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The Influence of Abdominal Circumference and Body Mass Index On Hypertension anggraeni, Ratih; Marbun, Romauli Anna Teresia; Siagian, Hartika Samgryce; Lubis, Amelia Hasana
Jurnal FARMASIMED (JFM) Vol 7 No 1 (2024): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v7i1.2358

Abstract

The Body Mass Index (BMI) value is used to determine the body composition value, calculated using a formula involving height and weight. Increasing body weight will affect the size of the stomach circumference. One indicator of BMI that can identify the risk of morbidity due to increased body weight is the measurement of the size of the abdominal circumference. If there is an increase in BMI, the risk of developing hypertension and other heart diseases also increases. Hypertension is when a person's blood pressure exceeds normal (120/80mmHg). This research was conducted to analyze the influence of BMI and abdominal circumference on hypertension symptoms using analytical observation. Random sampling was taken from the USU Faculty of Medicine student population with the criteria of having a history of heart disease, a history of metabolic disease, taking heart medication, and being an athlete. Respondents had their height and weight measured, their BMI values were calculated, then their abdominal circumference, and their blood pressure. The results showed that there was an influence between BMI and abdominal circumference on symptoms of hypertension. There was a significant correlation between BMI and systole (p=0.000) and diastole (p=0.014) as well as a moderate correlation coefficient for systole (r=0.466) and diastole (r=0.340). There is a correlation between abdominal circumference and systole (p=0.000) and diastole (p=0.038) and a moderate level correlation coefficient with systole (r=0.480) and diastole (r=0.289). It can be concluded that there was an influence of BMI and LP on hypertension.
Education on Maintaining an Ideal Body Weight to Reduce the Risk of Diabetes Mellitus Among Students at Al-Azhar Private High School in Medan Aritonang, Barita; Syarifuddin, Shofian; Harahap, Hasni Yaturramadhan; Wiratma, Dicky Yuswardi; Marbun, Romauli Anna Teresia
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2397

Abstract

Diabetes Mellitus (DM) is a chronic condition with increasing prevalence worldwide, including in Indonesia, where the number of affected individuals reached 10.7 million in 2021. One of the main factors contributing to the rising risk of DM in adolescents is obesity, often influenced by unhealthy lifestyle habits. Therefore, education on maintaining an ideal body weight is essential to prevent DM in this age group. This Community Service Program aims to educate the students of SMA Swasta Al-Azhar Medan about the importance of maintaining an ideal body weight to prevent DM. The program combines lectures, interactive discussions, and hands-on activities. It includes a pre-test, educational content delivery, practical exercises, and a post-test. 100 students participated, covering topics such as the relationship between body weight and DM, healthy eating habits, physical activity, and how to monitor weight and calculate Body Mass Index (BMI). The results show significant improvements in students' knowledge about DM, healthy eating, and physical activity. Knowledge of DM increased by 45.5%, understanding of healthy eating improved by 26.1%, and awareness of physical activity grew by 24.3%. Additionally, the average BMI of students decreased by 2.4%, indicating positive lifestyle changes. In conclusion, the program successfully improved students' understanding and encouraged behavioral changes to prevent DM. The increase in knowledge, healthier eating habits, greater physical activity, and reduction in BMI highlight the effectiveness of the educational approach. This program can potentially serve as a model for promoting healthy lifestyles to prevent DM in adolescents.
Evaluation Of Metformin Use in Type 2 Diabetes Mellitus Patients X Clinic Sei Karang Marbun, Romauli Anna; Siti Wahyuni; Arofatul Hidayah
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.2037

Abstract

Diabetes mellitus is a disease or chronic metabolic disorder characterized by high blood sugar levels accompanied by impaired metabolism of carbohydrates, lipids and proteins as a result of insulin function insufficiency, which can be caused by impaired insulin production by the Langerhans beta cells of the pancreatic gland or caused by a lack of insulin. responsiveness of body cells to insulin. Type 2 DM is often found in around 90% of diabetes sufferers and usually occurs from the age of over 40 years in obese people. Metformin is the most frequently prescribed therapy for patients with type 2 diabetes mellitus. In addition, Metformin has a very good safety profile and is also pharmacoeconomically beneficial. The research was carried out by tracing the patient's past data from medical records obtained from the medical records unit at the X Sei Karang Clinic in the patient's medical records for 2022. Based on gender, it shows that of the 40 patients using oral anti-diabetic drugs in type II DM patients based on gender in 2022, the majority of genders are women (28 people) and the rest are men (12 people). Based on age, it shows that there are more people aged 34-60 years with a percentage of 67.5% compared to those aged 61-77 years with a percentage of 32.5%. Therapeutic use of oral antidiabetic drugs in outpatient type II DM patients at the X Sei Karang Clinic for the period October-December 2022 is Metformin with a 30% result with or without combination therapy. The accuracy of using oral anti-diabetic drugs in outpatients with type II DM at the X Sei Karang Clinic in 2022, found that the accuracy of using anti-diabetic therapy drugs at the appropriate dose was 83.33%.
Evaluation Of The Level Of Compliance Of Tuberculosis Patients To The Use Of Anti-Tuberculosis Drugs In Puskesmas Lima Puluh In 2023 Marbun, Romauli Anna; Sinaga, Falentina
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2034

