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A Analysis Of Occupational Safety and Health Promotion Implementation On Employees At Pt. Siantar Ice Factory RAMAWATI, NURVITA; Barita Aritonang; Sri Ulina
JURNAL KESMAS DAN GIZI (JKG) Vol. 7 No. 1 (2024): 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/jkg.v7i1.2332

Abstract

Background: Mortality rates over time can describe the state and development of public health. Maternal Mortality Rate is one of the important indicators in determining the health of the community. Improving the health status of mothers and children (KIA) is still one of the main priorities in health development in Indonesia, due to the still high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia.Objectives: o analyze the implementation of occupational safety and health promotion for Employees at PT. Pabrik Es Siantar.Research method: ualitative method with a qualitative descriptive approach that does not provide treatment to research subjects with qualitative research that aims to explore a problem with detailed limitations, as well as in-depth data collection.Results: The number of informants in this study was 7 people. Data collection was carried out using an in-depth interview method equipped with a voice recorder to 7 informants. Based on the results of the research conducted, the results of the analysis showed that there were still many employees who worked but still ignored the importance of K3 such as not using PPE while working which is one of the things that must be worn while working. this can endanger workers because the risk of work accidents while working is very high, including in the production section.Conclusion: promotion and occupational safety and health facilities are quite good, only employee awareness is still lacking. Suggestions that can be given are Suggestions that can be given are to carry out supervision of all work processes that are further improved so that workers do things outside of work procedures, and to equip personal protective equipment in each division according to their work.
Purification of used Cooking Oil using a Combination of Activated Carbon and Bentonite Adsorbents Aritonang, Barita; Ritonga, Ahmad Hafizullah; Harefa, Karnirius; Wiratma, Dicky Yuswardi; Herlina
Jurnal FARMASIMED (JFM) Vol 7 No 1 (2024): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v7i1.2331

Abstract

The repeated use of cooking oil at high temperatures can significantly degrade its quality, as indicated by darkened color, unpleasant odor, elevated peroxide value (PV), and free fatty acid (FFA) levels. This deterioration can contribute to health risks such as obesity, high cholesterol, heart disease, and cancer. This study investigated the effectiveness of combined activated carbon and bentonite adsorbent in reducing peroxide value and free fatty acid levels in used cooking oil. The purification method involved an adsorption process using a combination of activated carbon derived from mangosteen peel waste and bentonite. The carbonization process was carried out at 600°C for 3 hours, followed by chemical activation with H?PO? at varying concentrations of 1M, 3M, and 5M. Bentonite was activated using 5M HCl. The results demonstrated that 5 grams of activated carbon from mangosteen peel, treated with 5M H?PO?, and bentonite activated with 5M HCl, were highly effective in lowering the peroxide value and free fatty acid levels in used cooking oil. Initially, the PV of the untreated used cooking oil was 16 meq O?/kg, reduced to 3.6 meq O?/kg after treatment with the combined adsorbents. Similarly, the FFA content decreased from 2.2% to 0.09%. Both peroxide value and free fatty acid levels met the standards set by SNI 3741:2013. In conclusion, using activated carbon and bentonite is an efficient method for purifying used cooking oil, as their strong adsorption capacity effectively reduces peroxide value and free fatty acid levels.
Education on Maintaining an Ideal Body Weight to Reduce the Risk of Diabetes Mellitus Among Students at Al-Azhar Private High School in Medan Aritonang, Barita; Syarifuddin, Shofian; Harahap, Hasni Yaturramadhan; Wiratma, Dicky Yuswardi; Marbun, Romauli Anna Teresia
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): 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/jpk.v4i2.2397

