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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
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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The Analysis Of The Quality Of Family Planning (Kb) Health Services On Children's Nutritional Status At Sigambal Public Health Center, Rantau Selatan District, Labuhanbatu Regency Ritonga, Tintin Insani Hartuti; Karnirius Harefa
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 1 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i1.2346

Abstract

Background: Family planning services play an important role in supporting reproductive health and family well-being, especially in ensuring adequate nutrition for children. Objectives: to investigate the relationship between the quality of family planning (FP) health services and children's nutritional status at the Sigambal Health Center, Rantau Selatan District, Labuhanbatu Regency. Research method: structured interviews with mothers who participated in the family planning program and anthropometric measurements of their children.Results: there was a significant relationship between the quality of family planning services and children's nutritional status. High-quality family planning services have a positive impact on children's nutritional outcomes, as evidenced by improvements in weight and height indicators according to WHO standards. Factors determining service quality include the availability of contraception, the expertise of health workers, and community involvement in family planning initiatives.Conclusion: This study emphasizes the importance of improving family planning services by ensuring adequate resources, ongoing training for health personnel, and encouraging community participation. These efforts are critical to improving children's nutritional status in the region
Purification of used Cooking Oil using a Combination of Activated Carbon and Bentonite Adsorbents Aritonang, Barita; Ritonga, Ahmad Hafizullah; Harefa, Karnirius; Wiratma, Dicky Yuswardi; Herlina
Jurnal FARMASIMED (JFM) Vol 7 No 1 (2024): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v7i1.2331

Abstract

The repeated use of cooking oil at high temperatures can significantly degrade its quality, as indicated by darkened color, unpleasant odor, elevated peroxide value (PV), and free fatty acid (FFA) levels. This deterioration can contribute to health risks such as obesity, high cholesterol, heart disease, and cancer. This study investigated the effectiveness of combined activated carbon and bentonite adsorbent in reducing peroxide value and free fatty acid levels in used cooking oil. The purification method involved an adsorption process using a combination of activated carbon derived from mangosteen peel waste and bentonite. The carbonization process was carried out at 600°C for 3 hours, followed by chemical activation with H?PO? at varying concentrations of 1M, 3M, and 5M. Bentonite was activated using 5M HCl. The results demonstrated that 5 grams of activated carbon from mangosteen peel, treated with 5M H?PO?, and bentonite activated with 5M HCl, were highly effective in lowering the peroxide value and free fatty acid levels in used cooking oil. Initially, the PV of the untreated used cooking oil was 16 meq O?/kg, reduced to 3.6 meq O?/kg after treatment with the combined adsorbents. Similarly, the FFA content decreased from 2.2% to 0.09%. Both peroxide value and free fatty acid levels met the standards set by SNI 3741:2013. In conclusion, using activated carbon and bentonite is an efficient method for purifying used cooking oil, as their strong adsorption capacity effectively reduces peroxide value and free fatty acid levels.
PENGARUH DIABETES SELF MANAGEMENT EDUCATION (DSME) BERBASIS APLIKASI WHATSAPP TERHADAP SELF EFFICACY PADA PASIEN DM TIPE 2 DI PUSKESMAS HAMPARAN PERAK Marbun, Agnes Silvina; Siregar, Rinco; Harefa, Karnirius; Sinabutar, Theresia Yuni Florensia
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

Abstract

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.
Education on the Role of Electrolytes in Maintaining Heart Health for Students Al-Azhar Medan Private High School Ritonga, Ahmad Hafizullah; Harefa, Karnirius; Herlina, Herlina; Sitorus, Rotua Sumihar; Harahap, Fitri Ramadani
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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.v4i2.2385

Abstract

Cardiac health is influenced by the balance of electrolytes in the body, such as sodium, potassium, calcium, and magnesium, which support cardiovascular functions, including heart rhythm and blood pressure regulation. Electrolyte imbalance increases the risk of heart disease, particularly among adolescents with unbalanced diets and low physical activity. Education about the role of electrolytes is essential for early prevention. This community service activity aimed to enhance the understanding of Al-Azhar Medan Private High School students as participants about the role of electrolytes in cardiac health and encourage them to adopt a healthy lifestyle. The methods included interactive counseling through presentations, discussions, and practical activities. The materials covered the types of electrolytes, their functions, signs of imbalance, and ways to maintain electrolyte balance through a healthy diet and adequate hydration. Visual aids and real-life case examples were utilized to clarify the participants' understanding. The evaluation results showed a significant improvement in the participants' knowledge of electrolyte functions and the importance of electrolyte balance for cardiac health. Most participants expressed an intention to pay more attention to their diet and electrolyte intake, and the program was effective in increasing knowledge and awareness of the importance of electrolytes for heart health. Proper education is expected to encourage adolescents to adopt a healthy lifestyle early, reducing the risk of heart disease in the future.
The Analysis of Workload and the Effectiveness of Doctor-Nurse Collaboration in Emergency Patient Management at Primary Health Centers: Analysis of Workload and the Effectiveness of Doctor-Nurse Collaboration in Emergency Patient Management at Primary Health Centers Harefa, Karnirius
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v6i2.2539

