Universitas Prima Indonesia: Open Journal Systems
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Prevalence of chronic obstructive pulmonary disease among TB patients at Royal Prima Hospital
No full textChronic Obstructive Pulmonary Disease (COPD) is a respiratory disease characterized by a reduction in lung capacity and is the third leading cause of death worldwide. COPD is a complex disease involving various environmental and genetic factors. This study aimed to determine the prevalence of COPD among TB patients at Royal Prima Hospital in Medan. This was a retrospective descriptive study with a cross-sectional design. The population of this study was all outpatient TB medical records at Royal Prima Hospital in Medan. Purposive sampling was used, resulting in a sample size of 68 individuals. Data was analyzed univariately using descriptive statistics presented in frequency distribution tables and percentages. The results showed that most COPD patients at Royal Prima Hospital were elderly (73.5%), male (85.3%), employed (64.7%), had a junior high school education (47.1%), had suffered from COPD for less than 10 years (70.3%), and were active smokers (63.2%). Most COPD patients were categorized as having moderate disease (39.7%). It is hoped that Royal Prima Hospital will continue to develop prevention programs for Chronic Obstructive Pulmonary Disease to reduce the number of cases, and that COPD patients who frequently visit healthcare facilities will receive instructions on self-care management for their long-term condition to reduce disease severity
Factors influencing work productivity among employees at the Aceh Provincial Health Office
No full textProductivity is a critical measure of individual performance, particularly in the healthcare sector, where human resources play a pivotal role in achieving organisational and national development goals. This study examines the factors influencing work productivity among employees at the Aceh Provincial Health Office, focusing on education, motivation, discipline, work ethic, and work attitude. Using a descriptive quantitative approach with a cross-sectional design, data were collected from 100 employees through observation, interviews, and questionnaires. Univariate and bivariate analyses, including chi-square tests, were employed to assess the relationships between variables. The results indicate that 68% of employees demonstrated good work productivity. Motivation, discipline, work ethic, and work attitude showed statistically significant positive correlations with productivity (p = 0.000). Specifically, 95.2% of highly motivated employees exhibited good productivity, compared to only 25.2% of those with poor motivation. Similarly, 98.8% of disciplined employees and 81.5% of those with a strong work ethic demonstrated good productivity. A positive work attitude also correlated strongly with productivity (78.0% vs. 61.0% for negative attitudes). However, education level did not significantly influence productivity (p = 0.391), with 80% of highly educated and 66.7% of less educated employees showing good productivity. These findings highlight the importance of fostering motivation, discipline, work ethic, and positive work attitudes to enhance productivity in healthcare settings. While education level was not a significant factor, addressing the other variables can create a conducive work environment and improve service quality. This study underscores the need for organisations to prioritise these factors through incentives, recognition, and professional development opportunities to achieve optimal productivity and organisational success
Factors associated with dietary adherence among patients with type 2 diabetes mellitus at Royal Prima General Hospital
No full textBackground: 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
Analisis Kebijakan Perawatan Mesin Screw Press dengan pendekatan Preventive Maintenance dan Predictive Maintenance
No full textReliability (keandalan) mesin produksi mempunyai peranan yang sangat penting dalam menjaga keberlanjutan kegiatan proses produksi. Agar mesin produksi dapat terus menjalankan fungsinya dengan baik maka dibutuhkan tindakan perawatan yang tepat. Penelitian ini dilakukan untuk memilih kebijakan tindakan perawatan yang tepat terhadap mesin Screw Press dengan menggunakan pendekatan Preventive Maintenance dan Predictive Maintenance. Dengan jumlah kerusakan sebanyak 59 kali dalam kurun waktu 20 bulan terakhir, Bearing merupakan komponen yang memiliki keandalan terendah dengan nilai MTBF sebesar 726.21 jam dengan tingkat keandalan sebesar 79,34%. Sementara Main shaft, Cone guide, dan Hydraulic merupakan komponen dengan keandalan tertinggi dengan nilai MTBF sebesar 13.798.81 jam dan tingkat keandalan sebesar 98,78%. Periode berikutnya diperkirakan akan ada 2 (dua) kejadian kerusakan pada mesin Screw Press sehingga perlu diperhatikan secara khusus kepada komponen-komponen dengan tingkat keandalan yang rendah untuk menghindari terjadinya breakdown pada mesin Screw Press
KLASIFIKASI KENAIKAN KELAS X SEKOLAH MENENGAH ATAS (SMA) AL-ULUM MEDAN MENGGUNAKAN ALGORITMA NAIVE BAYES
No full textPendidikan memainkan peran sentral dalam meningkatkan kualitas suatu bangsa. Salah satu aspek penting dalam pendidikan adalah pengelolaan siswa, yang bertujuan menciptakan suasana belajar yang menyenangkan dan efektif. Penilaian hasil belajar sering kali melibatkan berbagai kriteria, seperti nilai ujian, aspek kepribadian, dan tingkat kehadiran, yang dijadikan dasar untuk menentukan kelulusan atau kenaikan kelas. Namun, dalam banyak kasus, proses penilaian ini masih dilakukan secara manual, yang berpotensi menimbulkan ketidakakuratan. Oleh karena itu, penelitian ini bertujuan untuk menganalisis data kenaikan kelas dengan memanfaatkan algoritma Naive Bayes sebagai metode klasifikasi. Penelitian ini mencakup tahapan seperti pengumpulan dan pengolahan data, pembagian data latih dan data uji, serta prediksi hasil. Berdasarkan pengujian terhadap 137 data siswa, yang terdiri atas 95 data latih dan 42 data uji, algoritma Naive Bayes menunjukkan akurasi sebesar 92%. Hasil ini mengindikasikan bahwa algoritma Naive Bayes dapat diandalkan untuk membantu guru dalam pengambilan keputusan terkait kenaikan kelas di tingkat sekolah menengah atas
Decision Support System for Electric Car Selection Recommendations Using the MOORA and TOPSIS Methods
