Medistra Medical Journal (MMJ)
Aims and Scope Medistra Medical Journal (MMJ) Aims to disseminate conceptual thoughts or ideas, reviews and research findings obtained by academics, researchers and practitioners in the field of Medicine and Health Medistra Medical Journal (MMJ) Scope: Biomedical Science & Clinical Practice Preventive Medicine Family Medicine Occupational Medicine Bioethics Trauma and Medical Emergencies Public Health Epidemiology and Biostatistics Mental Health Clinical Nutrition Clinical Pathology Anatomical Pathology
Articles
42 Documents
<![CDATA[Modification Of Star Fruit Wuluh (Averrhoa Bilimbi L.) As A Substitute For Turk Solution In The Manual Method Leukocyte Count. ]]>
<![CDATA[Lemriani Manullang, Selda]]>;
<![CDATA[Ade Rizky, Vincentia]]>;
<![CDATA[Rahayu, Asvia]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2374
<![CDATA[Background: This study counts the number of leukocytes using a manual method. The natural materials used are lime, lemon, and tamarind, which contain glacial acid and citric acid with a pH below 2.0. These acids can lyse blood cells, except for leukocytes (white blood cells). Objective: This study aims to analyze the effectiveness of varying concentrations of starfruit (Averrhoa bilimbi) on the number of leukocytes (white blood cells). Method: This research employs an experimental method. The number of leukocytes is counted from the juice of starfruit at concentrations of 5% and 10%. The objective is to find the most effective concentration compared to the standard Turk solution as a control. Conclusion: The data were analyzed using One-Way ANOVA. The average number of leukocytes in the control group was 6,500, in the 10% concentration was 6,450, and in the 5% concentration was 4,500. The results of statistical tests and hypotheses showed a significance value of 0.000, which is less than ? (alpha) (0.05), thus the null hypothesis is rejected and there is a significant difference. The 10% concentration proved to be the most effective in replacing glacial acetic acid in the Turk solution.]]>
<![CDATA[Physics test of water in refill drinking water in Tanjung Morawa Sub-district, Deli Serdang District ]]>
<![CDATA[Prahesti, Ajeng]]>;
<![CDATA[Darmirani, Yosi]]>;
<![CDATA[Suprianto]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2375
<![CDATA[Introduction: Humans use water to fulfill various daily needs. Each individual's water needs vary from one location to another and at each level of demand. The higher the standard of living in a place, the greater the need for water. Objective: This study aims to examine the quality of water in several depots in Tanjung Morawa District. Method: The method used in this study is a gravimetric method in which the parameters measured determine the quality of water, namely TDS (Total Dissolved Solid) and TSS (Total Suspended Solid). Then measure the pH using a universal pH indicator, litmus paper and a pH meter. As well as the measurement of taste and turbidity. Result: The results of this study indicated that 8 out of 9 samples of TDS levels had levels higher than the maximum 2010 PERMENKES quality standard, namely 500 mg/L. TSS (Total Suspend Solid) is still lower when compared to the maximum standard content of refill drinking water stipulated by SNI (Indonesian National Standard) for clean water, which is 50 mg/L. The pH level is within normal limits, there is a sweet taste in drinking water and at turbidity levels clear drinking water has particles and is clear without particles.]]>
<![CDATA[Evaluation of Creatinine Levels as an Indicator of Kidney Function in Diabetes Mellitus Patients at RSU Haji Medan ]]>
<![CDATA[Herlina, Herlina]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2665
<![CDATA[Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder that can lead to serious complications, including impaired kidney function. Serum creatinine is one of the key parameters used to evaluate renal function in diabetic patients, as its concentration remains relatively stable and is not significantly influenced by protein intake. This study aimed to assess the profile of serum creatinine levels in patients with T2DM at RSU Haji Medan as an early indicator of potential renal complications. A descriptive study with a cross-sectional design was conducted. The study involved a total of 25 hospitalized T2DM patients who underwent serum creatinine testing. All available medical records were included as the sample. Out of 25 patients, 15 (60%) showed creatinine levels within the normal range, while 10 patients (40%) had elevated creatinine levels. The mean creatinine concentration was 2.42 mg/dL in male patients and 0.85 mg/dL in female patients. The findings indicate that a portion of T2DM patients have already experienced reduced kidney function. Regular monitoring of serum creatinine is essential for early detection and prevention of diabetic kidney complications.]]>
<![CDATA[Analysis of the Influence of the Implementation of Minimum Service Standards (SPM) of Hospitals on the Satisfaction of Inpatients at Drs. H. Amri Tambunan Lubuk Pakam Regional Hospital ]]>
