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All Journal Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) Indonesian Journal of Education and Mathematical Science JURNAL PENELITIAN KESMASY Jurnal Pengabdian Masyarakat Putri Hijau Proceeding Muhammadiyah International Public Health and Medicine Conference Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Jurnal Pengmas Kestra (JPK) Jurnal Inovasi Global Medistra Medical Journal (MMJ)
Sitepu, Rahmadani
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Humanities Astronomy Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Improving Awareness And Early Management Of Hemorrhagic Stroke: Education And Training For Healthcare Personnel In Emergency Units In Hospital Sitepu, Rahmadani
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

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Abstract

Hemorrhagic stroke is a medical emergency that requires rapid treatment. Education and training are essential to better prepare healthcare personnel in the emergency department (ED) to manage patients. This program was conducted through lectures, interactive discussions, and simulations of hemorrhagic stroke management. The primary goal was to enhance healthcare professionals' understanding of early detection, initial treatment, and management protocols for hemorrhagic stroke in the ED. Evaluation results showed improved healthcare personnel's knowledge after the training, as indicated by increased pre-test and post-test scores. Simulations also demonstrated enhanced skills in handling hemorrhagic stroke patients. Overall, this education and training program successfully improved awareness and competency among healthcare personnel. It is hoped that such training can be conducted regularly to enhance the quality of emergency care.
Prognostic Factor Analysis in Hemorrhagic Stroke Emergency: A Retrospective Study in the Emergency Unit Sitepu, Rahmadani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 1 (2023): 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.v6i1.2501

Abstract

Background: Prompt and appropriate treatment in the Emergency Department (ER) is critical to reducing mortality and disability. However, the identification of prognostic factors that can predict patient outcomes is still a challenge. Therefore, it is necessary to analyze the factors that contribute to the prognosis of hemorrhagic stroke patients in order to improve the effectiveness of early management in the ER. Objective: This study aims to analyze the prognostic factors that affect the clinical outcomes of hemorrhagic stroke patients in the ER, based on univariate and bivariate data. Methods: This study is a retrospective study with a cross-sectional design involving hemorrhagic stroke patients who are admitted to the ER for a period of time. Data were collected from the patient's medical records and analyzed using descriptive statistics (univariate) as well as bivariate tests (chi-square and logistic regression) to determine the relationship between independent variables (age, blood pressure, level of consciousness, bleeding volume, and comorbidities) with patient outcomes. Results and discussion: Univariate analysis showed that the majority of patients were over 60 years old (68%), with an average blood pressure of 180/100 mmHg. The average Glasgow Coma Scale (GCS) is 8, indicating a low level of awareness. Bleeding volumes of more than 30 mL were found in 55% of patients. Bivariate analysis showed that advanced age (p=0.01), high blood pressure (p<0.03), low GCS (p0.001), and large bleeding volume (p=0.002) were significantly associated with increased mortality. Logistic regression analysis showed that low GCS and bleeding volume were the main prognostic factors with odds ratio (OR) values of 4.5 and 3.2, respectively. Conclusions: Advanced age, high blood pressure, decreased consciousness (low GCS), and large bleeding volume are significant prognostic factors in hemorrhagic stroke emergencies. Identification of these factors in the ER can help in clinical decision-making and more optimal therapy planning.
The Emergency Management Strategies for Catastrophic Diseases: A Multidisciplinary Approach in Healthcare Facilities: Emergency Management Strategies for Catastrophic Diseases: A Multidisciplinary Approach in Healthcare Facilities Sitepu, Rahmadani
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

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Abstract

Background: Catastrophic diseases, such as stroke, acute myocardial infarction, and respiratory failure, are medical conditions with high mortality and morbidity. Fast and appropriate treatment in emergency situations is crucial to the patient's prognosis. A multidisciplinary approach in healthcare facilities is a key strategy in improving the quality of care and patient safety. Objective: This study aims to explore emergency management strategies in catastrophic diseases with a multidisciplinary approach in health facilities and analyze their effectiveness based on univariate and bivariate data. Methods: This study used a quantitative method with a cross-sectional design in several referral health facilities. Data is collected through patient medical records, direct observation, and interviews with medical personnel. The analysis was carried out with descriptive statistics (univariate) to describe patient characteristics and medical procedures, and chi-square and logistic regression (bivariate) tests to test the association between multidisciplinary involvement and patient clinical outcomes. Conclusion: Emergency management strategies based on a multidisciplinary approach have been proven to improve the effectiveness of handling catastrophic diseases in healthcare facilities. The involvement of various medical professions can speed up decision-making and improve patient safety rates. Therefore, strengthening coordination between professions and increasing the capacity of health facilities are essential steps in mitigating the risk of catastrophic diseases.
Comparison Of Feat Examination Results Using Direct Slide And Sedimentation Methods For Detecting Soil Transmidet Helmint (STH) Worm Infection In Primary School Students Kahfi Aulia; Rahmadani Sitepu
Medistra Medical Journal (MMJ) Vol 1 No 1 (2023): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mmj.v1i1.1937

