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Faktor-Faktor Yang Berhubungan Dengan Pemberian ASI Eksklusif Oktavin Yollah Umboh; Adrian Umboh; David E Kaunang
Sam Ratulangi Journal of Public Health Vol. 2 No. 1 (2021): Maret 2021
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/srjoph.v2i1.33052

Abstract

Background: Breastfeeding without other food can meet the growing needs of a baby up to six months of age. The achievement of exclusive breastfeeding in Indonesia has not satisfactory. The purpose of this study was to determine the factors correlated with exclusive breastfeeding. Methode: This research is a quantitative study using an analytical survey method and a cross sectional approach from November 2018 to March 2019 in the Teling Atas Community Health Center in Manado, involving 140 mothers as a sample. The research variables were measured using a questionnaire and then analyzed using chi square and multiple regression test. Result: This study showed that there was a significant relationship between maternal occupation (p 0,006) and exclusive breastfeeding, while maternal education, maternal knowledge, family support and motivation of health workers had no significant relationship with exclusive breastfeeding (p>0,05). The results of multivariate analysis showed that maternal knowledge greatly influenced exclusive breastfeeding (p 0.04 and OR 2.531). Conclusion: The conclusion of this study is that the maternal occupational factors had a significant correlation with exclusive breastfeeding. However, the community health center should be more active in motivating pregnant and breastfeeding mother about the benefits and methods of exclusive breastfeeding.
Faktor-Faktor Yang Berhubungan Dengan Aktivitas Enzim Cholinesterase Darah Pada Petani Penyemprot Pestisida Christien Gloria Tutu; Aaltje Ellen Manapiring; Adrian Umboh
Indonesian Journal of Public Health and Community Medicine Vol. 1 No. 4 (2020): Oktober 2020
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35801/ijphcm.1.4.2020.31545

Abstract

Background: One of the parameters for pesticide poisoning is the decrease in the activity of the cholinesterase enzyme. A decrease in cholinesterase activity of 30% from normal was considered poisonous. Rurukan Village is a center for horticultural production, farmers in Rurukan Village tend to be exposed to pesticides frequently so that they have a large enough chance of experiencing pesticide poisoning. This study aims to analyze what factors are related to the activity of the cholinesterase enzyme in pesticide spraying farmers in Rurukan Village, East Tomohon District, Tomohon City.Method: This type of research is a laboratory-based observational analytic study with a cross sectional study approach. Samples were taken from 30 pesticide spraying farmers in Rurukan Village. The sampling technique used purposive sampling. The data was collected by examining the farmers' blood cholinesterase levels by health workers from the Prodia Manado laboratory and interviewing using a questionnaire. Data were analyzed bivariate and multivariate.Result: The result showedit known that there is no relationship between age and cholinesterase enzyme activity (p = 0.440; OR = 0.455); there is no relationship between knowledge and cholinesterase enzyme activity (p = 0.400; OR = 1,000); there is a relationship between working period and cholinesterase enzyme activity (p = 0.032; OR = 7.500); there is a relationship between spray duration and cholinesterase enzyme activity (p = 0.004; OR = 14.875); there is a relationship between spray frequency and cholinesterase enzyme activity (p = 0.013; OR = 11,200); there is a relationship between the use of PPE with cholinesterase enzyme activity (p = 0.002; OR = 21,000); there was no relationship between the direction of spraying and the cholinesterase enzyme activity (p = 0.637; OR = 2.500).Conclusion:In this study, it can be concluded that the relationship between the factors causing the decrease in cholinesterase enzyme activity in pesticide spraying farmers in Rurukan Village obtained a significant relationship between working tenure, spray duration, spray frequency and use of PPE with cholinesterase enzyme activity. The use of PPE is a factor that is most closely related to the activity of the cholinesterase enzyme in pesticide spraying farmers in Rurukan Village.
Kadar Neutrophil Gelatinase-Associated Lipocalin dan Urinary Albumin Creatinine Ratio sebagai Indikator Awal Disfungsi Ginjal pada Remaja Obesitas Umboh, Adrian; Rampengan, Novie Homenta; Umboh, Valentine; Liow, Jackli Eugene; Phan, Sardito; Corona, Fidel
Sari Pediatri Vol 27, No 3 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.3.2025.173-9

