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Faktor-Faktor yang Berperan pada Kejadian Hipertensi pada Pasien Poli Penyakit dalam RSUD Sidikalang Napitupulu, Runggu Retno J; Sihombing, Jenny Ria; Silalahi, Maruatas; Pasaribu, Maikel
Malahayati Nursing Journal Vol 6, No 11 (2024): Volume 6 Nomor 11 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i11.17281

Abstract

ABSTRACT The number of patients with a history of hypertension continues to increase. The general risk factors that cause hypertension include age, gender, family history of the use of chemical substances such as cigarettes and genetics, which are risk factors that cannot be changed/controlled, the habit of consuming salt, consuming alcoholic beverages, consuming saturated fats, lack of physical activity. This study aims to determine the factors that play a role in hypertension in Internal Medicine Polyclinic patients at Sidikalang Regional Hospital. This research uses a descriptive method with a total sampling design. Of the 80 research respondents, most respondents had an age range of 46-55 years (38.8%), the same gender ratio, had a history of hypertension (76.2%), stage 2 hypertension (51.3%) , good nutritional status and above (65.0%), likes to consume meat (52.5%), likes to consume vegetables (86.2%), does not consume flavorings (52.5%), likes salty food (75, 0%), heavy smokers (17.5%), duration of cigarette consumption, namely 41-60 years (25.0%), level II alcohol drinkers (26.3%), often consume palm wine (65.0%), Good sleep patterns (77.5%) and no exercise (62.5%). Most of the respondents were stage 2 hypertension patients and were hypertension patients aged 46-65 years who still had a lifestyle that could increase the risk of developing hypertension. Keywords: Hypertension, Internal Medicine, Poly Patients  ABSTRAK Jumlah Pasien dengan riwayat hipertensi terus meningkat. Adapun faktor risiko umum yang menyebabkan hipertensi antara lain umur, jenis kelamin, riwayat keluarga penggunaan zat kimia seperti rokok dan genetik, yang merupakan  faktor risiko yang tidak dapat diubah/dikontrol, kebiasaan mengonsumsi garam, konsumsi minuman keras, konsumsi lemak jenuh, kurang aktifitas fisik. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berperan pada penyakit hipertensi pada pasien Poli Penyakit Dalam RSUD Sidikalang. Metode : Penelitian ini menggunakan metode deskriptif dengan desain total sampling.   Dari 80 responden penelitian, kebanyakan responden memiliki rentang usia 46-55 tahun (38,8%), perbandingan jumlah jenis kelamin yang sama, memiliki riwayat hipertensi (76,2%), derajat hipertensi stase 2 (51,3%), status gizi baik dan lebih (65,0%), suka mengkonsumsi daging (52,5%), suka mengkonsumsi sayur (86,2%), tidak mengkonsumsi penyedap (52,5%), suka makanan yang asin (75,0%), perokok berat (17,5%), lama konsumsi rokok yakni selama 41-60 tahun (25,0%) , peminum alkohol level II (26,3%), sering mengkonsumsi tuak (65,0%), Pola tidur yang baik (77,5%) dan tidak berolahraga (62,5%). Sebagian besar responden merupakan pasien hipertensi stase 2 dan merupakan pasien hipertensi yang memiliki umur 46-65 tahun yang masih memiliki  pola hidup yang dapat meningkatkan resiko terjadinya hipertensi. Kata Kunci: Hipertensi, Penyakit Dalam, Pasien Poli
PERBANDINGAN OBAT ANTI JAMUR KETOCONAZOLE DAN SALEP 2-4 PADA KASUS TINEA PEDIS DI TEMPAT PEMBUANGAN AKHIR SAMPAH TERJUN KOTA MEDAN Ketaren, Divanya Regatha; Suhartomi, Suhartomi; Fadillah, Qori; Panjaitan, Joice Sonya Gani; Syarifah, Siti; Sihombing, Jenny Ria
Kieraha Medical Journal Vol 6, No 2 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i2.9100

