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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 Tour Health Journal Medistra Medical Journal (MMJ) JURNAL TEKNOLOGI, KESEHATAN DAN ILMU SOSIAL
Karnirius Harefa
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Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management 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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Differences In The Results Of Examination Of Blood Glucose Levels By The Point Of Care Test (Poct) Method Using Vein And Capillary Blood Samples In Type II Diabetes Mellitus Patients Artha Simamora; Karnirius Harefa
Medistra Medical Journal (MMJ) Vol 1 No 1 (2023): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mmj.v1i1.1948

Abstract

Glucose is an aldohexose monosaccharide found in the human body and other living things. It is the end product of carbohydrate metabolism that is released into the blood and becomes the main energy source of living things. Because of its role as the main energy, glucose is then transported into cells for generate energy. This energy formation process occurs in the mitochondria by requiring oxygen as fuel to produce ATP as energy for every cell activity. Blood glucose is influenced by factors of nutritional status, genetics and age, and disease. This study determine to differences in blood glucose levels measured using venous blood and capillary blood samples. This study used an analytical observational research design with a cross sectional approach. Observational research, which is to find differences between independent variables and dependent variables whose analysis is to determine whether there are differences between variables, so it is necessary to develop a hypothesis. Based on the results of the analysis of this study, it was found that from 25 respondents, the average value of capillary blood was 192.76, with a standard deviation of 56,302, with a min value of 111 and a max value of 288, with a p value of 0.007. The mean difference in venous blood is 186.44, with a standard deviation of 55.586, with a min value of 114 and a max of 280, with a p value = 0.007 with a significance level of p<? (0.05) which is 0.007<0.05. Based on the results of the study, it can be concluded that there are differences in the results of blood glucose levels using the POCT (Point Of Care Test) method using venous blood and capillary blood samples at Grandmed Lubuk Pakam Hospital
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; Pratiwi Simarmata; 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 Siti Sarah Bintang Sarah Bintang; 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 Sabirin Berampu; 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 Organizational Culture and Internal Supervision on the Performance of Health Workers 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/arxdpw94

Abstract

Background: Health worker performance is a key element in the success of primary healthcare services at Puskesmas. A strong organizational culture and effective internal supervision are believed to enhance motivation, productivity, and service quality among health workers. Objective: This study aims to analyze the effect of organizational culture and internal supervision on the performance of health workers at Bandar Khalifah Health Center, Percut Sei Tuan District. Methods: This research employed an analytical quantitative approach with a cross-sectional design. The population consisted of all active health workers (n=58), selected through total sampling. Data were collected via structured questionnaires and analyzed using Spearman correlation and multiple logistic regression. Results: Findings indicated that organizational culture and internal supervision simultaneously had a significant influence on health worker performance (p<0.05), explaining 63.7% of performance variation. Organizational culture showed a greater effect (Exp(B)=5.66) compared to internal supervision (Exp(B)=3.64). Conclusion: Positive organizational culture and structured internal supervision significantly improve health worker performance. It is recommended that management enhance teamwork values, provide leadership training, and ensure consistent, participative supervision practices.
The Effect of Trunk Stability Training on Increasing Segmental Values ​​of Trunk Control in Cerebral Palsy Patients Siti Sarah Bintang; 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 Sabirin Berampu; 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.
Analysis of Head Nurse Leadership Style on Nursing Service Quality in the Intensive Care Unit at the Hospital Romi Syahputra Tarigan; Karnirius Harefa; Tati Murni Karo Karo; Abdi Lestari Sitepu
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (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/mwqpvv54

Abstract

Background: Pneumonia is one of the leading causes of death in children under five in Indonesia. Pneumococcal Conjugate Vaccine (PCV) immunization is a preventive measure, yet coverage in Serdang Bedagai Regency remains low. Factors such as knowledge, education, occupation, attitude, belief, health service accessibility, and family support are suspected to influence PCV utilization. Research Objectives: This study aimed to analyze the factors influencing PCV immunization utilization at Sei Rampah Health Center, Serdang Bedagai Regency. Research Methods: This research employed an analytic survey with a cross-sectional design. The population consisted of 900 mothers with children aged 11–12 months, and a sample of 262 mothers was selected using simple random sampling. Data were collected through questionnaires and secondary data from PWS-KIA. Univariable, bivariate (Chi-square), and multivariable analyses (multiple logistic regression) were performed to identify the dominant factors. Results: Bivariate analysis indicated that education (p=0.002; OR=6.882), occupation (p=0.000; OR=6.088), and knowledge (p=0.000; OR=15.400) were significantly associated with PCV utilization. Multiple logistic regression revealed knowledge as the dominant factor (p=0.000; Exp(B)=13.063), followed by occupation, attitude, belief, and family support. Age, health service accessibility, and education did not show a significant effect. Conclusion: Parental knowledge is the key factor influencing PCV immunization utilization. Efforts to increase immunization coverage should focus on continuous education by health workers and family involvement to improve parents’ awareness and compliance with child immunization schedules.
Improving Environmental Literacy on the Dangers of Microplastics and Reducing Single-Use Plastics through an Environmentally Friendly School Program at Al-Razi Sinar Harapan Vocational High School Medan Ahmad Hafizullah Ritonga; Herlina Herlina; Karnirius Harefa; Rotua Sumihar Sitorus; Ihsanul Hafiz
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): 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/txw85729

