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Incidence and risk factors of asbestosis among workers in industrial sector: literatur review Sihotang, Widya Yanti; Wicaksana, Praja Dwi; Hakim, Mia Amara; Simangunsong, Pahala Maringan J.; Manalu, Putranto; Siagian, Masryna
MEDIA ILMU KESEHATAN Vol 13 No 3 (2024): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v13i3.1387

Background: The industrial sector is a vulnerable place for diseases, especially lung diseases such as asbestosis. Continuous exposure of workers to asbestos has caused the incidence rate to increase over time.Objective: This review aimed to explore the factors influencing the increased incidence of asbestosis in workers in the industrial sectoreMethods: The investigation involved analyzing the results of 17 relevant previous studies using qualitative analysis procedures, variables, themes and factors were extracted from the studies.Results: The analysis revealed eight main categories: age, gender, occupation, industry type, length of exposure, education, income and smoking history. Age, gender and length of exposure were found to be the most important risk factors for asbestosis in workers at an average age of 54 years in men who had been exposed for 21 years.Conclusion: In conclusion, with the increasing incidence of asbestosis from past exposure, this study is needed as an evaluation and consideration in reducing asbestosis in workers.

HUBUNGAN POLA PEMBERIAN MAKAN DENGAN KEJADIAN STUNTING PADA BALITA USIA 12-59 BULAN DI KECAMATAN BANDAR KABUPATEN SIMALUNGUN Ginting, Tarianna; Simangunsong, Pahala Maringan Jubel; Sitompul, Paquita Lusten; Hutapea, Bella Satrina; Sipayung, Rohdearta
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 23 No. 2 (2024): Juli 2024
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/ibnusina.v23i2.624

Stunting merupakan indikator kekurangan gizi kronis akibat ketidakcukupan asupan makanan dalam waktu yang lama, kualitas pangan yang buruk, sehingga mengalami tinggi badan yang tidak sesuai (kerdil) dengan umurnya.1 Tujuan dari penelitian ini adalah untuk menjabarkan keterkaitan antara pola makan dan kejadian stunting pada anak balita berusia 12-59 bulan. Jenis penelitian ini menggunakan pendekatan analitik cross sectional. Analisis bivariat dilakukan dengan menggunakan uji Chi-Square, dengan tingkat signifikansi 0,05 dan interval kepercayaan 95%. Berdasarkan uji statistik, diperoleh hasil analisis variabel jenis makanan (p-value=0.047) dan variabel frekuensi makanan (p-value=0.021) memiliki hubungan dengan kejadian stunting pada anak usia 12-59 bulan dan variabel jumlah makanan (p-value=0.454) menunjukkan tidak ada hubungan dengan kejadian stunting pada anak usia 12-59 di wilayah kerja Puskesmas Marihat Bandar. Disimpulkan bahwa jumlah makanan tidak memiliki pengaruh terhadap kejadian stunting pada balita usia 12-59 bulan, sedangkan jenis makanan dan frekuensi makanan memiliki pengaruh terhadap kejadian stunting pada balita usia 12-59 bulan.

Characteristics of stunted toddlers in Medan Belawan Febrianti, Rifka; Tarigan, Renita Br.; Gulo, Riska; Silalahi, Marlinang Isabella; Simangunsong, Pahala Maringan Jubel; Pane, Putri Yunita
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7383

This study aimed to characterize stunting among children under five years of age in Medan Belawan, North Sumatra, Indonesia, a sub-district with a high prevalence of this public health challenge. Employing a quantitative descriptive design, data were retrospectively collected from records of 40 stunted toddlers at the Belawan Community Health Center in 2024. The analysis examined maternal and parental characteristics, as well as the demographic and anthropometric profiles of the toddlers, including gender, age, weight, height, and nutritional status. The results indicated that the demographic profile was predominantly composed of mothers with lower educational attainment, most having completed only junior or senior high school. Parental occupations were mainly homemakers and fishermen, reflecting the local socioeconomic context. Stunting was more common among male toddlers (57.5%) and those in the older age group (2.6–5 years), who accounted for 70% of the sample. Anthropometric measurements confirmed the severity of stunting, with 55% of toddlers classified as severely stunted and a significant proportion identified as underweight or severely underweight. Despite the high prevalence of stunting, the majority of toddlers were classified as well-nourished based on weight-for-height indices, suggesting that chronic growth failure rather than acute malnutrition constitutes the primary nutritional concern. These findings underscore the multifactorial and complex nature of stunting in this vulnerable population, emphasizing the roles of socioeconomic and environmental determinants beyond mere caloric deficiency.

