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Analysis of Risk Factors Related To The Incidence of Type II Diabetes Mellitus at The Kolongan Health Center, North Minahasa Regency Lotulung, Cindy Celine; Wariki, Windy Mariane Virenia; Korompis, Grace Esther Caroline
Asian Journal of Social and Humanities Vol. 3 No. 9 (2025): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i9.557

Abstract

The aim of this study is to analyze the risk factors of type II diabetes mellitus at Kolongan Public Health Center, North Minahasa Regency. This research is an analytical observational study with a case-control approach matched by gender. The study was conducted at the Kolongan Public Health Center, North Minahasa Regency, during February–March 2025. The population consisted of 505 respondents diagnosed with Type II Diabetes Mellitus from January to December 2024. The sample was selected using a 1:1 ratio between the case group and the control group, based on the Lemeshow formula (1997) for matched case-control studies, resulting in a minimum required sample of 63 cases and 63 controls. Bivariate analysis using the Chi-Square Test and Logistic Regression Test showed a significant relationship between age and the incidence of type II diabetes mellitus (p-value = 0.005; OR = 2.985). A significant association was also found between family history and the incidence of type II diabetes mellitus (p-value = 0.001; OR = 3.520). However, no significant relationship was found between physical activity and the incidence of type II diabetes mellitus (p-value = 0.251; OR = 1.378). The conclusion of this study is that age and family history are associated with the incidence of type II diabetes mellitus at the Kolongan Public Health Center, North Minahasa Regency. Meanwhile, physical activity is not associated with the incidence of type II diabetes mellitus at the same location.
Analysis of Barriers to the Implementation of Electronic Medical Records in the Outpatient Clinic of Gunung Maria Hospital, Tomohon Goni, Angelina; Pertiwi, Junita Maja; Wariki, Windy
Pancasakti Journal Of Public Health Science And Research Vol 5 No 2 (2025): PJPHSR
Publisher : Fakultas Kesehatan Masyarakat, Universitas Pancasakti, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/pjphsr.v5i2.1908

Abstract

The implementation of EMR is expected to improve the quality of healthcare services by facilitating faster access to patient data, reducing recording errors, and enhancing coordination among medical personnel. However, various challenges have been identified in practice, which hinder the system’s effectiveness. This study aims to analyze the barriers to EMR implementation in the Outpatient Clinic of Gunung Maria Hospital, Tomohon. A qualitative approach was employed, using in-depth interviews with informants directly involved in the EMR implementation process. The findings reveal that the barriers arise from multiple aspects. From the human resources perspective, additional time and training are needed to enable staff to adapt to the new system. In terms of technological infrastructure, unstable network connectivity and the limited availability of hardware, such as computers and printers in certain service units, hamper the data input process. Regarding software, the existing system does not fully meet the hospital’s operational needs. Procedurally, insufficient dissemination of the standard operating procedures (SOPs) has resulted in some staff not fully understanding the system’s workflow. Furthermore, the evaluation aspect remains problematic due to the absence of a fully functioning monitoring mechanism. External disturbances, such as power outages, have also contributed to service delays by disrupting the electronic documentation process. In conclusion, the EMR implementation at the outpatient clinic still faces various technical and non-technical challenges. Therefore, improvements and strengthening efforts across multiple aspects are required to ensure that the EMR system can operate more effectively and efficiently in supporting the enhancement of healthcare service quality.
Effectiveness of medium-chain triglyceride diet and low glycemic index therapy in drug-resistant childhood epilepsy: a systematic review, meta-analysis, and meta-regression Wiradarma, Elbert; Khosama, Herlyani; Warouw, Finny; Wariki, Windy M. V.; Jehosua, Seilly Yunita; Pertiwi, Junita Maja
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.245-256

