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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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MENGHITUNG KOLONI EKSTRAK ETANOL TEH CELUP DAUN GAMBIR (Uncaria gambir ROXB) PADA AIR HANGAT DAN AIR MENDIDIH TERHADAP MEDIA PDA DAN PCA Harefa, Karnirius; Evawani Martalena Silitonga; Kesaktian Manurung
JURNAL TEKNOLOGI KESEHATAN DAN ILMU SOSIAL (TEKESNOS) Vol. 1 No. 1 (2019): JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL (TEKESNOS)
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Teh celup merupakan teh yang dikemas didalam kantong (kertas saring) untuk sekali hidangan dengan mencelupkannya kedalam air panas, dimana penggunaan teh celup sangat mudah dan praktis sehingga digemari oleh masyarakat. Salah satu tanaman herbal yang dapat dijadikan teh yaitu daun gambir. Teh gambir mampu menurunkan resiko penyakit jantung koroner, mencegah dan mengontrol pertumbuhan kanker, mencegah sakit gigi, peningkat masa tulang, serta efek antidiabetes peneliti tertarik untuk menghitung jumlah koloni ekstrak etanol dari bagian tanaman gambir ( uncaria Gambir Roxb) dengan menggunakan media PCA dan PDA yang diharapkan dapat menjadi sumber informasi pengembangan the herbal celup yang efektif dapat digunakan ekstrak tersebut. Jenis penelitian ini merupakan penelitian eksperimental yang bertujuan untuk mengetahui pertumbuhan jumlah koloni pada air mendidih dan air panas teh celup daun gambir dengan metode maserasi,skrining fitokimia terhadap simplisia, penghiungan jumlah koloni pada media PCA dan PDA.Hasil Perhitungan koloni pada ekstrak teh celup air mendidih dan air hangat daun gambir dapat mengalami pertumbuhan koloni dengan Media PDA dan PCA. Yang merupakan hasil uji koloni pada Air Hangat terhadap media PCA dan PDA dapat terbentuk jumlah koloni yang baik yaitu pada Air Hangat yang Menggunakan Media PCA memiliki jumlah koloni 71 dan Air Hangat Yang menggunakan media PDA memiliki jumlah koloni 69,6.
FORMULASI SEDIAAN FACIAL WASH MENGGUNAKAN SARI JERUK NIPIS (Citrus aurantifolia Swingle) TERHADAP DAYA HAMBAT BAKTERI Propionibacterium acnes Suharyanisa; Harefa, Karnirius; Lina br Tarigan, Frida
JURNAL TEKNOLOGI KESEHATAN DAN ILMU SOSIAL (TEKESNOS) Vol. 2 No. 1 (2020): JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL (TEKESNOS)
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Facial wash  merupakan sabun pembersih wajah yang ringan dan lembut yang berfungsi untuk menjaga kebersihan kulit. jeruk nipis yang sangat masam mengandung vitamin c yang bertindak sebagai antioksidan. Tujuan penelitian ini adalah Untuk mengetahui formulasi sediaan facial wash anti acnes dari perasan jeruk nipis (citrus aurantifolia swingle) dan Untuk mengetahui aktivitas perasan jeruk nipis dalam menghambat pertumbuhan bakteri propionibacterium acnes. Pembuatan sari jeruk nipis di lakukan secara sederhana yaitu menggunakan juicer. Masing-masing formulasi di lakukan replikasi sebanyak tiga kali. Pada penelitian ini formulasi dilaksanakan dengan perbedaan konsentrasi bahan aktif dengan F0 tanpa kandungan sari jeruk nipis, F1 mengandung 10% sari jeruk nipis, F2 mengandung 12,5% sari jeruk nipis, dan F3 mengandung 15%  sari jeruk nipis. Pengujian terhadap sediaan Facial wash meliputi uji organoleptis, uji pH, uji tinggi busa, uji homogenitas, uji iritasi, uji saponin, uji antibakteri. Hasil penelitian diperoleh bahwa semua sediaan Facial wash homogen, memiliki pH 6,5-7,2 dan stabil selama 4 minngu. Sediaan Facial wash sari jeruk nipis. Semua sediaan Facial wash sari jeruk nipis tidak mengiritasi kulit. Fasial wash sari jeruk nipis ( Citrus aurantifolia swingle ) dapat menghambat bakteri Propionibacterium acnes dengan diameter zona hambat kuat dengan konsentrasi 10%,12,5%,15%.
FORMULASI CREAM ANTI AGING DARI EKSTRAK BUAH BIT (Beta vulgaris L) Harefa, Karnirius; Sitorus, Binsar; Christiani N Daely, Ruth; Fikrih Utama, Rezza
JURNAL TEKNOLOGI KESEHATAN DAN ILMU SOSIAL (TEKESNOS) Vol. 3 No. 1 (2021): JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL (TEKESNOS)
Publisher : Universitas Sari Mutiara Indonesia

