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All Journal Jurnal Anestesi Perioperatif Indonesian Journal of Electrical Engineering and Informatics (IJEEI) Journals of Ners Community Journal of Saintech Transfer Jurnal Keperawatan Priority Journal of Telenursing (JOTING) Journal SAGO Gizi dan Kesehatan Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Indonesian Health Journal Indonesian Journal of Global Health Research
Rina Amelia
Department Of Community Medicine, Faculty Of Medicine, Universitas Sumatera Utara, Indonesia
Agriculture, Biological Sciences & Forestry Computer Science & IT Dentistry Education Electrical & Electronics Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary Other

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Efforts to Raise Awareness About Clean And Healthy Lifestyle In Students As Well As Efforts to Implement New Habits With Various Training On School Health Business Activities In Modern Pesantren Al Mukhlisin Tanjung Morawa Rusdiana Rusdiana; Sry Suryani Widjaja; Rusmalawaty Rusmalawaty; Rina Amelia
Journal of Saintech Transfer Vol. 9 No. 1 (2026): Journal of Saintech Transfer
Publisher : Talenta Publisher Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jst.v9i1.19851

Abstract

The implementation of School Health Efforts is the spearhead of empowerment in the school environment to behave clean and healthy life. School Health Efforts can improve health status and shape the clean and healthy behaviour of students including: health education, health services and fostering a healthy school environment as a step to improve the optimal quality of student health. The purpose of UKS is to improve the quality of education and learning achievement of students through improving physical and spiritual clean living behaviour so that students can grow and develop harmoniously and optimally along with independence in activities and ultimately become qualified human beings. The success of coaching and development of School Health Efforts (UKS) will be seen or reflected in the clean and healthy living behaviour of students, and this is the expected impact of the overall pattern of coaching and development of UKS. School Health Business activities are an activity that can foster clean and healthy
Older Age and Low Body Mass Index as Predictors of Sarcopenia in Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study Farizky; Andika Pradana; Amira Permatasari; Rina Amelia
Indonesian Health Journal Vol. 5 No. 3 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i3.920

Abstract

Chronic obstructive pulmonary disease (COPD) is a progressive respiratory disorder frequently accompanied by systemic complications, including sarcopenia, which may reduce physical capacity and worsen clinical outcomes. This study aimed to determine the prevalence of sarcopenia and identify its associated predictors among patients with stable COPD. A cross-sectional study was conducted among 67 patients with stable COPD who attended the Pulmonology Outpatient Clinic at Universitas Sumatera Utara Hospital. Muscle mass was assessed using bioelectrical impedance analysis and expressed as the skeletal muscle index, while muscle strength was measured using a handgrip strength test. Descriptive, bivariate, and receiver operating characteristic (ROC) analyses were performed. The results showed that 55.2% of participants had reduced muscle strength, 38.8% had low muscle mass, and 29.9% met the diagnostic criteria for sarcopenia. Older age and lower body mass index (BMI) were significantly associated with sarcopenia. An age threshold of >66 years predicted sarcopenia with 75.0% sensitivity and 66.0% specificity, whereas a BMI threshold of <23 kg/m² demonstrated 76.6% sensitivity and 85.0% specificity. In conclusion, sarcopenia was prevalent even among clinically stable COPD patients. Routine assessment of age, BMI, muscle mass, and handgrip strength may support early detection and facilitate timely nutritional and rehabilitative interventions to prevent functional decline and improve patient outcomes.
The Relationship Between Lactic Acid Levels and Mortality in Patients with Sepsis Pneumonia at H. Adam Malik Hospital Medan in 2023 Senna Oktora Nasution; Syamsul Bihar; Ella Rhinsilva; Rina Amelia
Indonesian Health Journal Vol. 5 No. 3 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i3.949

