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All Journal Jurnal Kreativitas PKM Best Journal (Biology Education, Sains and Technology) Nommensen Journal of Medicine International Journal of Public Health Excellence (IJPHE) Jurnal Kedokteran STM (Sains dan Teknologi Medik) Jurnal Kedokteran Ibnu Nafis Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Jurnal Perilaku Kesehatan Terpadu Journal of Asian-african Focus in Health
Sari, Siti Kemala
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Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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The Influence of Climate Change on the Spread of Infectious Diseases in Coastal Regions Siregar, Okkis Razuansyah; Sari, Siti Kemala; Kosasih, Edward
Journal of Asian-african Focus in Health Vol. 3 No. 1 (2025): Journal of Asian-african Focus in Health
Publisher : ScieClouds Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71435/610856

Abstract

Climate change has significantly influenced the spread of infectious diseases, particularly in coastal regions where rising temperatures, increased precipitation, and extreme weather events create favorable conditions for disease transmission. This study examines the relationship between climate change and the prevalence of vector-borne and waterborne diseases in coastal communities, addressing gaps in previous research that primarily focused on macro-level epidemiological trends. Using a quantitative approach, data were collected from multiple coastal regions, analyzing climate variables and disease incidence rates. The findings reveal a strong correlation between increasing temperatures and the expansion of disease vectors such as mosquitoes, contributing to higher cases of malaria and dengue fever. Additionally, poor drainage systems and inadequate sanitation were found to exacerbate the spread of cholera and typhoid fever. While community-driven adaptation strategies—such as improved water storage and mosquito control—play a role in mitigating risks, institutional responses remain fragmented, limiting long-term disease prevention efforts. This study underscores the urgent need for climate-resilient public health infrastructure, decentralized early warning systems, and the integration of public health and climate adaptation policies to reduce disease outbreaks in vulnerable coastal populations. Future research should explore longitudinal data on climate-disease interactions and assess the effectiveness of policy-driven interventions. The findings contribute to a deeper understanding of how climate change exacerbates public health risks and highlight the necessity for proactive, evidence-based strategies to enhance resilience in coastal regions.
Evaluation of Antibiotic Use in Child Patients with Acute Respiratory Tract Infection (ARI) Damanik, Nadya Anggraini; Rangkuti, Irma Yanti; Sulistiasari, Refi; Sari, Siti Kemala
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 2 (2025): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i2.1298

Abstract

Background: Acute respiratory infections (ARI) are still a major cause of high morbidity and mortality, with more than 12 million cases per year worldwide. Indonesia is one of the countries with a high burden of ARI with 6 million cases. Antibiotic resistance in bacteria that causes ARI is also increasing, so it is important to evaluate the rationality of antibiotic use. Objective: To evaluate the use of antibiotics in pediatric patients with acute respiratory infections (ARI) using the Gyssens method at Medan Hospital. Methods: Descriptive research with Gyssens method. Results: The majority of patients were toddlers with an age range of 12-59 months (47.7%). Male (64.6%), and female (35.4%). The most common diagnosis was pneumonia with a percentage of 90.8%. Ceftriaxone injection (78.5%) was most commonly used. The Gyssens method showed that category 0 was 52.3%, IIA 24.6%, and IIIB 23.1%. Conclusion: The use of antibiotics in pediatric ARI patients at Medan Hospital is mostly rational.
Variasi Bentuk Lengkung Longitudinal Medial Kaki pada Laki-Laki dan Perempuan Dewasa Muda Pasaribu, Saadatur Rizqillah; Siregar, Nondang Purnama; Pasaribu, Rifqi Hamdani; Sari, Siti Kemala; Adnani, Athika
Nommensen Journal of Medicine Vol 11 No 1 (2025): Nommensen Journal of Medicine Edisi: Agustus 2025
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v11i1.1855

Abstract

The medial longitudinal arch is a part of the plantar foot with clinical significance. Three variations of the medial longitudinal arch consist of normal, low, and high arches. These variations are caused by intrinsic factors such as gender. Failure to form the normal medial longitudinal arch leads to poor posture and balance. Variation in the shapes of the medial longitudinal arch can be assessed using footprints, namely the arch index. This study aims to identify the variations in the medial longitudinal arch between young adult males and females. The research is descriptive-analytic with a cross-sectional study design. The subjects are young adults aged 18-22 years. Sampling using the simple random sampling technique with a sample size of 54 participants. The medial longitudinal arch shape was evaluated using the footprint method with the arch index. The majority of participants (72.2%, 39 participants) were female, according to the results. The most age group was 21 years old 23 participants (42.6%). The highest average arch index (0.29) was in the male participants. The most prevalent normal medial longitudinal arch shape was observed in females 28 participants (71.8%). In males, the low arch was most common among 11 participants (73.35%), while the high arch was found in 5 female participants (12.8%). The Mann-Whitney statistical test showed p < 0.05. This study concludes that the medial longitudinal arch forms vary between young adult males and females.
The Influence Of Knowledge Of Pulmonary Tuberculosis Patients On Compliance With Taking Anti-Tuberculosis Drugs Sari, Siti Kemala; Rangkuti, Irma Yanti; Umri, Rizkia Annisa; Wardani, Kesuma
BEST Journal (Biology Education, Sains and Technology) Vol 6, No 2 (2023): September 2023
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v6i2.8148