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Abstract

Anti-aging is a process to prevent or slow down the effects of aging so that a person becomes fresher, more beautiful, and more youthful. Beet fruit a function as an antioxidant to protect against the effects of sunlight, compounds that have anti-oxidant activity in beets include betacyanin and vitamin C, and betacyanin is a substance that can neutralize free radicals. often used is in the form of face cream where its functions include cleaning, and refreshing, and the presence of beetroot extract also adds to its function as a protector and adds nutrition, especially to regenerate facial skin. This research uses experimental methods which include making cream preparations and testing cream preparations against anti-aging activity on the skin. The sample in this study used beetroot ethanol extract obtained from Medan City and 12 respondents who were used as panels in the anti-aging activity test. The results of this study showed that the physical quality test of the cream preparation was homogeneous, remained stable in storage for 4 weeks, was an oil-in-water (m/a) emulsion type, had a pH of 6.1–6.6 and did not irritate the skin. In the anti-aging test at week four the blank cream showed increased results with a percent recovery of 30.83%, the comparison cream showed increased results with a percent recovery of 60%, cream 5% showed increased results with a percent recovery of 41.49% lower than cream In comparison, 10% cream showed an increase in the percentage of recovery 59.61 lower than the comparison cream and 15% cream showed an increase in the percentage of recovery 61.55% higher than the comparison cream. The conclusion of this study is that the ethanol extract of beetroot can be formulated into a cream preparation with an oil-in-water emulsion type, the ethanol extract of beetroot has the best anti-aging activity at 15% cream and the lowest is 5% cream.
Differences In The Effect Of Motor Control Exercise And William Flexion Exercise On Pain In Low Back Pain Miogenic Patients At Ambalat Sesko Tni Clinic, Bandung Siti Sarah Bintang; Karnirius Harefa; Sabirin Berampu; Dwi Handayani; Titin Novayanti Dey; Simarmata, Pratiwi; MHD Yoppy
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.v6i2.2077

Abstract

Changes in the background needs and welfare of human life have led to a shift in modern lifestyle patterns. The growing population has resulted in increased work productivity, along with various types of work activities and a rise in complaints of symptoms like low back pain. Low back pain, or lower back pain, is a complaint where the pain can be local pain (inflammation) or radicular pain in the lower back. This pain can radiate to other areas, or the pain can be felt in the lower back, or it can be felt on a different side of the body from the center of the pain and can be felt in a variety of ways. Occupation is one of the factors causing LBP. Incorrect work postures, for example, sitting static for a long time and not using ergonomic sitting positions, are one of the factors in the occurrence of LBP (WHO, 2013). The purpose of this research is to find out if there is a comparison of the differences in the effect of motor control exercise and William flexion exercise on pain in myogenic low back pain patients at the Ambalat Sesko TNI Bandung clinic in 2023. The design in this study was a quasi-experiment with a control approach of two groups, pre-test and post-test, used to compare two independent groups, namely group I (motor control exercise) and group II (William flexion exercise). The research location was at the Ambalat clinic, Sesko TNI, with a total sample of 20 people. The research data was carried out using the normality test with the Shapiro-Wilk test. After the data was normally distributed, a hypothesis test was carried out using the independent paired sample t-test to obtain a p-value of 0.901 > (? = 0.05). The results of the analysis showed that the intervention of motor control exercise and William flexion exercise had the same effect on reducing pain, and there was no significant difference between giving myogenic low back pain at the Ambalat Sesko TNI Bandung clinic in 2023.
The Effect of Dry needling and Muscle energy technique on Pain in Myofascial Trigger Point Syndrome (MTRPS) M.Upper Trapezius Siti Sarah Bintang; Dani Hafiz Utomo; Simson Sinuhaji; Sabirin Berampu; Karnirius Harefa
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.v7i1.2325