Abstract

The incidence of Tuberculosis (TBC) is still a priority health problem, especially in the working area of the Puskesmas Lima Puluh . The Puskesmas Lima Puluh is a health center in the Fifty District which has a high incidence of TB, where the number of TB cases in 2022 has increased from the previous year. Patient compliance with treatment is one of the factors that determine the success of therapy. This study aims to describe the level of adherence of TB patients to the use of OAT and determine the factors that influence the level of adherence to taking OAT at the Puskesmas Lima Puluh . After the selection was carried out, 40 patients were obtained, then the probably sampling method was carried out so that 29 respondents were obtained. Data collection through direct interviews using questionnaires, bivariate and univariate data analysis. The results of statistical tests using the Chi Test showed a significant relationship with several variables including last education (p = 0.001), knowledge (p = 0.003), family support (p = 0.018) and distance traveled to health services (0.010) with adherence taking OAT in TB patients.
Formulation and Evaluation of Maggot Extract Nanocream (Hermatia illucens) as a Future Anti-Aging Candidate Situmorang, Novidawati Boru; Marbun, Romauli Anna Teresia
Jurnal FARMASIMED (JFM) Vol 7 No 2 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v7i2.2399

Abstract

Background: Premature aging is a serious problem, especially for women. Skin aging is mainly caused by solar radiation. Ultraviolet (UV) A and B rays from sunlight induce the formation of reactive oxygen species in the skin and cause oxidation. Antioxidants are compounds that can neutralize free radicals by slowing down oxidation reactions. Maggots are widely consumed by the public and used as topical medicines because they have high levels of lauric acid, which acts as an anti-inflammatory, antibacterial, and antiprotozoal. Purpose: to analyze the formulation of nanocream preparations, antioxidant activity and evaluate the physical stability of maggot extract nanocream. Research method: The method used was the maceration method with n-hexane, antioxidant testing using the 2,2-Diphenyl-1-picrylhydrazyl (DPPH) method, and testing the physical stability of the preparation. The results of the antioxidant activity test showed an IC50 value of maggot extract of 40.36 ± 1.21 µg / mL. Results: It shows that the sample has very strong antioxidant activity. Based on the organoleptic test, the nanoceram preparation in Formula 1, 2, 3 and 4 has a milky white color which is influenced by the difference in the amount of extract, a distinctive aroma and semi-solid consistency. The pH examination of nanocream preparation must be adjusted to the skin pH, which is 5-7. The results of the viscosity test on the maggot extract have met the requirements, which are 2,000-5,000 cps. Conclusion: formulation and evaluation of the nanocream extract meet the requirements as a good nanocream and have the ability as an anti-aging.
Socialization and Education of Maggot Extract Nanogel Preparations (Hermatia illucens) for Wound Healing Marbun, Romauli Anna; Sihombing, Yanna Rotua; Anggraeni, Ratih
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/m4d3b664

Abstract

Background: Wounds are damage to skin tissue that can disrupt the body's protective function and are susceptible to infection. Based on data from the 2017 Basic Health Research, the prevalence of wounds in Indonesia reached 8.2% and showed an increasing trend. One alternative method of wound healing that is known to be effective is maggot therapy using Hermetia illucens. However, the use of live larvae often causes disgust, thus inhibiting public acceptance. Objective: to provide socialization and education regarding the use of maggot extract nanogel preparations as an innovative, safe, and more acceptable form of wound treatment for the public. Method: The method used was to conduct direct socialization to pharmacy students at the Medistra Lubuk Pakam Health Institute. The tool used in data measurement was a questionnaire with a pre-test and post-test design. Results and discussion: Nanogel is formulated from maggot extract with various concentrations and has undergone laboratory tests, showing that the formulation with a concentration of 7.5% has the best particle size and high effectiveness in wound healing. These results are presented and each question item in the questionnaire will be answered by participants. The results of the socialization understanding are 90% of students understand the benefits of maggot extract nanogel preparations (Hermatia illucens) for wound healing. The indicator of the success of this socialization is > 80% of students are correct in filling out the questionnaire with a value above > 75. Conclusion: formula III concentration of 7.5% is a recommendation as the best dose for wounds because it meets the standards of preparation evaluation tests and effectiveness tests. Pharmacy students understand and can conduct further research for wound healing from the biomolecular level
The Effect of Drug Inventory Management on the Accuracy of Prescription Services in Pharmaceutical Installations Marbun, Romauli Anna
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/vgxg4f69

