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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 154 Documents
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Patient experiences in primary health care services in the JKN era: A qualitative study Hartono, Hartono; Siagian, Masryna; Siahaan, Marlina Elpiani; Tambunan, Ester Theresia; Sibagariang, Eva Ellya
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4069

Abstract

Implementing JKN (Jaminan Kesehatan Nasional) in primary healthcare is expected to support the accessibility and success of early treatment and reduce the burden on secondary healthcare facilities. Patient experience can provide information on the quality of health services from different perspectives to provide valuable input for improving the quality of care. This study explores patients' experiences in utilizing health services in primary healthcare services in the JKN era. This research used a qualitative approach with a case study design conducted at the Puskesmas Tangkahan Durian, Langkat Regency. The researchers collected data through oral questioning with 11 informants, following previously developed in-depth interview guidelines. Researchers have also made direct observations of the health services carried out. The study results showed that patients had a fairly positive experience accessing health services at public health center/puskesmas. There was no discrimination or difference in treatment among health workers in JKN patients or general patients. Patient complaints are only in the location of the seats in the waiting room that are not arranged to interfere with patient mobility. Another criticism is that officers do not come to the public health center on time according to predetermined operating hours. Public health center management should increase the discipline of officers regarding service operating hours and consider the seating layout in the patient waiting room.
Quality of life and GERD incidence in medical students: A cross-sectional study Saragih, Agnes Fransisca; Purba, Desi Natalia; Silaen, Mangatas; Fibrini, Dewi
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4216

Abstract

Medical students are highly susceptible to GERD due to the intense pressure and hectic pace of medical education. Risk factors for GERD in medical students include inadequate knowledge, poor dietary habits, frequent coffee consumption, and high stress levels. This cross-sectional study enrolled 250 students. Data were analysed using chi-squared test and logistic regression. The results showed a significant association between knowledge (0.000), diet (0.000) and coffee consumption (0.002) with GERD in medical students. Stress was not a significant risk factor in this study (0.127). Regression modelling showed that improving diet can minimise the risk of GERD by a factor of one. There is a need to improve diet and lifestyle in medical students to minimise GERD.
The habit of indiscriminate spitting in betel chewing Barus, Aguslina Wati Kristina; Hidayat, Wisnu; Bangun, Henny Arwina
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4315

Abstract

Betel nut consumption is a customary practice in Simalungun society and is frequently observed during typical and routine events. Nevertheless, there persists a group of individuals who are inclined towards crude expectoration behavior, depositing residual betel within various locations, including public domains such as markets. The focus of this investigation is to conduct an in-depth inquiry into the antecedents of such indiscriminate spitting tendencies exhibited among traders of betel nuts within the Saribudolok Traditional Market, located within the jurisdiction of the Simalungun Regency. This qualitative investigation utilized a phenomenological strategy. Seven informants were interviewed. These include betel nut sellers, visitors or purchasers, healthcare practitioners, and market managers. Observations were also made by the researchers throughout the data collection process. The triangulation technique was employed to verify all the data collected through the interviews and observations. Additionally, the researcher utilized a matrix to categorize the data based on the research objectives and questions.  The data analysis followed the Miles and Huberman model, revealing that the practice of carelessly spitting betel residue among traders who consume betel is due to inadequate knowledge of healthy and hygienic living habits as well as unawareness of the dangers associated with spitting betel residue. The lack of education provided by health workers on the hazards of careless spitting and the consequent risk of disease transmission also contributes to this behavior.
Effectiveness of red betel leaf extract cream for healing burn wounds Hidayatti, Mustika; Tarigan, Setia Budi; Chiuman, Linda
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4398

Abstract

Burns are a frequent type of wound that can cause complications, infection and bleeding. The use of plants and natural materials as wound-healing remedies has been known for a considerable period, although more scientific proof is required. The objective of this investigation is to examine the efficacy of red betel leaf extract ointment in curing burns on the backs of white wistar rats. The study used a pre-test post-test design with a control group. Twenty white rat samples were employed. The samples were split into four groups, consisting of five rats each. Betel leaf extract was prepared through maceration, whilst betel leaf extract cream was made using the oil-in-water emulsion method (M/A). A histopathology test was carried out to observe growth of fibroblast cells. Rat skin biopsy was taken from a 2 x 2 cm area, and data normality was tested with the Shapiro-Wilk test (p > 0.05). The One-way Anova test (p < 0.05) was used to assess the differences between the groups. To determine the most effective treatment group, a post hoc test using LSD technique was performed. The findings showed that the average percentage of burn wound healing in the control group (P0) compared to groups P1, P2, and P3 was very different.  The analysis reveals that the application of 15% betel leaf extract cream proves to be superior in treating burns in white mice in contrast to 7.5% and 10% betel leaf extract cream. At a 15% concentration, secondary metabolite compounds found in betel leaf extract are already effective in treating wounds. However, at lower concentrations they only inhibit microorganisms, making them less effective in promoting wound healing.
Effectiveness of green betel leaf extract cream in healing cut wounds Aulia, Hilda Rafni; Wienaldi, Wienaldi; Fioni, Fioni
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4399