Abstract

The worms are parasitic infections that occur frequently and are estimated to infect 1-45 billion individuals worldwide. There are several types of worms that infect humans, namely roundworms (Ascaris lumbricoides), whipworms (Trichuris trichura), and hookworms or hookworms (Ancylostoma duodenale and necator americanus). The method used in this research is descriptive analytical method, which is the method used to view the description of the examination results from a sample. The population of this study was elementary school students with a sample of 50 students. Based on the results of the study using the direct slide method, negative results were obtained with a percentage of 100% with a total frequency of 50 students. If using the sedimentation method, 3 students were infected with Ascaris lumbrichoides with a percentage of 6.0% and 47 students were not infected with a percentage of 94.0% with a total sample of 50 students. Based on the results of the research using the direct slide and sedimentation methods, the results showed that the results of the two methods used were influenced by different sensitivity.
EPIDEMIOLOGI DESKRIPTIF CORONAVIRUS DISEASE 2019 (COVID-19) DI INDONESIA PADA TAHUN 2020 Tanjung, Muhamad Sulthan; Sitepu, Rahmadani
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 20 No. 2 (2021): Juli 2021
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.311 KB) | DOI: 10.30743/ibnusina.v20i2.190

Abstract

Pada awal 2020, dunia dikejutkan dengan mewabahnya pneumonia baru yang bermula dari Wuhan, Provinsi Hubei yang kemudian menyebar dengan cepat ke lebih dari 190 negara. Wabah ini diberi nama Coronavirus Disease 2019 (Covid-19) yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). Di Indonesia melaporkan kasus Covid-19 pertama pada tanggal 2 Maret 2020. Sejak saat itu, kasus terus meningkat dan menyebar dengan cepat di seluruh wilayah Indonesia. Pada 27 Januari 2021, Pemerintah Indonesia melaporkan 1.024.298 (11.948 baru) kasus terkonfirmasi, 28.855 (387 kasus baru) kematian dan 831.330 kasus pulih dari 510 kabupaten di 34 provinsi. Indonesia melampaui 1 juta kasus pada 26 Januari 2021 setelah pencatatan 13.094 kasus baru yang terkonfirmasi. Pandemi Covid-19 ini tentu sangat berkaitan dengan epidemiologi. Oleh karena itu, penelitian epidemiologi Covid-19 di Indonesia tahun 2020 dilakukan agar dapat dikaji lebih dalam mengenai permasalahan penanggulangan dan pencegahannya. Penelitian ini menggunakan analisis univariat dengan alat ukur observasi data sekunder dari website Kemenkes RI serta populasi seluruh penduduk Indonesia yang kemudian diambil sebagai sampel yaitu seluruh penduduk Indonesia terkonfirmasi positif Covid-19 dari bulan Juli hingga Desember tahun 2020. Berdasarkan hasil penelitian ini dapat dilihat penyebaran Covid-19 mengalami peningkatan juga penurunan kasus positif, kasus sembuh dan kasus meninggal, angka kejadian penyakit (cumulative incidence) mengalami peningkatan serta penurunan serta angka kematian (case fatality rate) mengalami penurunan.
FAKTOR-FAKTOR RISIKO PENYAKIT MALARIA: STUDI KARAKTERISTIK, LINGKUNGAN DAN PERILAKU: MULTIFACTORIAL RISKS FOR MALARIA INCIDENCE: CHARACTERISTIC, ENVIRONMENT AND BEHAVIORAL STUDY Sitepu, Rahmadani; Marsaulina, Irnawati; Nurmaini; Ashar, Taufik
Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Vol. 24 No. 2 (2025): Juli 2025
Publisher : Faculty of Medicine Universitas Islam Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/ibnusina.v24i2.923

