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ANALYSIS OF THE IMPLEMENTATION OF THE SINDAR RAYA HEALTH INSURANCE SYSTEM PROGRAM SIMALUNGUN REGENCY Dilla Sastia Mara; Hendri Kurniawan; Shofian Syarifuddin
International Conference on Health Science, Green Economics, Educational Review and Technology Vol. 3 (2021): International Conference on Health Science, Green Economics, Educational Review and T
Publisher : Universitas Efarina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/ihert.v3i.251

Most of the Sindar Raya community is a lower middle class society, although there are still a small number of upper middle class people. The type of research used in this study uses a qualitative approach with in-depth interviews with sources of information so that it is clear and more in-depth about the implementation of the JKN program at the Sindar Raya Health Center in May-July 2017. The human resources of the Sindar Raya Health Center are still lacking in quantity and quality. However, in health services, there is no fundamental difference between the services before JKN and the current JKN era. Resource administration capabilities are still not ready to apply the JKN reporting format. Facilities and infrastructure are still lacking, but the puskesmas can still maximize health services to the community. Medical facilities that are still incomplete are dental health services and laboratories. Administrative support facilities such as computers and the internet are still incomplete and must be fulfilled immediately. Financial resources to support the Sindar Raya Health Center are available. In terms of fragmentation, the bureaucratic structure has been running in accordance with the duties and roles of each. Meanwhile, the operational standards for implementing JKN are also clear. Health services in JKN in the field can be carried out because there are no fundamental differences in providing health services. Sindar Raya Health Center in an effort to improve health services to be more active in order to be able to implement the JKN program optimally. Administrative support facilities such as computers and the internet are still incomplete and must be fulfilled immediately. Financial resources to support the Sindar Raya Health Center are available. In terms of fragmentation, the bureaucratic structure has been running in accordance with the duties and roles of each. Meanwhile, the operational standards for implementing JKN are also clear. Health services in JKN in the field can be carried out because there are no fundamental differences in providing health services. Sindar Raya Health Center in an effort to improve health services to be more active in order to be able to implement the JKN program optimally. Administrative support facilities such as computers and the internet are still incomplete and must be fulfilled immediately. Financial resources to support the Sindar Raya Health Center are available. In terms of fragmentation, the bureaucratic structure has been running in accordance with the duties and roles of each. Meanwhile, the operational standards for implementing JKN are also clear. Health services in JKN in the field can be carried out because there are no fundamental differences in providing health services. Sindar Raya Health Center in an effort to improve health services to be more active in order to be able to implement the JKN program optimally. Meanwhile, the operational standards for implementing JKN are also clear. Health services in JKN in the field can be carried out because there are no fundamental differences in providing health services. Sindar Raya Health Center in an effort to improve health services to be more active in order to be able to implement the JKN program optimally. Meanwhile, the operational standards for implementing JKN are also clear. Health services in JKN in the field can be carried out because there are no fundamental differences in providing health services. Sindar Raya Health Center in an effort to improve health services to be more active in order to be able to implement the JKN program optimally.

THE RELATIONSHIP OF HUSBAND'S KNOWLEDGE AND ATTITUDE TO CONTRACEPTION PARTICIPATION MALE OPERATING METHOD (MOP) I PUSKESMAS UJUNG PADANG SIMALUNGUN DISTRICT Mustarduddin; Shofian Syarifuddin; Edwin Tony Sohdin Martua Simanjuntak
International Conference on Health Science, Green Economics, Educational Review and Technology Vol. 3 (2021): International Conference on Health Science, Green Economics, Educational Review and T
Publisher : Universitas Efarina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54443/ihert.v3i.253

