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The association between lifestyle and hypertension among elderly: A cross-sectional study at the Merdeka Community Health Center, Karo Regency Br Surbakti, Chindy; 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.v4i2.7555

Background: Hypertension is a non-communicable disease with a continually rising prevalence, particularly within the elderly population. Lifestyle factors play a critical role in influencing the risk of developing hypertension. This study aimed to determine the relationship between lifestyle and the incidence of hypertension among the elderly at Merdeka Health Center in 2025. Methods: This study employed a quantitative design with a descriptive correlational method and a cross-sectional approach. The study population consisted of all 125 elderly individuals who visited the Merdeka Health Center between January and December 2024. A sample of 55 respondents was selected using an accidental sampling technique. Data were collected through questionnaires and blood pressure measurements and were subsequently analyzed using the Spearman's rho correlation test with a significance level of α=0.05. Results: The findings indicated a significant relationship between physical activity (p=0.046;r=−0.270), dietary patterns (p=0.029;r=0.295), rest/sleep habits (p=0.007;r=0.361), pesticide exposure (p=0.009;r=−0.351), and family history of hypertension (p=0.000;r=0.512) with the incidence of hypertension in the elderly. However, no significant relationship was found between smoking history and the incidence of hypertension (p=0.057;r=−0.258). Conclusion: Most of the investigated lifestyle components—specifically physical activity, dietary patterns, and rest habits—along with pesticide exposure and family history, have a significant association with the incidence of hypertension in the elderly. It is therefore recommended that elderly individuals adopt a healthy lifestyle for the prevention and control of hypertension.

Relationship between clean water quality and sanitation with health problems in Rambung Baru Village, Sibolangit Sub-district Sinaga, Dahlan; 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.v4i2.7557

The global challenge of inadequate access to clean water and sanitation continues to impose a substantial burden on public health, especially in developing regions. This study investigates the relationship between water quality, sanitation conditions, and health disorders among residents of Rambung Baru Village, Sibolangit Subdistrict, Indonesia. Employing a cross-sectional analytical design, data were collected from 130 households utilizing spring water as their primary source. Water quality was evaluated through physical, chemical, and microbiological analyses, while sanitation hygiene and health disorder data were gathered via questionnaires and health center records. The results indicate that over half of the respondents consumed water failing to meet quality standards, and nearly half experienced inadequate sanitation hygiene around water sources. A statistically significant association was found between poor water quality and the incidence of health disorders (p = 0.007), with affected individuals showing higher prevalence of diarrhea, acute respiratory infections, and skin diseases. Conversely, no significant relationship emerged between sanitation hygiene and health disorders (p = 0.289), although trends suggest a potential influence. These findings underscore the critical role of water quality in disease transmission and point to the need for prioritized interventions targeting water source protection and household water treatment. Given the complex interactions among water quality, sanitation, and hygiene behaviors, integrated approaches combining infrastructure improvements with community education on hygiene practices are essential. Further longitudinal research incorporating confounding factors is recommended to deepen understanding and guide effective public health strategies in similar rural contexts.

The association between workload and occupational stress levels among nurses at the Medan Tuntungan Community Health Center Ilahi, M Rizky; Dameria, Dameria; Wau, Herbert
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.v4i2.7558

Nurses, as frontline healthcare providers, are highly susceptible to occupational stress stemming from excessive workloads.1 In Indonesia, suboptimal nurse-to-population ratios exacerbate this, leading to high stress levels (65% moderate/severe) and increased turnover (15–20%). Preliminary observations at the Medan Tuntungan Community Health Center (Puskesmas) indicated rising patient visits without corresponding staff increases, resulting in high perceived workloads and stress symptoms. This study aimed to analyze the relationship between workload and the incidence of occupational stress among nurses at the Medan Tuntungan Community Health Center. A quantitative, cross-sectional design was employed in August 2025. A total sampling (census) technique was used, including all 30 nurses at the facility. Data were collected via a structured online questionnaire assessing workload (physical, mental, administrative) and job stress (physical, emotional, behavioral symptoms), categorized on an ordinal scale (Good, Moderate, Poor). Data analysis utilized univariate statistics and bivariate testing with the Chi-Square test or Fisher's Exact Test. Univariate analysis revealed that 90.0% of nurses perceived their workload as moderate (50.0%) or poor (40.0%). Regarding stress, 43.3% experienced moderate levels, and 30.0% experienced poor (high) levels. The bivariate analysis established a highly significant association between workload and work stress (p < 0.001). A clear positive correlation was observed: 75.0% of nurses with a poor workload reported poor (high) stress, while 100.0% of those with a good workload reported good (low) stress. No significant associations were found for work shift (p = 0.091) or length of service (p = 0.069).Conclusion: Workload is a significant determinant of occupational stress among nurses at the Medan Tuntungan Puskesmas. As workload perception worsens, stress levels increase. These findings underscore the urgent need for institutional interventions focused on effective workload management and staffing optimization to mitigate nurse stress and enhance well-being.