The association between farmer characteristics, behavior, and pesticide spraying patterns and skin disorders in citrus farmers in Aji Mbelang Village, Karo Regency Pane, Putri Yunita; Surbakti, Yemima Valentin Br; Saragih, Meysi Dea Vinata R.; Hartono; Simangungsong, Pahala Maringan Jubel
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7549

Agriculture forms a vital component of Indonesia’s economy, yet pesticide use poses significant occupational health hazards, particularly skin disorders from exposure. This study aimed to analyze the association between farmer characteristics, behavior, and pesticide spraying patterns with the incidence of skin disorders among citrus farmers in Aji Mbelang Village, Karo Regency. A quantitative analytical cross-sectional study was conducted involving 30 citrus farmers selected through accidental sampling. Data were collected using a structured questionnaire assessing demographic variables, behavioral factors, and pesticide spraying patterns. Univariate and bivariate analyses, including chi-square tests, were performed to explore associations between independent variables and skin disorder incidence, with significance set at p<0.05. The majority of respondents were male (86.7%), aged over 36 years (43.3%), and had completed senior high school (46.7%). The prevalence of skin disorders was high (90.0%). Most farmers demonstrated poor knowledge about pesticide risks (60.0%) but exhibited positive attitudes (86.7%) and safety practices (76.7%). Contradictorily, 96.7% engaged in high-risk spraying behaviors. Age was the only statistically significant variable associated with skin disorders (p=0.044), with all farmers over 32 years reporting skin disorders. Skin disorders are highly prevalent among citrus farmers and significantly associated with older age. The findings reveal a gap between positive safety attitudes and hazardous field practices, highlighting the need for targeted educational interventions to enhance knowledge and promote safer pesticide application to mitigate dermal health risks.

Characteristics of stunted toddlers in Medan Belawan Febrianti, Rifka; Tarigan, Renita Br.; Gulo, Riska; Silalahi, Marlinang Isabella; Simangunsong, Pahala Maringan Jubel; Pane, Putri Yunita
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7383

This study aimed to characterize stunting among children under five years of age in Medan Belawan, North Sumatra, Indonesia, a sub-district with a high prevalence of this public health challenge. Employing a quantitative descriptive design, data were retrospectively collected from records of 40 stunted toddlers at the Belawan Community Health Center in 2024. The analysis examined maternal and parental characteristics, as well as the demographic and anthropometric profiles of the toddlers, including gender, age, weight, height, and nutritional status. The results indicated that the demographic profile was predominantly composed of mothers with lower educational attainment, most having completed only junior or senior high school. Parental occupations were mainly homemakers and fishermen, reflecting the local socioeconomic context. Stunting was more common among male toddlers (57.5%) and those in the older age group (2.6–5 years), who accounted for 70% of the sample. Anthropometric measurements confirmed the severity of stunting, with 55% of toddlers classified as severely stunted and a significant proportion identified as underweight or severely underweight. Despite the high prevalence of stunting, the majority of toddlers were classified as well-nourished based on weight-for-height indices, suggesting that chronic growth failure rather than acute malnutrition constitutes the primary nutritional concern. These findings underscore the multifactorial and complex nature of stunting in this vulnerable population, emphasizing the roles of socioeconomic and environmental determinants beyond mere caloric deficiency.

The association between farmer characteristics, behavior, and pesticide spraying patterns and skin disorders in citrus farmers in Aji Mbelang Village, Karo Regency Pane, Putri Yunita; Surbakti, Yemima Valentin Br; Saragih, Meysi Dea Vinata R.; Hartono; Simangungsong, Pahala Maringan Jubel
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7549

Agriculture forms a vital component of Indonesia’s economy, yet pesticide use poses significant occupational health hazards, particularly skin disorders from exposure. This study aimed to analyze the association between farmer characteristics, behavior, and pesticide spraying patterns with the incidence of skin disorders among citrus farmers in Aji Mbelang Village, Karo Regency. A quantitative analytical cross-sectional study was conducted involving 30 citrus farmers selected through accidental sampling. Data were collected using a structured questionnaire assessing demographic variables, behavioral factors, and pesticide spraying patterns. Univariate and bivariate analyses, including chi-square tests, were performed to explore associations between independent variables and skin disorder incidence, with significance set at p<0.05. The majority of respondents were male (86.7%), aged over 36 years (43.3%), and had completed senior high school (46.7%). The prevalence of skin disorders was high (90.0%). Most farmers demonstrated poor knowledge about pesticide risks (60.0%) but exhibited positive attitudes (86.7%) and safety practices (76.7%). Contradictorily, 96.7% engaged in high-risk spraying behaviors. Age was the only statistically significant variable associated with skin disorders (p=0.044), with all farmers over 32 years reporting skin disorders. Skin disorders are highly prevalent among citrus farmers and significantly associated with older age. The findings reveal a gap between positive safety attitudes and hazardous field practices, highlighting the need for targeted educational interventions to enhance knowledge and promote safer pesticide application to mitigate dermal health risks.