Abstract

Background Drug-resistant epilepsy (DRE) challenges clinical management, with many patients failing to find relief. Medium-chain triglyceride diet (MCTD) and low glycemic index therapy (LGIT) are emerging variants of the ketogenic diet. MCTD and LGIT show promise but lack clear efficacy data. The purpose of this systematic review was to evaluate and compare the efficacy of MCTD and LGIT in the management of pediatric patients with DRE. Methods Four databases were searched (PubMed, Embase, Scopus, and Cochrane Library) from November 2024 to February 2025. Two independent reviewers meticulously screened titles, abstracts, and full texts, ensuring adherence to predefined criteria.  Data extraction encompassed study characteristics, participant demographics, intervention details, and outcomes, including seizure frequency, percentage reduction, and adverse events. Statistical analyses were performed using R 4.2.2 software, assessing heterogeneity with Cochrane Q and I² and utilizing random-effects and common-effects models. Results From 1489 articles found, 487 duplicates were removed, 897 were excluded based on title and abstract screening, and of the 47 full-text articles assessed for eligibility, 31 articles were excluded, resulting in 16 articles (9 MCTD and 7 LGIT) included in this review. The pooled estimates for the proportion of children achieving seizure freedom, ≥90% seizure reduction, and ≥50% seizure reduction following the intervention were comparable between the MCTD and LGIT groups. Based on the random-effects model, the overall success proportion of MCTD in reducing seizure frequency was 0.20 [95 % Confidence Interval (CI), 0.14-0.27] (p<0.01). Meanwhile, in the LGIT group, the overall success proportion was 0.27 [95% CI,0.14- 0.45] (p<0.01). Conclusion Both MCTD and LGIT demonstrate comparable efficacy, and no definitive conclusion can be drawn regarding the superiority of one diet over the other.
Determinan Kepatuhan Konsumsi Tablet Fe dan Hubungannya dengan Anemia pada Ibu Hamil di Manado, Indonesia Dalema, Anggreani Sintia; Manoppo, Jeannete I Ch; Wariki, Windy M. V.; Bolang, Alexander
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.2243

Abstract

Anemia dalam kehamilan masih menjadi masalah kesehatan masyarakat utama yang terkait dengan hasil yang merugikan seperti kelahiran prematur, berat badan lahir rendah, dan kematian ibu. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi kepatuhan konsumsi tablet zat besi (Fe) dan hubungannya dengan anemia pada ibu hamil di Puskesmas Tuminting, Manado. Desain potong lintang digunakan dengan 41 ibu hamil trimester ketiga yang dipilih melalui total sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis dengan Chi-square dan regresi logistik. Prevalensi kepatuhan rendah terhadap konsumsi tablet Fe adalah 37%, sementara anemia dilaporkan pada 85,3% peserta. Hasil uji chi-square menunjukkan hubungan Pengetahuan (p=0,001), sikap (p=0,000), dukungan keluarga (p=0,003), dan peran petugas kesehatan (p=0,001) secara signifikan dengan kepatuhan. Analisis multivariat menemukan dukungan keluarga sebagai prediktor terkuat (OR=0,303; p=0,003). Temuan ini menyarankan perlunya intervensi yang melibatkan keluarga dan penyedia layanan kesehatan untuk meningkatkan kepatuhan konsumsi Fe dan mengurangi risiko anemia dalam kehamilan.
Analysis of Ergonomic Risk Factors Related to Low Back Pain and Tension Neck Syndrome Complaints in Nurses at Maria Walanda Maramis Regional General Hospital, North Minahasa Regency Tangkudung, Yesika Merzy Indah; Wariki, Windy Mariane Virenia; Doda, Diana Vanda Daturara
Asian Journal of Social and Humanities Vol. 3 No. 9 (2025): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i9.556