Abstract

Abstract The collaboration between doctors and nurses plays a crucial role in managing emergency patients at community health centers (Puskesmas). However, a high workload can hinder the effectiveness of teamwork and impact service quality. This study aims to analyze the relationship between workload and the efficacy of doctor-nurse collaboration in Puskesmas. This cross-sectional study involved 120 respondents (50 doctors, and 70 nurses) selected through purposive sampling. Data were collected using the WISN questionnaire (workload) and CPAT questionnaire (collaboration), and then analyzed using chi-square tests, t-tests, and logistic regression. The results showed that the average workload score for doctors was 75.3 ± 12.5 and for nurses was 82.1 ± 10.8, with a collaboration effectiveness score of 68.4 ± 9.7. A high workload was correlated with lower collaboration effectiveness (p = 0.012; OR = 2.45) and was identified as the main factor reducing collaboration effectiveness (AOR = 3.12; p < 0.001). Another influencing factor was work experience (AOR = 2.08; p = 0.045). Excessive workload poses risks of fatigue, stress, and communication breakdowns within the medical team, ultimately hindering coordination in patient management. The study concludes that a high workload negatively affects the effectiveness of doctor-nurse collaboration in handling emergency patients. To improve service quality in Puskesmas, additional healthcare personnel, optimization of the triage system, and training in communication and teamwork are necessary.
Anti-inflammatory Activity of Clitoria ternatea L. and Hibiscus sabdariffa L. Extract Combination in Reducing VCAM-1 Levels in Atherosclerosis Harefa, Karnirius; Ritonga, Ahmad Hafizullah; Safitri, Riri; Aritonang, Barita
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 1 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkf.v7i1.2300

Abstract

Atherosclerosis occurs when plaque accumulates and hardens within the arterial walls, leading to blood vessel blockages and increasing the risk of coronary heart disease (CHD). The extracts of butterfly pea (Clitoria ternatea L.) and roselle (Hibiscus sabdariffa L.) contain flavonoids that possess strong antioxidant and anti-inflammatory properties. This study aims to assess the effects of the combined extract of butterfly pea and roselle (EKTR) on atherosclerosis biomarkers such as Vascular Cell Adhesion Molecules-1 (VCAM-1), Intercellular Adhesion Molecule-1 (ICAM-1), and Interleukin-6 (IL-6). The research employed a True Experimental Laboratory approach using a Post-Test Control Group Design. The subjects were 36 female Wistar rats (Rattus norvegicus L.), randomly divided into six groups through a Completely Randomized Design (CRD). Data were collected on the levels of VCAM-1, ICAM-1, and IL-6 in the serum of obese white rats, measured using an ELISA photometer. Data analysis was conducted using SPSS version 18, with statistical evaluation performed via one-way ANOVA and Tukey's post hoc test. The results showed that increasing doses of EKTR led to significant reductions in atherosclerosis biomarkers such as VCAM-1, ICAM-1, and IL-6 compared to the positive control and other groups. At a dose of 500 mg/kg BW, group F3 recorded IL-6 levels of 30.49 ± 1.60 ng/mL, VCAM-1 level of 29.42 ± 2.58 ng/mL, and ICAM-1 levels of 28.42 ± 1.72 ng/mL. In conclusion, butterfly pea and roselle, rich in flavonoids with potent antioxidant and anti-inflammatory properties, are effective as traditional remedies for reducing atherosclerosis biomarkers and for preventing and treating coronary heart disease (CHD) at an optimal dose of 500 mg/kg BW.
Analysis of Health Cadre Performance on Toddler Mother Compliance to Integrated Health Posts and Growth and Development Detection in the Work Area of Pon Village Health Center, Sei Bamban District, Serdang Bedagai Regency in 2025 Rumapea, Fina; Karnirius Harefa; Teja Kesuma
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 2 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v7i2.2663