Abstract

Pulmonary tuberculosis (TB) is the second infectious disease in the world after Covid-19 and the thirteenth leading cause of death worldwide in 2021. Indonesia has the second highest number of TB patients in the world after India. TB can be cured with regular treatment for 6 months. Prolonged treatment can cause TB patients to become bored and lead to drug withdrawal, causing drug resistance problems. The better the patient's knowledge about TB disease, length of treatment, side effects and complications can influence the decision to encourage patients to adhere to their treatment. The success of Tuberculosis treatment is influenced by patient compliance in taking medication. The type of research used was observational analytic with a cross sectional approach to determine the relationship between knowledge and adherence to taking medication. . Respondents of this study were pulmonary TB patients at Tanjung Rejo Percut health center as many as 51 people. This study used a questionnaire in its implementation. The analysis test used is the gamma test. The results of the study showed a relationship between knowledge and compliance with taking antituberculosis drugs in pulmonary tuberculosis patients. (p value 0.023). The results of the study showed that the majority of male gender, productive age, the final category of treatment was complete (92.2%), namely cured (53.0%), not cured (39.2%) and incomplete (7.8%). The majority of patients' knowledge was 78.4% in the good category and the majority of TB patients' medication compliance was 64.7% in the high compliance category
Correlation Of Parents' Level Of Knowledge With Actions Against Refractive Directness In Children Aged 5 – 8 Years At State Primary School Siregar, Okkis Razuansyah; Sari, Siti Kemala; Kosasih , Edward
Jurnal Perilaku Kesehatan Terpadu Vol. 2 No. 2 (2023): Jurnal Perilaku Kesehatan Terpadu (Jupiter)
Publisher : Hasanuddin Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61963/jpkt.v2i2.83

Abstract

Refractive errors are the third most common cause of blindness. Uncorrected refractive errors in children will disrupt their learning process. Good parental knowledge and action regarding disorders will be able to prevent vision problems in children. This study aims to study the correlation between parents' level of knowledge and actions regarding refractive errors in children. The design of this research is cross sectional analytic. The sample for this research was parents of students at SD Negeri 101751 Klambir V grades 1 and 2. The sample size was 61 respondents. The sampling technique used simple random sampling. The instrument used in the research was a questionnaire. The data obtained was tested using Spearman analysis. The results of this study show that there is a significant correlation between the level of parental knowledge and actions regarding refractive errors in children with a value of p < 0.05 (p = 0.000). The close relationship between variables is moderate with a value of r=0.478. The level of parents' knowledge of refractive errors is significantly related to their actions. It is hoped that there will be a promotional program from the health department to provide education or counseling regarding eye health, and visual acuity screening, for early detection of refractive errors in children.
STRATEGI PEMBERIAN PEMAHAMAN DAN SIKAP IBU TENTANG IMUNISASI DASAR DAN LANJUTAN PADA BAYI DAN BALITA DI DESA KOLAM KECAMATAN PERCUT SEI TUAN KABUPATEN DELISERDANG: STRATEGIES FOR PROVIDING UNDERSTANDING AND ATTITUDES OF MOTHERS ABOUT BASIC AND ADVANCED IMMUNIZATION FOR INFANTS AND TODDLERS IN KOLAM VILLAGE, PERCUT SEI TUAN DISTRICT, DELI SERDANG REGENCY Pasaribu, Saadatur Rizqillah; Yusria, Anna; Handayani, Dewi Yanti; Mustika, Suryani Eka; Darungan, Tezar Samekto; Siregar, Nondang Purnama; Sari, Siti Kemala; Ismail, Wan Muhammad; Adnani, Athika; Pasaribu, Rifqi Hamdani
Jurnal Kedokteran Ibnu Nafis Vol. 14 No. 2 (2025): Desember 2025
Publisher : Fakultas Kedokteran Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/jkin.v14i2.1070