Abstract

Background: Myofascial Pain Syndrome is a common health problem where the main cause is repetitive injury. Various interventions can be performed to reduce pain and symptoms from MTrPs, one of which is dry needling (DN) and muscle energy technique (MET). Purpose: of this study is to determine the effect of DN, MET, and combination of DN+MET on pain at MTrPs m.upper trapezius. Research method quantitative three groups pre and post test design. Sample was taken using total sampling technique and total of 48 people with MTrPs m.upper trapezius obtained. Numeric Rating Scale (NRS) used to measure pain intensity. The statistical tests used are Wilcoxon signed ranked test and the Mann-Whitney U. Results and discussion: effect of DN intervention with P-Value= 0.000 (P<0.05), MET P-Value= 0.000 (P<0.05), Combination of DN+MET P-Value= 0.000 (P<0.05). Comparison of DN with MET P-Value= 0.001 (P<0.05), DN with combination of DN+MET P-Value= 0.030 (P<0.05), MET with a combination of DN+MET P-Value= 0.000 (P<0.05). Conclusion: based on statistical result DN, MET, and the combination of DN+MET had the same effect on reducing pain at MTrPs m.upper trapezius, where the DN+MET combination proved to be more effective and more recommended in the treatment of MTrPs m.upper trapezius. Keywords: Myofascial Trigger Point Syndrome; Dry Needling; Muscle Energy Technique.
Relationship of Archus Pedis With Walking Balance In Children Aged 10-2 Years at SDN 017 Candirejo Air Molek Bintang, Siti Sarah Bintang Sarah; Elvida Rahmi Zein; Annisa Nabila; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): 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.v7i2.2633

Abstract

Background: WHO states the muskuloskeletal disorders disrupt the lives of hundreds of millions of individuals. The structure and biomechanics of the foot are greatly influenced by the arch of the foot. Abnormalities in the lower extremities often occur in children. Flat foot and cavus foot are disorders in the development of the arch of the foot. This condition can cause various problems, such as difficulty walking, impaired balance, easy fatigue when walking, frequent injuries, and excessive pain in the foot area.  Purpose: This study aims to determine the relationship between the arch of the foot and walking balance in children aged 10-12 years at SDN 017 Candirejo Air Molek 2024. Research method This study applies a cross sectional approach design , namely , research to study the correlation between relationships with an observation approach and data collection at the same time. Results and discussion: The research results show that the variables related to the pedis arch (p-value = 0.000), walking balance (p-value = 0.000).Conslusion: Based on the research conducted that there is a relationship between the arch of the pedis and walking balance in children aged 10-12 years at SDN 017 Candirejo Air Molek 2024.
The Effect Of Core Stability Exercise And Telephysiotherapy On The Walking Balance Of Post-Ischemic Stroke Patients Berampu, Sabirin; Siti Sarah Bintang; Syamsudin; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): 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.v7i2.2674

Abstract

Stroke remains a major global health concern, ranking as the second leading cause of death and the third leading cause of disability worldwide. Among the common residual effects faced by stroke survivors is impaired walking balance. To address this issue, this study investigated the effectiveness of core stability exercises in improving walking balance, as measured by the Timed Up and Go (TUG) test. The study involved 12 participants aged between 40 and 70 years and adopted a case study approach. A quasi-experimental one-group pre-test and post-test design was used. The dependent variable was walking balance in post-ischemic stroke patients, while the independent variable was the implementation of core stability exercises delivered through tele-physiotherapy.Statistical analysis using the Shapiro-Wilk test revealed a significant improvement in walking balance after the intervention. The results showed a pre-intervention mean TUG score of 17.500 (SD = 5.351) and a post-intervention mean of 12.333 (SD = 3.228), with a significance value of 0.000 (df = 12). These findings indicate a statistically significant difference in performance before and after the intervention. In conclusion, the null hypothesis (H?) is rejected and the alternative hypothesis (H?) is accepted, demonstrating that core stability exercises delivered via tele-physiotherapy significantly improve walking balance in post-ischemic stroke patients at Budhi Dharma Clinic, Kreshna Foundation.
The Effect of Trunk Stability Training on Increasing Segmental Values ​​of Trunk Control in Cerebral Palsy Patients Bintang, Siti Sarah; Elvida Rahmi; Helvi; Rizka Mutiara; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): 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/mxj5wj26

