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All Journal e-GIGI e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Jurnal Keperawatan Jurnal Pengabdian Masyarakat (ABDIRA) Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Jurnal Pengabdian Masyarakat Mandira Cendikia (JPKM-MC)
Henry Malcom Frank Palandeng
Universitas Sam Ratulangi
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Gambaran pencemaran antibiotik pada sistem pembuangan limbah cair di RSUP Prof. Dr. R. D. Kandou Manado Anggyta Pradifta Kusuma; Dina V. Rombot; Henry M. F. Palandeng
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT VOLUME 9 NOMOR 2 (2021)
Publisher : UNIVERSITAS SAM RATULANGI

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Background : Hospitals in Indonesia produce large amounts of waste water, this can be infectious, contain pathogenic microorganisms and chemicals that are harmful to health and the surrounding environment. Previous studies found antibiotics as one of the ingredients in hospital wastewater, and most of the microorganisms identified from wastewater were reported to be resistant to commonly used antibiotics.Purpose : This study aims to determine the contamination of antibiotics in the wastewater system at  RSUP Prof. Dr. R. D. Kandou Manado by doing isolation and bacteria and antibiotic sensitivity tests.Methods: The type of research used is descriptive quantitative research. The sample used is wastewater from the inlet and outlet points. Isolation and bacteria were adjusted according to Bergey's Manual of Determinative Bacteriology. Sensitivity test using Kirby Bauer method with antibiotics used is clindamycin. The results are interpreted based on CLSI.Results: The bacteria that were identified were Bacillus spp., Streptococcus spp., Escherichia spp. and Staphylococcus spp.. These bacteria showed an interpretation of resistance to clindamycin, except for Bacillus spp. which could not be interpreted.Conclusion: Based on the results of the study that the bacteria Streptococcus spp., Escherichia spp. and Staphylococcus spp. which were found to be resistant in the sensitivity test, indicated the presence of antibiotic contamination in the wastewater at RSUP Prof. Dr. R. D. Kandou Manado.Keywords: Hospital waste water, identification of bacteria, sensitivity test
Gambaran kandungan antibiotik pada sedimen kawasan pesisir teluk Manado Jonathan E. E. Pijoh; Henry M. F. Palandeng; Ronald I. Ottay
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT VOLUME 9 NOMOR 2 (2021)
Publisher : UNIVERSITAS SAM RATULANGI

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Introduction: Antibiotics are drugs that are often used to treat bacterial infections. Excessive use of antibiotics can lead to pollution if the residual waste from its use is not properly degraded. The residual waste that is not properly degraded will cause pollution to the environment where the antibiotic waste is released. Sometimes several sources of antibiotic usage do not have a good waste treatment system, some of which are hospitals. Hospitals must have a wastewater treatment system that is called Wastewater Treatment Plant (WWTP). A good WWTP function is to degrade all kinds of waste in the hospital, so that if it is released into the environment it will not cause harmful effects such as pollution. Sometimes there is some waste that does not go through a good waste treatment system, so it has the potential to cause pollution to the environment. Antibiotics that are not properly degraded can cause pollution to the area where the waste is disposed of, one of which is sediment in the coastal area. Aim: To determine the overview of antibiotic content in the sediments of the coastal area of Manado Bay. Method: This research is a quantitative-descriptive study. Result: It was found that there was antibiotic content in the sediment which was marked by bacteria in the sediment of the area that were resistant to several types of antibiotics.Conclusion: Based on the result, there is antibiotic content in the sediments of the coastal area of Manado Bay.Keywords: antibiotics, sediment, Manado Bay.