Abstract

Ergonomic issues have a significant impact on health services, especially on nursing services. Various types of nursing work are done manually. Ergonomic risk factors include physical conditions (work posture, physical workload), psychosocial and individual (age, gender and Body Mass Index) (NIOSH, 2024). The purpose of this study was to analyze ergonomic risk factors for complaints of Low Back Pain and Tension Neck Syndrome in nurses at Maria Walanda Maramis Hospital, North Minahasa Regency. This study is a quantitative study with an observational research type, namely analytical using a cross-sectional study design (a cross-sectional study conducted at the Maria Walanda Maramis Regional General Hospital, North Minahasa Regency. Data analysis was carried out using univariate which explains the frequency distribution of research variables, bivariate analysis using the Spearman Rank and Chi-Square tests and multivariate analysis using the Multiple Logistic Regression test. The results of this study indicate that 130 nurses became respondents, where the average age of respondents was 31 years and most of them were female (75.4%). Low Back Pain complaints at low and moderate risk levels were experienced by 65 respondents (50%) each, and Tension Neck Syndrome complaints at low risk levels were 60 respondents (46.2%) and high risk levels were 70 respondents (53.8%). There is a relationship between Low Back Pain and gender (p=0.015), Body Mass Index (p<0.001), work posture (p<0.001), workload (p=0.015), and psychosocial (p<0.001) and there is no relationship between age and Low Back Pain (p=0.391). There is a relationship between Tension Neck Syndrome with, gender (p=0.018), Body Mass Index (p<0.001), work posture (p<0.001), workload (p=0.032), psychosocial (p<0.001) and there is no relationship between age and Tension Neck Syndrome (p=0.455). The results of the multivariate analysis showed that there was a relationship between Low Back Pain with Body Mass Index (p=0.002), work posture (p<0.001), workload (p= 0.180), psychosocial (p= 0.001) where work posture is the most dominant among all variables with an Exp(B) value of 13.912, meaning respondents with poor work posture are 13.9 times more at risk of experiencing Low Back Pain. And there is a relationship between Tension Neck Syndrome with Body Mass Index (p = 0.007) and psychosocial (p = 0.000) where the psychosocial variable is the most dominant variable with an Exp (B) value of 6.267 which means that respondents with poor psychosocial are 6.2 times more at risk of experiencing Tension Neck Syndrome. The conclusion of this study is that age, gender, Body Mass Index, work posture, workload and psychosocial are important factors that have a relationship with complaints of Low Back Pain and Tension Neck Syndrome. Especially the dominant factor that affects Low Back Pain is work posture and the dominant variable that affects Tension Neck Syndrome is psychosocial.
Analysis of Risk Factors Related To The Incidence of Type II Diabetes Mellitus at The Kolongan Health Center, North Minahasa Regency Lotulung, Cindy Celine; Wariki, Windy Mariane Virenia; Korompis, Grace Esther Caroline
Asian Journal of Social and Humanities Vol. 3 No. 9 (2025): Asian Journal of Social and Humanities
Publisher : Pelopor Publikasi Akademika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59888/ajosh.v3i9.557

Abstract

The aim of this study is to analyze the risk factors of type II diabetes mellitus at Kolongan Public Health Center, North Minahasa Regency. This research is an analytical observational study with a case-control approach matched by gender. The study was conducted at the Kolongan Public Health Center, North Minahasa Regency, during February–March 2025. The population consisted of 505 respondents diagnosed with Type II Diabetes Mellitus from January to December 2024. The sample was selected using a 1:1 ratio between the case group and the control group, based on the Lemeshow formula (1997) for matched case-control studies, resulting in a minimum required sample of 63 cases and 63 controls. Bivariate analysis using the Chi-Square Test and Logistic Regression Test showed a significant relationship between age and the incidence of type II diabetes mellitus (p-value = 0.005; OR = 2.985). A significant association was also found between family history and the incidence of type II diabetes mellitus (p-value = 0.001; OR = 3.520). However, no significant relationship was found between physical activity and the incidence of type II diabetes mellitus (p-value = 0.251; OR = 1.378). The conclusion of this study is that age and family history are associated with the incidence of type II diabetes mellitus at the Kolongan Public Health Center, North Minahasa Regency. Meanwhile, physical activity is not associated with the incidence of type II diabetes mellitus at the same location.
KEPATUHAN PENGGUNAAN ALAT PELINDUNG DIRI DAN TINGKAT KECEMASAN DENGAN KEJADIAN DENGAN KEJADIAN COVID-19 PADA TENAGA KESEHATAN DI RSUP PROF. DR. R.D.KANDOU MANADO Babakal, Abram; Manampiring, Aaltje E; Wariki, Windy M.V
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 01 (2021): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i01.1456

Abstract

Latar Belakang: Wabah Covid-19 menjadi pandemik global setelah diumumkan oleh WHO atau Badan Kesehatan Dunia dan dengan penyebarannya yang begitu cepat membuat Covid-19 menjadi topik utama di penjuru dunia. Tujuan : Mengetahui hubungan kepatuhan penggunaan alat pelindung diri dan tingkat kecemasan dengan kejadian Covid-19 pada tenaga kesehatan di RSUP. Prof. dr. R. D. Kandou Manado. Metode: Jenis penelitian observasional analitik dengan pendekatan cross-sectional. Penelitian ini di RSUP. Prof. dr. R. D. Kandou Manado pada bulan Januari sampai April tahun 2021. Populasi yaitu seluruh pegawai yang bekerja sebanyak 2319 pegawai dengan jumlah sampel 293 responden. Teknik pengambilan sampel non- probability sampling dengan purposive sampling. Instrumen yang digunakan yaitu kuesioner online. Hasil: Sebagian besar tenaga kesehatan yang terkonfirmasi positif berada pada usia dewasa awal yaitu sebanyak 76 orang ( 25.9, berjenis kelamin perempuan sebanyak 154 orang (52.6%), berprofesi sebagai perawat sebanyak 128 orang (43,6%), tergolong patuh pada penggunaan APD sebanyak 261 orang (89,1%), tingkat kecemasannya berada pada kategori normal yaitu 184 orang (62.8%). Hasil uji Chi-Square menunjukkan bahwa tidak ada hubungan yang bermakna antara Penggunaan APD dengan kejadian Covid-19 di RSUP. Prof. dr. R. D. Kandou Manado nilai p-value > 0.005, terdapat hubungan yang nyata antara tingkat kecemasan tenaga kesehatan dengan kejadian Covid-19 di RSUP. Prof. dr. R. D. Kandou Manado nilai p-value p <0,000. Kesimpulan : tidak terdapat hubungan yang bermakna antar Penggunaan APD dengan kejadian Covid-19 dan terdapat hubungan yang bermakna antara tingkat kecemasan dengan kejadian Covid-19 di RSUP. Prof. dr. R. D. Kandou Manado.
Analysis of Factors Related to HIV Incidence in Tanimbar Islands Regency Veronika Maria Barbara Aryesam; Suryadi Nicolaas Napoleon Tatura; Windy M. V. Wariki
KREATIF: Jurnal Pengabdian Masyarakat Nusantara Vol. 5 No. 2 (2025): Jurnal Pengabdian Masyarakat Nusantara
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/kreatif.v5i2.6571