Abstract

Background: The accuracy of prescription services is a key indicator of hospital pharmacy service quality. One of the factors influencing service timeliness is effective drug inventory management. Objective: This study aimed to analyze the effect of drug inventory management on the accuracy of prescription services at the Pharmacy Installation of Grandmed Lubuk Pakam Hospital. Research Methods: This research employed a quantitative approach with a descriptive-analytic design. Samples were randomly selected prescriptions served. Data were collected through direct observation, interviews, and document analysis, and analyzed using simple linear regression. Results: The average prescription service time for non-compounded drugs was 40 minutes and 75 minutes for compounded drugs, exceeding the standards set by the Ministry of Health. Regression analysis showed that drug inventory management significantly influenced prescription service timeliness, with a regression coefficient of 0.45 (p=0.002). Conclusion: Optimal drug inventory management contributes to the acceleration of prescription service time. It is recommended that the hospital improve the stock monitoring system, optimize procurement processes, and strengthen interdepartmental coordination to support pharmacy service efficiency.
Sosialisasi dan Evaluasi Penggunaan Obat Antihipertensi pada Mahasiswa Farmasi Institut Kesehatan Medistra Lubuk Pakam Marbun, Romauli Anna Teresia; Sihombing, Yanna Rotua; Dalimunthe, Juliana; Wahyuni, Siti; Situmorang, Novidawati Br
Jurnal Pengabdian Masyarakat Ilmu Kesehatan Vol 5, No 1 (2024): Edisi Januari
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/.v5i1.5992

Abstract

Hipertensi didefinisikan dengan tekanan darah lebih dari atau sama dengan 130/80 mmHg. Sekitar 80-95% kasus mengalami hipertensi esensial, sehingga tidak ada penyebab spesifiknya. Keadaan hipertensi biasanya hanya memunculkan sedikit gejala juga seringkali luput dari perhatian, sehingga dapat memicu penyakit lain, contohnya gagal jantung, hipertrofi ventrikel kiri, stroke, penyakit ginjal stadium akhir, hingga kematian. Peran mahasiswa kesehatan khususnya farmasi dapat menjadi penyaluran informasi pada keluarga mengenai bahaya hipertensi dan cara penanganannya melalui pemberian obat. Metode pengabdian yang dilakukan dalam bentuk Komunikasi, Informasi dan Edukasi (KIE) terkait penggunaan obat antihipertensi. Sosialisasi dan evaluasi penggunaan obat antihipertensi kepada peserta dilaksanakan secara online dengan menggunakan zoom meeting. Sebelum pemaparan materi dilakukan pretest terlebih dahulu. Setelah selesai pemaparan materi, para peserta diberikan posttest untuk mengetahui pengetahuan peserta atas materi yang disampaikan. Kegiatan pengabdian masyarakat ini dilaksanakan pada hari Rabu tanggal 25 Oktober 2023 pukul 09.00-12.00 WIB. Peserta kegiatan aktif dalam diskusi dan memberikan pertanyaan. Hasil posttest menunjukkan bahwa pemahaman dan peningkatan pengetahuan mahasiwa terkait penggunaan obat antihipertensi sudah baik yang terlihat dari peningkatan poin dari pretest sebelumnya. Secara khusus mahasiswa farmasi yang spesifik belajar terapi hipertensi menjadi lebih mendalami kendala yang didapat oleh masyarakat. Perlu adanya kegiatan-kegiatan serupa yang rutin dilakukan untuk mencegah kesalahan penggunaan obat antihipertensi
The Analysis Of Policy Implementation Of HIV/AIDS Management In Tanjung Morawa Puskesmas Marbun, Romauli Anna; Karmayanti; Wahyuni, Siti; Sihombing, Yanna
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i1.1779