Climate change and the life cycle of aedes mosquitoes as vectors of the dengue virus: A scoping review Ginting, Gita Br; Sitorus, Angel Juliana Peace; Pane, Putri Yunita; Hartono; Simangungsong, Pahala Maringan Jubel
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7563

Background: Climate change significantly impacts the epidemiology of vector-borne diseases. Dengue, transmitted by Aedes mosquitoes, is highly sensitive to climatic shifts, and global cases are surging. A clear understanding of how rising temperatures affect vector bionomics is essential for public health. This scoping review aims to synthesize recent evidence (2018–2025) on the relationship between climate change, particularly temperature, and the Aedes life cycle and dengue transmission. Methods: We conducted a scoping review using the Xiao and Watson (2019) framework. Systematic searches were performed in Scopus, PubMed, and Google Scholar for experimental, modeling, and field studies published between 2018 and 2025. Following screening based on predefined inclusion and exclusion criteria, 13 studies were included. Data were extracted and synthesized qualitatively to identify key themes. Results: The findings reveal a complex, non-linear thermal relationship. Vector fitness (e.g., survival, fertility) peaks at 25°C–30°C but declines under "heat stress" (>32°C) despite faster development times. Critically, the thermal optimum for disease transmission (R₀) is higher, peaking at 29°C–31°C, driven by a heat-accelerated Extrinsic Incubation Period (EIP) of the virus. This discrepancy fuels a "dual threat": intensification of epidemics in endemic regions and expansion of vector habitats into temperate zones. This aligns with epidemiological data showing the global dengue burden approximately doubled between 1990 and 2021. Conclusions: Climate change is an unequivocal amplifier of the global dengue threat, fundamentally altering Aedes bionomics and transmission potential. This reality necessitates a paradigm shift from reactive to predictive public health, mandating expanded surveillance in newly vulnerable regions. Major research gaps persist regarding the synergistic effects of rainfall, humidity, and diurnal temperature fluctuations (DTR).

Faktor-Faktor Yang Mempengaruhi Kepuasan Pasien Terhadap Layanan Jaminan Kesehatan Nasional Di Ruang Rawat Inap Puskesmas Bagan Batu Tahun 2022 Sitorus, Junaita Lambuena Br; Chandra, Perry Boy; Simangunsong, Pahala Maringan J
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 2 (2023): Oktober 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i2.3316

