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Contact Name
Widya Yanti Sihotang
Contact Email
widyayantisihotang@unprimdn.ac.id
Phone
+62614532820
Journal Mail Official
fk@unprimdn.ac.id
Editorial Address
Jl. Belanga No.1 Simp. Jl. Ayahanda, Medan
Location
Kota medan,
Sumatera utara
INDONESIA
Buletin Kedokteran dan Kesehatan Prima
ISSN : 28289994     EISSN : 28289994     DOI : https://doi.org/10.34012/bkkp
Core Subject : Health, Science,
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.
Articles 224 Documents
Factors influencing the participation of mothers with toddlers in posyandu activities in Kemenangan Tani Village, Medan Tuntungan District Mujahidin, Mujahidin; Wenti Anggraeni, Wenti; Daeli, Elisa Hotmauli Gratia; Sabri, Ihsan; Ivonne, Ivonne; Muchtar, Muhammad Arafat; Riskaldy, Riskaldy; Dewani , Yunita; Ferdinand, Sahna; Mukhtar, Zulfikri; Reza, Faisal
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7442

Abstract

Posyandu is a type of community-based health effort (UKBM) which is managed and organized by, for, and with the community in the implementation of health development. Empowering the community to obtain essential health services, accelerating the reduction of maternal and child mortality. This study aims to determine the relationship between knowledge and characteristics of mothers under five with visits to posyandu activities in Kelurahan Kemenangan Tani. This research is an analytic survey with a cross-sectional approach. The population in this study were mothers of children under five at the Kelurahan Kemenangan Tani Posyandu. The sample in this study was 60 respondents with the determination of the number of samples using the slovin formula. The sampling technique used is proportional random sampling with inclusion and exclusion criteria. Data was collected through interviews using a questionnaire. This study used the chi-square statistical test (Confidance Interval (CI) 95%; = 0.05). Multivariate analysis using logistic regression. The results of this study indicate that there is a significant relationship between mother's knowledge and mother's characteristics with the visit of mothers under five in posyandu activities (p < 0.05). The dominant independent variable was education (p= 0.011; PR= 14,903, 95% CI = 1,872-118,660). The conclusion of this study is that there is a significant relationship between mother's knowledge and mother's characteristics with the visit of mothers under five in posyandu activities. The dominant independent variable is education.
Analysis of factors influencing re-visit intention of diabetes mellitus patients at dr. Pirngadi General Hospital Loren, Jeff; Zannah, Rafika; Hutauruk, Magdalena Julianni; Kuswani, Lili; Delfian, Taufik; Haryadi, Haryadi; Lumban Tobing, Andrico Napolin; Sopacua, Erwin; Arviandi, Rizki; Cisca, Anita Merry; Nadapdap, Faskanita Maristella; Putra, Kriswandy
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7444

Abstract

Diabetes mellitus is a non-communicable disease that requires a long treatment so that patients have to take medication or visit the hospital more often, interest in repeat visits is a behavior that appears in response to objects that indicate a customer's desire to make a repeat purchase. The aim of the study was to find out whether the factors that determine interest in returning to diabetes mellitus patients at Pirngadi Hospital in Medan City in 2023. The research method uses a correlative descriptive design with a cross-sectional approach. The results showed that most of the respondents were male, namely 23 (51.1%), the education level of respondents who were high and medium had the same proportion, namely 18 (40%), the employment status of respondents was 30 (66.7%) working. Quality of service as many as 33 (73.3%) and as many as 28 (62.2%) families get high support. The results of the statistical chi-square test found that there was no significant relationship between gender and intention to revisit (p=0.155), there was no relationship between education and intention to revisit (p=0.371), there was no relationship between work and intention to revisit (p=0.828), there is a relationship between quality of service and interest in repeat visits (p=0.000). There is no relationship between family support and interest in repeat visits (p=0.000). This research is expected to be an evaluation material in improving health services related to the determinants of interest in repeat visits of patients with diabetes mellitus.
Factors influencing the occurrence of neck pain complaints in garment convection tailors Siregar, Damayanti; Handoko, Ellya Keriahen; Setiawan, Deni; Sembiring, Sindy Boru; Yumardika, Deza; Renaldi, Muhammad Rizal; Pane, Herlin Novita; Tanjung, Fahrul Azmi; Siahaan, Nelly Christina; Mylano, Tri Adi; Nur, Putri Amriany
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7445

