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All Journal Journal of Biomedicine and Translational Research JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE The Indonesian Biomedical Journal Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) JURNAL FARMASIMED (JFM) JURNAL MUTIARA NERS NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN PREPOTIF : Jurnal Kesehatan Masyarakat Excellent Midwifery Journal Jurnal Multidisiplin Madani (MUDIMA) Formosa Journal of Sustainable Research (FJSR) Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Pengmas Kestra (JPK) Jurnal ABDIMAS MUTIARA Jurnal Indah Sains dan Klinis Tour Health Journal Medistra Medical Journal (MMJ) JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL

Karnirius Harefa

Institut Kesehatan Medistra Lubuk Pakam

Author-ID : 5985506

Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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PENGARUH DIABETES SELF MANAGEMENT EDUCATION (DSME) BERBASIS APLIKASI WHATSAPP TERHADAP SELF EFFICACY PADA PASIEN DM TIPE 2 DI PUSKESMAS HAMPARAN PERAK Agnes Silvina Marbun; Rinco Siregar; Karnirius Harefa; Theresia Yuni Florensia Sinabutar
Jurnal Ilmiah Keperawatan Vol 4 No 2 (2021): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v4i2.2071

Diabetes mellitus (DM) is one of the biggest health problems in the world because every year there is an increase in cases. In addition to the increasing number, DM is also known to cause many complications which are divided into two, namely acute complications and chronic complications. The emergence of complications and leading to death in DM patients is due to the low self-efficacy and self-care behavior of DM patients themselves. Self-efficacy is an important factor that is defined as a patient's confidence in maintaining and improving his medical condition. Seeing the importance of self-efficacy in the care of DM patients, increasing patient self-efficacy is needed, namely through the Diabetes Self Management Education (DSME) program. The purpose of this study was to determine the effect of the WhatsApp-based DSME application on the self-efficacy of Type 2 DM patients. This type of research is a Quasy Experiment and the sampling technique used in this study is purposive sampling (Non-Probability sampling). The research design used was Pre-Experiment With Only one Group Pretest - Postest Design. The number of samples was 22 DM type 2 patients. Demographic data collection through questionnaires distributed via google form. The statistical test used was the Paired t test. The results of statistical tests found that there was an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients, with a p value of 0.000 (p <0.05). This shows that there is an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients at the Hamparan Perak Community Health Center.

Aktivitas Antibakteri Ekstrak Etanol Kulit Markisa Ungu (Passiflora Edulis Sims) Terhadap Bakteri Propionibacterium Acnes Karnirius Harefa; Barita Aritonang; Ahmad Hafizullah Ritonga
Jurnal Multidisiplin Madani Vol. 2 No. 6 (2022): June 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/mudima.v2i6.469

Propionibacterium acnes is a gram-positive bacterium that causes acne. This study aimed to determine the antibacterial activity of the ethanolic extract of purple passion fruit peel (Passiflora edulis Sims) against Propionibacterium acnes bacteria. The method used to determine the antibacterial activity of the ethanolic extract of passion fruit peel was a paper disc (Kirby-Bauer test). Based on the results of phytochemical screening, the purple passion fruit peel simplicia powder contains flavonoid compounds, saponins, tannins, steroids, and triterpenoids that function as antimicrobials. Based on the antibacterial activity test, the purple passion fruit peel ethanol extract at concentrations of 5, 10, 15, and 20% effectively inhibited the growth of Propionibacterium acnes bacteria. This can be proven from the results of the diameter of the inhibition zone that there was an increase in antibacterial effectiveness along with the increase in the concentration of purple passion fruit peel extract in inhibiting the growth of Propionibacterium acnes bacteria, namely at a concentration of 5%, the average diameter of the inhibition zone was 14.9 mm, then at a concentration of 10% the average diameter of the inhibition zone is 15.3 mm, then at a concentration of 15% the average diameter of the inhibition zone is 17.2 mm, while at a maximum concentration of 20% the average diameter of the inhibition zone is 20.1 mm. The research results conclude that the purple passion fruit rind ethanol extract effectively inhibits the growth of Propionibacterium acnes bacteria at a concentration of 20% with an inhibition zone diameter of 20.1 mm.

FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN PENYAKIT JANTUNG KORONER DI RSUD RANTAU PRAPAT TAHUN 2020 Dian Christy Rahayu; Lukman Hakim; Karnirius Harefa
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 2 (2021): Oktober 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i2.2379

Penyakit Jantung koroner merupakan kelainan pada satu atau lebih pembuluh darah koroner dimana terdapat penebalan dalam dinding pembuluh darah disertai adanya plak yang mengganggu aliran darah ke otot jantung yang akibatnya dapat mengganggu fungsi jantung. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan antara kejadian penyakit jantung koroner di RSUD Rantauparapat tahun 2020. Â Jenis penelitian ini yaitu penelitian analitik dengan pendekatan case control. Dengan jumlah populasi yaitu sebanyak 3278 dan jumlah sampel yaitu 43 case dan 43 control. Hasil penelitian yaitu terdapat hubungan riwayat keluarga dengan kejadian Penyakit Jantung Koroner yaitu p value 0,012 . Tidak Terdapat hubungan antara Umur dengan kejadian Penyakit Jantung Koroner yaitu p value 0,205 . Terdapat hubungan antara Jenis Kelamin dengan kejadian Penyakit Jantung Koroner yaitu p value 0,021 . Terdapat hubungan antara Hipertensi dengan kejadian Penyakit Jantung Koroner yaitu p value 0,003 . Tidak Terdapat hubungan antara Obesitas dengan kejadian Penyakit Jantung Koroner yaitu p value 0,257. Terdapat hubungan antara Merokok dengan kejadian Penyakit Jantung Koroner yaitu p value 0,030 . Terdapat hubungan antara Aktivitas Fisik dengan kejadian Penyakit Jantung Koroner yaitu p value 0,022 . Faktor yang paling dominan berhubungan dengan kejadian Penyakit Jantung Koroner yaitu variabel Hipertensi. Disarankan kepada masyarakat agar selalu melakukan medical check up untuk mengetahui kondisi kesehatan suatu penyakit secara dini.

THE EFFECT OF EXERCISE CONSULTATION PROGRAM ON EXERCISE BEHAVIORAL CHANGES IN PATIENTS OF TYPE 2 DM WITH OVERWEIGHT : TRANSTHEORETICAL MODEL APPROACH Rinco Siregar; Karnirius Harefa; Eva Kartika Hasibuan
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 1, No 1 (2016): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v1i1.97

The purpose of this quasi- experimental study was to determine the effect of exercise consultation program based on Transtheoretical Model (TTM) approach on exercise behavioral change, blood glucose and body mass index (BMI) in patients of T2DM with overweight. The two comparison groups, quasi-experimental study were purposively designed for pre-test/post-test procedures; 61 patients of T2DM allocated into the experimental (31 patients) and the control (30 patients) groups. While the experimental group received the exercise consultation for 12 weeks, the control group received routine care. Comparative assessments on differences in exercise behavioral changes, blood glucose and BMI were examined both within and between groups using Chi-Square test and t-test. After receiving exercise consultation program, 54.8 % of participants of the experimental group had progressed to the action stage of change of TTM, while the majority of the participants in the control group (43.3%) remained in the same stages of TTM, and only 3.3 % of the participants had progressed to the maintenance stage. This proportion of exercise behavior change between the groups was significantly statistical different (Chi-Square = 000, p <0.05). Blood glucose significantly decreased in the experimental group (p < .05), but there was no significant difference in the control group.No significant difference of mean scores of BMI of participants between the experimental group and the control group post-intervention of exercise consultation program (p > .05). In conclusion, the exercise consultation program could promote the exercise behaviors. This also improves health outcome on blood glucose among patients of T2DM who.Keywords: transtheoretical model; physical exercise; type 2 diabetes