Effect of hygiene of kitchen utensils and food handlers on microbial counts in Jumbo Ayahanda Iced Tea drinks, Medan City Manalu, Madeline Elisa Patricia; Waruwu, Fransiska Lalania; Siagian, Masryna; Hulu, Victor Trismanjaya; Pakpahan, Eka Lolita Eliyanti
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.v4i2.7559

Food safety is a crucial aspect of public health, aiming to prevent diseases resulting from the consumption of contaminated food or beverages. This study employed a quantitative research design with an analytical observational approach. The analytical observational method was used to determine the relationship between two independent variables—kitchen utensils and food handler hygiene—and the dependent variable, the microbial count in jumbo iced tea beverages sold along Ayahanda Street, Medan. The quantitative approach was chosen for its ability to measure data numerically and statistically analyze the relationships among variables. Data collection was conducted through direct observation using standardized assessment sheets. The kitchen utensil variable included evaluation of the cleanliness of plastic cups, straws, cool boxes, and cup sealer machines; washing procedures; equipment storage; cleaning methods for stainless steel, glass, and food-grade plastic tools; as well as cleaning frequency. The food handler hygiene variable was assessed based on hand hygiene before and after beverage preparation, nail cleanliness, cleanliness of clothing and aprons during work, and the use of personal protective equipment such as masks and gloves. Microbiological testing involved determining the Total Plate Count (TPC) and comparing the results with established safety standards. Observational and laboratory data were processed and analyzed statistically using the Chi-Square test with a 5% significance level (α = 0.05) to evaluate the effect of kitchen utensil conditions and food handler hygiene on microbial counts. The results showed that the majority of jumbo iced tea samples contained microbial levels within safe limits. Of the 30 samples tested, only 4 samples (13.3%) contained detectable microbes, while 26 samples (86.7%) showed no microbial growth based on the Total Plate Count method. There was no significant association between kitchen utensil cleanliness and microbial counts in jumbo iced tea sold on Ayahanda Street, Medan (p-value = 0.507). However, a significant relationship was found between food handler hygiene and microbial counts in the same products (p-value = 0.024).

Climate change and the life cycle of aedes mosquitoes as vectors of the dengue virus: A scoping review Ginting, Gita Br; Sitorus, Angel Juliana Peace; Pane, Putri Yunita; 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.v4i2.7563

Background: Climate change significantly impacts the epidemiology of vector-borne diseases. Dengue, transmitted by Aedes mosquitoes, is highly sensitive to climatic shifts, and global cases are surging. A clear understanding of how rising temperatures affect vector bionomics is essential for public health. This scoping review aims to synthesize recent evidence (2018–2025) on the relationship between climate change, particularly temperature, and the Aedes life cycle and dengue transmission. Methods: We conducted a scoping review using the Xiao and Watson (2019) framework. Systematic searches were performed in Scopus, PubMed, and Google Scholar for experimental, modeling, and field studies published between 2018 and 2025. Following screening based on predefined inclusion and exclusion criteria, 13 studies were included. Data were extracted and synthesized qualitatively to identify key themes. Results: The findings reveal a complex, non-linear thermal relationship. Vector fitness (e.g., survival, fertility) peaks at 25°C–30°C but declines under "heat stress" (>32°C) despite faster development times. Critically, the thermal optimum for disease transmission (R₀) is higher, peaking at 29°C–31°C, driven by a heat-accelerated Extrinsic Incubation Period (EIP) of the virus. This discrepancy fuels a "dual threat": intensification of epidemics in endemic regions and expansion of vector habitats into temperate zones. This aligns with epidemiological data showing the global dengue burden approximately doubled between 1990 and 2021. Conclusions: Climate change is an unequivocal amplifier of the global dengue threat, fundamentally altering Aedes bionomics and transmission potential. This reality necessitates a paradigm shift from reactive to predictive public health, mandating expanded surveillance in newly vulnerable regions. Major research gaps persist regarding the synergistic effects of rainfall, humidity, and diurnal temperature fluctuations (DTR).