Abstract

Malaria masih menjadi masalah kesehatan global yang utama, terutama di Indonesia. World Malaria Report 2020 melaporkan terdapat 229 juta kasus dan 409.000 kematian akibat malaria. Di Indonesia, Kecamatan Kutambaru, Kabupaten Langkat, Sumatera Utara, melaporkan 22 kasus (84%) pada tahun 2020. Penelitian ini bertujuan untuk menganalisis faktor risiko malaria di Kecamatan Kutambaru. Penelitian ini menggunakan desain studi potong lintang dengan sampel sebanyak 283 orang yang dipilih secara accidental sampling. Data dikumpulkan melalui wawancara dengan menggunakan kuesioner. Analisis data meliputi analisis univariat, bivariat, dan multivariat dengan menggunakan regresi logistik. Hasil uji bivariat menunjukkan bahwa pendidikan, pengetahuan, penerangan rumah, semak belukar, rumah berdinding kayu tanpa plafon, genangan air, rumah dekat kebun atau sungai, dan sering keluar rumah pada malam hari berhubungan dengan kejadian malaria. Hasil multivariat menunjukkan bahwa pengetahuan merupakan faktor yang dominan dengan nilai OR sebesar 5,766 yang mengindikasikan bahwa pengetahuan yang kurang baik berpengaruh besar terhadap kejadian malaria di Kutambaru. Kearifan lokal dapat dimanfaatkan dalam memberdayakan masyarakat dengan tujuan meningkatkan pengetahuan masyarakat melalui pendidikan kesehatan dengan melibatkan peran pelayanan kesehatan dan instansi pemerintah terkait khususnya di Kecamatan Kutambaru Kabupaten Langkat.
Analisa Kadar High Density Lipoprotein (HDL) dan Low Density Lipoprotein (LDL) pada Perokok Berat di Rumah Sakit Grandmed Lubuk Pakam Sari, Sofiani; Tarigan, Emarisa Br.; Sitepu, Rahmadani
Jurnal Inovasi Global Vol. 3 No. 8 (2025): Jurnal Inovasi Global
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/jig.v3i8.390

Abstract

Cigarettes are the product of processed tobacco wrapped in cigars or other forms produced by the plants Nicotiana tabacum, Nicotiana rustica and other species or their synthesis containing nicotine and tar with or without additional ingredients. Smoking is a habit in society that is difficult to break and is dangerous for health. Burning cigarettes produces cigarette smoke which is divided into main cigarette smoke and sidestream smoke. Cigarette smoke produced from the inhalation of active smokers contains 25% levels of hazardous substances, while cigarette smoke from burning cigarettes inhaled by passive smokers contains 75% levels of hazardous substances (Nuradi & Jangga, 2020). Based on the background above, this is the formulation The problem is the analysis of HDL and LDL levels in heavy smoking patients? The research population was men and women who were heavy smokers who had HDL and LDL levels checked at Grandmed Lubuk Pakam Hospital as many as 24 people. The research results showed that the majority were male, 20 people ( 83.3%), based on the number of years of smoking, the majority were in the 11-20 year category, 9 people (37.5%), and based on the amount of smoking, the majority were 1-2 packs, 17 people (70.8%). From the results of the analysis of length of smoking with HDL and LDL levels in active smokers, there was an increase in HDL and LDL in the category of length of smoking 11-20 years. -4 Bks in one day's consumption.
Malaria Prevention Model Based on Kinship System Rakut Si Telu Orat Si Waluh Sitepu, Rahmadani
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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/dgqwca68

Abstract

Malaria remains a global health problem and affects many tropical countries. Indonesia ranks second in Asia with the highest number of deaths from malaria. The Karo tribe has a kinship system of rakut si telu orat si waluh which is projected to be a community asset in implementing malaria prevention. This study is a qualitative study using in-depth interviews with malaria patients, three key informants, and eight relatives of malaria patients based on the rakut si telu orat si waluh system. The results found that malaria sufferers are often exposed to rain and activities outside the home at night, in the house there is a water reservoir, a lot of land in Rampah Village which was previously not taken care of so that the conversion of forests into gardens and residential areas, the community gives attention to malaria sufferers both in terms of informing the place of treatment and also facilitating sufferers to seek treatment, Karo tribal kinship based on rakut si telu orat si waluh also has a role in helping malaria treatment where each relative based on their kinship position has different tasks in helping sufferers treat malaria. Malaria prevention in the Karo community can be done by applying community capital based on the local perspectives of rakut si telu and orat si waluh. People involved in the rakut si telu and orat si waluh kinship systems have their respective roles in dealing with families suffering from malaria in terms of planning, prevention, handling and treatment.
Analysis Of The Implementation Of The National Health Insurance Standard Inpatient Class Program (KRIS) At Grandmed Hospital Lubuk Pakam Br.Tarigan, Maria haryanti; Rahmadani Sitepu; Novita Br Ginting Munthe
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): 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/br4mxr60