Abstract

Microplastics and the extensive use of single-use plastics have become growing environmental issues that threaten human health and ecosystem sustainability. Limited environmental literacy among adolescents contributes to the continued high consumption of single-use plastics in school settings, highlighting the need for effective environmental education programs. This community service activity aimed to improve students’ environmental literacy regarding the dangers of microplastics and the importance of reducing single-use plastic use through an environmentally friendly school program at Al-Razi Sinar Harapan Vocational High School, Medan. The program involved 58 students and was implemented through interactive educational sessions, group discussions, simple demonstrations on plastic pollution, and campaigns promoting the use of reusable tumblers and food containers. Evaluation was conducted through participatory observation and assessment of students’ responses during discussions and question-and-answer sessions. The results indicated that participants were able to explain the concept of microplastics, identify common sources of plastic pollution within the school environment, and propose practical alternatives to reduce single-use plastic consumption, including the use of reusable containers, tumblers, and cloth bags. Increased participation during discussions, improved ability to answer questions related to the educational materials, and students’ expressed commitment to adopting environmentally friendly practices served as indicators of enhanced understanding and environmental awareness following the program. The activity also received positive feedback from teachers and school administrators and contributed to fostering a cleaner, healthier, and more sustainable school environment.
Co-Authors A.Dachi, Rahmat Abdi Lestari Sitepu Agnes Silvina Marbun Ahmad Hafizullah Ritonga Andriani Harianja, Bulan Annisa Nabila Ardianto Saputra Aritonang, Barita Artha Simamora Bahdin Nur Tanjung Bancin, Dewi R. Berampu, Sabirin 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 Dani Hafiz Utomo Daniel Ginting Debi Meilani Dian Christy Rahayu Dicky Yuswardi Wiratma Dicky Yuswardi Wiratma Donal Nababan Dwi Handayani Eka Yustina Elisabeth Purba, Ivan Elvi Era Liesmayani Elvida Rahmi Elvida Rahmi Zein Emi Juniarita Br. Barus Evawani Martalena Silitonga Evi Martina, Siska FAHRI YANTI Fatma Amelia Ferani Nasution Fikrih Utama, Rezza Frida Lina Tarigan Gandaria Purba, Anita Sri Ginting, Desideria Yosepha Ginting, Raynald Ignasius Ginting, Rosita Gultom, Rumondang Handayani, Diah Tri Harahap, Fitri Ramadani Harahap, Hasni Yaturramadhan Hariyati Wahyuni Harris Rambey Hasibuan, Eva Kartika Helminawati Berutu Helvi Herlina Herlina . Herlina H Herlina Herlina Herlina Sianturi Hermira Sandirka Hestina Hutajulu, Johansen Ihsan Ihsan Ihsanul Hafiz 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 Novita Br. Ginting Munthe Pratiwi Simarmata Purba, Novandi Rahmad Gurusinga Rahmat Alyakin Dakhi Raisha Octavariny Ramadani Sitepu Rinco Siregar Riri Safitri Ritonga, Tintin Insani Hartuti Rizka Mutiara Rohana, Taruli Romi Syahputra Tarigan Romi Syaputra 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 Sinabutar, Theresia Yuni Florensia Sinaga, Arman Bemby Sinuhaji, Simson Sirait, Reni Aprinawaty Siregar, Hesti Despita Siti Sarah Bintang Siti Sarah Bintang Sarah Bintang Sitorus, Binsar Sitorus, Mido Ester Sri Melda Bangun Sri Wulan, Sri Suharyanisa Sumarjon Syamsudin Syara, Arfah May Syuryanty Sidabutar Tati Murni Karo Karo Teja Kesuma Theresia Yuni Florensia Sinabutar Titin Novayanti Dey Togatorop, Lamtiar Betty Ulina Purba, Sri Vierto Winda Alfiana Yulia Mehatte