Abstract

Diabetes Mellitus (DM) is a chronic condition with increasing prevalence worldwide, including in Indonesia, where the number of affected individuals reached 10.7 million in 2021. One of the main factors contributing to the rising risk of DM in adolescents is obesity, often influenced by unhealthy lifestyle habits. Therefore, education on maintaining an ideal body weight is essential to prevent DM in this age group. This Community Service Program aims to educate the students of SMA Swasta Al-Azhar Medan about the importance of maintaining an ideal body weight to prevent DM. The program combines lectures, interactive discussions, and hands-on activities. It includes a pre-test, educational content delivery, practical exercises, and a post-test. 100 students participated, covering topics such as the relationship between body weight and DM, healthy eating habits, physical activity, and how to monitor weight and calculate Body Mass Index (BMI). The results show significant improvements in students' knowledge about DM, healthy eating, and physical activity. Knowledge of DM increased by 45.5%, understanding of healthy eating improved by 26.1%, and awareness of physical activity grew by 24.3%. Additionally, the average BMI of students decreased by 2.4%, indicating positive lifestyle changes. In conclusion, the program successfully improved students' understanding and encouraged behavioral changes to prevent DM. The increase in knowledge, healthier eating habits, greater physical activity, and reduction in BMI highlight the effectiveness of the educational approach. This program can potentially serve as a model for promoting healthy lifestyles to prevent DM in adolescents.
EKSTRAK KULIT KAYU MANIS ALTERNATIF PENGGANTI EDTA SEBAGAI ANTIKOAGULAN ALAMI Herlina Herlina; Barita Aritonang; Rotua Sumihar Sitorus; Asvia Rahayu
FORTE JOURNAL Vol 4 No 2 (2024): Edisi Juli 2024
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/fj.v4i2.973

Abstract

Kayu manis, dengan kandungan kumarin dan transcinnamaldehyde yang signifikan, telah menarik minat dalam penelitian sebagai agen antikoagulan alami. Kumarin, salah satu komponen utamanya, telah terbukti menghambat sintesis protrombin, menghasilkan efek antikoagulan yang menjanjikan. Penelitian ini bertujuan untuk mengeksplorasi efek antikoagulan dari ekstrak kulit kayu manis secara eksperimental. Hasil menunjukkan bahwa penambahan ekstrak dengan berbagai volume ke dalam darah menghasilkan variasi dalam morfologi sel darah merah. Ekstrak kulit kayu manis dengan volume 80 µL, 120 µL, dan 160 µL pada 1 ml darah di dapatkan sel darah masih berkelompok dan berbentuk bulat tidak sempurna. Sedangkan pada ekstrak kulit kayu manis volume 180 µL didapatkan hasil sel yang sempurna. Meskipun ekstrak kayu manis tidak dapat sepenuhnya menggantikan peran EDTA sebagai antikoagulan, namun memiliki kemampuan dalam menghambat proses pembekuan darah. Kesimpulan dari penelitian ini mengindikasikan bahwa ekstrak kulit kayu manis dapat berfungsi sebagai antikoagulan yang memperlambat proses pembekuan darah, memberikan landasan untuk penelitian lebih lanjut dalam bidang ini.
ANTIBACTERIAL ACTIVITY OF TARO LEAVES EXTRACTCOMBINED WITH ZnO AND ORGANO-ZnO AGAINST Staphylococcus aureus Ahmad Hafizullah Ritonga; Imel Santika; Hasni Yaturramadhan Harahap; Barita Aritonang
FORTE JOURNAL Vol 5 No 1 (2025): Edisi Januari 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/fj.v5i1.1197

