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All Journal Journal of Biomedicine and Translational Research JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Jurnal Keperawatan dan Fisioterapi (JKF) Jurnal Kesmas dan Gizi (JKG) JURNAL FARMASIMED (JFM) JURNAL MUTIARA NERS NURSING UPDATE JURNAL ILMIAH ILMU KEPERAWATAN PREPOTIF : Jurnal Kesehatan Masyarakat Excellent Midwifery Journal Jurnal Multidisiplin Madani (MUDIMA) Formosa Journal of Sustainable Research (FJSR) Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Jurnal Pengmas Kestra (JPK) Jurnal ABDIMAS MUTIARA Jurnal Indah Sains dan Klinis Tour Health Journal Medistra Medical Journal (MMJ)
Karnirius Harefa
Institut Kesehatan Medistra Lubuk Pakam
Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Medicine & Pharmacology Nursing Public Health Social Sciences Other

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PENGARUH DIABETES SELF MANAGEMENT EDUCATION (DSME) BERBASIS APLIKASI WHATSAPP TERHADAP SELF EFFICACY PADA PASIEN DM TIPE 2 DI PUSKESMAS HAMPARAN PERAK Agnes Silvina Marbun; Rinco Siregar; Karnirius Harefa; Theresia Yuni Florensia Sinabutar
Jurnal Ilmiah Keperawatan Vol 4 No 2 (2021): JURNAL MUTIARA NERS
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v4i2.2071

Abstract

Diabetes mellitus (DM) is one of the biggest health problems in the world because every year there is an increase in cases. In addition to the increasing number, DM is also known to cause many complications which are divided into two, namely acute complications and chronic complications. The emergence of complications and leading to death in DM patients is due to the low self-efficacy and self-care behavior of DM patients themselves. Self-efficacy is an important factor that is defined as a patient's confidence in maintaining and improving his medical condition. Seeing the importance of self-efficacy in the care of DM patients, increasing patient self-efficacy is needed, namely through the Diabetes Self Management Education (DSME) program. The purpose of this study was to determine the effect of the WhatsApp-based DSME application on the self-efficacy of Type 2 DM patients. This type of research is a Quasy Experiment and the sampling technique used in this study is purposive sampling (Non-Probability sampling). The research design used was Pre-Experiment With Only one Group Pretest - Postest Design. The number of samples was 22 DM type 2 patients. Demographic data collection through questionnaires distributed via google form. The statistical test used was the Paired t test. The results of statistical tests found that there was an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients, with a p value of 0.000 (p <0.05). This shows that there is an effect of WhatsApp-based DSME on the self-efficacy of Type 2 DM patients at the Hamparan Perak Community Health Center.
ANALISIS IMPLEMENTASI PROGRAM JAMINAN PERSALINAN (JAMPERSAL) DI UPTD PUSKESMAS KARO KOTA PEMATANGSIANTAR TAHUN 2021 Theodora R. Sianturi; Rahmat A. Dachi; Mido Ester J. Sitorus; Donal Nababan; Karnirius Harefa
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 7, No 2 (2021): OKTOBER 2021
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v7i2.1592

