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Buletin Kedokteran dan Kesehatan Prima
Published by Universitas Prima Indonesia
ISSN : 28289994     EISSN : 28289994     DOI : https://doi.org/10.34012/bkkp
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health
Media publikasi ilmiah di bidang kedokteran dan kesehatan yang terbit dua kali dalam setahun yaitu pada bulan Maret dan September. Berisi tulisan hasil penelitian lapangan atau laboratorium maupun studi pustaka dari bidang ilmu seperti kedokteran klinis, kedokteran tropis, kedokteran gigi, biomedis, farmasi klinis dan kesehatan masyarakat.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 44 Documents
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Search results for , issue "Vol. 4 No. 2 (2025): September" : 44 Documents clear
Glibenclamide prescription services profile in pharmacies of the Tapung Hilir District Hotvera Merianis, Hotvera; Razoki, Razoki; Ginting, Astriani Natalia Br
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7553

Abstract

Prescription dispensing in pharmacies involves two key stages: screening and medication preparation. Screening, conducted by the pharmacist, covers administrative requirements, pharmaceutical suitability, and clinical considerations. Medication preparation includes compounding, labeling, packaging, dispensing, counseling, and monitoring. The overarching goal is to ensure that the medication prescribed is accurately and safely delivered to the patient. This study assessed the prescription service quality for glibenclamide in Tapung Hilir pharmacies. Ninety pharmacies were randomly sampled, and data were collected using a simulated patient approach, where researchers acted as patients' family members seeking glibenclamide. The instruments employed—prescription, scenario, protocol, and checklist—were validated for reliability. Results showed that 85 pharmacies (94.4%) dispensed the prescribed medication. However, patient information gathering was minimal: only 7.1% asked for the recipient’s identity, 18.8% for the patient’s address, and fewer than 5% inquired about prior medication use or understanding of administration. Critical clinical data such as patient age, symptomatology, therapy goals, concurrent medications, and allergy history were generally not obtained. On average, pharmacies asked only 0.4 out of 13 patient assessment questions. Regarding medication counseling, the frequency of drug use was explained by 42.4% of pharmacies, while other key information—indication, dose, side effects, treatment duration, and storage—was rarely provided. On average, only 1.2 out of 16 drug information items were communicated. Labels were provided by 65.9% of pharmacies, with only one using a distinguishable blue label. In conclusion, the involvement of pharmacy staff in the comprehensive provision of prescription services for glibenclamide remains limited in Tapung Hilir. Enhancement in patient assessment and information delivery is urgently needed to improve medication safety and effectiveness.
Glycemic control, periodontal disease, and tooth mobility in type 2 diabetes Molek, Molek; Tarigan, Susiani; Nuari, Arifah Nur Amaliyah
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.6835

Abstract

Diabetes mellitus, a growing global and national health crisis, is associated with various systemic complications, including often-overlooked oral health deterioration, particularly periodontal disease. While the general bidirectional link between diabetes and periodontal disease is established, research on the direct correlation between glycaemic control (HbA1c) and periodontal status or tooth mobility in specific regional contexts like Indonesia remains inconsistent. This study aimed to analyse this relationship in patients with Type 2 Diabetes Mellitus (T2DM) at Dr. Yuliddin Away Tapaktuan Hospital. An analytical survey with a cross-sectional design was conducted in September-October 2024 at RSUD dr. Yuliddin Away Tapaktuan. A convenience sample of 40 T2DM patients was selected from a population of 63. HbA1c level was the independent variable, while periodontal disease status and tooth mobility degree were the dependent variables. Data were collected via direct oral examination and patient medical records, and subsequently analysed to determine associations. The study cohort (n=40) was predominantly female (72.5%) and over 45 years old (85%). A significant majority (80.0%) exhibited uncontrolled HbA1c levels. Periodontal disease was highly prevalent, with 80.0% of patients having gingivitis. The bivariate analysis revealed a strong and statistically significant relationship between blood glucose control and periodontal disease severity (p < 0.001). Among patients with controlled HbA1c, 87.5% maintained healthy periodontal status, whereas 96.8% of those with uncontrolled HbA1c presented with gingivitis. Conversely, while all controlled HbA1c patients showed no tooth mobility (Degree 0), 21.9% of the uncontrolled group had some degree of mobility (Degree 1 or 2). However, this association between HbA1c control and tooth mobility was not statistically significant (p = 0.910). This study confirms a significant inverse relationship between optimal blood glucose control and the severity of periodontal disease in T2DM patients, particularly regarding gingivitis. Effective glycaemic management is therefore critical for promoting periodontal health. While a trend was observed, the relationship between HbA1c control and tooth mobility did not reach statistical significance, suggesting its multifactorial nature. These findings underscore the importance of integrating comprehensive diabetes management with oral healthcare to prevent and mitigate periodontal complications.
An evaluation of patient satisfaction with pharmaceutical services at Munyang Kute Regional General Hospital Bengimiate, Nuriza; Hartopo, Haqi; Razoki, Razoki; Ginting, Astriani Natalia Br
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7173