Abstract

Background: Cadre performance reflects the effectiveness of cadres in fulfilling their assigned duties and responsibilities. Poor compliance of mothers of toddlers in attending Posyandu and participating in growth and development monitoring has led to two cases of malnutrition, 20 cases of severe malnutrition, and 10 cases of stunting. Improving maternal compliance can help address these issues. Objective: This study aimed to analyze the relationship between health cadre performance and maternal compliance with Posyandu visits and toddler growth and development monitoring. Methods: The study involved 86 mothers of toddlers selected through purposive sampling. A quantitative analytical design was used, with data collected via a validated and reliable questionnaire. Data were analyzed using factor analysis techniques. Results: There was a significant relationship between health cadre performance and maternal compliance with Posyandu visits (p < 0.05), as well as a significant relationship between cadre performance and growth and development detection among toddlers in the working area of Pon Village Health Center, Sei Bamban District, Serdang Bedagai Regency, in 2025 (p < 0.05). Conclusion: Health cadre performance is significantly associated with maternal compliance to Posyandu visits and toddler growth and development detection. It is recommended that cadres enhance service quality, particularly in monitoring growth and development through routine child monitoring and providing education on child health and the risks of malnutrition.
Reduction of BOD, COD, and TSS in Textile Wastewater Using Bentonite Activated Charcoal Adsorbent Aritonang, Barita; Ritonga, Ahmad Hafizullah; Harefa, Karnirius; H, Herlina
Jurnal FARMASIMED (JFM) Vol 7 No 2 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v7i2.2699

Abstract

Wastewater generated by the textile industry contains a variety of hazardous contaminants, including complex organic compounds, synthetic dyes, surfactants, heavy metals, and critical pollution indicators such as biochemical oxygen demand (BOD), chemical oxygen demand (COD), and total suspended solids (TSS). This study evaluates the efficacy of a dual-adsorbent system comprising hydrochloric acid-activated bentonite and phosphoric acid-activated carbon for the removal of BOD, COD, and TSS from textile effluents. The activation processes significantly altered the physicochemical properties of both adsorbents. The moisture content of activated carbon decreased from 18% to 3.10%, while ash content was reduced from 15% to 3.05%. The iodine number, indicative of adsorption capacity, increased from 650 mg/g to 810 mg/g. Additionally, the fixed carbon content improved from 55% to 80%. Surface characterization via Fourier Transform Infrared Spectroscopy (FTIR) and Scanning Electron Microscopy (SEM) confirmed substantial structural modifications, which enhanced the adsorption performance of the materials. Application of the combined adsorbent system resulted in substantial pollutant removal efficiencies, with reductions of 70.23% in BOD, 70.11% in COD, and 74.88% in TSS. These findings demonstrate that acid-activated bentonite and phosphoric acid-treated activated carbon represent a promising and efficient adsorptive treatment strategy for the remediation of textile wastewater.
Application of Chemical Principles in the Preparation of Infused Water as an Educational Effort to Prevent Hyperglycemia at SMK Negeri Pantai Labu Ritonga, Ahmad Hafizullah; Herlina, Herlina; Harahap, Fitri Ramadani; Sitorus, Rotua Sumihar; Harefa, Karnirius
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): 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: 10.35451/1ktya002

Abstract

Hyperglycemia is characterized by elevated blood glucose levels that can trigger chronic diseases such as diabetes mellitus. Early prevention through science-based education is essential, particularly for adolescents who are vulnerable to unhealthy lifestyles and metabolic disorders. This community service activity aimed to introduce basic chemistry principles through the preparation of infused water as a preventive effort against hyperglycemia and to promote the habit of consuming healthy beverages that can be easily adopted in daily life. The methods used included interactive counseling, demonstrations, and hands-on practice with an applied and participatory approach. The educational content covered concepts such as diffusion, solutes, and solvents, and the extraction process of active compounds from natural ingredients like lemon, cucumber, cinnamon, and mint leaves, which are readily available in the local environment. Evaluation was carried out through pre-tests and post-tests, and observation of participants' engagement during the activity. The results showed a significant increase in participants' understanding, with an average post-test score of 85.2, rising by 32.3 points (61.1%) from the pre-test average of 52.9. A total of 92.86% of participants showed improvement, highlighting the effectiveness of this educational approach. Such initiatives are expected to be continued sustainably and collaboratively to expand their positive impact.
PROSES REGISTRASI RAWAT JALAN VIA SMS STUDI KASUS PADA PASIEN RAWAT JALAN RSUD DELI SERDANG LUBUK PAKAM TAHUN 2018 Yulia Mehatte; Myrnawati; Karnirius Harefa; Bahdin Nur Tanjung; Mestika Lumbantoruan
Excellent Midwifery Journal Vol. 7 No. 2 (2024): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55541/emj.v8i1.358

