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Putranto Manalu
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INDONESIA
Jurnal Prima Medika Sains
Published by Universitas Prima Indonesia
ISSN : 26863502     EISSN : 27146707     DOI : https://doi.org/10.34012/jpms
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Jurnal Prima Medika Sains adalah jurnal ilmiah di bidang kesehatan dan kedokteran yang terbit dua kali dalam setahun yaitu pada bulan Juni dan Desember. Diterbitkan oleh Universitas Prima Indonesia yang secara teknis dikelola Program Studi Magister Kesehatan Masyarakat Fakultas Kedokteran Universitas Prima Indonesia. Berisi tulisan hasil penelitian lapangan atau laboratorium maupun studi pustaka di bidang kesehatan dan kedokteran.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 18 Documents
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Search results for , issue "Vol. 6 No. 1 (2024): June" : 18 Documents clear
The difference in IL-17 level between mild and severe COVID-19 inpatients of H. Adam Malik General Hospital Sembiring, Alemmina; Loesnihari, Ricke; Rahmaini, Ade
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.4549

Abstract

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by a new coronavirus, Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). Pro-inflammatory cytokines play a central role in many viral respiratory infections by coordinating and activating adaptive immune responses. Higher serum levels of pro-inflammatory cytokines (TNF-α, IL-1β, IL-2, IL-6 and IL-17) and chemokines (IL-8) have been observed in many patients with severe COVID-19 compared with individuals with a mild degree. This research is an observational study with cross sectional data collection method. This study took blood samples from mild and severe COVID-19 patients who were treated at the HAM Hospital as many as 34 patients. Samples were examined only once for IL-17 in mild and severe COVID-19 patients. The research was conducted after obtaining ethical approval and informed consent. This study was followed by 18 female subjects (52.9%). The mean age of the subjects was 47.52 years with the youngest age being 23 years old and the oldest being 81 years old. By using the Mann Whitney test, it showed that there was a significant difference in interleukin 17 levels between Covid-19 patients with severe and mild degrees (p = 0.049). IL-17 examination can be used as an alternative diagnostic marker and assess the severity in COVID 19 patients. Further studies are needed that involve a larger number of subjects, and are associated with other inflammatory markers such as CRP or with coagulation status such as D- dimer.
The relationship between physical activity and Body Mass Index among medical students Pearlie, Michelle Maydelaine; Lubis, Yolanda Eliza Putri; Delfian, Taufik
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.4722

Abstract

Preserving one's physical health and preventing diseases is of utmost importance, and leading a healthy lifestyle is essential. The absence of physical activity has been identified as a significant risk factor for obesity and chronic illnesses.This study aimed to establish an intricate relationship between physical activity level and Body Mass Index (BMI) among medical students. This analytical study used a cross-sectional design. Data were collected from October to December 2023. A total of 144 medical students enrolled at Universitas Prima, Indonesia participated in this study. Physical activity data were obtained using the International Physical Activity Questionnaire (IPAQ), whereas BMI was measured using the standard method of dividing weight in kilograms by the square of height in meters (kg/m²). Data analysis was performed using a One-Way ANOVA statistical test. The study findings revealed a significant difference (p < 0.05) between physical activity levels and BMI. Students in the light activity group had an average BMI of 28.57 kg/m², compared to 23.27 kg/m² for the moderate activity group and 21.66 kg/m² for the vigorous activity group. This indicates that physical activity plays a crucial role in determining BMI, with moderate- and vigorous-intensity activities associated with ideal BMI ranges. This study underscores the importance of physical activity in maintaining healthy weight and reducing the risk of obesity and associated chronic diseases. Promoting physical activity among university students can be an effective strategy for promoting their overall well-being.
Fetal Magnetic Resonance Imaging of Megacystis microcolon intestinal hypoperistalsis syndrome Wirasasmita, Dewi Asih; Sachlan, Alexandra
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.4918

Abstract

Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHs) is a rare congenital anomaly, involve urinary tract and gastrointestinal tract. The prognosis is dismal, the death is caused by infection. In general the diagnosis is made based on ultrasonography (US) examination during the antenatal period due to the presence megacystis in the female fetus. Fetal Magnetic Resonance Imaging (MRI) has excellent tissue contrast can depict colon caliber and meconium distribution, hence definitive diagnosis can be established and useful for counseling and post natal management.    
Microplastic: Characteristics, exposure pathways, toxicity, and implication for human health Amrullah, Muhammad Khalaf; Putri, Alifa Nabilah Elma; Nababan, Windika Yosephin; Siahaan, Andre Marolop Pangihutan
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.4942