Abstract

Patient satisfaction is a crucial indicator for assessing hospital service quality, in which pharmaceutical services play a vital role as a primary point of contact with patients. This study aimed to comprehensively evaluate the satisfaction level of outpatients with the pharmaceutical services at Munyang Kute Regional General Hospital. This research employed a descriptive quantitative design with a cross-sectional approach. A total of 90 respondents were selected through a purposive sampling technique based on predetermined criteria. The research instrument was an adapted questionnaire designed to measure satisfaction across five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. The collected data were analyzed descriptively using SPSS software. The findings indicated that patients were generally satisfied with the pharmaceutical services they received. The highest level of satisfaction was observed in the responsiveness dimension, with a percentage of 69.72%. The other dimensions, in descending order, were tangibles (32.21%), empathy (27.19%), assurance (19.60%), and the lowest was the reliability dimension (16.00%). Overall, the patient perception of pharmaceutical services at Munyang Kute Regional General Hospital is positive. Nevertheless, there remains room for improvement, particularly in the reliability and assurance dimensions. Continuous quality improvement through enhanced patient education and optimization of facilities is highly recommended.
Sociodemographic and knowledge profile of patients with type 2 diabetes mellitus at Royal Prima General Hospital Naibaho, Iren Theresia Melati Br; Lister, I Nyoman Ehrich; Girsang, Ermi
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7178

Abstract

This study utilized a descriptive design with a cross-sectional approach, conducted from April to May 2024 at Royal Prima General Hospital, Medan. A total sampling technique was employed, including all 64 registered T2DM patients. Sociodemographic and knowledge data were collected via questionnaire and analyzed using univariate analysis to generate frequency distributions and percentages. The findings revealed that the majority of respondents were aged ≥45 years (62.5%), male (53.13%), had a low education level (≤9 years of schooling) (53.13%), and were unemployed (51.56%). Nevertheless, a majority of patients (62.5%) possessed a good level of knowledge regarding their disease. The profile of T2DM patients is consistent with that of a socioeconomically high-risk population. The high level of knowledge observed in the majority of patients may not guarantee optimal disease management due to potential structural and economic barriers. Therefore, intervention strategies for T2DM must be multifaceted, moving beyond education to address socioeconomic obstacles that impede the translation of knowledge into effective self-care behaviors.
Factors affecting community waste disposal in the Deli River, Medan Petisah Batu, Artosi Sumana Lumban; Ginting, Rapael; Hartono, Hartono
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7234