Abstract

HIV is an infectious disease that is the leading cause of death with a high mortality rate, high morbidity rate and requires long-term diagnosis and therapy.UNAIDS data shows that HIV in 2017 was 1.8 million people, in 2018 1.7 million people, and in 2019 1.7 million people. Data from the Tanimbar Islands Regency Health Office in 2022 the number of HIV positive patients was 30 people, in 2023 the number of HIV positive patients was 40 people and in 2024 the number of HIV positive patients was 80 people. This study aims to analyze the relationship between knowledge, attitudes and behavior with the incidence of HIV in the Tanimbar Islands Regency. The type of research used isqualitative approach by looking at case studies on HIV Incidents to analyze factors related to HIV incidents in Tanimbar Islands Regency in October-December 2024. The population and sample in this study were 25 HIV-positive patients and key informants, namely the Hospital Director, Head of the Medical Records Room. Research Results The data collected from informants on the questions asked by the researcher were 25 respondents but the researcher only wrote representatives of several respondents, because out of 25 respondents almost all respondents responded to the researcher well and politely. And in accordance with the results of the recordings and the results of the attached notes. The results of the study from various respondents for one purpose, namely to find out what factors are related to HIV incidents in Tanimbar Islands Regency, especially at the dr. PP Magretti Saumlaki Regional Hospital. For families or closest people as well as the Hospital and health workers, it is hoped that they will always provide support, educational attention and assistance so that people with HIV remain enthusiastic and also to prevent transmission.
Hubungan antara tingkat keaktifan dalam klub Prolanis dengan kualitas hidup pasien hipertensi di Puskesmas Bahu Kecamatan Malalayang Kota Manado Kondoj, Srikandy Inri; Wariki, Windy Mariane Virenia; Siagian, Iyone Esra Tiurma
Jurnal Kedokteran Komunitas dan Tropik Vol 13 No 2 (2025)
Publisher : UNIVERSITAS SAM RATULANGI

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Hypertension can reduce quality of life. The Prolanis Club program supports health stability through physical activity, education, and routine monitoring. Participant activity is thought to affect quality of life. Aim: To determine the relationship between activity levels in the Prolanis Club and the quality of life of hypertensive patients at the Bahu Community Health Center. Methods: A cross-sectional study of 44 hypertensive patients participating in Prolanis. Activity was assessed based on three-month attendance, and quality of life was measured using the EuroQol-5 Dimensions-5 Levels (EQ-5D-5L). Analysis was performed using the Chi-Square test (p < 0.05). Results: A total of 56.8% of respondents were classified as active. The majority (59.1%) had a good quality of life. There was a significant relationship between activity level and quality of life (p = 0.047; OR = 3.536; 95% CI = 1.001–12.485). Active participants were 3.5 times more likely to have a good quality of life than less active participants. Conclusion: Activity in the Prolanis Club is associated with the quality of life of hypertensive patients. More active patients are more likely to achieve a good quality of life.
Analisis hubungan antara pengetahuan, sikap, dan, tindakan dengan kesiapsiagaan banjir pada masyarakat di Kecamatan Mandolang, Minahasa Lamandasa, Ghervin Imanuel Olanis; Wariki, Windy Mariane Virenia; Porajow, Zwingly Christian Jefferson Gerard
Jurnal Kedokteran Komunitas dan Tropik Vol 13 No 2 (2025)
Publisher : UNIVERSITAS SAM RATULANGI