Identifikasi cefixime pada bakteri di perairan pesisir Kota Manado Elisa Yohana Anjali Wulur; Ronald I. Ottay; Zwingly Christian Porajow; Henry Malcom Frank Palandeng
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT VOLUME 9 NOMOR 2 (2021)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: The presence of antibiotics in the bodies of water could potentially have negative impacts on health. The release of antibiotics into the environment might cause the emergence of bacteria strains that are more resistant to antibiotics. This study aimed to identify the potential presence of cefixime in the coastal water of Manado City.Methods: This study was a susceptibility testing towards seawater sample isolated bacteria. This study used Kirby-Bauer disc diffusion methods.Results: All isolates showed resistance to cefixime. We identified four isolates: Acinetobacter spp, Staphylococcus spp, Bacillus spp, and Pseudomonas spp.Conclusion: The resistant isolates indicate the presence of cefixime in the coastal waters of Manado.Keywords: Cefixime, resistance, antibiotic susceptibility testing, seawater, Manado City.
Kualitas hidup dengan kualitas tidur remaja SMA Katolik Rex Mundi Manado di masa pandemi COVID-19 Rahmat Aridi; Henry M. F. Palandeng; Ronald I. Ottay; Olivia Waworuntu
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 1 (2022)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Adolescent is a period of growth that is most unique since there are very large changes covering physical, psychological and social development. The growth and development of adolescents are influenced by the quality of life with physical activity. However, the COVID-19 epidemic has severely limited the physical activity of adolescents, which has an impact on their quality of life and growth.Objective: The general aim of this study was to discover the quality of adolescent life and physical activity during the pandemic and the specific objective was to find out an overview of the quality of life, physical dimensions, psychological dimensions, social dimensions, environmental dimensions in physical activity.Method: This study used descriptive research with a cross-sectional design and it also used the cluster random sampling technique and simple random sampling by distributing WHOQOL-BREF questionnaires and the Global School-based Student Health Survey (GSHS) through google form.Results: Based on the 91 samples, it indicated that the physical health dimension of students with light physical activity, most of the good quality of life was 37.4, the psychological dimension with moderate physical activity, most of the good quality of life was 29.7, the social dimension with the most moderate student activity was 31.9.Conclusion: Students of SMP Negeri 2 Manado had a good and moderate quality of life, while their physical activity was moderate in all dimensions.Keywords: quality of life, physical activity, adolescents, COVID-19. 
Diagnostik holistik tuberkulosis paru anak di Puskesmas Bailang Henry M. F. Palandeng; Michelle Wilhelmina Mandang
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 1 (2022)
Publisher : UNIVERSITAS SAM RATULANGI

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Tuberculosis is a disease that is transmitted through the air by the bacterium Mycobacterium tuberculosis (M. tuberculosis). Tuberculosis usually attacks the lungs, but can also attack the extrapulmonary (larynx, lymph nodes, pleura, kidneys, bones and joints). Patients with pulmonary tuberculosis usually have symptoms such as coughing, sweating, especially at night, fever, fatigue, and weight loss. In 2015, pediatric TB cases accounted for 9% of all TB cases in Indonesia.In this case discussion there is a patient diagnosed with pulmonary tuberculosis. The patient came with a complaint of cough with phlegm for approximately 1 month. The patient has done a sputum test / culture, and the results are positive, the patient has finished undergoing initial phase of OAT treatment therapy, and is undergoing an advanced phase of therapy. This discussion is about a holistic diagnostic approach to the patient's disease. This is done in order to know better about the factors related to the occurrence of the disease in patients. 
