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Pendampingan Edukasi Program Walking Exercise Sebagai Modalitas Peningkatan Kualitas Tidur Pada Pasien Penyakit Kronis di Puskesmas Kombos dan Puskesmas Ranomuut Kota Manado Gresty Natalia Maria Masi; Henry Malcom Frank Palandeng; Christy N. Mientjelungan
Jurnal Pengabdian Masyarakat Mandira Cendikia Vol. 4 No. 8 (2025)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jpkmmc.v4i8.1864

Abstract

Gangguan tidur merupakan masalah yang sering dialami oleh banyak orang, termasuk bagi pasien dengan penyakit kronis meliputi pasien kanker, hipertensi, diabetes melitus dan penyakit kronis lainnya. Program kemitraan dalam bentuk pengabdian kepada masyarakat ini berupa pendampingan program walking exercise sebagai modalitas peningkatan kualitas tidur pada pasien dengan penyakit kronis. Kegiatan ini bertujuan untuk meningkatkan pengetahuan pasien penyakit kronis dalam pengelolaan gangguan tidur melalui program walking exercise. Kegiatan dilakukan dengan cara edukasi, metode edukasi berupa ceramah dan penjelasan booklet, Hasil pengabdian ini menunjukan terjadi peningkatan nilai rata-rata pengetahuaan setelah dilakukan edukasi walking exercise sebagai modalitas penanganan gangguan tidur
Analisis pengetahuan, sikap, dan tindakan dokter keluarga terhadap pemberian antibiotik di Sulawesi Utara Ruswandi, Cyndhi Widya Sari; Palandeng, Henry Malcom Frank; Kuhon, Frelly Valentino
Jurnal Kedokteran Komunitas dan Tropik Vol 13 No 2 (2025)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Irrational antibiotic use remains a global health challenge and is a major driver of increasing antibiotic resistance. North Sulawesi showed an increase in the use of Access category antibiotics in 2021–2022, necessitating an evaluation to ensure clinical practices are in line with guidelines. Family doctors, as the frontline of primary health care, play a very important role in controlling the appropriate use of antibiotics. Aim: To determine the level of knowledge, attitudes, and actions of family doctors in prescribing antibiotics and to analyze the relationship between the length of practice of family doctors and their knowledge, attitudes, and actions. Methods: This study used a quantitative cross-sectional design through the distribution of a Google-form questionnaire to 91 family doctors working with BPJS in North Sulawesi. Univariate analysis was used to determine the frequency distribution of the research variables, while bivariate analysis used the Spearman Rank correlation test to assess the relationship between length of practice and knowledge, attitudes, and actions in prescribing antibiotics Results: The results showed that all respondents had good knowledge (100%) and attitudes (100%) regarding antibiotic administration, and most showed good practices (95.6%) while a small number showed adequate practices (4.4%). The correlation test results showed that there was no significant relationship between length of practice and knowledge (p = 0.556; r = -0.062), attitude (p = 0.714; r = -0.039), or actions (p = 0.801; r = -0.027). Conclusion: Family doctors in North Sulawesi have good knowledge, attitudes, and practices in prescribing antibiotics, and length of practice is not significantly related to these three variables.
Pola bakteri resisten antibiotic dari sungai yang bermuara di Teluk Manado Monica Maria Wantah; Henry Malcom Frank Palandeng; Frelly Valentino Kuhon
Jurnal Kedokteran Komunitas dan Tropik Vol 14 No 1 (2026)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Antibiotic Resistance is an increasing global issue that recently  been found in the aquatic environment, including rivers. Rivers that flow through a dense population are most likely carrying domestic waste, livestock residues and healthcare effluents containing bacterias as well as antibiotic residue. Such condition urges antibiotic resistence which will somehow transport to the coastal ecosystem.  Manado Bay, which receives water flow from multiple rivers, is at risk of accumulating resistant bacterial populations. Aim: To identify the presence and resistance patterns of bacteria in river water samples discharging into Manado Bay. Methods: A quantitative descriptive study was conducted at two river locations. Bacteria were identified using Gram staining, catalase, and coagulase tests. Antibiotic susceptibility testing used the Kirby-Bauer disk diffusion method following CLSI 2021 standards. Results: Four bacterial species were identified, which are Escherichia coli, Staphylococcus sp., Staphylococcus aureus, and Lactobacillus sp., each of which exhibited different resistance patterns to various types of antibiotics at each sampling location. Conclusion: Rivers flowing into Manado Bay contain antibiotic-resistant bacteria, indicating environmental exposure to antibiotic residues. These rivers may serve as pathways for the spread of resistant bacteria to coastal areas.