SPENT EDIBLE OIL SOAP ANALYSIS ON CHEMICAL PRACTICUM ACTIVITIES IN SMA HARAPAN III DELI SERDANG Herlina H; Karnirius Harefa
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 1 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Spent edible oil is the result of repeated frying that is mostly done in the fast food industry or in household activities and generally this used cooking oil is disposed of as waste that pollutes the waters in the environment. Spent edible oil is a good ingredient for soap making because its raw material is relatively cheaper than most oils. In a simple laboratory study conducted by students of SMA Harapan III Deli Serdang, soap was made from used cooking oil using alkaline NaOH. The saponification process was carried out using used edible oil soap 0.3 parts by mass ratio of NaOH at a concentration of 30% and 1 part of used edible oil bleached with activated charcoal. The analysis of edible oil soap that has been made by determinate the value of free alkali with acid-base titration method and foam stability test. The results obtained from the determination of the foam test provide foam stability of 83.3% and free alkali content of 0.211%. This soap provides a fairly stable foam stability, but it still feels hot in the hands due to the alkaline NaOH that is used not completely soaped in the washing process. The use of edible oil into soap by students can increase knowledge and can be applied to overcome environmental pollution due to the disposal of edible oil into the environment.

The Relationship Of Knowledge, Attitude Of Pregnant Women and Access to Health Services With Pregnancy Check Visits At Puskesmas Blangkejeren District Gayo Lues Year 2017 Hariyati Wahyuni; Junita; Karnirius Harefa
TOUR HEALTH JOURNAL Vol. 2 No. 1 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

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

Background: Antenatal Care during pregnancy aims to detect the occurrence of high risk of pregnancy, labor and also reduce maternal mortality and monitor the condition of the fetus. Based on data of ANC in 2016 at Health Center Blangkejeren Gayo Lues Regency K1 = 82% and K4 = 78%, while target of Minimum Service Standard about health according to Minister of Health Decree no. 43 years 2016, K1 = 100% and K4 = 95.9%. This can be prevented by regular pregnancy checks to detect risks. Purpose: The purpose of this study is the relationship of maternal attitude attitudes and access with the visit of pregnancy examination in Puskemas Blangkejeren Gayo Lues District. Method: The type of research used is analytic with cross-sectional design. The population in this study were all 3 trimester pregnant women at Blangkejeren Community Health Center of Gayo Lues Regency obtained in September 2017 as many as 311 people. The sample of this research is 75 people by using accidental sampling technique. The collection of research instruments in the form of questionnaires. Results: Data analysis was tested by chi-square knowledge of pregnant mother of majority good (52%), attitude of majority of positive (66,7%) and access of majority service easy to reach as much (64%). There was a correlation between pregnant women's knowledge with prenatal visit (p = 0,030) p <0,05, there was correlation between attitude of pregnant mother and pregnancy visit (p = 0,008) p <0,05, p = 0,011) p <0,05. The result of analysis using multiple logistic regression is known that most influential to visit of pregnancy examination that is attitude with value p = 0,004 and OR 4,571. Disscusion and Conclusion: For puskesmas it is suggested to improve counseling to pregnant mother about pregnancy test.

The Impact of Butterfly Pea Flower (Clitoria ternatea L.) Extract on Atherosclerosis Biomarker Profiles in Obese White Rats (Rattus norvegicus L.) Harefa, Karnirius; Ritonga, Ahmad Hafizullah; Aritonang, Barita; Gurusinga, Rahmad; Wulan, Sri; Irmayani, Irmayani
Journal of Biomedicine and Translational Research Vol 10, No 1 (2024): April 2024
Publisher : Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jbtr.v10i1.20281