Penatalaksanaan penyakit pre-diabetes mellitus pada dokter keluarga di Kota Manado Ariel Arina; Henry Malcom Frank Palandeng; Frelly Valentino Kuhon
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS SAM RATULANGI

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Introduction: Pre-diabetes is a condition in which blood sugar levels are higher than normal but not high enough to be called diabetes. Control of DMT2 disease requires a holistic approach to meet the needs of the community through the pre-diabetes group, namely family physicians. Studies have found that general practitioner that have limited knowledge of risk factors for pre-diabetes screening, laboratory diagnostic criteria for pre-diabetes, and management recommendations for patients with pre-diabetes contributing to an inadequate diagnosis of pre-diabetes. Purpose: To find the behavior of family physicians in the management of chronic disease pre-diabetes mellitus in Manado City. Methods: This research is a descriptive study using a cross-sectional design. Result: The results showed that the knowledges level of family physicians in Manado City was in the good category totaling 31 doctors (100%), the attitudes level of family physicians in the good category with 31 doctors (100%), and the practice level of family physicians was in the good category with 31 doctors (100). Conclusion: Based on the results of the study, family physicians in Manado have good knowledge, attitude, and practice about pre-diabetes. Keywords: pre-diabetes, behavior, family physicians
Gambaran pengetahuan, sikap, dan tindakan dokter keluarga di Sulawesi Utara dalam menghadapi bencana Elsatioria Sibarani; Iyone Esra Tiurma Siagian; Henry Malcom Frank Palandeng
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 10 Nomor 2 Tahun 2022
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Family physicians as primary care doctors and first medical contacts in providing services through a reciprocal referral mechanism including in disaster management and emergency services to prevent and reduce the impact caused by disasters. North Sulawesi as a disaster-prone area shows the high need for doctors who are responsive and ready to handle disasters which are influenced by factors of knowledge, attitudes, and actions in dealing with disasters. Purpose: To find out the knowledge, attitudes, and actions of family physicians in North Sulawesi in dealing with disasters. Methods: This research is descriptive in nature with a cross-sectional research design for all primary care family medicine specialists in North Sulawesi. This research used a purposive sampling method which was carried out in October-November 2022 and found 29 respondents who met the inclusion and exclusion criteria. Result: Family physicians in North Sulawesi have good knowledge, positive attitudes, and adequate actions in dealing with disasters. Keywords: family physicians, knowledge, attitude, action, disaster
Holistic approach on pulmonary tuberculosis: a case study Stephen; Palandeng, Henry Malcom Frank; Waworuntu, Olivia Amelia
Jurnal Kedokteran Komunitas dan Tropik JKKT Volume 11 Nomor 1 (2023)
Publisher : UNIVERSITAS SAM RATULANGI

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Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. Pulmonary TB remains a major public health problem in Indonesia. According to data from the Indonesian Ministry of Health, by 2022, there were approximately 694,808 cases of TB in Indonesia. Symptoms of TB can vary depending on the infected part of the body and the severity of the disease. Acid-resistant bacteria microscopic sputum examination, tuberculin test, TB blood test are methods to diagnose tuberculosis. This case is a person who has been diagnosed with TB for 4 months. The patient still complains of coughing. The patient is still regularly taking the TB drug package provided by the health center. The patient's family is very supportive of the patient's treatment. The environment around the patient is also positive towards the patient. This discussion is a holistic diagnostic approach to the patient's illness. Family doctor management and related factors in the course of the patient's illness are part of this case based discussion.