Abstract

Green betel leaf (Piper betle L.) is widely used in the healing of cut wounds. The aim of this study was to investigate the efficacy of green betel leaf extract cream in the healing of cut wounds on the skin of white Wistar rats. The design employed was a pre-test post-test with a control group design and a sample size of 20 white rats divided into four groups. Betel leaf extract was prepared using the maceration method, while a cream preparation of betel leaf extract was prepared using the oil-in-water emulsion type (M/A). Macroscopic histopathological evaluation was performed by examining fibroblast growth. A one-way analysis of variance (ANOVA) test (p < 0.05) was used to determine the difference between groups, and a post hoc least significant difference (LSD) test was used to analyze which treatment group had the greatest efficacy. Technical terms were explained upon first use, and the language used was clear, objective, and value-neutral to improve academic quality. The text was free from grammatical errors, spelling mistakes, and unnecessary jargon. A one-way analysis of variance (ANOVA) test (p < 0.05) was used to determine the difference between groups, and a post hoc least significant difference (LSD) test was used to analyze which treatment group had the greatest efficacy. The study revealed a substantial difference in the average wound healing rates between the control group (P0) and treatment groups P1, P2, and P3. This is due to the lack of active substances in the control group (P0), which aids in accelerating the wound healing process. Notably, the 15% green betel leaf extract cream demonstrated superior efficacy in healing wounds in white rats compared to the 10% and 25% green betel leaf extract creams. The results indicated no significant difference between the application of 15% and 25% green betel leaf extract cream. This is due to the fact that secondary metabolite compounds present in the extract produce a healing effect on wounds at these particular levels. However, lower concentrations only act as microorganism inhibitors, rendering them less effective for promoting wound healing.
Celery leaf extract cream is a potential wound healing agent Akalili, Cory Cintia; Pratama, Irza Haicha; Chiuman, Linda
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4400

Abstract

Natural ingredients have been widely used for wound care and healing because of their flavonoid, saponin, and tannin contents, which can facilitate the healing process. This study aimed to examine the efficacy of celery leaf extract cream in the treatment of cutaneous wounds on the surfaces of white Wistar rats. This study involved laboratory-based experimental research utilizing a pretest-posttest with a control group design. Twenty white rats were sampled for this study and divided into four groups, each consisting of five rats, including one control group and three treatment groups. The extract was obtained via maceration, whereas the celery leaf extract cream contained an oil-in-water emulsion. A one-way Anova test was used to test differences between groups (p < 0.05), and a Post Hoc test with LSD technique was conducted to determine the most effective treatment group. Celery leaf extract cream has been found to be more efficient in accelerating skin regeneration and stimulating fibroblast proliferation than base cream. This is evidenced by the superior performance of the celery leaf extract cream treatment group in closing the incision wound, as well as the group's higher production of fibroblasts that are essential for wound healing, compared to the base cream group. This is evidenced by the superior performance of the celery leaf extract cream treatment group in closing the incision wound, as well as the group's higher production of fibroblasts that are essential for wound healing, compared to the base cream group. The anti-inflammatory and antioxidant properties of the flavonoids found in celery leaves can potentially prevent the formation of free radicals and expedite wound healing.
Effectiveness of bay leaf extract in reducing malondialdehyde levels Puspitasari, Dwi; Suyono, Tan; Chiuman, Linda
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4401

Abstract

Excessive physical activity can lead to oxidative stress, resulting in elevated levels of free radicals in the human body. Oxidative stress is believed to be a precursor of various degenerative and chronic disorders, including arthritis, autoimmune diseases, cardiovascular diseases, neurodegenerative disorders, inflammatory diseases, and cancer. Malondialdehyde serves as a biomarker for oxidative stress and lipid peroxidation. Hence, the use of antioxidants is imperative to restore the balance in the body. The aim of this study was to investigate the effect of bay leaf administration on malondialdehyde levels in male Wistar rats. A pre-test–post-test design with a control group was employed in this study. Bay leaf extract was prepared using a maceration method with 70% ethanol. The rats were divided into four groups, including one control group and three treatment groups based on the dosage. Technical terms were explained when first used, and concise objective language was employed throughout the report. The study adhered to the conventional structure with standard citations and was free from grammatical, spelling, and punctuation errors. Blood samples were collected from the retro orbital plexus on days 1 (pretest) and 15 (posttest). Blood MDA levels were measured using the thiobarbituric acid reactive substances (TBARs) method, which involves reacting blood plasma with 20% TCA, 1% TBA, and 50% glacial acetic acid. To determine the significance of differences between the test groups, one-way ANOVA was used at a 95% confidence level (p < 0.05). Post Hoc Test with LSD technique was conducted for additional analysis or testing. Phytochemical test results indicated the presence of flavonoids, steroids, and tannins as secondary metabolites in the bay leaf extract. Administering bay leaf extract significantly lowered the MDA levels. The group receiving a 5 ml dose demonstrated greater effectiveness in reducing MDA levels in male white Wistar rats induced with excessive physical activity, based on average MDA levels.
Anti-inflammatory potential of lemongrass leaves in wound healing Hasibuan, Patimah Fitriansyari; Tambunan, Andika Zayani; Mutia, Maya Sari
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4402