Abstract

Staphylococcus aureus is a pathogenic bacterium commonly associated with serious human infections, leading to various health complications. Zinc oxide (ZnO) is well known for its antibacterial properties, while Organo-ZnO, a modified form of ZnO incorporating organic compounds, exhibits even stronger antibacterial potential. Due to their therapeutic properties, Taro leaves (Colocasia esculenta L.) have a long history of traditional use for treating various ailments, including burns and boils. This study aims to identify the active compounds in taro leaves that function as antibacterial agents and to evaluate the combined antibacterial activity of taro leaf extract with ZnO and Organo-ZnO against Staphylococcus aureus. The research was conducted as a laboratory experiment. Phytochemical screening revealed that the taro leaf extract contains alkaloids, flavonoids, tannins, and saponins, which may contribute to its antibacterial effects. Antibacterial activity tests against Staphylococcus aureus showed inhibition zones of 8.5 mm for taro leaf extract, 8.8 mm for 5% ZnO, and 10 mm for 5% Organo-ZnO. The combination of taro leaf extract with 5% ZnO resulted in an inhibition zone of 9.1 mm, while the combination with 5% Organo-ZnO exhibited the highest inhibition zone of 10.7 mm. These results suggest that the ethanol extract of taro leaves possesses significant antibacterial activity against Staphylococcus aureus, and its effectiveness is further enhanced when combined with ZnO and Organo-ZnO. The combination with Organo-ZnO demonstrates the greatest antibacterial potential, indicating its promise for further development in antibacterial applications.
EVALUATION OF THE SPEED OF RESPONSE OF PRIMARY HEALTH CARE WORKERS IN HANDLING PATIENTS WITH HYPERTENSION CRISIS Aritonang, Barita
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 1 (2023): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i1.2521

Abstract

Hypertensive crisis is an emergency condition that requires rapid treatment to prevent complications such as heart failure, stroke, or other organ damage. The speed of response of health workers in primary care is a crucial factor in handling this condition. The purpose of this study was to evaluate the speed of response of health workers in handling patients with hypertensive crisis and to identify the factors that influence it. Research methods: Quantitative and qualitative approaches. Quantitative data were obtained from patient medical records, while qualitative data were collected through interviews with health workers in primary care facilities. The parameters measured included initial assessment time, diagnosis time, treatment initiation time, and referral time if needed. The results showed that the average initial assessment time was 8 minutes (ideal ?5 minutes), diagnosis time 15 minutes (ideal ?10 minutes), treatment initiation time 12 minutes (ideal ?10 minutes), and referral time 25 minutes (ideal ?20 minutes). Several stages of treatment are still delayed due to limited medical personnel, lack of training, and suboptimal referral systems and standard protocols. Discussion: shows that health workers need further training in recognizing and handling hypertensive crises effectively. Optimizing the triage system and improving referral coordination are also important factors in accelerating treatment. Conclusion: although several aspects of service are quite good, improvements are still needed in the primary health care system so that patients with hypertensive crises receive faster and more appropriate treatment, thereby reducing the risk of complications and mortality.
Challenges and Solutions in the Implementation of Standard Operating Procedures (SOP) for Emergency Services in Community Health Centers (Puskesmas) Aritonang, Barita
JURNAL KEBIDANAN KESTRA (JKK) Vol. 6 No. 2 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v6i2.2543

Abstract

Emergency services at Community Health Centers (Puskesmas) play a crucial role in providing first aid to patients in critical conditions before they are referred to higher-level healthcare facilities. However, the implementation of Standard Operating Procedures (SOP) for emergency services still faces various challenges, such as a lack of understanding among healthcare personnel, limited resources, high workloads, and insufficient coordination with referral hospitals. Therefore, the aim of this study is to identify the main challenges in the implementation of emergency SOPs at Puskesmas and to formulate solutions that can improve their effectiveness. The method used in this research is a descriptive study with a qualitative approach, involving interviews and observations with healthcare workers in several Puskesmas. The results show that the majority of healthcare personnel have not fully understood and optimally applied the SOPs due to a lack of training and simulation. Additionally, the limited availability of medical equipment and healthcare staff has led to delays in handling emergency cases. High workloads also become a key factor influencing adherence to the SOPs. The discussion indicates that to overcome these challenges, regular training and simulations, increased availability of medical equipment and healthcare personnel, as well as stricter monitoring and evaluation systems are necessary. Strengthening coordination with referral hospitals also becomes a strategic step to expedite the patient referral process. In conclusion, with the proper implementation of solutions, the SOPs for emergency services at Puskesmas can be improved, making emergency services more effective and efficient in saving patients' lives
ANALYSIS OF FACTORS RELATED TO MIDWIFE CAREER DEVELOPMENT IN PUSKESMAS PLUS PERBAUNGAN, SERDANG BEDAGAI REGENCY Sari, Yunita; Barita Aritonang; Rahmad Gurusinga
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): 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/jkg.v6i1.1881