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
Diabetes melitus tipe 2 dan perilaku dokter keluarga di Kota Manado Raranta, Deylafaith Graniella; Kuhon, Frelly Valentino; Palandeng, Henry Malcom Frank
Jurnal Kedokteran Komunitas dan Tropik JKKT Volume 11 Nomor 2 (2023)
Publisher : UNIVERSITAS SAM RATULANGI

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Background: Diabetes Mellitus (DM) is one of the non-communicable diseases included in the top 10 causes of death worldwide, with 6.7 million reported cases. The prevalence of DM in North Sulawesi Province ranks 4th, with a prevalence of 2.3%, exceeding the national average. Comprehensive treatment, which does not solely focus on the patient's disease aspect, is needed to address the increasing cases of DM. The Indonesian government, through the Social Health Insurance Administration Body (BPJS), operates a primary care system that utilizes family physicians as the frontline in serving the community. However, several conducted studies reveal a lack of frequency in the knowledge, attitude, and practice of family physicians towards DM management.Aim: To determine the behaviour (knowledge, attitude, and action) of family physicians management of type 2 DM in Manado City.Methods: This study is a descriptive study with a cross-sectional research design.Results: The level of knowledge, attitude, and practice of family physicians in type 2 DM management was categorized as good at 98.2% and sufficient at 1.8%.Conclusion: The behaviour of family physicians in Type 2 DM management in Manado City is considered good.Keywords: behaviour, type 2 diabetes mellitus, family physicians
Co-Authors Aaltje E. Manampiring Aldrin Lucky Senduk, Aldrin Lucky Alfah Yulied Lalombo Alvina Carolina Bagali Angel C. Goni Angelivia Berliani Anggreiny M. Tumimomor Anggyta Pradifta Kusuma Apriliana Maria Namsa, Apriliana Maria Ariel Arina Benedictus Lampus Benedictus S. Lampus Christina Samodara Christy N. Mientjelungan Claudia Agustina Sikawin Dali, Farrand Ivan Deni Salmon Dhanny E. P. Lagarense Dina Victoria Rombot Dotulong, Dean Elisa Yohana Anjali Wulur Elrita Tawaang Elsatioria Sibarani Eunike Risani Seran Febriani Cakrawedana, Febriani Frelly Valentino Kuhon Frelly Valentino Kuhon Gabrielle E. Ch. Tambatjong, Gabrielle E. Ch. Gideon Abdi Tombokan, Gideon Abdi Grace Debbie Kandou Gresty Natalia Maria Masi Gustaf A. E. Ratag, Gustaf A. E. Hana Yulianti Muhammad Hendro Bidjuni Herlina M.L. Butiop, Herlina M.L. Herman Warouw Husa, Rahdian Ilham Habib Djarkoni Ivana Esther Baharutan Iyone Esra Tiurma Siagian Jacky Ch. Lintang, Jacky Ch. Jalaham, Dinda Novitri Jane Pangemanan Jeavery Bawotong Jennifer Lintang Joice Laoh Jonathan E. E. Pijoh Kambey, Christ Eden Karlina Renata Mokoginta, Karlina Renata Keren Kaawoan, Keren Kevin Wewengkang, Kevin Kristi A. Rewah Kuhon, Frelly V. Kuhon, Frelly Valentino Layuck, Anggun R. P. Leonard Alen Melatunan Lilian Andries Lyvie Lavenia Ticoalu, Lyvie Lavenia Mampuk, Angela S. K. Mareyke Saroinsong Margareth Rosalinda Sapulete Mariana Christiani Sunkudon Martin Simanjuntak Matasha E.G. Pongoh Meini Tatuwo Michael A. Leman Michael Y Karundeng, Michael Y Michelle Wilhelmina Mandang Monica Maria Wantah Munajang, Herdy Nelwan, Ester Jeini Novita Papona Noviyani Noviyani Ns . Mulyadi Olivia Waworuntu Phrycillia N.P Limen Pingkan Mellisa Palar, Pingkan Mellisa Porajowa, Zwingly Pratasik, Chealsea Priska P.H. Kondoy Putra, Racmad Pratama Suhardi Putri M.B. Rompas Putri, Marshanda Asfriani Rahmat Aridi Rapar, Elsani P. R. Raranta, Deylafaith Graniella Rianna J Sumampouw Ronald I. Ottay Ronald I. Ottay Ronald I. Ottay Ronald Imanuel Ottay Ronald Immanuel Ottay Ronald Ottay Ruswandi, Cyndhi Widya Sari Sarayar, Christiane Prisilia Sartika S. Laato Sengkey, Yesika Stella M. Soselisa Stephen Sugeha, Bonita Tabalujan, Joice Angela Taufik Randy Tjia, Laura Trevino A. Pakasi Tyrsa C.N. Monintja, Tyrsa C.N. Tyrsa Moningtja Tyrsa Monintja Vandri D Kallo, Vandri D Vandri Kallo Veicy F. Gaghana Vevy Monica Lasut Waani, J. Wariki, Windy M. V. Wenas, Asterlita Wenny Rumanga Wulan P.J. Kaunang Yuliana R Kanender Yusni Sugeha Zwingly C.J.G. Porajow