Abstract

Kegiatan Kuliah Kerja Nyata Tematik Fakultas Kedokteran Universitas Islam Sumatera Utara tahun 2024 dilaksanakan di Desa Kolam, Kecamatan Percut Sei Tuan, Kecamatan Deli Serdang bertujuan mengidentifikasi masalah kesehatan masyarakat. Berdasarkan hasil observasi diperoleh salah satu masalah kesehatan yang ditemukan di desa ini adalah kurangnya pemahaman dan sikap ibu tentang pentingnya pemberian imunisasi dasar dan lanjutan pada bayi dan balita. Kurangnya pemahaman dan sikap disebabkan karena beberapa faktor. Dalam hal penyelesaian masalah dilakukan beberapa strategi yang bertujuan memberikan pemahaman dan sikap ibu, di antaranya dengan melakukan posyandu, pemeriksaan kesehatan dan penyuluhan. Penyuluhan dirancang secara pasrsipatif dan interaktif. Hasil kegiatan ini menunjukkan adanya respon yang baik dari ibu terhadap pentingnya pemberian imunisasi. Respon yang baik akan berdampak pada perubahan sikap yang dapat dilihat dari kunjungan ibu ke posyandu untuk melakukan imunisasi.
Jenis Paduan Obat Anti Tuberkulosis pada Pasien Tuberkulosis Resistan Obat Putri, Silvia Katarina; Rangkuti, Irma Yanti; Nasution, Dian Indah Pratama Sari; Sari, Siti Kemala
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 2 (2026): Volume 9 Nomor 2 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i2.24217

Abstract

ABSTRAK Tuberkulosis resistan obat (TB RO) merupakan salah satu ancaman dan bagian terpenting dalam terapi dan pengendalian tuberkulosis. TB RO merupakan masalah buatan manusia yang mengakibatkan tingginya angka kejadian tuberkulosis di sebagian negara yang memiliki riwayat pengendalian TB yang buruk. Pengobatan pada pasien tuberkulosis resistan obat lebih sulit dan dapat menimbulkan efek samping yang lebih banyak. Pengobatan yang digunakan pada pasien TB RO dyaitu obat anti tuberkulosis lini kedua yang terdiri dari dua paduan pengobatan dan diberikan dalam durasi waktu yang lama. Penelitian ini bertujuan untuk mengetahui jenis paduan obat anti tuberkulosis pada pasien tuberkulosis resistan obat di Rumah Sakit Khusus Paru Provinsi Sumatera Utara. Penelitian ini menggunakan metode deskriptif dengan desain cross-sectional. Teknik pengambilan sampel pada penelitian ini menggunakan total sampling dengan jumlah sampel 39. Laki-laki 30 pasien (76,92%), umur 35-43 tahun, 11 pasien (28,21%), SMA 25 Pasien (67,74%), tidak bekerja 12 pasien (30,77%), IMT berat badan kurang 18 pasien (46,15%), dan Jawa 18 pasien (46,15%). Lama pengobatan bervariasi mulai dari 1-20 bulan dan terbanyak pada 16 bulan 8 pasien (20,52%). Paduan jangka panjang 34 pasien (87,18%). Pasien TB RO mayoritas menggunakan paduan obat anti tuberkulosis jangka panjang. Kata Kunci: Jenis OAT, TB RO.  ABSTRACT Drug-resistant tuberculosis (DR-TB) is one of the most important threats to the treatment and control of tuberculosis. DR-TB is a man-made problem that results in a high incidence of tuberculosis in some countries with a history of poor TB control. Treatment of patients with drug-resistant tuberculosis is more difficult and can cause more side effects. The treatment used in patients with DR-TB is a second-line anti-tuberculosis drug that consists of two treatment combinations and is given for a long duration of time. This study aims to determine the type of anti-tuberculosis drug combination in patients with drug-resistant tuberculosis at the Hospital for Special Lung of North Sumatra. This study used descriptive method with cross-sectional design. The sampling technique in this study used total sampling with a total sample of 39. Male 30 patients (76.92%), age 35-43 years, 11 patients (28.21%), high school 25 patients (67.74%), not working 12 patients (30.77%), underweight BMI 18 patients (46.15%), and Java 18 patients (46.15%). The length of treatment varied from 1-20 months and most at 16 months 8 patients (20.52%).  Long-term combination 34 patients (87.18%). The majority of DR-TB patients used long-term anti-tuberculosis drug combination Keywords: Type of OAT, TB RO.
Co-Authors Adelia, Salwa Aktalina, Lucia Anshori, Putra Athika Adnani Ayu, Mayang Sari Damanik, Nadya Anggraini Darungan, Tezar Samekto Devy, Sisca Handayani, Dewi Yanti Hasibuan, Rizki Annisa Umri Hotmatua, Julahir Hodmatua Ira Cinta Lestari Ismail, Wan Muhammad Kesuma Wardani Kosasih , Edward Kosasih, Edward Maharani, Sonia Makmur, Tri Meri Susanti Nasution, Dian Indah Pratama Sari Ningrum, Yuland Fadillah Kesuma Oktaria, Selly Pangestuti, Dewi Pasaribu, Rifqi Hamdani Pasaribu, Saadatur Rizqillah Putri, Silvia Katarina rangkuti, irma yanti Rangkuti, Irmayanti Ritonga, Tiara Arlini Rizkillah, Saadur Rizqillah Pasaribu, Saadatur Selly Oktaria Siregar, Julahir Hodmatua Siregar, Nondang Purnama Siregar, Okkis Razuansyah Subhan, Aulia Sulistiasari, Refi Suryani Eka Mustika Umri, Rizkia Annisa Yusria, Anna