Abstract

Tinea Pedis merupakan salah satu infeksi jamur superfisial kulit yang paling umum di seluruh dunia yang bersifat menular dan berulang. Infeksi ini sering kali tertular secara kontak langsung dengan spora organisme penyebab atau bagian kulit yang terinfeksi. Prevalensi global tinea pedis diperkirakan sekitar 3% dengan risiko seumur hidup mencapai 70%. Prevalensi pada remaja dan dewasa lebih tinggi dibandingkan pada anak-anak. Kejadian tertinggi terjadi antara usia 16 dan 45 tahun saat aktivitas tinggi. Tujuan penelitian ini adalah untuk melihat perbandingan efektivitas antara obat anti jamur ketoconazole dengan Salep 2 - 4 yang mengandung salisilat dalam mengobati penyakit infeksi jamur di Tempat Pembuangan Akhir Sampah Terjun Kota Medan. Penelitian ini merupakan penelitian eksperimental uji klinis, yakni uji klinis acak terkontrol (Randomized Controlled Trial) yang dilakukan di Tempat Pembuangan Akhir Sampah Terjun Kota Medan sebanyak 32 pemulung dan petugas sampah, dibagi menjadi dua kelompok yaitu salep ketoconazole dan salep 2 - 4 dilakukan selama 14 hari dengan follow up pada hari ke - 4, 8, 14. Hasil pengobatan pada hari ke - 4 dengan angka kesembuhan salep ketoconazole (56.25%), salep 2-4 (18.75%) dengan nilai P = 0.028. Pada hari ke - 8 angka kesembuhan salep ketoconazole (68.75%) salep 2 - 4 (31.25%) dengan nilai P = 0.034. Pada hari ke – 14 angka kesembuhan salep ketoconazole (93.75%) salep 2-4 (56.25%) dengan nilai P = 0.037. Kesimpulan dari terdapat perbandingan efektivitas antara obat anti jamur ketoconazole dan salep 2-4 dalam mengobati infeksi jamur tinea pedis.
DESCRIPTION OF KNOWLEDGE LEVEL, ATTITUDES, AND BEHAVIOR IN THE USE OF FACIAL WHITENING COSMETICS AMONG FEMALE STUDENTS OF THE FACULTY OF MEDICINE, HKBP NOMMENSEN UNIVERSITY MEDAN, 2024 Purba, Cory Anita; Panjaitan, Rudyn Raymond; Sihombing, Jenny Ria
Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Vol. 12 No. 2 (2025): Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Univers
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/jkk.v12i2.641

Abstract

This is a descriptive study with a crossectional design. With the total sampling technique is obtained 71 female respondents who used whitening cosmetics. The results showed that the average age of the class of 2021 is 21.2 years, the average age of the class of 2024 is 20.2 years and the average age of the class of 2023 is 18.8 years. The description of the level of knowledge is sufficient (52.1%). The majority of the level of knowledge is found in the class of 2023 (59.1%). Description of the level of capable attitude (81.7%). The level of attitude that is able to be the majority in the class of 2022 (89.5%). The description of the level of behavior is quite capable (54.9%). The level of behavior is quite majority in the class of 2022 (79%).
UJI PERBANDINGAN EKSTRAK DAUN SIRIH HIJAU (Piper betle l.) DAN CEFADROXIL TERHADAP KADAR HEMOGLOBIN PADA TIKUS WISTAR YANG TERINFEKSI Staphylococcus aureus Sihombing, Jenny Ria; Meliala, Terang; Naibaho, Tracy Angelique P
Kieraha Medical Journal Vol 7, No 1 (2025): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v7i1.9214

Abstract

Penelitian ini bertujuan untuk membandingkan pengaruh pemberian ekstrak daun sirih hijau (Piper betle L.) dan cefadroxil terhadap kadar hemoglobin pada tikus Rattus norvegicus yang terinfeksi Staphylococcus aureus. Penelitian ini melibatkan lima kelompok perlakuan, yaitu kontrol negatif, kontrol positif, dan tiga dosis ekstrak daun sirih hijau (300 mg/KgBB, 500 mg/KgBB, dan 1000 mg/KgBB). Kadar hemoglobin diukur menggunakan automatic hematology analyzer pada akhir penelitian. Hasil penelitian menunjukkan bahwa pemberian cefadroxil dapat meningkatkan kadar hemoglobin secara signifikan, sedangkan pemberian ekstrak daun sirih hijau dengan dosis yang berbeda tidak memberikan efek yang signifikan terhadap kadar hemoglobin. Meskipun demikian, ekstrak daun sirih hijau menunjukkan aktivitas antibakteri yang kuat terhadap Staphylococcus aureus. Dapat disimpulkan bahwa ekstrak daun sirih hijau, meskipun tidak meningkatkan kadar hemoglobin, memiliki potensi sebagai agen antibakteri.
Pengaruh Pemberian Ekstrak Buah Alpukat (Persea americana mill) terhadap Kadar Trigliserida Darah Pada Tikus (Rattus norvegicus) Putih Jantan Obesitas Sirait, Dewi Suryaningsih; Sihombing, Jenny Ria; Sipayung, Novreka
Nommensen Journal of Medicine Vol 8 No 1 (2022): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v8i1.629