Abstract

Humanity and other living organisms coexist within the environment. Rivers, as essential components of the environment, provide critical benefits for human survival, including supplying water for daily use, supporting fisheries, and facilitating water transportation. However, human activities frequently exert negative impacts on river ecosystems, such as the disposal of solid and industrial waste. This study aimed to identify the factors influencing community waste disposal practices in the Deli River, Petisah Village, in 2023. Employing a quantitative, descriptive-analytical cross-sectional survey design, the study population comprised 250 residents residing along the Deli River, from which a sample of 154 participants was selected through simple random sampling. Bivariate analyses were conducted using the Chi-square test. The findings demonstrate significant associations between waste disposal behavior and knowledge (p=0.004), attitude (p=0.004), practices (p<0.001), and infrastructure (p=0.008). Furthermore, logistic regression analysis identified infrastructure as the strongest predictor of waste disposal behavior, indicating that inadequate infrastructure increases the likelihood of respondents disposing of waste into the river.
Demographic characteristics and mortality of dengue fever in Medan City (2021-2024) Iqbal, Muhammad; Silalahi, Marlinang Isabella; Pane, Putri Yunita; Sibagariang, Eva Ellya; Munthe, Dewi Sartika; Nardi, Leo; Fransiskus, Antonius; Lawrence, Christopher; Ongko, Nicolas Xavier
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7350

Abstract

Dengue Hemorrhagic Fever (DHF) is a significant public health challenge in Indonesia, including the city of Medan. This study aimed to determine the prevalence, demographic distribution (by sex and age group), and mortality rates of DHF in Medan from 2021 to 2024. This study used secondary data from reports provided by the Medan City Health Office, which compiled information from all public health centers (Puskesmas) in the region. Analysis of the data revealed that the pediatric age group (5–14 years) was the most affected population. The distribution of cases showed a relatively balanced proportion between males and females. DHF mortality rates fluctuated annually, with a notable downward trend observed in 2024. These findings underscore the critical need to strengthen DHF prevention and control programs, with a specific focus on vulnerable age groups and high-incidence areas. This study is expected to serve as a foundational resource for public health policy planning and to enhance the capacity of primary healthcare services to effectively manage DHF cases.
The use of herbal medicines and related factors among diabetic patients Rasyida, T. Syifa; Laoli, Elfani Dita Pradana; Ginting, Tariana; Sibagariang, Eva Ellya; Dameria, Dameria
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7359

Abstract

Diabetes mellitus (DM) is a chronic non-communicable disease characterized by elevated blood glucose levels due to insulin dysfunction. The use of herbal medicine has increased among patients with diabetes due to the widespread availability of information about herbal treatments globally. Many believe herbal remedies have minimal side effects and are more natural. The purpose of this study was to identify the factors associated with the use of herbal medicine among DM patients at Puskesmas Kampung Baru, Medan Maimun District. This quantitative, cross-sectional study was conducted from February to April 2025. The independent variables examined were age, education, income, knowledge, attitude, and belief, while the use of herbal medicine served as the dependent variable. The study population included all 809 registered DM patients at Puskesmas Kampung Baru. A sample of 189 was selected using a proportion difference test formula and a simple random sampling method. Bivariate data analysis was performed using the chi-square test. The results indicate that 164 (86.6%) respondents use herbal medicine. A significant association was found between herbal medicine use and age (p=0.019), income (p=0.000), knowledge (p=0.000), attitude (p=0.000), and belief (p=0.000). However, no significant association was found with education (p=0.089). Based on these findings, it is recommended that patients with diabetes mellitus receive counseling on the safe and evidence-based use of herbal medicine, with a strong emphasis on consulting healthcare professionals.
Characteristics of stunted toddlers in Medan Belawan Febrianti, Rifka; Tarigan, Renita Br.; Gulo, Riska; Silalahi, Marlinang Isabella; Simangunsong, Pahala Maringan Jubel; Pane, Putri Yunita
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7383