<![CDATA[okto, okto hebron purba]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2709
<![CDATA[Hospital service quality standards are the most important factor in patient satisfaction. In Indonesia, the implementation of Minimum Service Standards (SPM) in hospitals aims to ensure equitable, safe, and quality health services. This study aims to analyze the effect of SPM implementation on inpatient satisfaction at Drs. H. Amri Tambunan Lubuk Pakam Regional Hospital. This study was conducted using a quantitative analytical approach with a cross sectional design. Data were collected using a questionnaire distributed to one hundred inpatients selected by purposive sampling. The analysis used the chi-square test and logistic regression. The results showed a significant relationship between the implementation of SPM indicators of punctuality, service procedures, responsiveness of officers, and availability of facilities and infrastructure with inpatient satisfaction. It can be concluded that the better the hospital implements SPM, the higher the level of inpatient satisfaction. Therefore, consistent implementation of SPM must be a strategic focus for improving service quality.]]>
<![CDATA[Evaluation of Physiotherapy Facilities and Infrastructure in the Medical Rehabilitation Unit of Grandmed Lubuk Pakam Hospital ]]>
<![CDATA[Ginting, Darmantoo]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2726
<![CDATA[Medical rehabilitation services, especially physiotherapy, play an important role in the process of restoring the function of movement and mobility of patients who experience disorders due to disease, injury or disability. The implementation of this service requires the availability of adequate facilities and infrastructure according to the standards set by the Ministry of Health of the Republic of Indonesia. This study aims to evaluate the condition of physiotherapy facilities and infrastructure in the Medical Rehabilitation Unit of Grandmed Lubuk Pakam Hospital . The method used was descriptive evaluative approach, with data obtained through direct observation, evaluation checklist, and interviews with physiotherapy staff and head of the unit. The results showed that about 70% of physiotherapy facilities were available and in good condition, but there were still important tools such as shoulder wheels and standing frames that were not yet available. In terms of infrastructure, the service space is adequate, but not yet fully disability-friendly, such as the unavailability of special toilets and access for patients with]]>
<![CDATA[Implementation of Patient Fall Risk Assessment by Nurses at Pamela Tebing Tinggi Hospital in 2023 ]]>
<![CDATA[Sumantri, Bambang]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2728
<![CDATA[This study aims to analyze the implementation of the risk assessment of patients falling by nurses at Sri Pamela Tebing Tinggi Hospital in 2023. The method used is an analytical descriptive approach with a cross-sectional design. The study population involved all nurses on duty in the inpatient room, with samples taken by purposive sampling. Data were collected through direct observation of the implementation of fall risk assessments and structured interviews. The results showed that most nurses had carried out a good fall risk assessment, but there were some nurses who had not reassessed low-risk patients with a fall if there was a change in condition. Fall risk prevention measures have also been well implemented, although there are still shortcomings in implementation of high-risk fall prevention measures. It is recommended to hospitals to improve training and supervision for nurses, as well as strengthen the implementation of Standard Operating Procedures (SOPs) related to the assessment and prevention of fall risks.]]>
<![CDATA[The Influence of the Implementation of the Hospital Management Information System (SIMRS) on the Effectiveness of Patient Administration Services at Grandmed Hospital Lubuk Pakam ]]>
<![CDATA[Sofia Diaz, Aya]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2729
<![CDATA[Hospital Management Information System (SIMRS) is an information technology-based system designed to manage all aspects of hospital operations and administration in an integrated and efficient manner. In the context of administrative services, SIMRS plays an important role in accelerating the registration process, increasing the accuracy of data recording, and facilitating access to information across service units. This study aims to evaluate the effect of SIMRS implementation on the effectiveness of patient administration services at Grandmed Lubuk Pakam Hospital. This study uses a quantitative approach with a cross-sectional design. The sample consisted of 96 respondents, including administrative officers and patients, who were selected by purposive sampling. Data were collected using a closed questionnaire that had been tested for validity and reliability, then analyzed using the chi-square test with the help of SPSS version 18 software. The results showed that there was a significant relationship between SIMRS implementation and increased effectiveness in four main indicators, namely speed of service, data accuracy, ease of access to information, and patient satisfaction. These findings]]>