Abstract

Background: Triglycerides are a type of fat the blood obtained from the breakdown of food. The body uses triglycerides as the main element in the formation of energy and various metabolic processes and the formation of cell membranes to perform other cell functions.Objective: The study aims to determine whether there is the effect of giving the extract of avocado (Persea americana mill) on triglyceride blood levels in obese male white rats and to determine triglyceride levels before and after administration of the extract of avocado.Methods: The design of this study used precilincal experimental design with pre-post design (one-group pretestpostest). The sample of this study was 10 samples of obese male white rats and met the inclusion and exclusion criteria. Sampling was out by taking blood from the tail of the obese male white rats. Data analysis in the study was carried out by bivariate method, normality test using the Shapiro-Wilk test.Results: From the analysis, the data results showed the mean of control rats before and after treatment of 165.6 mg/dL and 126.4 mg/dL with SD 23.50 and 28.02. The mean of treatment rats before and after 172.2 mg/dL and 124.0 mg/dL with SD 41.08 and 38.26 and obtained p value <0.001.Conclusion: There is an effect of giving the extract of avocado to th triglyceride levels in obese male white rats
Hubungan Rasio Neutrofil-Limfosit (RNL) dengan Derajat Keparahan Pasien COVID-19 di Rumah Sakit Martha Friska Medan Tahun 2021 Sipahutar, Nathalia Elizabeth Rouli; Dairi, Leonardo Basa; Sibarani, Joseph Partogi; Sihombing, Jenny Ria
Nommensen Journal of Medicine Vol 9 No 1 (2023): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i1.688

Abstract

ABSTRACT Background: COVID-19 is a disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) which is rapidly transmitted in humans. Systemic inflammation will cause changes in leukocytes in the circulation which can lead to neutrophilia and lymphocytopenia. In COVID-19, the neutrophil-lymphocyte ratio (NLR) can be used as a predictor of disease severity in the early stages. An increase in NLR can reflect an increased inflammatory process and can predict severity. This study aims to determine relationship between NLR and the severity of COVID-19 patients at Martha Friska Hospital Medan in 2021. Methods: The design of this research is observational analytic with cross sectional method. Samples was taken from medical records of COVID-19 patients at Martha Friska Hospital Medan from January-March 2021 with consecutive sampling method and obtained 74 samples. This research was done in November 2021. The analysis of the data processed by the univariate frequency distribution table and the SPSS version 25 program was carried out bivariately using the Chi Square test. Results: From 74 COVID-19 patients, RNL <3.13 obtained 29 people (93%) with mild severity, 2 people (7%) moderate severity and no patients with severe-critical severity. COVID-19 patients with RNL 3.13 is 6 people (14%) with mild severity, 20 people (46%) with moderate severity, 17 people (40%) with severe-critical severity. This study showed there was a relationship between NLR and the severity of COVID-19 patients (p=0.000). Conclusion: There is a relationship between NLR and the severity of COVID-19 patients. Keywords : COVID-19 severity, neutrophil-lymphocyte ratio ABSTRAK Latar Belakang : COVID-19 adalah suatu penyakit yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) yang bersifat cepat menular sesama manusia. Peradangan yang terjadi secara sistemik dapat menyebabkan perubahan leukosit dalam sirkulasi yang dapat membuat perubahan pada neutrofilia dan limfositopenia. Rasio neutrofil-limfosit (RNL) pada pasien COVID-19 dapat digunakan sebagai prediktor keparahan penyakit pada fase awal infeksi penyakit. RNL yang meningkat dapat diartikan sebagai proses peningkatan inflamasi. Penelitian ini bertujuan untuk mengetahui hubungan antara RNL dengan derajat keparahan pasien COVID-19 di Rumah Sakit Martha Friska Medan tahun 2021. Metode : Penelitian ini memiliki desain analitik observasional dengan metode cross sectional. Sampel penelitian diambil dari data rekam medik pasien COVID-19 di Rumah Sakit Martha Friska Medan dari Januari-Maret 2021 dengan metode consecutive sampling dan didapatkan 74 sampel. Penelitian dilakukan pada bulan November 2021. Analisis data yang diolah dengan tabel distribusi frekuensi secara univariat dan dengan program SPSS versi 25 dilakukan secara bivariat menggunakan uji Chi Square. Hasil : Dari 74 pasien COVID-19, nilai RNL 3,13 didapatkan 29 orang (93%) dengan derajat keparahan ringan, 2 orang (7%) derajat keparahan sedang dan tidak didapatkan pasien dengan derajat keparahan berat-kritis. Pasien COVID-19 dengan RNL 3,13, sebanyak 6 orang (14%) derajat keparahan ringan, 20 orang (46%) dengan derajat keparahan sedang, 17 orang (40%) derajat keparahan berat-kritis. Penelitian ini menunjukkan terdapat hubungan antara RNL dengan derajat keparahan pasien COVID-19 (p=0,000). Kesimpulan : Terdapat hubungan antara RNL dengan derajat keparahan pasien COVID-19. Katakunci : Derajat keparahan COVID-19, rasio neutrofil-limfosit
Gambaran Profil Hematologi Rutin Pasien TB Paru Sebelum dan Sesudah Pengobatan dengan Obat Antituberkulosis Sitanggang, Ervina Julien; Sihombing, Jenny Ria
Nommensen Journal of Medicine Vol 9 No 1 (2023): Nommensen Journal of Medicine: Edisi Agustus
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36655/njm.v9i1.1263

