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EFFECT of ADMINISTRATION of BAY LEAF EXTRACT (Eugenia polyantha) ON TOTAL CHOLESTEROL and TRIGLYCERIDE LEVEL S IN PATIENTS WITH HYPERTENSION and TYPE 2 DIABETES MELLITUS AT IMAN CLINIC MEDAN Frisca Indriani Putri; Rahman, Shahrul
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 11 No. 3 (2024): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v11i3.426

Abstract

Cholesterol is a fat component that stabilizes cell membranes and is a precursor of bile salts and steroid hormones. The HMG-CoA reductase enzyme has an important role in the cholesterol synthesis process. Triglycerides are the primary fats found in food that undergo emulsification in the small intestine by bile salts and are digested by lipase. The flavonoids in bay leaves will react with the hydroxyl groups in cholesterol. Saponins will increase the binding of cholesterol to fiber. Tannins can inhibit fat absorption in the intestine. This study examined the effect of administering bay leaf extract (Eugenia polyantha) on total cholesterol and triglyceride levels in patients with hypertension and Diabetes mellitus type 2 in Clinic Iman Medan. This research is a Quasi-experimental design using 32 samples consisting of 16 samples from the control group and 16 from the experimental group. This study used bay leaf extract in 200 mg bay leaf capsules with 3 doses given to each group. Based on the results of the hypothesis test using the Paired T-test and Wilcoxon test, giving bay leaf extract had no effect on total cholesterol and triglyceride levels with a P-value < 0.05. There was no effect of giving bay leaf extract (Eugenia polyantha) on total cholesterol and triglyceride levels in patients with hypertension and DM type 2
Effect of Avocado Flesh (Persea Americana) Extract on HbA1c and Fasting Blood Glucose Levels in Type 2 Diabetes Mellitus Patients Rahman, Shahrul; Septina, Lina; Nasution, Huwainan Nisa
Jurnal Kesehatan Masyarakat Vol 20, No 1 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i1.47573

Abstract

 Diabetes mellitus is a complicated necessitates ongoing medical attention and is a serious health problem that has grown to worrisome proportions. The study aimed to assess the avocado pulp extract’s glycemic control in individuals with type 2 diabetes mellitus (T2DM) in a clinical setting in 2023. From the Klinik IMAN database, patients 18 years with T2DM who had previously been treated with oral hypoglycemic medications were included. The index date—the first day that avocado pulp extract was consumed—was used to collect baseline data. A laboratory measurements analysis was used to evaluate the change in glycated hemoglobin (HbA1c) and fasting blood glucose levels after a month of consuming avocado pulp extract and placebo. At one month, the percentage of patients who achieved their goal HbA1c and fasting blood glucose levels was determined. Overall, 30 patients were included and had baseline HbA1c and fasting blood glucose levels values available. Added avocado flesh extract not associated with improved HbA1c (0.04 [95% CI: -0.22-0.30], p0.05) and fasting blood glucose levels values (0.85 [95% CI: - 24.7-26.4], p0.05) versus baseline at a month. Added avocado flesh extract not associated with improved glycemic control during a month of follow-up in patients with T2DM.
PENCEGAHAN DAN EDUKASI HIPERTENSI PADA MASYARAKAT DI DESA PASAR X DUSUN III Fatahillah, Naufal; Rahman, Shahrul
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.34236