Abstract

ABSTRAKAnalasis Impelementasi Program Jaminan Persalinan (Jampersal) di UPTD Puskesmas Karo Kota Pematangsiantar tahun 2021. Yang menjadi rumusan masalah penelitian ini adalah “bagaimana Implementasi Program Jaminan Persalinan (Jampersal) Puskesmas Karo Kota Pematangsiantar”. Berdasarkan survei pendahuluan yang telah dilakukan di kantor Dinas Kota Pematangsiantar dan Puskesmas Karo diperoleh data 4.111 angka kelahiran bayi, dan 28 bayi berat badan rendah (BBLR), dan bayi dengan gizi buruk 7 bayi, Angka kematian Neonatal (AKN ) adalah 7 yang disebabkan oleh kelainan bawaan, disusul oleh penyebab lain-lain. Keadaan ini menunjukkan bahwa masih di atas tingginya angka kematian Ibu dan Angka kematian Bayi di Dinas Kesehatan kota Pematangsiantar. Penelitian ini bertujuan untuk mengetahui dan melakukan analisis terhadap implementasi Program Jaminan Persalinan (Jampersal) di Puskesmas Karo Kota Pematangsiantar. Secara khusus untuk mengetahui dan menganalisis faktor Sumber Daya, Komunikasi, Disposisi dan Struktur Birokrasi. Metode pengumpulan data yang digunakan dalam penelitian ini meliputi : Metode Wawancara, Metode Observasi, Metode Dokumentasi. Hasil penelitian Sumber Daya dalam pelaksanaan program jampersal 2 orang, 1 di puskesmas induk, 1 orang di pustu. Dalam pelaksanaan program ini belum ada SK dari Dinas Kesehatan, Alokasi dana dapat diusulkan 10%-20% dari APBD tahun berikutnya, sedangkan fasilitas sarana dan prasarana masih kurang memadai. Disposisi atau sikap para tenaga medis yang menjalankan program jampersal ini memiliki konsistensi dan tanggungjawab tinggi. Struktur Birokrasi atau SOP (standard operasional) dan alur belum ada. Kesimpulan , Komunikasi dalam Implementasi program jampersal sudah baik, Sumber Daya sudah berjalan dengan baik, Disposisi pada umumnya sudah baik dari segi komitmen dan SOP belum ada. Kata Kunci    : Jampersal, Kematian, Persalinan.
Aktivitas Antibakteri Ekstrak Etanol Kulit Markisa Ungu (Passiflora Edulis Sims) Terhadap Bakteri Propionibacterium Acnes Karnirius Harefa; Barita Aritonang; Ahmad Hafizullah Ritonga
Jurnal Multidisiplin Madani Vol. 2 No. 6 (2022): June 2022
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/mudima.v2i6.469

Abstract

Propionibacterium acnes is a gram-positive bacterium that causes acne. This study aimed to determine the antibacterial activity of the ethanolic extract of purple passion fruit peel (Passiflora edulis Sims) against Propionibacterium acnes bacteria. The method used to determine the antibacterial activity of the ethanolic extract of passion fruit peel was a paper disc (Kirby-Bauer test). Based on the results of phytochemical screening, the purple passion fruit peel simplicia powder contains flavonoid compounds, saponins, tannins, steroids, and triterpenoids that function as antimicrobials. Based on the antibacterial activity test, the purple passion fruit peel ethanol extract at concentrations of 5, 10, 15, and 20% effectively inhibited the growth of Propionibacterium acnes bacteria. This can be proven from the results of the diameter of the inhibition zone that there was an increase in antibacterial effectiveness along with the increase in the concentration of purple passion fruit peel extract in inhibiting the growth of Propionibacterium acnes bacteria, namely at a concentration of 5%, the average diameter of the inhibition zone was 14.9 mm, then at a concentration of 10% the average diameter of the inhibition zone is 15.3 mm, then at a concentration of 15% the average diameter of the inhibition zone is 17.2 mm, while at a maximum concentration of 20% the average diameter of the inhibition zone is 20.1 mm. The research results conclude that the purple passion fruit rind ethanol extract effectively inhibits the growth of Propionibacterium acnes bacteria at a concentration of 20% with an inhibition zone diameter of 20.1 mm.
FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN PENYAKIT JANTUNG KORONER DI RSUD RANTAU PRAPAT TAHUN 2020 Dian Christy Rahayu; Lukman Hakim; Karnirius Harefa
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 5 No. 2 (2021): Oktober 2021
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v5i2.2379

