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Comparison of HbA1c Levels in Normal-Weight and Obese Type 2 Diabetes Mellitus Patients at Dr. Pirngadi General Hospital, Medan, North Sumatra, Indonesia Sagala, Daniela; Nainggolan, Ranatha NH; Sinurat, Suryati; Butar-Butar, Harry; Siahaan , Jekson Martiar
Indonesian Journal of Medicine Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.4.802

Background: Diabetes mellitus is a collection of metabolic diseases caused by impaired insulin secretion, insulin action, or both so that it has the characteristics of hyperglycemia. Increased will cause a decrease in glucose delivery to the plasma membrane, resulting in insulin resistance in muscle and adipose tissue. This study aimed to compare HbA1c in normal weight and obese individuals with type 2 DM at Dr. Pirngadi hospital.Subjects and Method: This was a cross-sectional study was conducted at Dr. Pirngadi Hospital, Medan, North Sumatera, Indonesia, on May 2022. A sample of 50 patients diagnosed with Type 2 Diabetes Mellitus (T2DM, HbA1c ≥6.5%). The study variables were HbA1c and body mass index (BMI). Independent t-test was used to compare HbA1c levels between normal weight and obese participants.Results: HbA1c in type 2 DM patients with obesity (Mean= 11.49; SD= 0.60) is higher than those with normal weight (Mean= 8.71; SD= 0.34), with p= 0.002.Conclusion: HbA1c in type 2 DM patients with obesity is higher than those with normal weight.

Factors associated with uric acid levels in elderly: A cross-sectional study Sinurat, Suryati; Simanjuntak, Maestro Bina Utama; Siahaan, Jekson Martiar; Hutagalung, Mangatas Halomoan Parluhutan; Daulay, Agus Husein; Tarigan, Leonardo; Sihotang, Ruth Wydia Wati; Sembiring, Bob Agustinus; Nababan, Titus Imanuel; Tampubolon, Ruth Septianna Br.; Salamon, Yuda Monang; Ainun, Nur Azizah; Nainggolan, Serevina
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6809

Sustained elevated blood uric acid levels can lead to gout, a chronic inflammatory disease characterized by the deposition of uric acid crystals in the joints. Factors contributing to hyperuricemia include insufficient knowledge of risk factors and management, consumption of high-purine diets, and inadequate uric acid monitoring. Overweight and obesity are also frequently associated with increased uric acid production and reduced renal excretion. The aging process contributes to declining renal function, essential for uric acid elimination. This observational analytic cross-sectional study investigated the relationships between knowledge, nutritional status, and physical activity with blood uric acid levels in 30 elderly individuals at Hamparan Perak Health Center from March 5-19, 2025. Data were collected via questionnaires and analyzed using Chi-Square or Fisher Exact tests. The majority of respondents were female (73.3%) and aged 60-69 years (63.3%). Most had poor knowledge (56.7%) and high uric acid levels (63.3%). A significant relationship was found between knowledge (p=0.002) and nutritional status (p=0.000) with blood uric acid levels. However, no significant relationship was observed between physical activity levels and uric acid levels (p=0.125).

PENYULUHAN TUBERKULOSIS PARU KEPADA MASYARAKAT LINGKUNGAN HAMPARAN PERAK KECAMATAN DELI SERDANG Situmeang, Ivonne Ruth Vitamaya Oishi; Simanjuntak, Maestro B. U.; L. Tobing, Paul S. M.; Sinurat, Suryati; Harefa, Alowadodo; Simanullang, Okkasa Obadiah
Jurnal Pengabdian Pada Masyarakat METHABDI Vol 3 No 2 (2023): Jurnal Pengabdian Pada Masyarakat METHABDI
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methabdi.Vol3No2.pp166-169

The aim of community service activities is to implement community service in implementing the Tri Dharma of higher education as well as contributing ideas and transferring knowledge to mothers, fathers, children and youth. This service activity was carried out on March 24 2022, with the material Lung Tuberculosis. This topic is really needed in order to provide information and knowledge about Pulmonary Tuberculosis, starting from how to prevent and treat Pulmonary TB patients. This topic was deliberately chosen considering that currently TB is still the biggest health problem in the world, apart from that, our country, Indonesia, has the second highest rate of TB. Therefore, the role of medical personnel is very important in providing education to the public to behave in a clean manner at home and around the home environment, where this activity aims to reduce the risk of transmission and infection of Pulmonary Tuberculosis.

GAMBARAN PERILAKU PENDERITA TUBERKULOSIS DALAM UPAYA KEPATUHAN MINUM OBAT DI PUSKESMAS TANJUNG MORAWA Lumban Tobing, Paul Saut Marganda; Sinurat, Suryati; Swastikanti, Ruth Aktrisari; Juliana, Deska; Surmanto, Boy; Cristiana, Eva; Pandia, Andre Kornelius
Majalah Ilmiah METHODA Vol. 13 No. 1 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol13No1.pp43-48

Based on data from the Global Tuberculosis Report 2020, it is known that 1.4 million people died from tuberculosis. Indonesia is ranked third in the world with 845,000 cases. It is estimated that as many as 24,000 cases of drug-resistant tuberculosis each year, known as Multi Drug Resistant (MDR). An initial survey conducted in the work area of the UPT Puskesmas Tanjung Morawa found that the complete treatment rate for all tuberculosis cases was 60%. One of the indicators of the success of the TB eradication program is drug compliance, so research was conducted using descriptive methods with a cross-sectional approach to see the behavior of tuberculosis patients in efforts to adhere to taking medication. The results obtained in the form of a description of the level of knowledge, attitudes and actions of TB patients who have a high level of compliance in the respondents of this study.