Abstract

Background: Cerebral palsy (CP) is the most common cause of physical disability in children. One of the most frequently cited definitions of CP is 'a group of permanent disorders in the development of movement and posture, which causes activity limitations, caused by non-progressive disorders that occur in the development of the fetal or infant brain'. Non-pharmacological approaches such as exercise therapy have been shown to be effective in overcoming the problems of children with cerebral palsy. One of the exercise interventions that has the potential to increase trunk stabilization is Treatment Trunk Stability Training. This technique works synergistically to target the trunk, improve gross motor function, trunk control, and balance, and will help better functional recovery in children with cerebral palsy. Objective: To determine the effect of Trunk Stability Training on Increasing Segmental Of Trunk Control Values ​​in Cerebral Palsy Patients. Methods: This study is a quantitative pre-experimental study with a one group pretest-posttest design. A total of 13 subjects diagnosed with cerebral palsy underwent a two-week intervention. Measurement of trunk stability or trunk control was performed using Segmental Of Trunk Control (SATCo). Data analysis used the Wilcoxon Signed-Rank test with a significance level of α = 0.05. Results: The results of the Shapiro-Wilk normality test showed that the data were not normally distributed (p <0.05). The results of the Wilcoxon test showed a p-value = 0.016 (<0.05), which means that there was a significant difference between the Segmental Of Trunk Control (SATCo) scores before and after the intervention. Conclusion: Trunk Stability Training treatment has been proven effective in strengthening or stabilizing the trunk/torso and improving trunk control in children with cerebral palsy.
The Effect of Transcutaneous Electrical Nerve Stimulation and Median Nerve Mobilization on Pain Reduction in Carpal Tunnel Syndrome Berampu, Sabirin; Ardianto Saputra; Winda Alfiana; Karnirius Harefa
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 1 (2025): 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/mdw70b38

Abstract

Carpal Tunnel Syndrome (CTS) is a peripheral nerve disorder that occurs in the hands and wrists which is characterized by complaints of pain, tingling, numbness and even in severe cases there will be muscle weakness and atrophy of the hand muscles. One of the non-pharmacological or conventional treatments for CTS cases is Transcutaneous Electrical Nerve Stimulation (TENS) and Median Nerve Mobilization. TENS and Median Nerve Mobilization can reduce pain complaints in various neuromuscular cases including CTS. The purpose of the study was to determine the effect of TENS and Median Nerve Mobilization on Pain Reduction in CTS Patients in 2025. Research Methods: type of research was a Quasi Experiment with a Purposive Sampling approach technique. The study population of CTS sufferers was 35 people with a sample size of 15 people. The Action Dose was given 3 times per week for 2 weeks or 6 training sessions. The measuring instrument used was the Visual Analog Scale (VAS). Data Analysis Method: Primary Questionnaire Data was Recapitulated and entered into the SPSS Application and Data Normality Test was carried out with Shapiro-Wilk and Wilcoxon Sign Rank Test with a confidence level of 95%. The results of this study obtained the Normality Value of VAS Pretest with a Significance value of 0.015 and Posttest Significance Value of 0.009 with Interpretation of Non-Normally Distributed Data. And the Results of the Wilcoxon Sign Rank Test obtained a P (Value) of 0.001. And the Average Value of VAS Pretest was 6.4 points, Posttest 2.13 points and the average difference value was 4.27 points. The conclusion of this study is that there is a Difference in the Average Value of Pretest and Posttest Pain After being given TENS and Median Nerve Mobilization Physiotherapy interventions so that it can also be concluded that there is an Effect of Transcutaneous Electrical Nerve Stimulation (TENS) and Median Nerve Mobilization on reducing pain in CTS Patients in 2025.
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