially in Indonesia. Cervical cancer ranks fourth globally and second in Indonesia as the most common cancer in women in 2022. HPV vaccination is an effective primary prevention and is part of the WHO's global cervical cancer elimination strategy. HPV immunisation in Indonesia was integrated into BIAS in 2023. Medical students are among the high-risk age groups for HPV infection and play a role as future healthcare professionals in raising public awareness about cervical cancer, HPV, and cervical cancer prevention. Aim: To determine the status of human papillomavirus (HPV) vaccination and the inhibiting factors among female students at the Faculty of Medicine, Sam Ratulangi University. Methods: Descriptive research with a quantitative approach and a cross-sectional design through the distribution of a Google Forms questionnaire to 276 female students from the 2025 cohort of the Faculty of Medicine at Unsrat. The analysis used is univariate analysis. Results: A total of 114 respondents (87.8%) had not yet received the HPV vaccine, while 20 respondents (12.2%) had. The dominant barriers were not knowing where to get the HPV vaccine (67.4%), not having time for the HPV vaccine (65.3%), and not receiving a recommendation from healthcare professionals (64.6%). Conclusion: The majority of female students in the 2025 class of the Faculty of Medicine at Unsrat had not yet been vaccinated, with the dominant barrier being not knowing where to get the HPV vaccine.
PARTICIPATORY EDUCATION IN PREVENTING DEVIANT BEHAVIOR IN ELEMENTARY SCHOOL STUDENTS IN MANADO CITY Frelly Valentino Kuhon; Ronald Imanuel Ottay; Oksfriani Jufri Sumampouw; Jeini Ester Nelwan
International Journal of Multidisciplinary Reseach Vol. 2 No. 2 (2026): April
Publisher : International Journal of Multidisciplinary Reseach

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Deviant behavior among elementary school students remains a critical issue in basic education because it can disrupt the learning process and hinder character formation and children's psychosocial well-being. At this stage, students are increasingly exposed to broader environmental influences, including peers, digital media, and family dynamics, which have the potential to trigger behaviors such as dishonesty, bullying, and rule-breaking. This community service activity aims to increase students' understanding of the forms, causes, and impacts of deviant behavior, while equipping them with practical strategies to prevent and address it. Furthermore, this activity also aims to encourage students' role as agents of positive change and strengthen collaboration between students, teachers, and parents in strengthening character education. The activity was held on August 29, 2025, at Kartika Jaya Elementary School XXI-1, Manado City, using an educational-participatory approach through interactive lectures, case study-based group discussions, simulations and role-playing, and reflection sessions. Evaluation was carried out through direct observation and responsive feedback from participants. The results of the activity showed an increase in students' understanding of deviant behavior and its causal factors, as well as an increase in their ability to implement prevention strategies, such as rejecting negative influences, reporting inappropriate behavior, and building positive social interactions. Students also demonstrated a commitment to implementing positive behavior in their daily lives, supported by active participation and positive responses from both students and teachers. It was concluded that a participatory and contextual educational approach was effective in raising awareness and shaping positive attitudes in elementary school students. Therefore, ongoing mentoring, strengthening the role of parents, and integrating character education into the school curriculum are recommended to ensure the sustainability of the activity's impact.
Hubungan antara overweight dengan kualitas hidup pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi Dhio Kurnia Arung; Ronald Imanuel Ottay; Windy Mariane Virenia Wariki
Jurnal Kedokteran Komunitas dan Tropik Vol 14 No 1 (2026)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Overweight is a global health issue that affects an individual’s overall health and quality of life. University students, as a productive age group, are also vulnerable to this condition due to lifestyle changes commonly experienced during academic life. These include irregular eating patterns such as excessive consumption of fast food, low levels of physical activity due to demanding academic schedules, and high stress levels. Aim: To analyze the relationship between overweight and quality of life among students of the Faculty of Medicine, Sam Ratulangi University. Methods: This study employed a quantitative analytic observational approach with a cross-sectional design. Results:  A total of 207 students participated in this research. Among respondents with overweight or obesity, 51 had poor quality of life and 29 had good quality of life. Meanwhile, among respondents with underweight or normal body mass index, 54 reported poor quality of life and 73 reported good quality of life. Conclusion: There is a significant relationship between overweight and quality of life among medical students at the Faculty of Medicine, Sam Ratulangi University.