Hubungan tingkat pengetahuan ibu dengan upaya pencegahan ISPA pada anak di Puskesmas Hamparan Perak Sinurat, Suryati; Simanjuntak, Maestro B. U.; Hutagalung, Mangatas H.P.; Silaban, Elfrida Megawaty; Sagala, Daniela; Harefa, Reinaldo Famowaa; Lumban Tobing, Mawar T. Bey Bey Lumban Tobing
Buletin Kedokteran & Kesehatan Prima Vol. 2 No. 2 (2023): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v2i2.4751

Salah satu strategi penting dalam upaya pencegahan ISPA adalah terlibatnya secara aktif anggota keluarga dalam upaya pencegahan dini khusus terhadap ISPA pada anak. Upaya ibu dalam melakukan pencegahan ISPA pada anaknya yaitu ibu harus mengetahui tentang ISPA mulai dari pengertian, penyebab, tanda dan gejala proses perjalanan penyakit, komplikasi dan cara mengobati dan merawat anak. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan ibu dengan upaya pencegahan ISPA pada anak di Puskesmas Hamparan Perak. Jenis penelitian yang digunakan untuk penelitian ini adalah descriptive analytics, dengan desain cross sectional dengan sampel sebanyak 50 orang.l : Distribusi frekuensi responden hubungan pengetahuan ibu dengan upaya pencegahan ISPA bahwa dari 25 responden dengan pengetahuan baik, sebanyak 16 (80%) responden memiliki tingkat pencegahan yang baik dan sebanyak 9 (20%) responden memiliki tingkat pencegahan yang cukup. Dari 16 responden dengan tingkat pengetahuan yang cukup, sebanyak 10 (62,5%) responden memiliki tingkat pencegahan yang baik dan sebanyak 6 (37,5%) responden memiliki tingkat pencegahan yang cukup. Dan dari 9 responden dengan tingkat pengetahuan yang kurang, sebanyak 6 (66,7%) responden memiliki tingkat pencegahan yang baik dan sebanyak 3 (33,3%) pasien memiliki tingkat pencegahan yang cukup. Berdasarkan uji Chi-Square diperoleh nilai p=0,000 (p<0,05) yang menunjukkan terdapat hubungan bermakna antara dua variabel, sehingga dapat disimpulkan bahwa terdapat hubungan antara pengetahuan ibu terhadap pencegahan ISPA.

PENYULUHAN PEMBERDAYAAN MASYARAKAT DALAM PENCEGAHAN STUNTING DESA AJIJULU, KABUPATEN KARO Siahaan, Jekson Martiar; Silitonga, Hendrika Adriana; Lim, Hadyanto; Pasaribu, Sumihar M. R.; Tarigan, Menang Bastanta; Jamnasi, Juli; Sinatra, Jadeny; Simanjuntak, Salomo Garda Utama; Sembiring, Budi Darmanta; Pakpahan, Edwin Anto; Hutagalung, Sanggam B.; Sinurat, Suryati; Br. T. Tambun, Gita Sradha; Hakim, Enggrek Pelita
Jurnal Pengabdian Pada Masyarakat METHABDI Vol 3 No 1 (2023): Jurnal Pengabdian Pada Masyarakat METHABDI
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methabdi.Vol3No1.pp11-14

Community Service (PKM) conducted by the Faculty of Medicine at the Indonesian Methodist University provides counseling on stunting prevention. PKM was held on April 14-16 2023 in Ajijulu Village, Tigapanah District, Karo Regency, North Sumatra. Lectures, discussions and motivations are used as orientation methods. Question and answer discussions were held with the aim of gaining insight, understanding and solutions to solve the problems and limitations faced by the local community. The results of the PKM suggestions and research are very effective, considering that there are still many people who are ignorant of stunting prevention. This counseling increases public awareness about stunting prevention. Residents of Ajijulu must be aware and know the importance of preventing stunting, starting from the time of pregnancy and the first 1000 days of life for toddlers.

