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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 Ibnu Sina: Jurnal Kedokteran dan Kesehatan - Fakultas Kedokteran Universitas Islam Sumatera Utara Jurnal Pengmas Kestra (JPK) Medistra Medical Journal (MMJ)
Sitepu, Rahmadani
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Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Mathematics Medicine & Pharmacology Nursing Public Health Veterinary Other

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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.
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.
Analysis of colifrom bacteria of dishwasting water food stalls in Lubuk Pakam Sitepu, Rahmadani; AHMAD ILHAM; ANGELIKA; ASVIA RAHAYU; RIMAYANI
Medistra Medical Journal (MMJ) Vol 1 No 2 (2024): Medistra Medical Journal (MMJ)
Publisher : Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/mmj.v1i2.2112

Abstract

Food stalls play a role in helping fulfil daily needs by offering convenient and fast services, so people like to eat food at food stalls. If contaminated cutlery is used, those who use it may be infected with disease-causing microbes. Objective: The purpose of this study was to determine the presence of Coliform bacteria in water both before and after being used to clean food utensils in food stalls around the Medistra Institute of Health Lubuk Pakam. Methods: The method used is quantitative, as well as experimental to test water quality with applicable quality standards and describe the results of research based on literature review. Results: Of the 4 food stalls around the Medistra Institute of Health, it shows that there are 3 food stalls in the category of not meeting health requirements and 1 other food stall in the category of meeting health requirements based on the maximum number of total coliforms for piped and non-piped water 10/100 and 50/100 ml of water samples respectively in accordance with Permenkes No. 416/Per/Menkes/IX/1990. The quality of washing water (clean water) used in food stalls around the Medistra Institute of Health based on the results of laboratory tests of total Coliform, from four food stalls around the Medistra Institute of Health, 3 food stalls in the category of not meeting health requirements and 1 other food stall in the category of meeting the requirements according to Permenkes No. 416/Per/Menkes/IX/1990, concerning clean water quality for piped and non-piped water with numbers 10/100 ml and 50/100 ml of water samples. Keywords : Coliform bacteria, Escherichia coli, Dishwasting Water
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.
Co-Authors Ahmad Ilham Alamsyah Lukito Angelika Aritonang, Barita Asvia Rahayu Debi Meilani Elaninanivi Tarigan Erawati, Suci Irnawati Marsaulina Kristiani, Ekalia Mala Sari, Nur Nanda Novziransyah Nurmaini Nurmaini Refi Sulistiasari Rian Primadi Jasman RIMAYANI Sehra Banu Selly Oktaria Sinta Veronica Syarifuddin, Shofian Tanjung, Muhamad Sulthan Taufik Ashar Yanti, Rahma