Gambaran pengetahuan, sikap, dan tindakan masyarakat tentang pencegahan demam berdarah dengue di Kelurahan Paniki Bawah Kota Manado Darren Liono Smith; Dina Victoria Rombot; Ronald Imanuel Ottay
Jurnal Kedokteran Komunitas dan Tropik Vol 14 No 1 (2026)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Dengue fever (DF) is one of the endemic diseases in Indonesia and remains a significant public health problem. Based on data from the Manado City Health Office, in 2024 there were 126 cases of dengue fever in Paniki Bawah Village. This number of cases is the highest of all recorded health centers. Aim: To describe the knowledge, attitudes, and actions of the community in Paniki Bawah Village regarding the prevention of dengue fever. Methods: This study used a quantitative descriptive design with a cross-sectional approach. The sample consisted of 109 respondents selected using proportional quota sampling. Data were collected using questionnaires and analyzed using univariate analysis. Results: The results showed that most respondents had good knowledge (60.6%), good attitudes (69.7%), and good preventive actions (75.2%). Conclusion: The community in Paniki Bawah Village has good knowledge, attitudes, and actions in preventing dengue fever.
Co-Authors A.J. Pandelaki August J. Pandelaki Benedictus Lampus Besth To Frynce Hutabarat Cicilia Pali Cicilia Pali Dali, Farrand Ivan Darren Liono Smith Dhio Kurnia Arung Dian F Syahria Diana S. Purwanto Dina Victoria Rombot Djon Wongkar Elisa Yohana Anjali Wulur Fergina Stefany Berhitu Fona Budiarso Frelly Valentino Kuhon Grace Debbie Kandou Gultom, Cristin Gustaaf A. E. Ratag Henry Malcom Frank Palandeng I Dewa Agung Ngurah Mahendra Iyone Esra Tiurma Siagian Jalaham, Dinda Novitri Jane M. Pangemanan, Jane M. Jayalaksmi, Ni Made Putri Jelly Oeiyano Jessica Meilani Meilani Jonathan E. E. Pijoh Julia S. Oley Kezia Aprillia Ango, Kezia Aprillia Kuhon, Frelly Valentino Kusnanto Tapianus Taarelluan, Kusnanto Tapianus Leonard Alen Melatunan Lilian Rauw-Andries Lumintang, Joel Margareth Rosalinda Sapulete Martin Simanjuntak Moningkey, Chita Vithea Shella Monintja, Tyrsa Christine Natalia Musa, Ester Candrawati Naamin, Jihan Nelwan, Ester Jeini Ni Made Irnawati, Ni Made Novi Budiarso Olivia Waworuntu Putri Ayudhya Putri M.B. Rompas Rahmat Aridi Raynald A. Issakh, Raynald A. Rianna J Sumampouw Riska Revani Syahrullah Ruslani, Ajeng Kartika Sammy L Bolang Sapulete, Ivonny Melinda Sipayung, Evita Melinda Sirait, Rolan Anderson Sugeha, Bonita Sumampouw, Jeannedria Jeisi Yuniar Eleanor Sumampouw, Jeanneprita Jeksi Yesinta Endarini Sumampouwa, Oksfriani Jufri Tabalujan, Joice Angela Taufik Randy Ticoalu, Jansje Vera Waani, J. Wariki, Windy M. V. Windy Mariane Virenia Wariki Winston Pontoh Wiztafia A. Ajami, Wiztafia A. Wulan J.P. Kaunang Wulan Kaunang Wulan P. J. Kaunang Wulan P.J. Kaunang Yacub, Fatihasari Yusni Sugeha Zwingly C.J.G. Porajow