Abstract

Microplastics particles ranging from 1 µm to 5 mm, have gained attention for their omnipresence in marine environments and potential health risks. Initially recognized in the 1990s, microplastics are classified as primary (designed for microscopic dimensions) or secondary (resulting from degradation). Exposure pathways include ingestion, inhalation, and dermal contact, with sources ranging from food and beverages to personal care products. These particles possess unique properties, facilitating their interaction with organic contaminants and potential bioaccumulation in marine life. Their small size allows them to infiltrate ecosystems, raising concerns about their impacts on human health. Studies suggest associations between microplastic exposure and health issues such as inflammatory bowel disease and neurodevelopmental. Microplastics exhibit toxicity through mechanisms like oxidative stress induction and disruption of neurotransmitter levels. They have been detected in human tissues, including the brain, raising concerns about potential neurological impacts. To comprehend the effects on health over time, additional research is required, including biopersistence and tissue accumulation. Regulatory measures and consumer awareness initiatives are crucial to mitigate microplastic pollution and minimize health risks. Strategies to reduce plastic production, enhance recycling, and develop microplastic removal technologies are vital for protecting both human health and the environment. In summary, microplastics pose significant health risks due to their widespread presence and potential toxicity. Understanding their impacts and implementing effective mitigation strategies are essential for safeguarding human health and environmental integrity.
Associated risk factors with incidence of irritant contact dermatitis among the cleaning worker in Santa Elisabeth Medan Hospital Panjaitan, Joice Sonya Gani; Nababan, Donal; Tarigan, Frida Lina; Hidayat, Wisnu; Sitorus, Mido Ester J.
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.4970

Abstract

Occupational irritant contact dermatitis (ICD) accounts for approximately 20% of work-related skin diseases, with 80% of cases affecting the hands. Cleaning staff are particularly susceptible to ICD. This study aimed to identify risk factors for ICD among cleaning staff at Santa Elisabeth Medan Hospital. A cross-sectional observational study was conducted involving 60 cleaning staff (total population) at the hospital in October-November 2023. The study investigated three groups of factors: host factors (age, gender, work duration, work stress, and personal protective equipment (PPE) use), agent factors (type of cleaning solution, duration and frequency of use), and environmental factors (perceived organizational support). The results showed that 8 of 60 cleaning staff (13.3%) had ICD. Statistical analysis revealed no significant association between ICD and host, agent, or environmental factors among cleaning staff (p > 0.05). Host, agent, and environmental factors were not found to be significant risk factors for OICD among cleaning workers at Santa Elisabeth Medan Hospital.
Utilization of National Health Insurance capitation funds at puskesmas: A qualitative study in Medan Labuhan Subdistrict, Medan City Parulian, Alfred Padumpang; Nababan, Donal; Tarigan, Frida Lina; Wandra, Tony; Sitorus, Mido Ester J.
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.4972

Abstract

The Indonesian National Health Insurance (JKN) system uses a capitation payment mechanism to fund primary healthcare services. However, utilization of these funds has been a subject of concern because of the potential for unutilized funds and inefficient allocation. This study aimed to investigate the utilization of capitation funds in three Puskesmas (primary healthcare facilities) in Medan Labuhan, Medan City, in 2023. Using a qualitative descriptive research approach, data were collected through in-depth interviews, document analyses, and direct observations. The participants included puskesmas heads, technical implementation officers, primary healthcare service team leaders, financial subsection heads, and health office department heads. Triangulation was used to ensure data validity. The study revealed that overall capitation fund utilization was suboptimal, particularly in terms of operational cost support. This was attributed to delays in budget implementation documents, lengthy and bureaucratic procurement processes, and a lack of understanding among capitation fund management personnel at Puskesmas. To optimize capitation fund utilization, this study recommends streamlining bureaucratic procedures, providing training for capitation fund management personnel, and adopting effective financial management practices for public service agencies. These measures can contribute to improved quality and professionalism in healthcare services delivered by Puskesmas in Medan Labuhan.
The effect of binahong leaf extract on hair growth and histopathological examination of skin tissue in wound healing Himmawan, Arif; Bangun, Andreas Xaverio; Dewi, N.R.S. Vissy Puspa
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5004

