Universitas Prima Indonesia: Open Journal Systems
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Gambaran Pengetahuan Pasien Tentang Pecegahan dan Perawatan Penyakit Hepatitis RSU Royal Prima Tahun 2024
No full textHepatitis is one of the most common public health problems in Indonesia, particularly Hepatitis A, B, and C, which remain a major concern due to their potential complications and impact on patient health. The increasing number of cases indicates the importance of knowledge and awareness among patients in order to support effective prevention and treatment. This study was conducted to describe the level of patient knowledge regarding the prevention and treatment of hepatitis at RSU Royal Prima Medan in 2024. The research design used was descriptive, with a population of 100 patients and a sample of 50 patients. Data were collected to assess knowledge levels and categorized based on predetermined scoring criteria. The results showed that 28 respondents (56%) demonstrated a moderate level of knowledge, with scores ranging from 56% to 75%, while the remaining respondents were distributed between lower and higher categories. These findings suggest that although more than half of the patients have a sufficient understanding of hepatitis, there are still gaps in knowledge that need to be addressed. The study concludes that patient knowledge at RSU Royal Prima Medan is generally moderate, emphasizing the importance of continuous health education and counseling to enhance awareness, encourage preventive behavior, and support effective treatment efforts for hepatitis
Clean and healthy living behavior and diarrhea among children: A cross-sectional study in Duria Village, West Nias
No full textDiarrheal disease remains a critical public health concern, especially in developing countries like Indonesia, where it significantly contributes to morbidity and mortality among young children. This study aimed to analyze the relationship between Clean and Healthy Living Behaviors (CHLB) and the incidence of diarrhea among children aged 7-10 years in Duria Village, West Nias. A cross-sectional study was conducted from January to February 2024, involving 35 mothers of children aged 7–10 years with diarrhea, selected through purposive sampling. Data were collected using questionnaires to assess handwashing behavior, access to clean water, latrine conditions, and garbage disposal practices. The results indicated that while handwashing habits, latrine conditions, and garbage disposal practices did not show statistically significant associations with diarrhea prevalence, access to clean water had a highly significant association (p < 0.001), albeit counterintuitively suggesting that access to clean water is associated with increased diarrhea. These unexpected findings warrant further investigation to understand potential confounding factors. The study underscores the complex interplay between CHLB and diarrheal disease, highlighting the need for targeted interventions to improve sanitation and hygiene practices in Duria Village
The correlation between thoracic radiographic findings in pulmonary tuberculosis and type 2 diabetes mellitus
No full textTuberculosis (TB), specifically pulmonary tuberculosis, is a contagious chronic infectious disease caused by Mycobacterium tuberculosis. Type 2 diabetes mellitus (T2DM) is a significant comorbidity that influences the clinical presentation of TB. Patients with pulmonary TB and T2DM exhibit a more severe clinical profile and a broader range of symptoms compared to those with PTB alone. Radiologically, TB-T2DM patients often present with more extensive, multilobular lesions and a higher incidence of cavitation. This study aimed to determine the association between the characteristics of chest X-ray findings in patients with pulmonary TB complicated by T2DM and those without T2DM at Royal Prima General Hospital, Medan. This research employed a quantitative methodology with a cross-sectional design. The sample comprised 50 medical records of pulmonary TB patients with T2DM and 50 medical records of pulmonary TB patients without T2DM. Data analysis involved univariate and bivariate statistical methods. The results indicated that the extent of lesions observed on chest X-rays in patients with pulmonary TB patients with T2DM, as well as those without T2DM, varied from minimal to moderate to extensive. The types of lesions identified included infiltrates, infiltrates with fibrosis, and fibrosis. No significant association was found between the extent of lesions or the type of lesions in pulmonary TB patients with T2DM and those without T2DM. The most prevalent lesion extent was moderate, and the most common lesion type was infiltrates with fibrosis
The relationship between motivation and work compensation with nurse performance
No full textThis study investigates the relationship between motivation, compensation, and nurse performance at Muyang Kute Hospital, Bener Meriah Regency, Indonesia, using an analytical survey with a cross-sectional design. A sample of 154 nurses was randomly selected from a population of 250. Data were collected via questionnaires measuring motivation, compensation, and performance, categorized as "good" or "poor." Bivariate analysis using the chi-square test revealed a significant association between both motivation and compensation with nurse performance (p < 0.05). Nurses with positive motivation and compensation demonstrated significantly better performance. Specifically, 98.1% of nurses with positive motivation and 94.9% with positive compensation exhibited good performance. These findings underscore the critical role of intrinsic and extrinsic factors in enhancing nurse performance, highlighting the need for strategies to improve motivation and ensure adequate compensation to optimize healthcare delivery
An evaluation of patient satisfaction with pharmaceutical services at Munyang Kute Regional General Hospital
No full textPatient 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
Demographic characteristics and mortality of dengue fever in Medan City (2021-2024)
No full textDengue 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
Characteristics of stunted toddlers in Medan Belawan
No full textThis 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 relationship between diet and weight training with ideal body shape among members of Katamso Fitness Centre, Medan City
No full textKatamso Fitness Centre is a gym surrounded by individuals aiming for an ideal and healthy physique. Members typically join to address less-than-ideal body weight and seek weight training to achieve their desired body shape—transforming from thin to muscular, or from overweight to lean, while also burning calories for overall health and fitness. This study employed a Chi-Square statistical test using SPSS for Windows, with a significance level of α=0.05. This analysis aimed to examine the relationship between independent and dependent variables. The research findings from 86 respondents indicate that the majority, 57 (66.3%), had a more ideal body shape. For diet patterns, the majority, 66 (76.7%), reported "sufficient." Regarding weight training, most respondents, 54 (62.8%), engaged in a "moderate" level.The relationship between diet patterns and ideal body shape among Katamso Fitness Centre members in Medan City showed a P-value of α>0.05, leading to the acceptance of Ha as significant. Conversely, the relationship between weight training and ideal body shape among members of the fitness center in Medan City showed a P-value of α<0.05, also leading to the acceptance of Ha as significant
Analysis of factors influencing re-visit intention of diabetes mellitus patients at dr. Pirngadi General Hospital
No full textDiabetes 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
Climate change and the life cycle of aedes mosquitoes as vectors of the dengue virus: A scoping review
No full textBackground: 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)