Rograra Family Planning (KB) is one of the government's efforts to achieve family welfare. The family planning program is an integrated part of the national development program which aims to create a balanced population so that the economic, spiritual and socio-cultural welfare of the Indonesian people can be achieved with a Total Fertility Rate (TFR) of 2.2. The Male Operation Method (MOP) is the act of cutting and closing the mant ducts (vas deferens) which carry sperm cells (sperm) out of their reproductive centers in the testicles. The purpose of this study was to determine the relationship between knowledge and attitudes of husbands towards participation in male contraceptive methods (MOP) at the Ujung Padang District Health Center, Simalungun Regency in 2016. The type of this study was analytic. The population of this study were husbands of fertile couples. The sample in this study were all husbands who visited the Ujung Padang Health Center. The results of the study based on the results of the Chi-Sguare statistical test obtained a p value of -0.03 alpha 0.05. So that it is known that there is a relationship between husband's knowledge of male contraceptive participation. Based on the results of the Chi-Sguare statistical test, a p value of 0.05 X alpha 0.05 was obtained. So that it is known that there is a relationship between the husband's attitude towards the participation of male contraceptive methods (MOP). It is hoped that the results of the research can become input and suggestions for health workers at the Ujung Padang Health Center in maintaining and improving MOP family planning services in the community. So that it is known that there is a relationship between husband's knowledge of male contraceptive participation. Based on the results of the Chi-Sguare statistical test, a p value of 0.05 X alpha 0.05 was obtained. So that it is known that there is a relationship between the husband's attitude towards the participation of male contraceptive methods (MOP). It is hoped that the results of the research can become input and suggestions for health workers at the Ujung Padang Health Center in maintaining and improving MOP family planning services in the community. So that it is known that there is a relationship between husband's knowledge of male contraceptive participation. Based on the results of the Chi-Sguare statistical test, a p value of 0.05 X alpha 0.05 was obtained. So that it is known that there is a relationship between the husband's attitude towards the participation of male contraceptive methods (MOP). It is hoped that the results of the research can become input and suggestions for health workers at the Ujung Padang Health Center in maintaining and improving MOP family planning services in the community.

Rationality of the Use of NSAIDS in Rheumatic Osteoarthritis Patients in Outpatient Singosari Health Center Pematangsiantar City Wilson Samosir; Shofian Syarifuddin; Friska Simanihuruk; Evita Dora Br Sinukaban
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.334

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis Osteoarthritis (OA) is the most common form of arthritis found in the community, is chronic in nature, has a major impact on public health issues. a total of 213 arthritis patients, only 30 patients who met the inclusion criteria were due to incomplete medical record data or even loss of medical record data which caused the patient's medical record data to be incomplete. right indication, right drug, right dose, right route of administration, right patient) then the results of the analysis show that accuracy is 100% right, while for the right drug parameters it is still worth 53%. So it can be concluded that treatment for osteoarthritis patients when viewed from the right diagnosis, right indication, right dose, right patient, right drug, right method of administration at the Singosari Health Center cannot be fully rational.

Basic Immunization Program Coverage of Minimum Service Standards (MSS) in Raja Aligas, Huta Bayu Raja District Shofian Syarifuddin
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 2 (2023): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i2.360

Immunization is an effective way to provide immunity, especially to someone who is healthy, with the main goal of reducing morbidity and mortality due to various diseases that can be prevented by immunization. One of them is measles, which often attacks children under the age of five. The research objective was to determine the results of the basic immunization program coverage against the Minimum Immunization Service Standards. The research design used in this study is a descriptive study design. The number of samples in this study from the Raja Maligas in Silakkidir Village, Huta Bayu Raja District, Simalungun Regency was 47 people. with the sampling technique in this study using total sampling. Data analysis used is descriptive analysis. The results of the research on immunization coverage at Raja Maligas in Silakkidir Village showed that the majority of babies had received basic immunization HB 0, DPT/HB 1, DPT/HB 2, DPT/HB 3, POLIO 1, POLIO 2, POLIO 3 as many as 47 people (100% ) and a minority of infants received basic immunizations for BCG, POLIO 4, and MEASLES, respectively 95.7%, 97.9% and 95.7%. From the results of this study it is known that the coverage of the basic immunization program at the Raja Maligas has reached the Immunization Minimum Service Standards (SPM) in accordance with those set by the Government. So it is recommended that immunization officers at the health center continue to provide complete basic immunization services to every baby before the age of 1 year.

Analisis Farmakokinetik Klinik Dosis Obat Pasien Hipertensi Komplikasi Gagal Di RSUD Dr. Pirngadi Medan Zebua, Nilsya Febrika; Peri Aisyah Zubaidi; Sumardi; Suprianto; Shofian Syarifuddin; Risma Yeni
Jurnal Indah Sains dan Klinis Vol 4 No 1 (2023): Jurnal Indah Sains dan Klinis
Publisher : Yayasan Penelitian dan Inovasi Sumatera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52622/jisk.v4i1.06

Background: Hospitals are health service providers providing emergency care, outpatient and inpatient. Hypertension occurs when blood pressure is above normal. Clinical conditions that require dialysis treatment have a tendency to kidney failure. This effort is related to the field of clinical pharmacokinetics. Objective: The study was conducted to analyze the dose of drug administration in conditions complicated by kidney failure in hypertensive patients. Methods: The study went through a sampling stage of data from hypertensive patients complicated by kidney failure, data according to inclusion criteria, calculation of creatinine clearance, analysis of dose adjustments and creatinine clearance. Results: The study obtained 170 data, which met the inclusion criteria of 30 data. Drugs with a narrow therapeutic index and worsening kidney function that patients received included: digoxin, captopril, ranitidine, furosemide, ciprofloxacin, and cefriaxone in 2, 13, 9, 12, 3, and 8 cases respectively. Conclusion: According to dose adjustment calculations for patient creatinine clearance, it was found that the drug exceeded the individual dose in 6 out of 9; 8 of 13; and 2 cases each using ranitidine, captopril, digoxin