Background: Clitoria ternatea L., commonly known as butterfly pea flower, has gained attention as a potential agent in the prevention and treatment of atherosclerosis due to its rich content of bioactive compounds, such as anthocyanin, a type of flavonoid renowned for its potent antioxidant and anti-inflammatory properties, along with its ability to enhance the immune system.Objective: This study aimed to elucidate the positive impact of butterfly pea flower extract on atherosclerosis biomarker profiles.Methods: The approach framework used in this research is a true experimental laboratory with a Control Group Post-Test design. Obese male white rats were selected as the research subjects. Thirty-six obese white rats were randomly divided into six groups using the Completely Randomized Design (CRD) method. The data collected were VCAM and IL-6 levels from the blood serum of obese white rats tested using an ELISA photometer. The tunica intima thickness was measured using a microscope. Data were analyzed employing SPSS 18 software, utilizing one-way ANOVA statistical tests and post hoc Tukey tests.Results: The research showed that with the increase in Butterfly Flower Extract (BPFE) dose, there was a consistently lower level of inflammatory biomarkers, such as VCAM-1 and IL-6, compared to positive controls and other variations, as well as tunica intima thickness was thinning than others. A dose of 600 mg/kg BW (P3 group) had VCAM-1 levels up to 30.40 ± 6.71 ng/mL, IL-6 levels up to 17.70 ± 8.29 ng/mL, and tunica intima thickness up to 3.18 ± 1.24 µm.Conclusion: BPFE effectively lowers inflammatory biomarkers and thins the tunica intima thickness in obese white rats at 600 mg/kg BW dose. It may offer promising therapeutic potential in addressing atherosclerosis.

COUNSELING ON THE USE OF INFUSED WATER FOR BODY HEALTH IN JUNIOR HIGH SCHOOLS AMAL LUHUR MEDAN: COUNSELING ON THE USE OF INFUSED WATER FOR BODY HEALTH IN JUNIOR HIGH SCHOOLS AMAL LUHUR MEDAN Ritonga, Ahmad Hafizullah; Aritonang, Barita; Harefa, Karnirius; Sitorus, Rotua Sumihar; ., Herlina; Meilani, Debi
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Kegiatan pengabdian masyarakat berupa penyuluhan pemanfaatan infus water bagi kesehatan tubuh ini telah dilaksanakan di Sekolah Emenegah Pertama (SMP) Amal Luhur Medan. Adapun kegiatan ini meliputi persiapan awal, pemberian materi terkait infused water dan manfaatnya, serta pemberian contoh cara membuat infused water yang diikuti dengan pembagian infused water kepada peserta kegiatan. Kegiatan ini diikuti oleh para siswa-siswi dan staf/guru yang ada di lingkungan SMP Amal Luhur Medan. Kegiatan ini telah berhasil memberikan edukasi kepada masyarakat khususnya kawula muda generasi masa depan yang mengetahui manfaat dari mengkonsumsi infused water secara rutin bagi kesehatan. Kegiatan ini juga telah memberikan informasi terkait pembuatan infused water secara mandiri.

Socialization and Providing Motivation on Health Professionals at National and International Levels: Challenges and Strategies for Students of State Vocational High School 3 Medan Ritonga, Ahmad Hafizullah; ., Herlina; Harefa, Karnirius; Sitorus, Rotua Sumihar
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): 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.v3i1.1698

Community service activities in the form of socializing and providing motivation regarding professional health workers at the national and international levels have been carried out at the Vocational High School (SMK) Negeri 3 Medan. This activity aims to provide participants with an understanding of the challenges of becoming professional health workers and strategies for becoming professional health workers at both the national and international levels, especially students of SMK Negeri 3 who have just graduated. This community service activity includes initial preparation, socialization related to health workers and the importance of becoming professional health workers, providing motivation related to challenges and strategies in becoming professional health workers both at national and international levels to activity participants, as well as distributing flyers related to information on private universities that affiliated with many health fields and successfully sending graduates abroad every year. This activity was attended by final-year students of SMK Negeri 3 Medan and teachers in the SMK Negeri 3 Medan environment. This activity has succeeded in providing information related to professional health workers and motivating them to become professional health workers at the national and international levels SMK students who are about to finish their education (graduate) and are interested in continuing to higher education, which is marked by the enthusiasm of the activity participants asked about tips on becoming professional health workers at the national and international levels.