Differences in nutritional status of exclusively breastfed and non-exclusively breastfed infants aged 0-6 months in Kutambaru Village, Munte Subdistrict Tarigan, Denada Br; Sibagariang, Eva Ellya; Ginting, Rapael
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.v4i2.7564

Nutritional status in children under five remains a critical public health issue in Indonesia, characterized by high rates of stunting (21.6%) and wasting (7.9% in North Sumatra). Exclusive breastfeeding (EBF) for the first six months is vital for optimal growth, but compliance is low. This study aimed to analyze the determinants of nutritional status, focusing on the differences between infants aged 0-6 months receiving exclusive breastfeeding and those receiving breastfeeding plus early complementary feeding (MPASI). This research employed a comparative analytical design with a total sampling of 40 mothers and their infants (0-6 months) in Kutambaru Village, Munte Subdistrict. The independent variables were breastfeeding status (exclusive vs. non-exclusive) and complementary feeding status. The dependent variable was infant nutritional status (weight-for-length). Data were analyzed using the Chi-Square test. The results demonstrated a statistically significant association between exclusive breastfeeding and infant nutritional status (p = 0.019). Infants who received EBF were significantly more likely to have an optimal nutritional status. Complementary feeding also showed a significant association (p = 0.033). In conclusion, exclusive breastfeeding is the dominant factor significantly associated with optimal nutritional status in infants 0-6 months. Strengthening interventions to promote EBF is critical to prevent malnutrition.

Effectiveness of leaflet and video interventions in promoting disease prevention behaviors among online motorcycle taxi drivers in Medan City Surbakti, Tiara Lorensia Br; Azzahra, Avivani; Dameria; Wau, Herbert
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.v4i2.7566

Online motorcycle taxi drivers represent informal sector workers who are at high risk of experiencing various health problems, such as musculoskeletal disorders, respiratory issues, and occupational stress, due to exposure to pollution, non-ergonomic working postures, long working hours, and unsafe road conditions. This study aims to identify the characteristics of online motorcycle taxi drivers in relation to the improvement of disease prevention behaviors. The research employed a quantitative approach with a non-randomized pretest–posttest control group design. The study population consisted of all online motorcycle taxi drivers operating in the Universitas Prima Indonesia area, with a total sample of 60 participants. They were divided into two groups: 30 respondents who received health education through leaflet media (intervention group) and 30 respondents who received education through video media (control group), selected using a non-probability sampling technique. Among respondents in the leaflet group, the majority were aged 19–44 years (93.3%), had a high school education (76.7%), had worked for less than five years (63.3%), worked more than eight hours per day (73.3%), and used automatic motorcycles (53.3%). Similarly, in the video group, most respondents were aged 19–44 years (90%), had completed high school (63.3%), had worked for less than five years (76.7%), worked more than eight hours per day (73.3%), and used automatic motorcycles (63.3%). Online motorcycle taxi drivers are part of the informal workforce with high health risks, highlighting the need for preventive efforts through educational interventions. The study findings indicate that the majority of respondents in both the leaflet and video groups were young adults with high school education, short work tenure, long working hours, and predominantly used automatic motorcycles. These characteristics can serve as a basis for designing more targeted health interventions to enhance disease prevention behaviors.