RELATIONSHIP BETWEEN HEALTH BEHAVIORS AND INCIDENT OF DENGUE FEVER AND DHF IN THEWORKING AREA OF SINGOSARI PEMATANG SIANTAR HEALTH CENTER Shofian Syarifuddin; Wilson Samosir
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 3 No. 2 (2022): June
Publisher : PT. Radja Intercontinental Publishing

The background in this study is that Dengue Hemorrhagic Fever (DHF) is a public health problem in Indonesia, since 1968 the number of cases has tended to increase and its spread has become wider. The incidence of Dengue Hemorrhagic Fever (DHF) in the working area of the Pematang Raya Health Center in 2008 was recorded as many as 91 cases with 2 fatalities. From the data obtained, it is known that there was a significant increase in the incidence of Dengue Hemorrhagic Fever (DHF) from year to year between 2004-2008. The purpose of this study was to determine what health behaviors were associated with the occurrence of Dengue Hemorrhagic Fever (DHF) in the working area of the Pematang Raya Public Health Center. This type of research was an analytic survey study using a case-control approach. The population in this study were Dengue Hemorrhagic Fever sufferers (cases) and not Dengue Hemorrhagic Fever sufferers (controls). A sample of 40 cases and 40 controls were obtained using simple random sampling technique. The instruments used in this study were 1) questionnaires, 2) data on DHF patients at the Pematang Raya Health Center and DKK Kendal. The data for this study were obtained from primary data, in the form of interview results, and secondary data in the form of DHF patients at the Pematang Raya Health Center and DKK Kendal. The data obtained in this study were analyzed using the Chi-square statistical test formula and the determination of the Odds Ratio (OR). From the research results it was found that the significant factors were: cleaning the water reservoir (p value-0.044, OR=2.513), closing the water reservoir (p value 0.002, OR=4.333), draining water reservoirs (p value 0.004, OR=3.857), burying used goods (p value 0.014, OR-3.095), throwing garbage in its place and burning it (p value-0.043, OR=2.538), hanging clothes (p value=0.001, OR=4.896), and use mosquito repellent lotion (p value=0.002, OR=6.000). From the results of the research and discussion, it can be concluded that health behaviors related to the incidence of Dengue Hemorrhagic Fever (DHF) in the 2018 Pematang Raya Health Center work area, namely cleaning water reservoirs, closing water reservoirs, draining water reservoirs, burying used goods , throwing trash in its place and burning it, hanging clothes, and wearing mosquito repellent.

ANTI-INFLAMMATORY EFFECT OF LEAF ETHANOL EXTRACT OF CAT'S KUMIZE (ORTHOSIPHON STAMINEUS BENTH) IN MALE WHITE RATS OF WISTAR STRAINS Wilson Samosir; Shofian Syarifuddin
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 1 No. 3 (2020): September
Publisher : PT. Radja Intercontinental Publishing

The cat's whiskers plant is empirically used by the community for the treatment of gout and rheumatism. This research was conducted with the aim of knowing the anti-inflammatory power of cat's kumis (Orthosihon stamineus Benth) leaf extract. This study was a quasi-experimental study with a one-way completely randomized design. Kumis Kucing leaf extract was extracted using 70% ethanol. A total of 25 male wistar rats aged 2-3 months, weighing 150-200g were divided into 5 groups. Each group was treated orally with distilled water (negative control), diclofenac sodium 2.25 mg/kg BW (positive control). Kumis leaf ethanol extract tested at doses of 123, 245 and 490 mg/kgBB. Treatment 1 hour before the feet of rats were inflamed with 1% sublantar carrageenin. Measurements of the rat's foot volume were carried out every 0.5 hours for 6.5 hours. The obtained average edema volume curve is used to calculate AUC (Area Under The Curve) and the obtained AUC is used to calculate DAI (Anti-Inflammatory Power). The AUC and DAI data were tested statistically with one way Anava and followed by LSD with a 95% confidence level. The results showed that the ethanol extract of Kumis Kucing leaves had an anti-inflammatory effect on male white rats of the Wistar strain. Kumis Kucing ethanol extract at doses of 123, 245 and 490 mg/kg BW yielded 33.11%; 52.64% and 64.12% respectively. The results showed that the ethanol extract of Kumis Kucing leaves had an anti-inflammatory effect on male white rats of the Wistar strain. Kumis Kucing ethanol extract at doses of 123, 245 and 490 mg/kg BW yielded 33.11%; 52.64% and 64.12% respectively. The results showed that the ethanol extract of Kumis Kucing leaves had an anti-inflammatory effect on male white rats of the Wistar strain. Kumis Kucing ethanol extract at doses of 123, 245 and 490 mg/kg BW yielded 33.11%; 52.64% and 64.12% respectively.