Abstract

Hipertensi merupakan masalah kesehatan global, termasuk di Indonesia, yang sering tidak menunjukkan gejala hingga menyebabkan komplikasi serius seperti stroke dan penyakit jantung. Di daerah pedesaan, akses terbatas terhadap layanan kesehatan memperburuk masalah ini, mengingat rendahnya tingkat pengetahuan masyarakat tentang hipertensi. Penelitian ini bertujuan untuk mengidentifikasi strategi pencegahan dan edukasi yang efektif dalam mengurangi prevalensi hipertensi di desa, khususnya melalui pendekatan berbasis komunitas dan kolaborasi dengan petugas kesehatan setempat. Metode yang digunakan adalah pendekatan deskriptif dengan analisis kuantitatif, melibatkan penyuluhan kesehatan dan pemeriksaan fisik terhadap 20 peserta di Desa Pasar X, Dusun III. Hasil penelitian menunjukkan bahwa sebagian peserta mengalami hipertensi, yang dapat diidentifikasi melalui pemeriksaan tekanan darah, asam urat, dan kolesterol. Dengan pendidikan yang tepat tentang pola hidup sehat, pengelolaan stres, serta pentingnya pemeriksaan rutin, kesadaran masyarakat akan hipertensi dapat meningkat. Program edukasi yang melibatkan tokoh masyarakat dan menggunakan media lokal diharapkan dapat memperluas jangkauan informasi dan mengubah perilaku kesehatan masyarakat. Hasil penelitian ini memberikan kontribusi pada upaya pencegahan hipertensi di desa dengan pendekatan yang komprehensif dan berkelanjutan. Dengan demikian, program pencegahan dan edukasi hipertensi di desa harus diintegrasikan dengan kegiatan sehari-hari masyarakat, memanfaatkan sumber daya lokal, serta mendukung kebijakan pemerintah yang memperbaiki akses terhadap fasilitas kesehatan. Monitoring dan evaluasi secara berkala akan memastikan keberlanjutan dan efektivitas program dalam menurunkan prevalensi hipertensi di masyarakat desa.
EDUKASI CARA MENCUCI TANGAN YANG BAIK DAN BENAR Harahap, Nur Atikah; Rahman, Shahrul
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.34237

Abstract

Pembangunan kesehatan di Indonesia melibatkan semua bidang agar dapat menambah kesadaran dan Kegiatan edukasi ini bertujuan untuk meningkatkan kesadaran masyarakat tentang pentingnya mencuci tangan yang baik dan benar sebagai langkah pencegahan penyakit. Edukasi dilakukan melalui pemaparan materi dan media poster yang menyoroti manfaat mencuci tangan serta prosedur yang tepat sesuai standar WHO. Sasaran kegiatan ini mencakup semua kalangan masyarakat, dari anak-anak hingga lansia, di Dusun 3, Desa Pasar X, Kecamatan Kutalimbaru, Kabupaten Deli Serdang.Metode yang digunakan dalam kegiatan ini adalah penyuluhan interaktif, yang meliputi pemeriksaan kesehatan awal, pemaparan materi, demonstrasi mencuci tangan, serta sesi tanya jawab. Kegiatan ini berlangsung selama delapan hari, dimulai pada 28 Agustus 2024, dengan partisipasi aktif dari 20 audiens.Hasil kegiatan menunjukkan peningkatan pemahaman peserta mengenai pentingnya kebersihan tangan. Mayoritas audiens menunjukkan antusiasme dan aktif berpartisipasi dalam sesi diskusi. Dengan adanya edukasi ini, diharapkan masyarakat lebih sadar akan pentingnya mencuci tangan secara benar dalam kehidupan sehari-hari untuk mencegah penyebaran penyakit. Orang tua juga diharapkan dapat mengajarkan kebiasaan ini kepada anak-anak sejak dini agar menjadi bagian dari pola hidup sehat mereka.
EDUKASI DAN PENINGKATAN KESADARAN MASYARAKAT TERHADAP PENGELOLAAN AIR BERSIH UNTUK KESEHATAN DAN LINGKUNGAN Najah, Safinatun; Rahman, Shahrul
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.34239