Abstract

This study aimed to characterize stunting among children under five years of age in Medan Belawan, North Sumatra, Indonesia, a sub-district with a high prevalence of this public health challenge. Employing a quantitative descriptive design, data were retrospectively collected from records of 40 stunted toddlers at the Belawan Community Health Center in 2024. The analysis examined maternal and parental characteristics, as well as the demographic and anthropometric profiles of the toddlers, including gender, age, weight, height, and nutritional status. The results indicated that the demographic profile was predominantly composed of mothers with lower educational attainment, most having completed only junior or senior high school. Parental occupations were mainly homemakers and fishermen, reflecting the local socioeconomic context. Stunting was more common among male toddlers (57.5%) and those in the older age group (2.6–5 years), who accounted for 70% of the sample. Anthropometric measurements confirmed the severity of stunting, with 55% of toddlers classified as severely stunted and a significant proportion identified as underweight or severely underweight. Despite the high prevalence of stunting, the majority of toddlers were classified as well-nourished based on weight-for-height indices, suggesting that chronic growth failure rather than acute malnutrition constitutes the primary nutritional concern. These findings underscore the multifactorial and complex nature of stunting in this vulnerable population, emphasizing the roles of socioeconomic and environmental determinants beyond mere caloric deficiency.
The effects of phyto-aeration using water lilies on biochemical oxygen demand (BOD), pH, dissolved oxygen (DO), and phosphate levels in laundry wastewater Maulana, M. Regzi; Silalahi, Marlinang Isabella; Handayani, Putri
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7420

Abstract

Phytoremediation, a technique that employs plants to extract pollutants from soil and water, offers a promising solution for mitigating water contamination from liquid waste. This method is characterized by its simplicity, cost-effectiveness, high efficacy, and minimal environmental impact. It can also be aesthetically integrated into various settings to address pollution. A notable plant used in this process is the water hyacinth. Despite its rapid growth and classification as an invasive weed that can harm aquatic ecosystems, the water hyacinth possesses significant potential for environmental remediation. This research employed a quasi-experimental design with a pretest-posttest non-equivalent control group to evaluate the effectiveness of water hyacinth in reducing key pollutants. The study's primary objective was to quantify the reduction of Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), and phosphate levels in laundry liquid waste. A comparative analysis was conducted between an experimental group, where water hyacinth was utilized, and a control group. The study was conducted at the Environmental Health Engineering and Disease Control Center Class 1 Medan laboratory. Laundry wastewater was analyzed using spectrophotometry. The results indicated that phyto-aeration with water hyacinth was only able to achieve a 57% reduction in phosphate levels, decreasing the concentration from 1.52 mg/L to 0.65 mg/L. Further research is needed to optimize the phytoremediation process, particularly by increasing the remediation time and plant density. These modifications could potentially improve water quality by elevating dissolved oxygen (DO) levels and enhancing the biological degradation of pollutants.
Comparison of bacang mango leaf extract concentrations (25%, 50%, and 75%) in inhibiting Streptococcus mutans in vitro Hutagalung, Mangatas Halomoan Parluhutan; Erawati, Suci; Lumbansiantar, Ruben Tutamana
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7528

Abstract

Observations in Pancur Batu District, Deli Serdang Regency, revealed an abundant growth of Bacang mango trees (Mangifera foetida), yet their potential benefits remain underutilized by the local community. This study aimed to investigate and provide insight into the antibacterial properties of Bacang mango leaf extract. An experimental laboratory study was conducted using a randomized posttest-only control group design. The results demonstrated that Bacang mango leaf extract effectively inhibited the growth of Streptococcus mutans in vitro, surpassing the efficacy of 0.2% chlorhexidine digluconate used as a positive control. Measurement of the inhibition zone diameters indicated a proportional relationship between extract concentration and antibacterial efficacy. At 25% concentration, the mean inhibition zone diameter was 13.15 ± 0.49 mm. Increasing the concentration to 50% yielded a larger diameter of 15.75 ± 0.66 mm, while the highest antibacterial activity was observed at 75% concentration, with an inhibition zone diameter of 16.73 ± 0.55 mm. In comparison, the 0.2% chlorhexidine digluconate positive control produced an inhibition zone diameter of only 12.50 ± 0.26 mm. These findings suggest that Bacang mango leaf extract at 75% concentration is the most effective in inhibiting Streptococcus mutans growth. Its significantly greater inhibitory effect relative to lower concentrations and the positive control highlights its potential as a natural antibacterial agent.

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