Socialization of Medicinal Plant Utilization and its Development Potential for Students of Private Vocational School Al Razi Sinar Harapan Medan Ritonga, Ahmad Hafizullah; Harahap, Hasni Yaturramadhan; Herlina, Herlina; Harefa, Karnirius; Sitorus, Rotua Sumihar
JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): 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.v3i2.1953

Medicinal plants have long been inseparable from Indonesia's cultural heritage and hold significant potential for developing the healthcare and economic sectors. However, the understanding of the younger generation regarding the benefits and value of medicinal plants still needs to be improved. This article examines efforts to promote the importance of medicinal plants, mainly targeted at Clinical and Community Pharmacy Study Program students at Al Razi Sinar Harapan Medan Private Vocational School. In an attempt to address this issue, promoting the benefits and potential of medicinal plants becomes crucial. The activities aim to enhance the awareness and understanding of participants about the significance of medicinal plants in the realms of healthcare and industry. The methods used in these activities include lectures, group discussions, practical demonstrations, and evaluations. These promotion activities show positive and encouraging outcomes, significantly improving participants' understanding of medicinal plants. Most participants who participated in these activities are intensely interested in further exploring medicinal plants, with some even considering pursuing a career in this field. Despite the high level of interest, several challenges still need to be addressed in harnessing the potential of medicinal plants, including limited scientific research, insufficient educational resources, and regulatory hurdles. Overall, with the appropriate approach and cross-sector collaboration, medicinal plants have substantial potential to become a new cornerstone in the healthcare and economic sectors in North Sumatra and throughout Indonesia. Initiatives like these promotions were expected to serve as a promising initial step in uncovering and realizing this potential. With increased understanding and interest among the younger generation in medicinal plants, they can actively contribute to the sustainable development and utilization of these valuable resources, thereby advancing the healthcare sector and supporting the nation's economic growth.

Co-Authors Agnes Silvina Marbun Ahmad Hafizullah Ritonga Andriani Harianja, Bulan Aritonang, Barita Bahdin Nur Tanjung Bancin, Dewi R. Bintang, Siti Sarah Br Siagian, Khairunnisa Brahmana, Netti Etalia Br. Cahayani Zebua, Kristian Chatarina Umbul Wahyuni CHRESNANDO GINTING, JOE Christiani N Daely, Ruth Cut Nurjulianti Dachi, Rahmat A. Daniel Ginting Debi Meilani Desideria Yosepha Ginting Dian Christy Rahayu Dicky Yuswardi Wiratma Elisabeth Purba, Ivan Emi Juniarita Br. Barus Evawani Martalena Silitonga Evi Martina, Siska Fikrih Utama, Rezza Gandaria Purba, Anita Sri Ginting, Raynald Ignasius Ginting, Rosita Gultom, Rumondang Handayani, Diah Tri Harahap, Fitri Ramadani Harahap, Hasni Yaturramadhan Hariyati Wahyuni Hasibuan, Eva Kartika Herlina Herlina . Herlina H Herlina Herlina Hestina Hutajulu, Johansen Ihsan Ihsan Ika Nursaputri Irmayani Irmayani Jehaman, Isidorus Junita Kesaktian Manurung Ketaren, Otniel Khairil Akbar Lina br Tarigan, Frida Lukman Hakim Manik, Tumpak Rudi Aman Manurung, Tetty Grace Manurung Marbun, Agnes Silvina Marlindawani, Jenny Mestika Lumbantoruan Monika Helen Sinaga Myrnawati N.C Sitanggang, Margaretha Nababan, Donal Novita Br. Ginting Munthe Purba, Novandi Rahmad Gurusinga Rahmat Alyakin Dakhi Ramadani Sitepu Riri Safitri Ritonga, Tintin Insani Hartuti Rohana, Taruli Romi Syahputra Tarigan Roslianizar, Syarifah Rotua Sumihar Sitorus Rumapea, Fina Sagala, Erlina Bernadet Sari, Yuli Permata Siagian, Mindo Tua Siahaan, Marlinewati Sianturi, Theodora R. Silitonga, Evani Martalena SILITONGA, EVAWANI Simamora, Artha Sinabutar, Theresia Yuni Florensia Sinaga, Arman Bemby Siregar, Hesti Despita Siregar, Rinco Sitorus, Binsar Sitorus, Mido Ester Sri Wulan, Sri Suharyanisa Syara, Arfah May Tati Murni Karo Karo Teja Kesuma Theresia Yuni Florensia Sinabutar Togatorop, Lamtiar Betty Ulina Purba, Sri Vierto Yosepha Ginting, Desideria Yulia Mehatte

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