Abstract

Penyakit Jantung koroner merupakan kelainan pada satu atau lebih pembuluh darah koroner dimana terdapat penebalan dalam dinding pembuluh darah disertai adanya plak yang mengganggu aliran darah ke otot jantung yang akibatnya dapat mengganggu fungsi jantung. Tujuan penelitian ini untuk menganalisis faktor-faktor yang berhubungan antara kejadian penyakit jantung koroner di RSUD Rantauparapat tahun 2020.  Jenis penelitian ini yaitu penelitian analitik dengan pendekatan case control. Dengan jumlah populasi yaitu sebanyak 3278 dan jumlah sampel yaitu 43 case dan 43 control. Hasil penelitian yaitu terdapat hubungan riwayat keluarga dengan kejadian Penyakit Jantung Koroner yaitu p value 0,012 . Tidak Terdapat hubungan antara Umur dengan kejadian Penyakit Jantung Koroner yaitu p value 0,205 . Terdapat hubungan antara Jenis Kelamin dengan kejadian Penyakit Jantung Koroner yaitu p value 0,021 . Terdapat hubungan antara Hipertensi dengan kejadian Penyakit Jantung Koroner yaitu p value 0,003 . Tidak Terdapat hubungan antara Obesitas dengan kejadian Penyakit Jantung Koroner yaitu p value 0,257. Terdapat hubungan antara Merokok dengan kejadian Penyakit Jantung Koroner yaitu p value 0,030 . Terdapat hubungan antara Aktivitas Fisik dengan kejadian Penyakit Jantung Koroner yaitu p value 0,022 . Faktor yang paling dominan berhubungan dengan kejadian Penyakit Jantung Koroner yaitu variabel Hipertensi. Disarankan kepada masyarakat agar selalu melakukan medical check up untuk mengetahui kondisi kesehatan suatu penyakit secara dini.
THE EFFECT OF EXERCISE CONSULTATION PROGRAM ON EXERCISE BEHAVIORAL CHANGES IN PATIENTS OF TYPE 2 DM WITH OVERWEIGHT : TRANSTHEORETICAL MODEL APPROACH Rinco Siregar; Karnirius Harefa; Eva Kartika Hasibuan
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 1, No 1 (2016): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24990/injec.v1i1.97

Abstract

The purpose of this quasi- experimental study was to determine the effect of exercise consultation program based on Transtheoretical Model (TTM) approach on exercise behavioral change, blood glucose and body mass index (BMI)  in patients of T2DM with overweight. The two comparison groups, quasi-experimental study were purposively designed for pre-test/post-test procedures; 61 patients of T2DM allocated into the experimental (31 patients) and the control (30 patients) groups. While the experimental group received the exercise consultation for 12 weeks, the control group received routine care. Comparative assessments on differences in exercise behavioral changes, blood glucose and BMI were examined both within and between groups using Chi-Square test and t-test. After receiving exercise consultation program, 54.8 % of participants of the experimental group had progressed to the action stage of change of TTM, while the majority of the participants in the control group (43.3%) remained in the same stages of TTM, and only 3.3 % of the participants had progressed to the maintenance stage. This proportion of exercise behavior change between the groups was significantly statistical different (Chi-Square = 000, p <0.05). Blood glucose significantly decreased in the experimental group (p < .05), but there was no significant difference in the control group.No significant difference of mean scores of BMI of participants between the experimental group and the control group post-intervention of exercise consultation program (p > .05). In conclusion, the exercise consultation program could promote the exercise behaviors. This also improves health outcome on blood glucose among patients of T2DM who.Keywords: transtheoretical model; physical exercise; type 2 diabetes
SPENT EDIBLE OIL SOAP ANALYSIS ON CHEMICAL PRACTICUM ACTIVITIES IN SMA HARAPAN III DELI SERDANG Herlina H; Karnirius Harefa
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 1 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (518.348 KB) | DOI: 10.35451/jpk.v2i1.1038

Abstract

Spent edible oil is the result of repeated frying that is mostly done in the fast food industry or in household activities and generally this used cooking oil is disposed of as waste that pollutes the waters in the environment. Spent edible oil is a good ingredient for soap making because its raw material is relatively cheaper than most oils. In a simple laboratory study conducted by students of SMA Harapan III Deli Serdang, soap was made from used cooking oil using alkaline NaOH. The saponification process was carried out using used edible oil soap 0.3 parts by mass ratio of NaOH at a concentration of 30% and 1 part of used edible oil bleached with activated charcoal. The analysis of edible oil soap that has been made by determinate the value of free alkali with acid-base titration method and foam stability test. The results obtained from the determination of the foam test provide foam stability of 83.3% and free alkali content of 0.211%. This soap provides a fairly stable foam stability, but it still feels hot in the hands due to the alkaline NaOH that is used not completely soaped in the washing process. The use of edible oil into soap by students can increase knowledge and can be applied to overcome environmental pollution due to the disposal of edible oil into the environment.
The Influence of Nano Bentonite Filler Material and Cyclic Natural Rubber Grafted Oleic Acid as a Compatibilizer on the Blend of Cyclic Natural Rubber/Polyamide Barita Aritonang; Ahmad Hafizullah Ritonga; Karnirius Harefa
Formosa Journal of Sustainable Research Vol. 3 No. 2 (2024): February, 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjsr.v3i2.8134