Abstract

The hospital as one of the health service subsystems that organizes two types of services for the community, namely health services, and administrative services. Hospital is one of the organizations that provide health services to the community. To be said well, the hospital must meet the basic requirements that have been determined, while the basic requirements of a health service can be said to be both available and continuous (acceptable and continuous), acceptable and reasonable (acceptable and appropriate), easily accessible, affordable and quality. The purpose of this study was to determine the outpatient registration process vVia SMS at Deli Serdang Lubuk Pakam Hospital. This type of research uses descriptive qualitative case study method, conducted at Deli Serdang Lubuk Pakam Hospital in March to September 2019, informants in this study amounted to 7 people, the method of data collection using In-dept Interview. From the results of the study showed the outpatient registration process Via SMS was going well, visitors gave a good perception, the disadvantages of this method were not found, the advantages of this method were found, there were found inhibiting factors, and there were found supporting factors from the outpatient registration process via Texting at Deli Serdang Lubuk Pakam Hospital. Conclusion: this process has been going well, it is expected to the Hospital to promote this process so that all visitors can apply this method in registering for outpatient treatment.
Co-Authors A.Dachi, Rahmat Abdi Lestari Sitepu Agnes Silvina Marbun Ahmad Hafizullah Ritonga Andriani Harianja, Bulan Annisa Nabila Ardianto Saputra Aritonang, Barita Bahdin Nur Tanjung Bancin, Dewi R. Berampu, Sabirin Bintang, Siti Sarah Bintang, Siti Sarah Bintang Sarah Br Siagian, Khairunnisa Brahmana, Netti Etalia Br. Cahayani Zebua, Kristian Chatarina Umbul Wahyuni CHRESNANDO GINTING, JOE Christiani N Daely, Ruth Cut Nurjulianti Dani Hafiz Utomo Daniel Ginting Debi Meilani Desideria Yosepha Ginting Dian Christy Rahayu Dicky Yuswardi Wiratma Dwi Handayani Elisabeth Purba, Ivan Elvida Rahmi Elvida Rahmi Zein Emi Juniarita Br. Barus Evawani Martalena Silitonga Evi Martina, Siska Fikrih Utama, Rezza Frida Lina Tarigan 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 Helvi Herlina Herlina . Herlina H Herlina Herlina Hestina Hutajulu, Johansen Ihsan Ihsan Ika Nursaputri Irmayani Irmayani Jehaman, Isidorus Junita Karokaro, Tati Murni Kesaktian Manurung Ketaren, Otniel Khairil Akbar Lukman Hakim Manik, Tumpak Rudi Aman Manurung, Tetty Grace Manurung Marbun, Agnes Silvina Marlindawani, Jenny Mestika Lumbantoruan MHD Yoppy Monika Helen Sinaga Myrnawati N.C Sitanggang, Margaretha Nababan, Donal Novita Br. Ginting Munthe Purba, Novandi Rahmad Gurusinga Rahmat Alyakin Dakhi Ramadani Sitepu Rinco Siregar Riri Safitri Ritonga, Tintin Insani Hartuti Rizka Mutiara Rohana, Taruli Romi Syahputra Tarigan Roslianizar, Syarifah Rotua Sumihar Sitorus Rumapea, Fina Sabirin Berampu Sagala, Erlina Bernadet Sari, Yuli Permata Siagian, Mindo Tua Siahaan, Marlinewati Sianturi, Theodora R. Silitonga, Evani Martalena SILITONGA, EVAWANI Simamora, Artha Simarmata, Pratiwi Simson Sinuhaji Sinabutar, Theresia Yuni Florensia Sinaga, Arman Bemby Siregar, Hesti Despita Siti Sarah Bintang Sitorus, Binsar Sitorus, Mido Ester Sri Wulan, Sri Suharyanisa Syamsudin Syara, Arfah May Teja Kesuma Theresia Yuni Florensia Sinabutar Titin Novayanti Dey Togatorop, Lamtiar Betty Ulina Purba, Sri Vierto Winda Alfiana Yosepha Ginting, Desideria Yulia Mehatte