CHARACTERISTICS OF TYPES OF DIABETES MELLITUS II IN REGIONAL GENERAL HOSPITAL THAN RONDAHAIM, SIMALUNGUN DISTRICT Shofian Syarifuddin; Wilson Samosir
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 3 No. 4 (2022): December
Publisher : PT. Radja Intercontinental Publishing

Complications caused by diabetes are becoming a more serious problem so controlling blood glucose intensively can reduce diabetes mortality by reducing complications that arise. This study aims to determine the characteristics of Type II Diabetes Mellitus Patients at Tuan Rondahaim Regional General Hospital, Simalungun Regency in 2019 With this type of research Descriptively, this research was carried out at the Tuan Rondahaim Regional General Hospital, Simalungun Regency from July to September 2019 with a total population of 40 people using the sampling technique, namely total sampling where all populations are sampled. The results of this study indicate that the younger a person has diabetes mellitus, it can be seen that the lower the number of people with diabetes mellitus,the number of people with diabetes mellitus is more suffered by women, there are fluctuations in the duration of the disease in the Toba and Simalungun tribes, while in the Javanese the longer they suffer from diabetes mellitus, there is a decrease in the incidence of duration of the disease with adherence to taking medication that has no significant difference compared to Duration of disease with adherence to diet There was a significant difference between adherents and non-adherents.where the tendency is not to comply with dict rules It is expected that Efarina University through the Bachelor of Nursing study program can provide counseling about Diabetes Mellitus, specifically Type II Diabetes Mellitus both in the community and in hospitals. adjusted to the portion and condition of the patient in this study, it can be included in the information that has been conveyed by researchers regarding type II Diabetes Mellitus sufferers.

Rationality of the Use of NSAIDS in Rheumatic Osteoarthritis Patients in Outpatient Singosari Health Center Pematangsiantar City Wilson Samosir; Shofian Syarifuddin; Friska Simanihuruk; Evita Dora Br Sinukaban
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.334

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis Osteoarthritis (OA) is the most common form of arthritis found in the community, is chronic in nature, has a major impact on public health issues. a total of 213 arthritis patients, only 30 patients who met the inclusion criteria were due to incomplete medical record data or even loss of medical record data which caused the patient's medical record data to be incomplete. right indication, right drug, right dose, right route of administration, right patient) then the results of the analysis show that accuracy is 100% right, while for the right drug parameters it is still worth 53%. So it can be concluded that treatment for osteoarthritis patients when viewed from the right diagnosis, right indication, right dose, right patient, right drug, right method of administration at the Singosari Health Center cannot be fully rational.

Basic Immunization Program Coverage of Minimum Service Standards (MSS) in Raja Aligas, Huta Bayu Raja District Shofian Syarifuddin
International Journal of Public Health Excellence (IJPHE) Vol. 2 No. 2 (2023): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v2i2.360

Immunization is an effective way to provide immunity, especially to someone who is healthy, with the main goal of reducing morbidity and mortality due to various diseases that can be prevented by immunization. One of them is measles, which often attacks children under the age of five. The research objective was to determine the results of the basic immunization program coverage against the Minimum Immunization Service Standards. The research design used in this study is a descriptive study design. The number of samples in this study from the Raja Maligas in Silakkidir Village, Huta Bayu Raja District, Simalungun Regency was 47 people. with the sampling technique in this study using total sampling. Data analysis used is descriptive analysis. The results of the research on immunization coverage at Raja Maligas in Silakkidir Village showed that the majority of babies had received basic immunization HB 0, DPT/HB 1, DPT/HB 2, DPT/HB 3, POLIO 1, POLIO 2, POLIO 3 as many as 47 people (100% ) and a minority of infants received basic immunizations for BCG, POLIO 4, and MEASLES, respectively 95.7%, 97.9% and 95.7%. From the results of this study it is known that the coverage of the basic immunization program at the Raja Maligas has reached the Immunization Minimum Service Standards (SPM) in accordance with those set by the Government. So it is recommended that immunization officers at the health center continue to provide complete basic immunization services to every baby before the age of 1 year.

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