Abstract

Penelitian ini bertujuan untuk menganalisis efektivitas program edukasi dalam meningkatkan kesadaran masyarakat mengenai pengelolaan air bersih dan sanitasi lingkungan. Metode yang digunakan adalah studi literatur dengan menganalisis delapan jurnal yang relevan yang dipublikasikan dalam rentang waktu 2014 hingga 2024. Jurnal-jurnal tersebut dipilih berdasarkan kriteria inklusi yang mencakup kesesuaian dengan tema pengelolaan air bersih, pendidikan masyarakat, dan kesehatan lingkungan. Setiap jurnal dianalisis secara mendalam untuk memperoleh informasi yang mendukung tujuan penelitian. Hasil penelitian menunjukkan bahwa program edukasi yang efektif dapat meningkatkan pengetahuan dan kesadaran masyarakat tentang pentingnya pengelolaan air bersih dan sanitasi lingkungan. Misalnya, program penyuluhan yang dilakukan oleh Sholahuddin berhasil meningkatkan pemahaman masyarakat tentang pengelolaan air bersih, dengan 88% responden memahami dan 12% sangat memahami pentingnya air bersih. Selain itu, program penyuluhan di Desa Margaluyu oleh Noerma Fajarwati menunjukkan peningkatan pengetahuan warga tentang praktik MCK yang sehat, yang berpotensi meningkatkan kualitas hidup dan lingkungan secara keseluruhan. Program pelatihan terkait peningkatan kesadaran sanitasi lingkungan juga mendukung pengelolaan air bersih yang lebih baik, seperti yang disarankan oleh Jamin (2024). Penelitian ini menyimpulkan bahwa edukasi masyarakat mengenai pengelolaan air bersih dan sanitasi lingkungan memiliki dampak positif terhadap kesehatan dan kualitas hidup masyarakat.
Tatalaksana Hemodialisis pada Anak dan Bayi Shahrul Rahman
Cermin Dunia Kedokteran Vol 47 No 4 (2020): Interna
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v47i4.370

Abstract

Penyakit ginjal kronik (PGK) merupakan masalah kesehatan serius pada anak dengan morbiditas dan mortalitas yang makin meningkat serta menimbulkan masalah sosial ekonomi yang signifikan. Penyebab utama PGK pada anak adalah anomali kongenital ginjal dan saluran kemih, diikuti nefropati herediter dan glomerulonefritis. Indikasi absolut untuk memulai dialisis pada anak meliputi anuria, gangguan elektrolit berat, gangguan neurologis pada gagal ginjal, perikarditis, diatesis perdarahan, mual berulang, gejala uremia, volume berlebihan, atau kegagalan pertumbuhan meskipun terapi medis sudah tepat, dan hipertensi. Mengoptimalkan status gizi dengan dukungan ahli diet adalah elemen dasar perawatan anak dengan penyakit ginjal kronik stadium 5. Peran ahli diet adalah meminimalkan gejala uremia, mencegah komplikasi penyakit tulang akibat gangguan ginjal (renal bone disease), dan mengoptimalkan pertumbuhan anak. Chronic kidney disease (CKD) is a serious health problem in children with increasing morbidity and mortality and creates significant socioeconomic problems. The main causes of CKD in pediatric are congenital renal and urinary tract anomalies, followed by hereditary nephropathy and glomerulonephritis. Absolute indications for dialysis in children include anuria, severe electrolyte disorders, neurological disorders found in renal failure, pericarditis, bleeding diathesis, repetitive nausea, uremia symptoms, excessive volume, or growth failure after appropriate medical therapy and hypertension. Optimizing nutritional status with the support of a dietitian is basic element of care for a child with stage 5 chronic kidney disease. The role of a diet expert is to minimize the symptoms of uremia, prevent complications of bone disease due to kidney disorders (renal bone disease), and optimize adequate child growth.
The Effect Of Administration Of Salam Leaf Extract (Eugenia Polyantha) On Hdl And Ldl Colesterol Levels In Prolanis Patients At Iman Clinic Tarigan, Alwi Friendly; Rahman, Shahrul
ANATOMICA MEDICAL JOURNAL | AMJ Vol 6, No 1 (2023)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v6i1.13843

Abstract

Lipids are a component of micro-substance molecules in the body that function as structural components in cell membranes and can also be used as a source of energy for the body. Lipid levels in the blood can be measured by examining the total cholesterol, triglycerides, HDL, LDL and VLDL. This study analyzed the effect of bay leaf extract on HDL and LDL cholesterol levels in Prolanis patients at Iman clinic. Its an experimental pretest-posttest study using 38 elderly (45 years) divided into the experimental and control group. The results showed that the average effect on HDL cholesterol levels was 40.37 mg/dL pretest and 40.11 mg/dL posttest, LDL cholesterol levels found an average value of 119.58 mg/dL pretest and posttest 130.63 mg/dL in the experimental group, whereas in the control group it was found that the effect of giving the extract on HDL and LDL cholesterol levels was not significant. The significance value based on the Wilcoxon statistical test was 0.461 for HDL cholesterol levels and 0.953 for LDL cholesterol levels. Conclusion: There is no effect of bay leaf extract (Eugenia Polyantha) on HDL and LDL cholesterol levels in prolanis patients at the Iman clinic.Keywords: Lipid, Bay Leaf, HDL and LDL Cholesterol Levels
Edukasi Mengenai Penyakit Zoonosis Dan Pencegahannya Di Desa Pasar X Dusun III Kecamatan Kutalimbaru Saputri, Hera Octavia; Rahman, Shahrul
Jurnal Ilmiah Wahana Pendidikan Vol 11 No 5.D (2025): Jurnal Ilmiah Wahana Pendidikan 
Publisher : Peneliti.net