Abstract

This study aimed to identify the factors influencing neck pain complaints among garment convection tailors in Medan City. A total of 44 tailors from a convection workshop on Jl. Denai were included as the study's population and sample, utilizing a total sampling technique. The research employed a cross-sectional analytical survey design with data analysis using the Chi-Square test. The findings from the bivariate analysis showed a significant association between neck pain complaints and three key factors: years of service (p=0.021), work duration (p=0.044), and work posture (p=0.000). Specifically, a higher percentage of severe neck pain was found in workers with fewer years of service and longer work durations (more than 8 hours a day). The analysis also revealed that age (p=0.717) and lighting (p=0.062) were not statistically significant factors. A subsequent multivariate analysis identified work posture and work duration as independent factors influencing neck pain, with work posture being the most dominant variable (p=0.000). The multivariate analysis for work posture had an odds ratio of 64.346, indicating a strong positive correlation with severe neck pain. However, a contradictory result for work duration in the multivariate analysis suggested a need for re-examination of its coding. The study concludes that workload, work duration, and working posture are the primary factors influencing neck pain complaints in convection tailors, with work posture being the most dominant. These findings highlight the importance of ergonomic interventions, proper posture, and regulated work hours to mitigate occupational health risks in this population.
Factors related to the quality of health services at Rambung Community Health Center Tebing Tinggi City Purba, Arna Fransisca Millyanti; Harahap, Yuri Warda; Atmadja, Linda Stefanie; Djamin, Djamin; Silalahi, Todung Donald Aposan; Malau, Reghita Claudia; Br Bukit, Rosmeri; Iskandar, Dalmy; Zubaidah, Siti; Pakpahan, Enni Halimatussa'diyah
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7450

Abstract

Service activites in an organization that the main activitiy is as service’s provider has a very strategic role. The facility that can support health service’s realization through Community Health Center  (PUSKESMAS). Minister of Health Regulation number 43 of 2019 concerning Puskesmas states that Puskesmas is health service that doing public health means and first level individual health, by prioritizing promotive and preventive in their working areas. This study aims to determinate the factors relating to quality of health’s service in Puskesmas Rambung at Tebing Tinggi City. This type of research is quantitative with a cross-sectional approach. With population of average monthly patitent who come for treatment of 68 samples. Sampling method used purposive sampling.The results showed that the variables that relating to health service’s quality at Puskesmas Rambung Tebing Tinggi City are tangibles (p=0,004), responsiveness (p=0,0001), assurance (p=0,0001), and empathy (p=0,0001). Puskesmas health workers must improving reliability through the attitude of officers towards patients, maintaining the cleanliness of the puskesmas environment so that patients who come for treatment feel comfortable and it is health workers considered to improve their performance so that they will be even better in the future.
The role of family planning field extension workers (PFEW) in fertile age couples in choosing long-term contraception methods at Sekerak District Health Center Halim, Yeni; Saputri, Novia; Yuliana, Yuliana; Lubis, Ika Syani Putri; Suwarno, Suwarno; Sulistijanto, Eddy; Alexander, Rico; Fresia, Ana; Henny, Henny; Putri, Eka; Angie, Evelyn
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 1 (2025): March
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i1.7451

Abstract

The lack of socialization carried out by Family Planning Field Extension Workers (FPFE) leads to fear among the community, especially among Couples of Reproductive Age (CRA), in choosing Long-Term Contraception Methods (LTCM). Couples of reproductive age require health education or counseling to help them determine which contraceptive method to use. This study aims to determine the role of PLKB for couples of reproductive age (PUS) in choosing LTCM at Sekerak District Health Center, Aceh Tamiang Regency in 2022. This study is a quantitative research with a cross-sectional design. The population in this study was all couples of reproductive age in Sekerak Kanan Village, Sekerak District, Aceh Tamiang Regency, and the research sample consisted of 126 people. Data collection was done directly by distributing questionnaires to couples of reproductive age. Then, it was followed by the process of data analysis using the Chi-Square test and logistic regression. The results showed that there is a relationship between counseling quality in choosing LTCM with a value of (p=0.001; PR=3.4; 95% CI 2.201-5.294), there is a relationship between PLKB barriers in choosing LTCM with a value of (p=0.001; PR=2.2; 95% CI 1.724-3.007), and there is a relationship between FPFE capacity in choosing long-term contraceptive methods with a value of (p=0.001; PR=2.4; 95% CI 1.704-3.472). Furthermore, the dominant factor related to the selection of LTCM is counseling quality with a value of (p=0.000; PR=10.766 95% CI 3.491-33.204). Couples of reproductive age are expected to increase their knowledge, especially about long-term contraceptive methods, and it is hoped that men will not be ashamed to participate in family planning programs.
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.
Effectiveness of transdermal patch formulation of Hibiscus rosa-sinensis L. leaf extract as an antipyretic in male rats induced with DPT vaccine Ketaren, Nessya Try Natasya Br; Ginting, Astriani Natalia Br; Meutia, Rena; Lubis, Asyrun Alkhari
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.v4i2.7546