Abstract

Performance problems have become a serious problem for any agency at this time, and good performance certainly guarantees good service quality. Therefore, providing training and career development to employees is very important to carry out organizational goals effectively and efficiently. Based on preliminary research at the Perbaungan Plus Health Center, it showed that midwives' career development obstacles were: Inadequate administrative support, poor performance by midwives, and lack of guidance in career development. The purpose of this study was to determine the factors related to the career development of midwives at the Perbaungan Plus Health Center, Serdang Bedagai Regency. The research design used in this research is an analytical survey using a cross-sectional study. The research population consisted entirely of midwives and numbered 43 people using a total-sampling technique with 43 people. Data collection methods include primary data, secondary and tertiary. The data analysis used was univariate and bivariate analysis using the chi-square statistical test. The results showed that employee personality p(0.001), external factors p(0.001), compensation structure p(0.004), and organizational politics p(0.024) are related to the midwife's career development. The relationship between employees and organizations does not depend on the development of the midwifery profession p(0.431). The results of the study concluded that employee personality, external factors, and internal compensation systems and policies are related to midwifery professional development, while employee relations with organizations are related to midwifery professional development, meaning not. It is hoped that the Puskesmas can develop policies that focus on midwives in all aspects, including training in good organizational management and professional responsibility, improving employee welfare and creating a comfortable work environment.
Anti-inflammatory Activity of Clitoria ternatea L. and Hibiscus sabdariffa L. Extract Combination in Reducing VCAM-1 Levels in Atherosclerosis Harefa, Karnirius; Ritonga, Ahmad Hafizullah; Safitri, Riri; Aritonang, Barita
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.v7i1.2300

Abstract

Atherosclerosis occurs when plaque accumulates and hardens within the arterial walls, leading to blood vessel blockages and increasing the risk of coronary heart disease (CHD). The extracts of butterfly pea (Clitoria ternatea L.) and roselle (Hibiscus sabdariffa L.) contain flavonoids that possess strong antioxidant and anti-inflammatory properties. This study aims to assess the effects of the combined extract of butterfly pea and roselle (EKTR) on atherosclerosis biomarkers such as Vascular Cell Adhesion Molecules-1 (VCAM-1), Intercellular Adhesion Molecule-1 (ICAM-1), and Interleukin-6 (IL-6). The research employed a True Experimental Laboratory approach using a Post-Test Control Group Design. The subjects were 36 female Wistar rats (Rattus norvegicus L.), randomly divided into six groups through a Completely Randomized Design (CRD). Data were collected on the levels of VCAM-1, ICAM-1, and IL-6 in the serum of obese white rats, measured using an ELISA photometer. Data analysis was conducted using SPSS version 18, with statistical evaluation performed via one-way ANOVA and Tukey's post hoc test. The results showed that increasing doses of EKTR led to significant reductions in atherosclerosis biomarkers such as VCAM-1, ICAM-1, and IL-6 compared to the positive control and other groups. At a dose of 500 mg/kg BW, group F3 recorded IL-6 levels of 30.49 ± 1.60 ng/mL, VCAM-1 level of 29.42 ± 2.58 ng/mL, and ICAM-1 levels of 28.42 ± 1.72 ng/mL. In conclusion, butterfly pea and roselle, rich in flavonoids with potent antioxidant and anti-inflammatory properties, are effective as traditional remedies for reducing atherosclerosis biomarkers and for preventing and treating coronary heart disease (CHD) at an optimal dose of 500 mg/kg BW.
Formulation of Body Scrub Containing Ethanol Extract of Temulawak Rhizome (Curcuma xanthorrhiza Roxb) as a Skin Moisturizer H, Herlina; Melda Astrika Sianipar; Yaturramadhan Harahap, Hasni; Aritonang, Barita; Yosi Darmirani
Jurnal FARMASIMED (JFM) Vol 7 No 2 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jfm.v7i2.2650