Abstract

Background: The Standard Inpatient Class (KRIS) Program in the National Health Insurance (JKN) aims to ensure fair and equitable health services for all BPJS Kesehatan participants. The implementation of KRIS still requires readiness of facilities and infrastructure in accordance with the standards set by the government. In terms of planning. Objective: to analyze the implementation of the KRIS program carried out at Grandmed Lubuk Pakam Hospital. The type of research used is qualitative research with a case study approach that focuses on collecting information. Research method: The type of research used is qualitative research with a case study approach that focuses on collecting information. This research will be conducted at Grandmed Lubuk Pakam Hospital located on Jalan Raya Medan-Lubuk Pakam. The triangulation method used is method triangulation involving several key informants and triangulation. The results of this interview provide important insights that not only strengthen observational data, but also help formulate recommendations to improve the implementation of KRIS in hospitals. The informants in this study were the Head of Hospital, Staff, and patients at Grandmed Lubuk Pakam Hospital. The results of the study indicate that improvements are still needed in various lines to fulfill the implementation of KRIS so that patients get maximum service. Input components, including human resources, funds and infrastructure in the implementation of the National Health Insurance Standard Inpatient Class (KRIS) program at Grandmed Lubuk Pakam Hospital have been provided, but staff qualifications according to their scientific fields are still not met. Nursing and professional qualifications are expected to fulfill the work section. Process components, including policies implemented, recording and reporting, monitoring, inspection and assessment of the implementation of the National Health Insurance Standard Inpatient Class (KRIS) program at Grandmed Lubuk Pakam Hospital have been implemented and evaluated. Conclusion: there are still some that have not been implemented related to the timeliness of implementation. Output components, including the coverage figures for the implementation of the National Health Insurance Standard Inpatient Class (KRIS) program have met health requirements. However, the monitoring commitment must still be maintained and improved.
Analysis of the Casemix Team Performance on the Quality of Health Services and Outpatient Patient Satisfaction at Grandmed Hospital in 2025 Anggi Kurnia Ningsih; Rahmadani Sitepu; Tati Murni Karo Karo
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): 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: 10.35451/6mxgnr55

Abstract

The The implementation of the Casemix system through INA-CBG’s as part of the National Health Insurance (JKN) program requires hospitals to improve efficiency while maintaining service quality. The performance of the Casemix team plays a crucial role in ensuring coding accuracy, claim timeliness, and cost control. This study aimed to analyze the factors influencing the performance of the Casemix team and its relationship with service quality in the Outpatient Unit of RS Grandmed Lubuk Pakam in 2025.This research used a mixed methods approach with a sequential explanatory design. Quantitative data were collected from 93 JKN outpatient respondents selected using the Slovin formula and accidental sampling technique. Data were analyzed using univariate, bivariate (Chi-Square test), and multivariate (multiple logistic regression) analyses. Qualitative data were obtained through in-depth interviews with five key informants selected purposively and analyzed using thematic analysis.The results showed that most respondents rated human resources (62.4%), SIMRS-based Casemix system (65.6%), facilities and infrastructure (59.1%), financing (67.7%), service quality (64.5%), and Casemix team performance (63.4%) in the good category. Bivariate analysis indicated that all independent variables had a significant effect on Casemix team performance (p < 0.05). Multivariate analysis revealed that service quality was the most dominant factor influencing Casemix team performance (OR = 6.46; p = 0.000), followed by human resources (OR = 4.10; p = 0.002) and financing (OR = 3.44; p = 0.006). In conclusion, the success of Casemix implementation in the outpatient unit is influenced by a combination of human resources, information systems, financing mechanisms, and service quality. Strengthening human resource competence and improving service quality are key strategies to optimize Casemix team performance and enhance hospital service efficiency
Co-Authors Ade Afifah Aliyah Ahmad Ilham Alamsyah Lukito Angelika Anggi Kurnia Ningsih Aritonang, Barita Asvia Rahayu Asvia Rahayu Ayu Siti Chadijah Nasution Br.Tarigan, Maria haryanti Debi Meilani DIAN HASTARI NINGRUM Elaninanivi Tarigan Elsha Sinulingga Irnawati Marsaulina Kahfi Aulia Kristiani, Ekalia Munthe, Novita Br Ginting Nanda Novziransyah Nisa El Hasanah Nur Afni Heryanti Octavia Nur Mala Sari Nurmaini Nurmaini Rahmad Gurusinga Raisha Octavariny Refi Sulistiasari Rian Primadi Jasman RIMAYANI Sari, Sofiani Sehra Banu Selly Oktaria Sinta Veronica Sri Melda Bangun Suci Erawati Surya Elisabet Hasibuan Syarifuddin, Shofian Tanjung, Muhamad Sulthan Tarigan, Emarisa Br. Tati Murni Karo Karo Taufik Ashar Yanti, Rahma