Factors associated with dietary adherence among patients with type 2 diabetes mellitus at Royal Prima General Hospital Turnip, Modesto Lam Ulido Putra; Girsang, Ermi; Mukti, Ade Indra
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.v4i2.7691

Background: Type 2 Diabetes Mellitus (T2DM) is a significant health issue in Indonesia, where management relies heavily on patient dietary adherence. However, adherence levels are often suboptimal. This study aimed to identify the factors associated with dietary adherence among T2DM patients at a major hospital in Medan, Indonesia. Methods: This cross-sectional study was conducted in December 2024 at Royal Prima General Hospital, involving 64 T2DM patients selected through total sampling. Data on demographic characteristics, knowledge, family support, and healthcare provider (HCP) support were collected via structured questionnaires. Dietary adherence was the dependent variable. Data were analyzed using chi-square tests and multivariate logistic regression. Results: A slight majority of patients (53.1%) were adherent to their diet. Multivariate analysis identified age as the most dominant predictor, with patients aged ≥45 years being 18.9 times more likely to be adherent than younger patients (AOR = 18.935, p=0.004). Male gender was also a significant predictor of higher adherence (AOR = 7.652, p=0.01). Paradoxically, good knowledge (AOR = 0.161) and HCP support (AOR = 0.109) were significantly associated with lower odds of adherence. Education and employment status showed no significant association. Conclusion: Age is the most critical factor influencing dietary adherence among T2DM patients in this cohort, with older individuals demonstrating significantly better compliance. Interventions should specifically target younger patients and women, who are at higher risk for non-adherence.

Effectiveness test of avocado seeds on the renal histopathology of white rats induced by isoniazid Lubis, Khairunnisya; Lubis, Asyrun Alkhairi; Sembiring, Novitaria 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.v4i2.7692

The kidneys are a pair of organs within the urinary system, located in the upper retroperitoneal cavity, functioning in blood filtration, reabsorption, and secretion through diffusion processes involved in blood purification and urine formation. The kidneys are highly susceptible to damage from exposure to nephrotoxic drugs, one of which is isoniazid. Avocado seeds (Persea americana Mill.) are known to contain antioxidant compounds with potential protective effects against renal tissue damage. This study aimed to examine the effect of avocado seed extract on the histopathological changes in the kidneys of white rats induced with isoniazid. The research employed an experimental design using 25 male rats divided into five groups: positive control (K+), negative control (K–), and three treatment groups receiving avocado seed extract at doses of 100 mg/kg body weight (P1), 200 mg/kg body weight (P2), and 400 mg/kg body weight (P3). Isoniazid induction was administered to all groups except the positive control. After a 14-day treatment period, kidney samples were collected for histopathological analysis using hematoxylin-eosin (HE) staining. The observations indicated that avocado seed extract effectively improved renal histological structure in white rats (Rattus norvegicus) induced with isoniazid. In the treatment group III, renal histological improvement was observed, with only 5–25% structural damage or a score of 1, compared to groups I and II, which showed 25–50% damage or a score of 2.

Oral health knowledge and its correlation to caries experience among students Zaharani, Cut Asy Syifa; Molek, Molek; Wijaya, Cindy Denhara
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.v4i2.7723

Dental caries remains a significant global public health issue, particularly among school-aged children. A lack of knowledge regarding oral health maintenance is considered a primary contributing factor to the high prevalence and severity of caries in this demographic. This study aimed to analyze the influence of oral health maintenance knowledge on the severity of dental caries in Grade 6 students at SDN No. 060833. An analytical observational study with a cross-sectional design was conducted. A total of 39 students were selected using simple random sampling. Data on knowledge were collected using a validated questionnaire, while caries severity was assessed through direct oral examination and categorized as pit fissure caries, superficial caries, medium caries, or profound caries. Data analysis employed univariate and bivariate methods using the Chi-Square test. The majority of students (64.1%) had poor knowledge of oral health maintenance. The most common caries severity was superficial caries (35.9%), followed by medium caries (30.8%). Bivariate analysis revealed a statistically significant relationship between knowledge level and caries severity (p-value = 0.000). Students with poor knowledge were more likely to experience medium and profound caries. There is a significant influence of the level of knowledge about oral health maintenance on the severity of dental caries in Grade 6 students. Efforts to improve oral health knowledge through targeted education programs in schools are essential to prevent and reduce the severity of dental caries.

Home Page

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Editorial Team

Contact

Reviewer

Google Scholar

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

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Home Page

OAI Link

Editorial Team

Contact

Reviewer

Google Scholar

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

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

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