Abstract

A body scrub is a cosmetic formulation intended to exfoliate dead skin cells and enhance skin hydration. One promising natural ingredient for body scrub formulations is the rhizome of Java turmeric (Curcuma xanthorrhiza Roxb.), which contains curcumin, a potent antioxidant known to support skin moisture retention. This study aims to evaluate the moisturizing efficacy of a body scrub formulated with Java turmeric rhizome extract. Methods: The rhizome was extracted through maceration using 96% ethanol and incorporated into body scrub formulations at concentrations of 10%, 15%, and 20%. The formulations were assessed for organoleptic characteristics, homogeneity, pH, spreadability, adhesion, oisturizing effect, and potential skin irritation on human volunteers. A commercial body scrub served as the comparator in a study involving 12 volunteers over four weeks, with applications performed once per week. Results: All Java turmeric body scrub formulations remained physically stable at room temperature and did not induce skin irritation. The physical characteristics of the formulations met standard cosmetic criteria, including consistent appearance, pH range of 6–7, spreadability between 5–7 cm, adhesion time above 4 seconds, and absence of irritation. Moisturizing effectiveness was evaluated using a skin analyzer, and data were statistically analyzed using SPSS. The p-value of 0.046 indicates that there is a significant difference between F1 and the commercial product, while for F2 and F3, there is no significant difference in moisturizing effectiveness between the temulawak formulations and the commercial product.. Among the tested formulations, the body scrub containing 20% Java turmeric extract exhibited the highest moisturizing effect. Conclusion: The body scrub formulated with Java turmeric rhizome extract, particularly at a concentration of 20%, is safe for use and shows potential as a natural moisturizing product comparable to commercial products on the market.
Co-Authors Abdi Lestari Sitepu Ahmad Hafizullah Ritonga Amelia Putri Eflynia Asvia Rahayu Chandra Pranata Chatarina Umbul Wahyuni Cut Masyitah Thaib Cut masyithah Debi Meilani DIAN HASTARI NINGRUM Dicky Yuswardi Wiratma Dicky Yuswardi Wiratma Eka Margareta Sinaga Eka Margareth Faisal, Hendri Fatma Amelia Ginting, Desideria Yosepha Gultom, Erdiana Harahap, Hasni Yaturramadhan Hasni Yaturramadhan Harahap Hasni Yaturramadhan Harahap Herlina Herlina . Herlina H Hermansyah Aziz Hestina . Hestina Hestina Hestina, Hestina Imel Santika Irmayani Irmayani Karnirius Harefa Karo-Karo, Julyenni Khairiah, Khairiah Lasmaryna Sirumapea Lenny Novita Liver Iman Putra Zai Melda Astrika Sianipar Munthe, Novita Br Ginting Nova Florentina Nova Florentina Nova Florentina Ambarwati Novesar Jamarun Novita Br Ginting Nur Mala Sari Nurainun Badriani Panjaitan, Delita Pitriani, Pitriani Putri Nuraimun Simanjuntak Putri, Gusliani Eka Rahmad Gurusinga Rahmad Gurusinga RAMAWATI, NURVITA Rianta rianta Rima Anggeraini Riri Safitri Romaulianna Theresia Marbun Rotua Sumihar Sitorus Sa'adah Siregar Salomo Sijabat Saragih, Eriani Senaya Selda manullang Shofian Syarifuddin Siagian, Ernita Siahaan, Enzo W.B Sijabat, Salomo Sinaga, Eka M Sinaga, Evi Yuni Sintia Sinaga, Sri Lestari Sitepu, Rahmadani Sitorus, Elly Sri Melda Bangun Sri Ulina Sri Wulan, Sri Suarnikan Hulu Suci Erawati Suci Wulandari Supartiningsih - - Syarifuddin, Shofian Syukri Arief Tamrin Tamrin Virta Filantropi Zebua Widyaningsih, Fadlilah Yanti, Rahma Yaturramadhan Harahap, Hasni Yosi Darmirani Yossy Silalahi Yulidar Laila Safitri Yunita Sari