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Abstract

Zoonotic diseases, which are transmitted between animals and humans, pose a significant health risk, especially in rural areas where interactions between humans and animals are frequent. This study focuses on an educational initiative aimed at raising awareness of zoonotic diseases in Pasar X Village, Kutalimbaru Sub-district, which is a community with limited knowledge of these diseases. This community-based education program used visual aids such as posters and engaged participants through interactive discussions. Findings showed that the education program successfully increased community knowledge and awareness of zoonotic disease risks and prevention measures. Although participants initially had limited understanding, the interactive educational approach and use of visual media proved effective in clarifying the information. However, several challenges such as communication barriers and limited resources still hamper the implementation of preventive measures in the field. Overall, this study emphasizes the importance of sustainable and adaptive health education to reduce the risk of zoonotic transmission in rural areas.
Edukasi Waspada Kolesterol Tinggi Di Desa Pasar X Dusun III Kecamatan Kutalimbaru Harahap, Indah Pratiwi; Rahman, Shahrul
Jurnal Ilmiah Wahana Pendidikan Vol 11 No 5.D (2025): Jurnal Ilmiah Wahana Pendidikan 
Publisher : Peneliti.net

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Abstract

The problem of high cholesterol (hypercholesterolemia) is one of the groups of non-communicable diseases (NCDs) whose prevalence is currently increasing. The increase in NCDs can be triggered by several factors that are closely related to the food consumed in everyday life that triggers an increase in cholesterol. This community service counseling aims to provide education related to cholesterol problems and increase public knowledge related to matters relating to high cholesterol. This education program uses visual aids such as posters and involves participants through interactive discussions. Based on the counseling, the education program regarding the problem of being aware of high cholesterol has succeeded in increasing public knowledge of the risk of increasing cholesterol, symptoms, and prevention. Although there are challenges when delivering education to participants, using visual media that has an attractive appearance can help to attract the attention of participants, where participants initially had limited knowledge about cholesterol until they gained new knowledge about high cholesterol and the importance of preventing it. With this counseling, it can be emphasized regarding education on how to prevent increased cholesterol and recognize the risks and symptoms early in order to prevent complications.
Edukasi Dan Pencegahan Dbd Di Desa Pasar X Dusun Iii Kecamatan Kutalimbaru Daulay, Yessi Anis Maida; Rahman, Shahrul
Jurnal Ilmiah Wahana Pendidikan Vol 11 No 5.A (2025): Jurnal Ilmiah Wahana Pendidikan 
Publisher : Peneliti.net

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Abstract

Dengue fever (DBD) is one of the main health problems in Indonesia, the morbidity and mortality rates continue to increase from year to year. This research focuses on education and prevention of DHF in Pasar X Village, Hamlet III, Kutalimbaru Sub-district, with the aim of increasing community awareness of the risks of DHF and effective ways to prevent transmission through the practice of 3M (Menguras, Menutup, Mengubur). The method used in this study was an educational presentation complemented by interactive discussions and question and answer sessions. Education was delivered through visual media in the form of informative and easy-to-understand posters. The participants of this study totaled 20 people. The results showed that there was success in increasing community awareness and understanding of the risks and prevention of DHF. The community gained better knowledge about the importance of the 3M practice (Menguras, Menutup, Mengubur) in preventing dengue transmission. Although the education program faced challenges, such as communication barriers and limited resources, the results showed an increase in community readiness to implement preventive measures in their neighborhoods. This education is an important first step in DHF control efforts, but program sustainability and adequate infrastructure support are needed to achieve more optimal and sustainable results