Abstract

Fever is characterized by an elevation of body temperature above the normal range of 37.5°C and represents a physiological response to various health conditions such as infections or other diseases. Antipyretic drugs, including paracetamol and ibuprofen, are commonly used to manage fever. Ethanol extract of Hibiscus rosa-sinensis L. (kembang sepatu) leaves contains bioactive compounds such as tannins, flavonoids, saponins, carbohydrates, steroids, phenols, glycosides, quinones, terpenoids, cyclopeptides, and alkaloids, which may confer natural antipyretic properties. In this study, 3% and 5% (w/w) Hibiscus rosa-sinensis leaf ethanol extracts were formulated into transdermal patches and evaluated for their antipyretic efficacy in male rats induced with the Diphtheria-Pertussis-Tetanus (DPT) vaccine. The dried Hibiscus rosa-sinensis leaves were macerated using 96% ethanol. The concentrated extract was formulated into a hydroxypropyl methylcellulose (HPMC)-based transdermal patch. Phytochemical screening of the extract, stability testing of the transdermal patch, and statistical analysis of the antipyretic effect on DPT-induced male rats were conducted. Phytochemical screening of the 96% ethanol extract confirmed the presence of alkaloids, flavonoids, tannins, steroids, and saponins. The transdermal patch formulation demonstrated good stability over 21 days of storage. The 5% extract patch exhibited the highest antipyretic activity, significantly reducing fever in the experimental rats and showing effectiveness comparable to the positive control (paracetamol).
The association between farmer characteristics, behavior, and pesticide spraying patterns and skin disorders in citrus farmers in Aji Mbelang Village, Karo Regency Pane, Putri Yunita; Surbakti, Yemima Valentin Br; Saragih, Meysi Dea Vinata R.; Hartono; Simangungsong, Pahala Maringan Jubel
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.v4i2.7549

Abstract

Agriculture forms a vital component of Indonesia’s economy, yet pesticide use poses significant occupational health hazards, particularly skin disorders from exposure. This study aimed to analyze the association between farmer characteristics, behavior, and pesticide spraying patterns with the incidence of skin disorders among citrus farmers in Aji Mbelang Village, Karo Regency. A quantitative analytical cross-sectional study was conducted involving 30 citrus farmers selected through accidental sampling. Data were collected using a structured questionnaire assessing demographic variables, behavioral factors, and pesticide spraying patterns. Univariate and bivariate analyses, including chi-square tests, were performed to explore associations between independent variables and skin disorder incidence, with significance set at p<0.05. The majority of respondents were male (86.7%), aged over 36 years (43.3%), and had completed senior high school (46.7%). The prevalence of skin disorders was high (90.0%). Most farmers demonstrated poor knowledge about pesticide risks (60.0%) but exhibited positive attitudes (86.7%) and safety practices (76.7%). Contradictorily, 96.7% engaged in high-risk spraying behaviors. Age was the only statistically significant variable associated with skin disorders (p=0.044), with all farmers over 32 years reporting skin disorders. Skin disorders are highly prevalent among citrus farmers and significantly associated with older age. The findings reveal a gap between positive safety attitudes and hazardous field practices, highlighting the need for targeted educational interventions to enhance knowledge and promote safer pesticide application to mitigate dermal health risks.
Glibenclamide prescription services profile in pharmacies of the Tapung Hilir District 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.
Examining safety knowledge and attitudinal factors related to unsafe conduct among lathe operators Chairani, Alfiah; Hartono, Hartono; Siregar, Santy Deasy
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.v4i2.7554

Abstract

Background: Unsafe actions are a primary contributor to occupational accidents in industrial environments, yet the influence of worker-specific factors like knowledge and attitude requires continuous investigation. This study aimed to determine the association between Occupational Safety and Health (OSH) knowledge, attitude, and the prevalence of unsafe actions among lathe machine operators. Methods: A cross-sectional study was conducted involving 33 lathe machine operators at CV. Melpura Jaya Teknik. Data on demographic characteristics, OSH knowledge, OSH attitude, and unsafe actions were collected using a structured questionnaire. The relationships between variables were analyzed using the Chi-Square test, with the significance level set at p < 0.05. Results: The analysis revealed a highly significant association between OSH knowledge and unsafe actions (p < .001), as well as a significant association between OSH attitude and unsafe actions (p = .031). Notably, all participants with poor knowledge (100%) or an unsupportive attitude (100%) were found to engage in high-risk unsafe actions. Conversely, all workers with good knowledge or a supportive attitude were classified in the low-risk category. Conclusion: OSH knowledge and attitude are critical determinants of safe behavior among lathe machine operators. Deficiencies in these areas are strongly correlated with high-risk actions. Therefore, workplace safety interventions should adopt a dual approach, focusing not only on comprehensive knowledge-based training but also on fostering a positive safety culture to shape supportive attitudes.