Abstract

The inflammatory stage is a normal phase of wound healing; however, inflammation can become chronic and lasts for months or years. This is a post-test with control group design study, divided with 20 male white rats into 4 groups: control group (K), treatment group 1 (P1), treatment group 2 (P2), and treatment group 3 (P3). Lemongrass leaf extract gel, simplicia leaves, stems, and roots of citronella were extracted by maceration using a 1:5 ratio of simplicia to solvent. Gel was applied twice a day (morning and evening) to each group, adhering the formulation. Macroscopic observations were made to assess the wound condition and incision length. The length of the incision wound was measured using a ruler every two days for a span of fourteen days. As the sample size was less than 50, a normality test was performed using the Shapiro-Wilk test, followed by a One-way ANOVA and a Post Hoc test. The study found that wound healing was slowest in the control group but faster in the groups treated with 10% and 15% lemongrass leaf extract. Secondary metabolites at a concentration of 15% had a positive impact on wound healing, whereas at lower concentrations, they only inhibited microorganisms, making them less effective for wound healing.
Potential of gambier leaf ethanol extract cream for incised wound healing Arif, Maria Nisaul; Lumbantobing, Christina J. R. Esmaralda; Chiuman, Linda
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4403

Abstract

Incised wounds are highly susceptible to bacterial infection, which requires stimulation of healing and restoration of normal function of the injured body part. This study aimed to test the effect of gambier leaf ethanol extract cream administration on the acceleration of wound healing on the skin surface of male Wistar rats. The research used a pre-test post-test with a control group design. Twenty male white rats were divided into four groups: control group (P0), treatment group 1 (P1), treatment 2 (P2), and treatment 3 (P3). The incision wounds in white rats were treated twice a day (in the morning and evening) for 14 days. Wound healing was observed by measuring the average length of the wound every day, from the first day of wounding until day 14. Statistical tests used were one-way ANOVA and post-hoc LSD test (p < 0.05). In this study, it was found that the 15% gambier leaf extract cream was more effective in wound healing in white rats than the 5% and 7.5% gambier leaf extract creams. However, in the group treated with 7.5% gambier leaf extract cream, the situation was already close to that in the treatment group treated with 15% gambier leaf extract cream. This is because, at a concentration of 7.5%, the secondary metabolite compounds in the gambier leaf extract had an effect on wounds, but at a concentration of 15% gambier leaf extract cream, the effect was similar to that of 15% gambier leaf extract cream.
Effect of sunkist orange peel nanoparticle granules on cardiac and aorta histopathology in diabetic rats Sihotang, Widya Yanti; Putri, Indah Juwita Dwi; Henny, Henny; Suandy, Suandy; Mutia, Maya Sari
Jurnal Prima Medika Sains Vol. 5 No. 2 (2023): December
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v5i2.4426

Abstract

Sunkist oranges (Citrus sinensis (L.) Osbeck) is rich in anthocyanins (95% of which are represented by cyanidin-3-glucoside and cyanidin-3-6"-malonyl-glucoside), flavanones (hesperidin and narirutin), hydroxycinnamic acid, carotenoids, sugars, minerals, and fiber, which offer health benefits. This study aimed to evaluate the efficacy of sunkist orange peel nanoparticle granules on the histopathological appearance of the cardiac and aorta in alloxan-induced diabetic rats. This study used a post-test experimental design, with a control group. Twenty-five male Wistar rats were randomly divided into five groups: negative control (alloxan+distilled water), positive control (alloxan+metformin), treatment 1 (alloxan+granular nanoparticles 50 mg/kg BW), treatment 2 (alloxan+granular nanoparticles 70 mg/kg BW), and treatment 3 (alloxan+granular nanoparticles 100 mg/kg BW). The heart and aorta were prepared for observation using 10x ocular magnification and 40x objective lens magnification. Kruskal-Wallis statistical test results revealed a significant difference in the average cardiac histopathological score between the treatment groups (p = 0.011). The amount of aortic endothelial cell damage can be seen from the presence of foam cells in the K(-) treatment group, while the K(+), P1, P2, and P3 groups did not have foam cells in the aortic endothelium. The findings of this study indicate that sunkist orange peel extract nanoparticles in granular form improve cardiac and aortic histopathology, with a dose of 100 mg/kg BB being the best dose for improving cardiac and aortic histopathology.

Page 8 of 16 | Total Record : 154

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