Abstract

Latar belakang. Obesitas remaja meningkat secara global dan dapat menyebabkan komplikasi berupa disfungsi ginjal. Deteksi dini disfungsi ginjal diperlukan untuk mencegah perkembangan menuju penyakit ginjal kronis (PGK). Biomarker seperti Neutrophil Gelatinase-Associated Lipocalin (NGAL) urin dan Urinary Albumin-Creatinine Ratio (UACR) digunakan untuk menilai fungsi ginjal, tetapi data komparatif pada remaja obesitas masih terbatas. Tujuan. Penelitian ini bertujuan menilai korelasi kadar NGAL urin dan UACR dengan tingkat keparahan obesitas pada remaja.Metode. Penelitian potong lintang ini melibatkan 38 remaja obesitas usia 10-18 tahun, dipilih secara konsekutif. Kadar NGAL diukur dengan metode ELISA, sedangkan UACR dianalisis menggunakan penganalisis kimia otomatis. Uji korelasi Pearson dan regresi linier digunakan untuk mengevaluasi hubungan antara keparahan obesitas, NGAL, dan UACR.Hasil. Remaja dengan obesitas berat memiliki kadar NGAL dan UACR lebih tinggi dibandingkan obesitas ringan. Terdapat korelasi positif kuat antara persentil IMT-usia dengan NGAL (r=0,843) dan UACR (r=0,828), keduanya bermakna (p<0,001). Regresi linier menunjukkan NGAL dan UACR secara signifikan memprediksi keparahan obesitas (R²=0,778).Kesimpulan. Kadar NGAL dan UACR urin meningkat seiring keparahan obesitas, sehingga berpotensi sebagai indikator awal disfungsi ginjal pada remaja obesitas.
SIMRS Analysis of Hospital Management Information System Implementation In Manembo-Nembo General Hospital, Bitung City Lumingkewas, Pitter Handry; Umboh, Adrian; Manampiring, Aaltje E.
Gema Wiralodra Vol. 14 No. 2 (2023): gema wiralodra
Publisher : Universitas Wiralodra

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31943/gw.v14i2.536

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Ministry of Health of the Republic of Indonesia Regulation Number 82 of 2013, chapter 3, states that every hospital is obliged to implement the Hospital Management Information System (SIMRS). SIMRS is a collection of processes implemented to help improve the efficiency and effectiveness of healthcare organizations in carrying out their functions and achieving their goals. This qualitative study uses a case study approach using the depth-interview method. The research was conducted at the Manembo Nembo General Hospital, Bitung  City, in North Sulawesi Province, from March to July 2022. The sample consisted of 5 informants, including the hospital director, head of the medical services department, head of SIMRS installation, operator, and healthcare recipient. Data analysis in this research will use content analysis by Miles and Huberman, and the validity of the research results will be ensured through source triangulation and methods. The research findings reveal that the implementation of SIMRS has the infrastructure component available in terms of hardware, but it has not been fully implemented in all departments (outpatient, inpatient, and nutrition), thus not being effective and efficient. Additionally, the implementation of SIMRS in terms of the network component is available but not fully connected to all departments (pharmacy, radiology, and laboratory), and the application system already uses open source software but has not been integrated into all departments due to a limited number of competent personnel in that field. Furthermore, the implementation of SIMRS in terms of the human resources component is sufficient, but the qualification and competence of personnel in developing open source applications for other departments, such as connecting services such as telemedicine and electronic medical records, as well as integrated applications (eg, Sisrute , Satu Sehat, e-KTP with the population and civil registration agency, BPJS Health, SIMDA, and LKPP) still need improvement. The procedures are well-implemented based on the tasks and functions, but the competency in computer information technology needs to be enhanced for the optimal implementation of SIMRS. In conclusion, the performance of SIMRS in the Manembo Nembo General Hospital of Bitung City from the requirements regarding infrastructure, network, and human resources components are available and eligible.
FAKTOR-FAKTOR RISIKO YANG BERHUBUNGAN DENGAN PENYAKIT TIDAK MENULAR HIPERTENSI DAN DIABETES MELLITUS PADA KARYAWAN PT. SAMUDRA MANDIRI SENTOSA BITUNG Kromo, Lucky; Umboh, Adrian; Manampiring, Aaltje E.
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.20257