Abstract

Human Immunodeficiency Virus infection and sexually transmitted infections are still a public health problem in the world and in Indonesia. People infected with HIV are still stigmatized, this happens because the level of education in the community is still mostly elementary school graduates. Barriers also occurred when conducting outreach to the community, because it was difficult to gather the community at the same time with reasons for work, school, or free time to be used for rest. This study aims to determine the implementation of HIV/AIDS prevention policies at the Tanjung Morawa Community Health Center. This research is important to do to find out the implementation of HIV/AIDS prevention policies at the Tanjung Morawa Community Health Center. The purpose of this study was to find out how the implementation of HIV/AIDS prevention policies at the Tanjung Morawa Community Health Center. This type of research is a qualitative research using in-depth interview data collection techniques, informants are selected purposively according to research needs, the data obtained in the research is then systematically processed at each stage to get the final results displayed in narrative form. The results showed that the transmission and authority in communication were good, the quantity and quality of resources were good, employee performance was optimal, fragmentation and SOP in the bureaucracy were good, but participation or the community was not optimal.
Relationship Between Dental and Oral Health Services in Dental Polyclinic to Patient Satisfaction in Community Health Centerpasar Gambir Kota Tebing Tinggi 2025 Naro Ida Sari G. Manihuruk; Romauli Anna Teresia Marbun; Novita Br Ginting Munthe
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/dq2hmr71

Abstract

Patient visits to obtain dental and oral health services have decreased significantly in recent years in carrying out dental and oral examinations with Patient Satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City. The purpose of this study was to describe and analyze the relationship between dental and oral health services and patient satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City. This type of research is quantitative research using a cross-sectional design. Descriptive research is research directed at describing or describing a condition in a community or society. The population in this study were patients with patient satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City in August-October 2024. The sample in this study was patients at the Pasar Gambir Health Center, Tebing Tinggi City, totaling 65 people. This study will be conducted from November 2024 to April 2025. The level of patient satisfaction is generally in the moderate to high category, but service improvements are still needed in terms of physical facilities and time management. There is a significant relationship between all dimensions of SERVQUAL (tangibles, reliability, responsiveness, assurance, and empathy) with the level of patient satisfaction. The conclusion is that there is a relationship between the level of patient satisfaction from the aspects of tangibles, reliability, responsiveness, assurance, and empathy towards dental and oral health services with patient satisfaction at the Pasar Gambir Health Center, Tebing Tinggi City.
Co-Authors *, Yanna Rotua Sihombing Aminah Aminah Aminah Syarifudin Aritonang, Barita AROFATUL HIDAYAH Br Situmorang, Novidawati Cahya, Cucu Arum Dwi Dalimunthe, Juliana Dewi Kartika Dewi Kartika Dewi, Ayu Puspita Dicky Yuswardi Wiratma Elliya Siswanti Fatima, Nurdilla Friska Novita Pasaribu Harahap, Hasni Yaturramadhan Imelda Oktaviani Br Sihombing Juniaro Virgilius Dakhi Karmayanti Karokaro, Tati Murni Klara Jeina Br Tarigan Koto, Rahmadona Krisdianilo, Visensius Kristian Cahayani Zebua Kristian Cahayani Zebua Lenni Rismayanti Lestari, Dayana Loraetta Brety Sebayang Lubis, Amelia Hasana Lubis, Basyariah Lulu Atikah Maharani, Anisa Mega Silalahi Meirizal Jefrinaldi Meirizal Jefrinaldi Monica Marpaung, Dorima Montysory Silalahi Munthe, Novita Br Ginting Nainggolan, Hotdoriska Naro Ida Sari G. Manihuruk Nopita Sari Manalu, Dian Novidawati Boru Situmorang Novidawati Br Situmorang Novidawati Br Situmorang Novidawati Situmorang Novita Ginting Munthe Novitasari Sihaloho Octavian Ashido Nababan Octora, Debi Dinha Parinduri, Anggi Isnani Pranata, Chandra Purba, Novandi Putri, Puji Audina Radika Bella Fista Ginting Rahayu, Asvia Ratih Anggraeni Ratih Anggraeni Ratih Anggraeni Ratih anggraeni S, Aminah. SAADAH SIREGAR Sebayang, Loraetta Brety Siagian, Hartika Samgryce Sihombing, Yanna Sihombing, Yanna Rotua Sinaga, Falentina Sinurat, Jhon Patar Siregar, Sa’adah Siska, Fitri Siti Wahyuni Situmorang, Novidawati Br Sri Wahyuni Syarifuddin, Aminah Nur Syarifuddin, Shofian Vincentia Ade Rizky Yanna Rotua Sihombing Zantrie, Rezky Zebua, Kristian Cahayani