Abstract

Sepsis associated with pneumonia is a critical condition with a high risk of mortality due to systemic inflammation, tissue hypoperfusion, and progressive organ dysfunction. Serum lactate has been widely recognized as an important biomarker of tissue hypoperfusion and altered cellular metabolism, whereas procalcitonin is commonly used as a biomarker of bacterial infection and systemic inflammatory response. However, evidence regarding the prognostic value of these biomarkers in Indonesian tertiary hospitals remains limited. This study aimed to determine the relationship between serum lactate levels and mortality among patients with sepsis associated with pneumonia at H. Adam Malik Hospital in Medan in 2023 and to compare this relationship with that of procalcitonin levels. This analytical study employed a cross-sectional design using medical record data from patients diagnosed with sepsis associated with pneumonia between January and December 2023. A total of 93 patients who met the inclusion criteria were analyzed. The associations between biomarker levels and mortality were assessed using the chi-square test, with statistical significance set at p < 0.05. Patients with serum lactate levels >2 mmol/L had a higher mortality proportion (91.9%) than those with levels <2 mmol/L (77.4%). Statistical analysis demonstrated a significant association between serum lactate levels and mortality (p = 0.043). In contrast, procalcitonin levels were not significantly associated with mortality (p = 0.600). Elevated serum lactate levels were significantly associated with mortality among patients with sepsis associated with pneumonia and may have potential value as a prognostic marker. Procalcitonin should be interpreted in conjunction with other clinical parameters rather than as a standalone predictor of mortality. Further prospective studies incorporating serial biomarker measurements are recommended.
The Analysis of Pneumoconiosis Occurrence Among Cement Factory Workers at PT. X in Medan Muhammad Nasir Nasution; Amira Permatasari Tarigan; Agus Dwi Susanto; Rina Amelia; Nuryunita Nainggolan
Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI) Vol. 8 No. 1 (2026): Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)
Publisher : TALENTA Publisher, Universitas Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32734/jetromi.v8i1.23629

Abstract

Pneumoconiosis is one of the occupational diseases with an increasing risk in the current era of industrialization. Workers in cement industries, who are continuously exposed to cement dust, are at high risk of developing pneumoconiosis. Cement dust contains harmful components like silica and calcium, which can cause inflammation in the respiratory tract. This research aimed to identify the risk factors associated with the occurrence of pneumoconiosis among workers. This research used an analytic approach with a cross-sectional design. The sample consisted of 43 workers from PT. X cement factory in Medan, selected through consecutive sampling. Data were collected through interviews, questionnaires, physical examinations, and chest radiographs to assess respiratory symptoms. A significant relationship was found between respiratory symptom with pneumoconiosis incidences. No significant relationship was found between individual factors (age, gender, education, smoking habits) and occupational factors (PPE use, work experience, work location, and respiratory symptoms) with pneumoconiosis incidences. Despite exposure to cement dust, occupational factors and smoking habits were not directly related to the disease occurrence. The study recommends further research with a larger sample size and detailed dust level measurements. In conclusion, Occupational factors and smoking habits did not show a significant relationship with the occurrence of pneumoconiosis among workers at PT. X cement factory in Medan. Despite exposure to cement dust, individual factors and occupational risk control through the use of PPE and other preventive measures need to be improved.
Co-Authors Agus Dwi Susanto Alisarjuni Padang Amira Permatasari Andika Pradana Andika Thoibah Andriamuri Primaputra Lubis Annike Indah Kencana Aridamuriany D. Lubis Chrismas Gideon Bangun Dadik Wahyu Wijaya Dedi Irawan Defrianto Defrianto Dina Keumala Sari Dina Keumala Sari Ella Rhinsilva Fadhliani Putri Mayasri Farizky Farlin Subeki Fathia Meirina Haryana Hairi Ivana Garcia Sembiring Johannes Harlan Saing Juliandi Harahap Karina Sugih Arto Lita Sri Andayani Lubis, Nenni Dwi Aprianti Mahrani Lubis Muhammad Nasir Nasution Mula Tarigan Nuryunita Nainggolan Oke Rina Ramayani Okfalisa Okfalisa Pertin Sianturi Rian Army Rini Savitri Daulay Rita Evalina Romi Fadli Syahputra Rosmayanti Syafriani Siregar Rusdiana Rusdiana Rusmalawaty Rusmalawaty Saktioto Saktioto Senna Oktora Nasution Syamsudhuha Syamsudhuha Syamsul Bihar Tarigan, Amira Permatasari Widjaja, Sry Suryani Wisman Dalimunthe Yan Soerbakti Yutu Solihat