Abstract

Penyakit Tidak Menular (PTM) seperti penyakit kardiovaskular, hipertensi, diabetes mellitus, kanker, dan penyakit paru obstruktif kronik telah menjadi masalah kesehatan utama di Indonesia, dengan prevalensi dan kematian yang meningkat. PTM menyumbang 71% kematian pada 2014, dengan faktor risiko utama seperti merokok, konsumsi alkohol, pola makan buruk, dan kurang aktivitas fisik. Pemerintah telah melakukan upaya pencegahan, namun belum sepenuhnya efektif. Penelitian ini merupakan studi observasional analitik dengan pendekatan cross sectional yang fokus pada faktor risiko hipertensi dan diabetes mellitus di kalangan karyawan PT.. Samudra Mandiri Sentosa Bitung, melibatkan 133 responden berusia di atas 40 tahun. Hasil penelitian menunjukkan bahwa konsumsi garam lebih dari satu sendok teh per hari signifikan sebagai faktor risiko hipertensi. Faktor risiko diabetes mellitus meliputi pengetahuan tentang DM, riwayat keluarga, dan aktivitas fisik, dengan pengetahuan sebagai faktor paling dominan. Kesimpulan penelitian menunjukkan bahwa konsumsi garam tinggi merupakan faktor risiko utama untuk hipertensi, sementara pengetahuan tentang DM membantu dalam pencegahan dan pengelolaan diabetes. Saran mencakup edukasi tentang konsumsi garam, peningkatan pengetahuan tentang DM, evaluasi riwayat keluarga, dan peningkatan aktivitas fisik untuk mengurangi risiko PTM dan meningkatkan kesehatan karyawan di PT. Samudra Mandiri Sentosa Bitung.
ANALISIS PENGARUH GAYA KEPEMIMPINAN DAN BEBAN KERJA TERHADAP KINERJA PEGAWAI DI PUSKESMAS GIRIAN WERU KOTA BITUNG Damaris, Damaris; Fatimawali, Fatimawali; Umboh, Adrian; Surya, Welong S.
Jurnal Kesehatan Tambusai Vol. 5 No. 1 (2024): MARET 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i1.26879