Abstract

Cyclic natural rubber (CNR) and polyamide (PA) cannot blend homogeneously due to their differing polarities. CNR is nonpolar with low surface tension, while PA is polar with high surface tension. To achieve a homogeneous and compatible CNR/PA blend, a CNR-g-OA compatibilizer is required. This study aims to investigate the influence of CNR-g-OA and nano bentonite on the physical and chemical properties of the PA/CNR mixture. The research findings indicate successful grafting of OA onto CNR, resulting in CNR-g-OA formation. Based on electron microscope structural analysis, the CNR/PA mixture yields a homogeneous and compatible blend. In conclusion, CNR-g-OA and nano bentonite can enhance the quality of the PA/CNR blend by producing a homogeneous and compatible mixture
The Relationship Of Knowledge, Attitude Of Pregnant Women and Access to Health Services With Pregnancy Check Visits At Puskesmas Blangkejeren District Gayo Lues Year 2017 Hariyati Wahyuni; Junita; Karnirius Harefa
TOUR HEALTH JOURNAL Vol. 2 No. 1 (2023): TOUR HEALTH JOURNAL
Publisher : Akupun Tour Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Antenatal Care during pregnancy aims to detect the occurrence of high risk of pregnancy, labor and also reduce maternal mortality and monitor the condition of the fetus. Based on data of ANC in 2016 at Health Center Blangkejeren Gayo Lues Regency K1 = 82% and K4 = 78%, while target of Minimum Service Standard about health according to Minister of Health Decree no. 43 years 2016, K1 = 100% and K4 = 95.9%. This can be prevented by regular pregnancy checks to detect risks. Purpose: The purpose of this study is the relationship of maternal attitude attitudes and access with the visit of pregnancy examination in Puskemas Blangkejeren Gayo Lues District. Method: The type of research used is analytic with cross-sectional design. The population in this study were all 3 trimester pregnant women at Blangkejeren Community Health Center of Gayo Lues Regency obtained in September 2017 as many as 311 people. The sample of this research is 75 people by using accidental sampling technique. The collection of research instruments in the form of questionnaires. Results: Data analysis was tested by chi-square knowledge of pregnant mother of majority good (52%), attitude of majority of positive (66,7%) and access of majority service easy to reach as much (64%). There was a correlation between pregnant women's knowledge with prenatal visit (p = 0,030) p <0,05, there was correlation between attitude of pregnant mother and pregnancy visit (p = 0,008) p <0,05, p = 0,011) p <0,05. The result of analysis using multiple logistic regression is known that most influential to visit of pregnancy examination that is attitude with value p = 0,004 and OR 4,571. Disscusion and Conclusion: For puskesmas it is suggested to improve counseling to pregnant mother about pregnancy test.
The Impact of Butterfly Pea Flower (Clitoria ternatea L.) Extract on Atherosclerosis Biomarker Profiles in Obese White Rats (Rattus norvegicus L.) Harefa, Karnirius; Ritonga, Ahmad Hafizullah; Aritonang, Barita; Gurusinga, Rahmad; Wulan, Sri; Irmayani, Irmayani
Journal of Biomedicine and Translational Research Vol 10, No 1 (2024): April 2024
Publisher : Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jbtr.v10i1.20281