PENYULUHAN TUBERKULOSIS PARU KEPADA MASYARAKAT LINGKUNGAN HAMPARAN PERAK KECAMATAN DELI SERDANG Situmeang, Ivonne Ruth Vitamaya Oishi; Simanjuntak, Maestro B. U.; L. Tobing, Paul S. M.; Sinurat, Suryati; Harefa, Alowadodo; Simanullang, Okkasa Obadiah
Jurnal Pengabdian Pada Masyarakat METHABDI Vol 3 No 2 (2023): Jurnal Pengabdian Pada Masyarakat METHABDI
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methabdi.Vol3No2.pp166-169

The aim of community service activities is to implement community service in implementing the Tri Dharma of higher education as well as contributing ideas and transferring knowledge to mothers, fathers, children and youth. This service activity was carried out on March 24 2022, with the material Lung Tuberculosis. This topic is really needed in order to provide information and knowledge about Pulmonary Tuberculosis, starting from how to prevent and treat Pulmonary TB patients. This topic was deliberately chosen considering that currently TB is still the biggest health problem in the world, apart from that, our country, Indonesia, has the second highest rate of TB. Therefore, the role of medical personnel is very important in providing education to the public to behave in a clean manner at home and around the home environment, where this activity aims to reduce the risk of transmission and infection of Pulmonary Tuberculosis.

HUBUNGAN OBESITAS DENGAN HIPERTENSI Purba, Bery Agana; Silitonga, Hendrika A; Sinurat, Suryati
Jurnal Kedokteran Methodist Vol. 12 No. 1 (2019): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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

Background : Obesity is a risk factor for hypertension. Based on WHO data in 2016, more than 1.9 billion adults aged 18 years and over are overweight. Of these, more than 650 million adults are obese. In Indonesia, 13.5% of adults aged 18 years and over are overweight, while 28.7% are obese (BMI ≥ 25). Based on WHO data in 2015, it shows that around 1.13 billion people in the world have hypertension. Riskesdas 2018 states that the estimated number of hypertension cases in Indonesia is 63,309,620 people, while the death rate in Indonesia due to hypertension is 427,218 deaths. Objective : To determine the relationship between obesity and hypertension (high blood pressure). Methods : The study was conducted using the literature study method or literature review that focuses on writing results related to the relationship between obesity and hypertension through searches for accredited journal sites such as Google Schoolar, Pubmed, National Library and Research Gate in the 2015-2020 period. Results : Based on several journals that have been reviewed, most journals state that obesity has a significant relationship with hypertension and there are also those who state that obesity does not have a significant relationship with hypertension. Conclusion : There are differences in the results obtained based on several journals that have been reviewed in the discussion of the relationship between obesity and hypertension. This difference in results can be caused by the multifactorial process of hypertension and obesity is one of the causes of hypertension.

HUBUNGAN HbA1c PADA PASIEN DIABETES MELITUS TIPE 2 DENGAN OBESITAS DAN TANPA OBESITASDI RSUD DR. PIRNGADI KOTA MEDAN Sagala, Daniela; Nainggolan , , Renatha N; Sinurat, Suryati
Jurnal Kedokteran Methodist Vol. 15 No. 2 (2022): Jurnal Kedokteran Methodist
Publisher : Universitas Methodist Indonesia

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Background: Diabetes mellitus is a collection of metabolic diseases caused by impaired insulin secretion, insulin action, or both so that it has the characteristics of hyperglycemia. In patients with type 2 diabetes with obesity, there can be an increase in fatty acids or Free Fatty Acid in cells. Increased will cause a decrease in glucose delivery to the plasma membrane, resulting in insulin resistance in muscle and adipose tissue Objective: To determine the relationship between HbA1c in Type 2 Diabetes Patients with Obesity and Without Obesity in Dr. Hospital. Pirngadi Medan City Methods: This research was conducted by analytical observation with an approach using a cross sectional design that is only temporary or to see the relationship between HbA1c in Type-2 Diabetes Patients with Obesity and Without Obesity. Pirngadi Medan City. Total sampling technique is a sampling method where all samples are taken and meet the inclusion and exclusion criteria. Results: From the results of this study, there is a relationship between HbA1c in Type-2 Diabetes Patients with Obesity and Without Obesity in Dr. Hospital. Pirngadi Medan City (p=0.01). Conclusion: The occurrence of excessive fat accumulation in the body of obese patients can lead to insulin resistance which affects blood sugar levels which causes diabetes mellitus.

GAMBARAN PERILAKU PENDERITA TUBERKULOSIS DALAM UPAYA KEPATUHAN MINUM OBAT DI PUSKESMAS TANJUNG MORAWA Lumban Tobing, Paul Saut Marganda; Sinurat, Suryati; Swastikanti, Ruth Aktrisari; Juliana, Deska; Surmanto, Boy; Cristiana, Eva; Pandia, Andre Kornelius
Majalah Ilmiah METHODA Vol. 13 No. 1 (2023): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

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

Based on data from the Global Tuberculosis Report 2020, it is known that 1.4 million people died from tuberculosis. Indonesia is ranked third in the world with 845,000 cases. It is estimated that as many as 24,000 cases of drug-resistant tuberculosis each year, known as Multi Drug Resistant (MDR). An initial survey conducted in the work area of the UPT Puskesmas Tanjung Morawa found that the complete treatment rate for all tuberculosis cases was 60%. One of the indicators of the success of the TB eradication program is drug compliance, so research was conducted using descriptive methods with a cross-sectional approach to see the behavior of tuberculosis patients in efforts to adhere to taking medication. The results obtained in the form of a description of the level of knowledge, attitudes and actions of TB patients who have a high level of compliance in the respondents of this study.

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