Abstract

Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis (M.tb) which often attacks the lung parenchyma and can also attack other organs. Changes can be found in the hematological profile of TB patients both at the time of diagnosis and after treatment. Objective: This study was conducted to obtain routine hematological profiles of pulmonary TB patients before and after treatment with anti-tuberculosis drugs for 3 months, 4 months, and 5 months. Methods: This study was an observational descriptive study. The population in this study was pulmonary TB patients at Martha Friska Hospital and Hermina Medan Hospital for the period October 2021-August 2022. The samples in this study were taken from medical record data of all pulmonary TB patients at Martha Friska Hospital and Hermina Medan Hospital for the period of October 2021-August 2022 (total sampling). Results: In this study, 39 research subjects were obtained, age range of 15-79 years. Before treatment, the majority of patients had anemia (76.92%), leukocytosis (61.54%), normal platelets (66.67%), and elevated ESR (53.85%). After 3 months of treatment, anemia was experienced by 30%, leukocytosis by 0%, normal platelets by 80%, and elevated ESR by 20% of patients. After 4 months of treatment, anemia was experienced by 52.17%, leukocytosis by 4.35%, normal platelets by 65.22%, and elevated ESR by 4.35% of patients. After 5 months of treatment, anemia was experienced by 50%, leukocytosis by 0%, platelets normal by 83.33%, and elevated ESR by 0% of patients. Conclusion: The majority of patients develop anemia, leukocytosis, and elevated ESR before treatment with antituberculosis drugs. There was a decrease in the proportion of patients who developed anemia, leukocytosis, and an elevated ESR after treatment with antituberculosis drugs for 3 months, 4 months, and 5 months.
PERBANDINGAN OBAT ANTI JAMUR KETOCONAZOLE DAN SALEP 2-4 PADA KASUS TINEA PEDIS DI TEMPAT PEMBUANGAN AKHIR SAMPAH TERJUN KOTA MEDAN Ketaren, Divanya Regatha; Suhartomi, Suhartomi; Fadillah, Qori; Panjaitan, Joice Sonya Gani; Syarifah, Siti; Sihombing, Jenny Ria
Kieraha Medical Journal Vol 6, No 2 (2024): KIERAHA MEDICAL JOURNAL
Publisher : Fakultas Kedokteran, Universitas Khairun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33387/kmj.v6i2.9100