Abstract

 Background: Clitoria ternatea L., commonly known as butterfly pea flower, has gained attention as a potential agent in the prevention and treatment of atherosclerosis due to its rich content of bioactive compounds, such as anthocyanin, a type of flavonoid renowned for its potent antioxidant and anti-inflammatory properties, along with its ability to enhance the immune system.Objective: This study aimed to elucidate the positive impact of butterfly pea flower extract on atherosclerosis biomarker profiles.Methods: The approach framework used in this research is a true experimental laboratory with a Control Group Post-Test design. Obese male white rats were selected as the research subjects. Thirty-six obese white rats were randomly divided into six groups using the Completely Randomized Design (CRD) method. The data collected were VCAM and IL-6 levels from the blood serum of obese white rats tested using an ELISA photometer. The tunica intima thickness was measured using a microscope. Data were analyzed employing SPSS 18 software, utilizing one-way ANOVA statistical tests and post hoc Tukey tests.Results: The research showed that with the increase in Butterfly Flower Extract (BPFE) dose, there was a consistently lower level of inflammatory biomarkers, such as VCAM-1 and IL-6, compared to positive controls and other variations, as well as tunica intima thickness was thinning than others. A dose of 600 mg/kg BW (P3 group) had VCAM-1 levels up to 30.40 ± 6.71 ng/mL, IL-6 levels up to 17.70 ± 8.29 ng/mL, and tunica intima thickness up to 3.18 ± 1.24 µm.Conclusion: BPFE effectively lowers inflammatory biomarkers and thins the tunica intima thickness in obese white rats at 600 mg/kg BW dose. It may offer promising therapeutic potential in addressing atherosclerosis. 
COUNSELING ON THE USE OF INFUSED WATER FOR BODY HEALTH IN JUNIOR HIGH SCHOOLS AMAL LUHUR MEDAN: COUNSELING ON THE USE OF INFUSED WATER FOR BODY HEALTH IN JUNIOR HIGH SCHOOLS AMAL LUHUR MEDAN Ritonga, Ahmad Hafizullah; Aritonang, Barita; Harefa, Karnirius; Sitorus, Rotua Sumihar; ., Herlina; Meilani, Debi
JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (909.799 KB) | DOI: 10.35451/jpk.v2i2.1448

Abstract

Kegiatan pengabdian masyarakat berupa penyuluhan pemanfaatan infus water bagi kesehatan tubuh ini telah dilaksanakan di Sekolah Emenegah Pertama (SMP) Amal Luhur Medan. Adapun kegiatan ini meliputi persiapan awal, pemberian materi terkait infused water dan manfaatnya, serta pemberian contoh cara membuat infused water yang diikuti dengan pembagian infused water kepada peserta kegiatan. Kegiatan ini diikuti oleh para siswa-siswi dan staf/guru yang ada di lingkungan SMP Amal Luhur Medan. Kegiatan ini telah berhasil memberikan edukasi kepada masyarakat khususnya kawula muda generasi masa depan yang mengetahui manfaat dari mengkonsumsi infused water secara rutin bagi kesehatan. Kegiatan ini juga telah memberikan informasi terkait pembuatan infused water secara mandiri.
Co-Authors Agnes Silvina Marbun Ahmad Hafizullah Ritonga Andriani Harianja, Bulan Anita Sri Gandaria Purba Arfah May Syara Aritonang, Barita Artha Simamora Bahdin Nur Tanjung Bancin, Dewi R. Brahmana, Netti Etalia Br. Cahayani Zebua, Kristian Dachi, Rahmat A. Daniel Ginting Debi Meilani Dian Christy Rahayu Dicky Yuswardi Wiratma donal nababan Elisabeth Purba, Ivan Evawani Silitonga Handayani, Diah Tri Harahap, Fitri Ramadani Harahap, Hasni Yaturramadhan Hariyati Wahyuni Hasibuan, Eva Kartika Herlina Herlina . Herlina H Herlina Herlina Hesti Despita Siregar Hestina Hutajulu, Johansen Ihsan Ihsan Irmayani Irmayani Jayawarsa, A.A. Ketut Jenny Marlindawani Junita Khairil Akbar Khairunnisa Br Siagian Lamtiar Betty Togatorop Lukman Hakim Manik, Tumpak Rudi Aman Marbun, Agnes Silvina Marlinewati Siahaan Mestika Lumbantoruan Mido Ester J. Sitorus Mindo Tua Siagian Myrnawati Otniel Ketaren Purba, Novandi Rahmad Gurusinga Rahmat Alyakin Dakhi Raynald Ignasius Ginting Ritonga, Tintin Insani Hartuti Rosita Ginting Roslianizar, Syarifah Rotua Sumihar Sitorus Rumapea, Fina Safitri, Riri Silitonga, Evani Martalena Sinabutar, Theresia Yuni Florensia Sinaga, Arman Bemby Siregar, Rinco Siti Sarah Bintang Sri Wulan, Sri Taruli Rohana Teja Kesuma Theodora R. Sianturi Theresia Yuni Florensia Sinabutar Vierto Yosepha Ginting, Desideria Yulia Mehatte