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Abstract

Background: Floods occur frequently in Indonesia and pose substantial risks to affected communities. Community preparedness is shaped by levels of knowledge, attitudes, and practices related to disaster risk reduction. Aim: This study aimed to examine the relationship between knowledge, attitudes, and practices and flood preparedness among residents of Tateli Tiga Village. Methods: A quantitative cross-sectional design was employed, involving 97 respondents selected through proportional quota sampling. Data were collected using a validated and reliable questionnaire. Statistical analysis was conducted using the Chi-square test or Fisher’s exact test, as appropriate. Result: The majority of respondents demonstrated good knowledge (82.5%), positive attitudes (78.3%), good practices (86.6%), and adequate flood preparedness (52.6%). A significant association was identified between knowledge and flood preparedness (p = 0.035; OR = 3.247). No significant associations were observed between attitudes (p = 0.070) or practices (p = 0.487) and preparedness. Conclusion: Knowledge was significantly associated with community flood preparedness, whereas attitudes and practices were not.
Co-Authors Aaltje E Manampiring Aaltje E Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Aaltje E. Manampiring Abram Babakal Abram Babakal Adam, Avelia Gustia Anastasya Adrian Jonathan Angir Adrian Umboh Ai Hori Alan Hopni Sasube Ari Astram B H. R. Kairupan Billy Karundeng Bogar, Bryan D. Bolang, Alexander Budi Setiawan Christof Toreh Daichi Suzuki Dalema, Anggreani Sintia Dewi Indra Purwanti Dhanny E. P. Lagarense Diana V. D. Doda Dina Rombot Dina Victoria Rombot Djony E. Tjandra Doda, Diana V.D. Eko Arianto Erika Ota Fidya Lestari Putri Abubakar Fitriya Adam Frelly Kuhon Frelly V. Kuhon Frendy Wihono Goni, Angelina Grace D. Kandou Grace Korompis Gustaaf A. E. Ratag Gustaaf Ratag Harsali F. Lampus Harsali Fransiscus Lampus Henry M. F. Palandeng Herlyani Khosama Hessyani Raranta Idris Sudin Iftitah M. P. Sonda Ishak Halim Octawijaya Ishak Halim Octawijaya Jeannette I. Ch. Manoppo Jehosua S. V. Sinolungan Jehosua, Seilly Yunita Jimmy Posangi Jimmy Posangi John Johannes Ezechiel Wantania Jonesius Eden Manopo Karel Pandelaki Kevin Marvil Sumanti Kondoj, Srikandy Inri Korompis, Grace Esther Caroline Lamandasa, Ghervin Imanuel Olanis Lotulung, Cindy Celine Lucyana Leonita Pongoh Manampiring, Aaltje E Manoppo, Firginia M Manoppo, Jeannete I Ch Masao Ichikawa Mercy Taroreh Moh Yudawan Prasetya Momole, Ansye Grace Nancy Mukhran Mokodompit Nathaniel Pali Nelwan, Ester Jeini Ngantung, Denny Nico Lumintang Nova Hellen Kapantow Novie H. Rampengan Novita Tombokan Paskah Thalia Lengkong Pasla, Gersom Figo Chrystianto Paulus Oroh Pertiwi, Junita Maja Porajow, Zwingly C. J. G. Porajow, Zwingly Christian Jefferson Gerard Repi, Noviano B. Rianna J Sumampouw Richard Sumangkut Rizal Tumewah Ronald I. Ottay Ruitan, Lidia S. Sapulete, Margareth Rosalinda Siagian, Iyone Esra Tiurma Sigit Wicaksono Silaban, Natalina Simangunsong, Natasya Glory Meicharisty Siwi, Imelda Maria Stivan Manopo Supit, Injilia Chintami Surotinoyo, Celline Vanessa Laurina Suryadi Nicolaas Napoleon Tatura Tandililing, Sherly Tangkudung, Yesika Merzy Indah Tommy Suharso Torondek, Julia Tumboimbela, Melke Vemy Tamaledu Veronika Maria Barbara Aryesam Warouw, Finny William William Wiradarma, Elbert Wulan P. J. Kaunang Wulan Pingkan Julia Kaunang Wullur, Raetasya Rachelea Rinda Wurangian, Prisilia Karina Yati Suriani Wangean Yuansun Khosama Zeinevaltines Tampian Zwingly Christian Porajow