Abstract

Binahong leaves are often used as traditional medicine to cure wounds, rheumatism, gout, lack of appetite, nosebleeds, kidney inflammation, intestinal inflammation, and cancer. And not many people know that binahong leaves can also accelerate the growth of hair follicles, therefore this study was conducted, namely to analyze and test the effect of giving binahong leaf extract (Anderera cardifolia) in collagenization to accelerate the healing process of incision wounds on the back of white rats (Rattus norvegicus) wistar strain and see the histopathological picture on rat skin tissue. This study used 24 male rats (Rattus norvegicus) wistar strains as samples, then divided into 4 groups with each group of 6 rats, and treated for 14 days. for 14 days On the last day the hair length of the control group/P0 was 0.45 and became the lowest group in hair growth in this treatment, while in the treatment of groups PI, P2 and P3 it was known that the P3 group experienced the fastest hair follicle extension with a result of 1.24 cm. This is also in line with the results of hispatology images for the treatment of treatment group 3 (P3) which is the fastest group of incision wound healing in skin tissue because based on these observations the skin epithelial tissue is seen to begin to thicken and almost perfect.
Effect of moringa flower extract on liver function and histopathology appearance of obesity model rat's liver Wahyuniasri, Nuri Rahma; Nardi, Leo; Sopacua, Erwin
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5005

Abstract

This study aims to test and analyze the effectiveness of moringa flower extract on the liver function of male wistar strain white rats obesity model and how the histopathological picture. This research is a type of experimental quantitative research using post-test only group design. This study used test animals in the form of male white wistar rats with a body weight of 200-300 gr aged 2-3 months. The test animals were divided into 4 groups, the control group was only given regular food and distilled water, the treatment group was given high-fat food and Moringa flower extract at different doses, namely 200 mg / kgBB, 400 mg / kgBB, and 600 mg / kgBB. The results of the phytochemical test showed that moringa flower extract contains secondary metabolites in the form of saponins, tannins, flavonoids, alkaloids, and steroids. The administration of moringa flower extract at a dose of 600 mg/KgBB is effective in improving liver function in obese Wistar white rats. This improvement can be seen through the levels of ALT, AST, and histological structure of the liver that has improved. The results of histopathological observations of liver tissue in treatment group 3, namely moringa flower extract at a dose of 600 mg/KgBB, experienced the most significant improvement and approached the control group compared to other groups.
Knowledge level of students about basic life support during the COVID-19 pandemic Ikhsan, Ahmad Avicenna Ash-Shiddiq; Zainumi, Cut Meliza
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5015

Abstract

Basic Life Support (BLS) is a vital competency that should be possessed by everyone, especially medical students. However, the COVID-19 pandemic has made the practice of BLS more complex due to close contact, which puts helpers at risk of contracting the virus. This study aims to assess the level of knowledge of students regarding BLS during the pandemic. This research is a quantitative, descriptive study with a survey design that utilizes an online questionnaire with a sample of students from the Faculty of Medicine, Universitas Sumatera Utara, class of 2019. The results of this study show that the level of knowledge of students about BLS during the pandemic is sufficient. Among the female respondents, 22 had good knowledge (14.7%), 53 had sufficient knowledge (35.3%), and 15 had less knowledge (10%). Among the male respondents, 4 had good knowledge (2.7%), 35 had sufficient knowledge (23.3%), and 21 had less knowledge (14%). Of the respondents who had a history of participating in BLS training, 12 had good knowledge (8%), 36 had sufficient knowledge (24%), and 5 had poor knowledge (3.3%). For those without a history of BLS training, 14 had good knowledge (9.3%), 52 had sufficient knowledge (34.7%), and 31 had poor knowledge (20.7%). Even though the pandemic makes BLS practice more complex, the results show that students have sufficient knowledge about BLS during the pandemic. This knowledge was better among students who had previously participated in BLS training.
Diagnosis and imaging of diaphragmatic eventration: A case report Nasution, Ikhwanul Hakim; Soekardi, Adi; Mahatvavirya, Redo Widhio
Jurnal Prima Medika Sains Vol. 6 No. 1 (2024): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v6i1.5116

Abstract

Background: Diaphragmatic eventration is a rare disorder that is typically found by accident in asymptomatic patients with a raised hemidiaphragm on chest X-rays. Both acquired and developmental defects can cause diaphragmatic eventration. The imaging methods for diaphragmatic eventration are numerous. Chest radiography should be done when there is clinical suspicion; this can be further confirmed with a chest computed tomography (CT). Case presentation: We present a case of a 37 years old woman with a left sided diaphragm eventration presenting as dyspnea and epigastrical discomfort. The diagnosis was made with chest x-ray and then confirmed with a chest CT scans. Discussion: There are several modalities to choose in diaphragmatic imaging. Chest x-ray is the main imaging method for diagnosing diaphragm eventration, in rare cases, a eventration needs to be differentiated using CT or MRI. Other imaging methods such as fluoroscopy and ultrasonography may be used in some instances to assess diaphragm function. Conclusions: There are various methods available in the field of diaphragmatic imaging. Certain methods, like CT and plain chest radiographs, concentrate on the anatomic anomalies of the diaphragm that may indicate dysfunction. Some instruments, including fluoroscopy and ultrasonography, are more appropriate for functional imaging.

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