<![CDATA[Optimization of Case Manager in Increasing Patient Satisfaction and Reducing Heart Patient Care Costs at Mitra Mulia Husada Hospital ]]>
<![CDATA[Kasim, Felix]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/mmj.v2i2.2751
<![CDATA[Heart disease is a major cause of morbidity and mortality in Indonesia, with increasing health care costs. Optimizing the role of case managers is seen as a potential solution to improve service quality while reducing care costs. This study aims to analyze the effect of optimizing case managers in improving patient satisfaction and reducing care costs in heart disease patients at Mitra Mulia Husada Hospital. This study used a quantitative design with a pre-experimental one-group pretest-posttest approach. Data were collected through a patient satisfaction survey using a SERVQUAL-based instrument and analysis of care cost data from medical record reports before and after the implementation of case managers. The implementation of case managers showed an increase in the average patient satisfaction score from 3.55 to 4.45 (Likert scale 1-5) and a decrease in the average daily cost of care by 20%. In addition, there was a reduction in the length of hospitalization from 7 to 5 days. Optimal implementation of case managers can significantly improve patient satisfaction and efficiency of care costs. These findings support the integration of case managers as an important part of health service management for heart disease patients in hospitals.]]>
<![CDATA[Effectiveness of the Medical Command System in Catastrophic Emergency Response at Grandmed Hospital Lubuk Pakam and Sembiring General Hospital Delitua in 2023 ]]>
<![CDATA[Wiratma, Dicky Yuswardi]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/nn8sc508
<![CDATA[Background: The Medical Command System (MCS) is a crucial mechanism in hospital disaster management to ensure effective coordination, communication, and resource allocation. This study aimed to evaluate the effectiveness of the MCS in catastrophic emergency response at Grandmed Hospital Lubuk Pakam and Sembiring General Hospital Delitua in 2023. Methods: This study employed a descriptive quantitative design with a survey approach. Data were collected using questionnaires covering indicators of coordination, communication, and resource allocation. Respondents consisted of healthcare workers involved in hospital disaster response teams. Results: The findings revealed that the effectiveness of MCS implementation reached 85% at Grandmed Hospital and 77.7% at Sembiring General Hospital. Grandmed Hospital demonstrated better preparedness in logistics and command structure, while Sembiring Hospital faced challenges in communication facilities and emergency logistics availability. Key barriers included limited communication infrastructure, lack of routine simulations, and suboptimal staff training. Conclusion: The MCS was proven effective in supporting catastrophic emergency response in both hospitals. However, further improvement in communication systems, disaster simulation, and emergency logistics management is needed to strengthen hospital disaster preparedness.]]>
<![CDATA[The Role of Wearable Technology in Early Detection of Catastrophic Emergencies in Healthcare Services at Patar Asih General Hospital Lubuk Pakam in 2023 ]]>
<![CDATA[Elaninanivi Br Tarigan]]>
<![CDATA[ Medistra Medical Journal (MMJ) Vol 2 No 2 (2025): Medistra Medical Journal (MMJ) ]]>
Publisher : <![CDATA[Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/j17gyz45
<![CDATA[Wearable technology has become an innovation in modern healthcare services, providing real-time monitoring of patients’ vital signs and supporting early detection of catastrophic emergencies. This study aims to analyze the role of wearable technology in early detection of catastrophic emergencies in healthcare services at Patar Asih General Hospital Lubuk Pakam in 2023. A quantitative descriptive research design was employed involving 120 respondents, consisting of healthcare workers and patients who utilized wearable devices. Data were collected through structured questionnaires and observations, then analyzed using descriptive statistics. The results showed that 78.3% of respondents considered wearable devices highly effective in monitoring patients’ vital signs, while 72.5% of healthcare workers reported that these devices facilitated faster responses in emergency conditions. Additionally, 81.7% of respondents agreed that wearable technology increased hospital preparedness in dealing with catastrophic emergencies. However, several obstacles were identified, such as limited device availability, maintenance costs, and the need for training in device utilization. The findings indicate that]]>