Kepuasan pasien adalah harapan pasien yang dihasilkan dari kegiatan tenaga kesehatan sebagai akibat pemberian pelayanan kesehatan selama berinteraksi dengan pasien dalam upaya memberikan pelayanan. Pemenuhan kepuasan pasien terhadap layanan Jaminan Kesehatan Nasional di Ruang Rawat Inap Puskesmas bagan batu merupakah hal yang penting. Tujuan penelitian ini adalah untuk mengetahui variabel-variabel yang mempengaruhi kepuasan pasien terhadap pelayanan Jaminan Kesehatan Nasional yang diberikan di ruang rawat inap Puskesmas Bagan Batu. Penelitian ini menggunakan metodologi analitik cross-sectional dan dengan strategi pengambilan sampel stratified random sampling dengan jumlah responden 92 orang. Peneliti menggunakan analisis univariat dan bivariat dengan uji chi square untuk analisis data. Temuan penelitian ini menunjukkan (1) Terdapat hubungan yang signifikan antara kepuasan pasien berdasarkan kehandalan dengan tingkat kepentingan dan tingkat kepuasan di Puskesmas Bagan Batu dengan P-Value (0,0366) < 0,05. (2) Terdapat hubungan yang signifikan antara kepuasan pasien berdasarkan daya tanggap dengan tingkat kepentingan dan tingkat kepuasan di Puskesmas Bagan Batu dengan P-Value (0,0058) < 0,05. (3) Tidak terdsapat hubungan yang signifikan antara kepuasan pasien berdasarkan bukti fisik dengan tingkat kepentingan dan tingkat kepuasan di Puskesmas Bagan Batu dengan P-Value (0,92) > 0,05. (4) Terdapat hubungan yang signifikan antara kepuasan pasien berdasarkan empaty dengan tingkat kepentingan dan tingkat kepuasan di Puskesmas Bagan Batu dengan PValue (0,0059) < 0,05. Berdasarkan hal tersebut diatas maka Puskesmas Bagan Batu diharapkan lebih memperhatikan pelayanan yang ditawarkan untuk mencapai tingkat kepuasan pasien yang lebih maksimal.Kata kunci: Kepuasan Pasien, JKN, PuskesmasPatient satisfaction is the patient's expectations resulting from the activities of health workers as a result of providing health services while interacting with patients in an effort to provide services. Fulfillment of patient satisfaction with the National Health Insurance service in the Inpatient Room of the Bagan Batu Health Center is an important thing. The purpose of this study was to determine the variables that affect patient satisfaction with the National Health Insurance services provided in the inpatient ward of the Bagan Batu Health Center. This study used a cross-sectional analytic methodology and a stratified random sampling strategy with 92 respondents. The researcher used univariate and bivariate analysis with chi square test for data analysis. The findings of this study indicate (1) There is a significant relationship between patient satisfaction based on reliability with the level of importance and satisfaction level at the Bagan Batu Health Center with P-Value (0.0366) <0.05. (2) There is a significant relationship between patient satisfaction based on responsiveness with the level of importance and satisfaction level at the Bagan Batu Health Center with P-Value (0.0058) <0.05. (3) There is no significant relationship between patient satisfaction based on physical evidence and the level of importance and satisfaction level at the Bagan Batu Health Center with P-Value (0.92) > 0.05. (4) There is a significant relationship between patient satisfaction based on empathy with the level of importance and satisfaction level at the Bagan Batu Health Center with P-Value (0.0059) <0.05. Based on the above, the Bagan Batu Health Center is expected to pay more attention to the services offered to achieve a maximum level of patient satisfaction.Keywords: Patient Satisfaction, JKN, Puskesmas

Kinerja perawat ditinjau dari gaya kepemimpinan, motivasi dan beban kerja Simangunsong, Pahala Maringan Jubel; Sibagariang, Eva Ellya; Sianipar, Milka Rositi; Pohan, Nurhayati Lindung; Hia, Teresia Lisnawati
Jurnal Kesmas Prima Indonesia Vol. 7 No. 2 (2023): Edisi Juli
Publisher : Program Studi Sarjana Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jkpi.v7i2.3956

Perawat merupakan aset yang sangat berharga bagi fasilitas medis sehingga kinerja mereka berpengaruh dalam membantu fasilitas dalam mencapai tujuan kinerja secara keseluruhan. Studi kuantitatif ini menggunakan desain cross-sectional yang dilakukan di salah satu puskesmas yang termasuk wilayah Kota Medan selama bulan Agustus 2020. Populasi penelitian ini adalah seluruh pegawai puskesmas yang berjumlah 46 tenaga kesehatan yang keseluruhannya diikutsertakan sebagai subjek penelitian (total sampling). Pengumpulan data pada penelitian ini menggunakan kuesioner. Hasil penelitian dianalisis dengan menggunakan uji Chi square (α=0,05). Hasil studi menunjukkan bahwa gaya kepemimpinan (p=0,001), motivasi (p=0,000) dan beban kerja (p=0,000) berhubungan signifikan dengan kinerja perawat.

THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDES TOWARD A HEALTHY LIFESTYLE AMONG PATIENTS WITH TYPE II DIABETES MELLITUS AT MEDAN JOHOR COMMUNITY HEALTH CENTER Reny Indriany Harahap; Pahala Simangunsong; Hartono Hartono
HEARTY Vol 14 No 2 (2026): APRIL
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i2.22991

Diabetes mellitus continues to increase in prevalence in Indonesia and worldwide. It is a metabolic disorder characterized by chronic hyperglycemia resulting from impaired insulin secretion or insulin resistance. The most common type is Type II diabetes mellitus, which is often associated with lifestyle and dietary patterns. The World Health Organization estimates that the number of patients with diabetes mellitus in Indonesia will reach 21.3 million people. This study aims to determine the relationship between knowledge and attitudes among patients with Type II diabetes mellitus at Medan Johor Community Health Center. This study employed a quantitative method with a cross-sectional approach. The study population consisted of 2,210 patients with Type II diabetes mellitus, with a sample of 100 respondents selected using the Slovin formula. Data analysis was conducted using bivariate and multivariate tests to determine the relationship and influence between variables. The results showed that knowledge (p = 0.003) and attitudes (p = 0.004) had a significant relationship with a healthy lifestyle among patients with Type II diabetes mellitus.

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