Abstract

Tinea Pedis merupakan salah satu infeksi jamur superfisial kulit yang paling umum di seluruh dunia yang bersifat menular dan berulang. Infeksi ini sering kali tertular secara kontak langsung dengan spora organisme penyebab atau bagian kulit yang terinfeksi. Prevalensi global tinea pedis diperkirakan sekitar 3% dengan risiko seumur hidup mencapai 70%. Prevalensi pada remaja dan dewasa lebih tinggi dibandingkan pada anak-anak. Kejadian tertinggi terjadi antara usia 16 dan 45 tahun saat aktivitas tinggi. Tujuan penelitian ini adalah untuk melihat perbandingan efektivitas antara obat anti jamur ketoconazole dengan Salep 2 - 4 yang mengandung salisilat dalam mengobati penyakit infeksi jamur di Tempat Pembuangan Akhir Sampah Terjun Kota Medan. Penelitian ini merupakan penelitian eksperimental uji klinis, yakni uji klinis acak terkontrol (Randomized Controlled Trial) yang dilakukan di Tempat Pembuangan Akhir Sampah Terjun Kota Medan sebanyak 32 pemulung dan petugas sampah, dibagi menjadi dua kelompok yaitu salep ketoconazole dan salep 2 - 4 dilakukan selama 14 hari dengan follow up pada hari ke - 4, 8, 14. Hasil pengobatan pada hari ke - 4 dengan angka kesembuhan salep ketoconazole (56.25%), salep 2-4 (18.75%) dengan nilai P = 0.028. Pada hari ke - 8 angka kesembuhan salep ketoconazole (68.75%) salep 2 - 4 (31.25%) dengan nilai P = 0.034. Pada hari ke – 14 angka kesembuhan salep ketoconazole (93.75%) salep 2-4 (56.25%) dengan nilai P = 0.037. Kesimpulan dari terdapat perbandingan efektivitas antara obat anti jamur ketoconazole dan salep 2-4 dalam mengobati infeksi jamur tinea pedis.
KNITTING UNITY THROUGH TONE: STRENGTHENING NATIONALISM THE NATION'S CHILDREN THROUGH THE ART OF SOUND Batubara, Junita; Marbun, Juliaster; Parulian, Parulian; Sihombing, Jenny Ria; Nopelin, Nancy; Sinaga, Dearlina; Elfrida, Rotua
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 3 (2025): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i3.2944

Abstract

The 2025 Solo Vocal Competition and National Choir organized by Ombas Arts Indonesia is a tangible form of community service that integrates sound arts with character education and strengthening nationalist values. Through the active participation of children aged 9-14 years from various regions, this activity aims to instill the spirit of nationalism, strengthen cultural identity, and shape the character of the younger generation through meaningful musical expression. This activity is designed as an educational and inclusive space, where vocal art is used as a medium of social and emotional learning. This article examines the background of the activity, the implementation method, as well as the results and social impact on the participants and the surrounding community. The analysis was conducted with an art-based character education approach and supported by academic literature and community-based art practices. The results of the study show that art activities such as national vocal competitions are able to strengthen the love of the homeland, increase children's confidence, and build social cohesion between participants and supporting institutions. This article recommends the development of similar activities as a sustainable strategy in character education and art service to the community.
The Efficacy of Soursop Leaf Extract as a Hepatoprotector in White Rats Rattus norvegicus Induced by the Antituberculosis Drugs Isoniazid and Pyrazinamide Runggu Retno Justiani Napitupulu; Jenny Ria Sihombing; Bernika Ayu Frastika; Greace Ari Sulastry Aritonang
Jurnal EduHealth Vol. 14 No. 04 (2023): Jurnal eduHealt, 2023, December
Publisher : Sean Institute

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

Abstract

The use of antituberculosis drugs isoniazid and pyrazinamide triggers hepatotoxicity. Soursop leaves have a hepatoprotective effect because they contain antioxidant compounds that can help inhibit and prevent oxidative damage to the liver. This study aims to determine the effect of soursop leaf extract on the histopathological appearance of rat liver induced by isoniazid and pyrazinamide. This research is a laboratory experimental research using design posttest only control group design. This study used 24 rats Wistar divided into four groups and given treatment for 14 days. The negative control group was not given soursop leaf extract. The positive control group was given isoniazid and pyrazinamide, the treatment group I was given isoniazid and pyrazinamide and 1 hour later continued with soursop leaf extract 72 mg/day giving soursop leaf extract 144 mg/day. The dose of isoniazid used was 189 mg/day, while the dose of pyrazinamide was 252 mg/day. Termination of rats was carried out on the 15th day to collect rat liver organs. Furthermore, histopathological examination of the rat liver was carried out. The results showed that the rats in the negative control group had normal histopathological features. In the positive control group, there was a picture of hydropic degeneration. The histopathological picture of the rat liver in the treatment group 1 showed a picture of parenchymatous degeneration and in the treatment group 2, the liver cells were normal. Administration of soursop leaf extract affected the histopathological picture of rat liver induced by isoniazid and pyrazinamide.