Abstract

Tujuan penelitian ini untuk menganalisis pengaruh gaya kepemimpinan dan beban kerja Terhadap kinerja pegawai di Puskesmas Girian Weru Kota Bitung secara parsial maupun simultan. Penelitian ini dilakukan melalui cara survei analitik kuantitatif, menggunakan regresi linear berganda yang dilaksanakan bulan September 2023-Maret 2024 di Puskesmas Girian Weru Kota Bitung. Sampel penelitian ialah total populasi dan instrumen penelitian ialah kuesioner yang sudah diuji validitas dan reliabilitas. Analisis data pada penelitian ini yaitu regresi berganda dengan uji t (parsial), uji F (simultan), dan koefisien determinasi R square. Hasil penelitian berupa distribusi responden jenis kelamin laki-laki (18,03%) perempuan (81,97%). Berdasarkan usia, 25-35 tahun (47,54%), 36-45 tahun (27,87%) dan 46-55 tahun (24,59%). Berdasarkan jenjang pendidikan menunjukkan bahwa tidak ada responden yang memiliki pendidikan strata dua, sisanya strata satu (24,59%) diploma tiga (70,49%) dan SMA sederajat (4,92%). Hasil uji normalitas menunjukkan data terdistribusi normal. Hasil analisis Uji t menunjukkan gaya kepemimpinan nilai sig. 0,000 < 0,05 (X1) dan beban kerja (X2) 0,003 < 0,05 artinya berpengaruh Terhadap kinerja (Y). Hasil uji F menunjukkan nilai sig. 0,000 < 0,05 dan nilai F 35,755 yang secara bersama-sama berpengaruh Terhadap kinerja. Uji koefisien determinasi nilai R Square sebesar 0,552 atau 55,2%. Simpulan dari penelitian ini, bahwa gaya kepemimpinan dan beban kerja berpengaruh Terhadap kinerja pegawai di Puskesmas Girian Weru Kota Bitung. Gaya kepemimpinan yang baik akan meningkatkan kinerja, begitu juga dengan pengelolaan beban kerja yang terkontrol. Gaya kepemimpinan yang baik dapat menginspirasi dan memotivasi pegawai, sementara beban kerja yang sesuai dapat menciptakan lingkungan kerja yang mendukung produktivitas.
Co-Authors Aaltje E. Manampiring Aaltje Ellen Manapiring Aaltje Manampiring Abram Babakal Adi Suryadinata Krisetya Alan J. Jufri Algi Reafanny Batara Amatus Yudi Ismanto Andi Dwi Bahagia Febriani Andrian Aldo Rantung Angelya Lumoindong Angie G. Roring, Angie G. Ango, Putri C. Ari L. Runtunuwu Ari Runtunuwu Astrid A. Malonda Baksh, Aida K. Bernadus, Janno Berty Bradly Chensilya Kusumanarwasti Christien Gloria Tutu Corona, Fidel Damaris, Damaris David E Kaunang David Kaunang Drova Grano Manorek Eka Patandianan Elia A. P. Hutapea Erling D. Kaunang Fatimawali . Frecillia Regina Herwanto Herwanto Hesti Lestari Hesti Lestari Hidayani, Agung R.E Hosang, Kevin H. Irawan Yusuf Iwan P. Wawointana, Iwan P. Jane A. Kalangi Jeanette I. Ch. Manoppo Jeanette I. Ch. Manoppo, Jeanette I.Ch. Manoppo Jenifer Andalangi Johannes Edwin Johnny Rompis Jose M. Mandei Jose M. Mandei Jully Kasie Kartini W. Adam Kristellina Tirtamulia Kromo, Lucky Kurniawan Tan Lasidi, Oktifani Devi Liow, Jackli Eugene Lonto, Jesica S. Lumingkewas, Pitter Handry Lydia Tendean Maki, Frindi Manopo, Berry R. Manoppo, Jeanette Irene Christiene Mantali, Rizqa Mantik, Keren E.K. Maria Fitricilia Marianne C. Jacobus, Marianne C. Matthew, Febriano Max F. J. Mantik Max F.J Mantik, Max F.J Natharina Yolanda, Natharina Nilawati, . Novie H. Rampengan Novie Homenta Rampengan, Novie Homenta Nurhayati Masloman Oktavin Yollah Umboh Paulina N. Gunawan Phan, Sardito Pinaria, Anthoneta S. Polii, Evan G. Praevilia M. Salendu Queen Mandang Reifanli M. Pai, Reifanli M. Robin Samuel Mamesah, Robin Samuel Rocky Wilar Rompies, Ronald Ronald Chandra Sabriani, Jehan Sanusi, Holly Sarah M. Warouw Sarah Warouw smanto, Yudi Stefanus Gunawan Stefanus Gunawan Stevanus Gunawan, Stevanus Surya, Welong S. Suryani As’ad Suwontopo, Marvin Leonardo T. A. Sudjono Taliwongso, Fernando Ch. Tandiawan, Ledy Tatipang, Pirania Ch. Umboh, Indria M. Umboh, Valetine Valentine Umboh Valentine Umboh, Valentine Vicky M. Kalangie, Vicky M. Vini Maleke, Vini Vivekenanda Pateda Vivekenanda Pateda Waworuntu, David S. Yanni, Iloh Devi Yolanda B. Bataha