No full textElectric vehicles are an environmentally friendly alternative compared to conventional motor vehicles. Electric vehicles do not produce exhaust emissions, which can help reduce air pollution in major cities. Additionally, electric vehicles are more energy-efficient compared to conventional motor vehicles. However, a large-scale transformation in the automotive sector towards electric vehicles in developing countries will be challenging as it requires stronger knowledge, awareness, and attitudinal changes towards electric-powered transportation. This study utilizes the Multi-Objective Optimization by Ratio Analysis (MOORA) and Technique for Order Performance of Similarity to Ideal Solution (TOPSIS) methods to assist in complex decision-making. The criteria used in this study include price, range, charging time, battery capacity, and additional features. The study results show that using the MOORA method, the Audi e-tron GT ranks first with a preference weight of 0.1511 while using the TOPSIS method, the Wuling Air EV ranks first with a preference weight of 0.6373
The Effect Of Giving Clove (Syzygium Aromaticum) On Pancreatic Function And Pancreatic Histopathology Of Male Wistar White Rats Infected By Staphylococcus Aureus Bacteria
No full textInfection is still a health problem for developed and developing countries. The pancreas is one of the organs that often experiences infection. This study aims to analyze the effectiveness of giving clove extract (Syzygium aromaticum) on the pancreas function of male white rats (Rattus norvegicus) of the wistar strain infected with Staphylococcus aureus and how the histopathology is. The research sample was 24 male Wistar rats. This study uses a quantitative experimental research type, namely by using a true experiment or laboratory experimental design. This study uses a post-test only control group design to determine and analyze the effects before and after administration of clove extract in improving pancreatic function in white rats (Rattus norvegicus) Wistar strain infected with Staphylococcus aureus bacteria. The results of the One-way Anova test on the results of observations of serum lipase and amylase levels showed a significance value of 0.000 or greater than 0.05. It was concluded that there was a significant difference between the control group, treatment group 1, treatment group 2, and treatment group 3. The Post Hoc LSD test showed that there was a significant difference between the control group and treatment group 1 (p = 0.000) and treatment group 2 (p = 0.000). There was no significant difference between the control group and treatment group 3 (p = 0.475). Clove extract contains secondary metabolites in the form of saponins, tannins, flavonoids, and triterpenoids that help repair damaged pancreatic cells due to Staphylococcus aureus infection. Administration of clove extract at a dose of 600 mg/kgBW is effective in improving pancreatic function in white rats (Rattus norvegicus) Wistar strain that experience Staphylococcus aureus infection. The results of histopathological observations of pancreatic tissue in treatment group 3 (600 mg/kgBW) experienced the most significant improvement and approached the control group (reference group) compared to other group
Analysis of Factors Influencing the Incidence of Anemia in Pregnant Women at the Maternal and Child Health (Kia) Polyclinic, Pasar Masurai Community Health Center, Lembah Masurai District, Merangan Re
No full textQuality service has an impact on the performance of health workers such as pregnant women who undergo examinations, for example, maternal and baby health services which are the performance of midwives. This study aims to analyze the quality of service on the level of satisfaction of pregnant women at the maternal and child health (KIA) clinic, Pasar Masurai Health Center, Lembah Masurai District, Merangin Regency. This type of research is crosssectional. The sample in this study was the number of patient visits, namely 100 respondents. Data were analyzed using Chi-Squere and Logistic Regression. The results of the research show that there is a significant relationship between tangible (physical evidence), reliability (reliability), responsiveness (responsiveness), assurance (guarantee), empathy (empathy) with the satisfaction of pregnant women at the maternal and child health polyclinic (KIA) Pasar Masurai Community Health Center Lembah Masurai District, Merangin Regency. After carrying out multiple logistic tests from 3 models, it was found that the most dominant factor influencing patient satisfaction was the tangible variable (physical evidence) with a pvalue of 0.000, the reliability variable with a p-value of 0.001, and the empathy variable with p -value 0.000
ANTIOXIDANT ACTIVITY AND EFFECTIVENESS TEST OF METHANOL EXTRACT SAMBILOTO LEAVES (Andrographis paniculata) ON WISTAR RATS (Rattus novergicus) EXPOSED TO ULTRA VIOLET RAYS
No full textAntioxidants can stop the damaging actions of free radicals. Antioxidants are divided into two, namely enzymatic and non-enzymatic antioxidants. This study aims to test the effectiveness of antioxidants and anti-aging of methanol extract of sambiloto leaves (Andrographis paniculata) in preventing skin aging in Wistar rats exposed to ultraviolet light. This study is an experimental study using prepost test control group design. In this study, 24 male Wistar rats were used as samples which were divided into 4 groups. The results of the study showed that the active substances contained in the methanol extract of sambiloto leaves (Andrographis paniculata) tested through phytochemical testing contained secondary metabolites such as alkaloids, flavonoids, saponins, and tannins. The results of the antioxidant test of the methanol extract of sambiloto leaves (Andrographis paniculata) through the DPPH test obtained an IC50 value of 53.65. So the antioxidant test of the sambiloto leaf extract (Andrographis Paniculata) showed that there was an antioxidant content in the sambiloto leaf extract (Andrographis paniculata) with a strong category. Seeing the antiaging activity of the methanol extract of sambiloto leaves (Andrographis Paniculata) with the best collagen density area were groups P3 and P2, namely the treatment groups given methanol extract of sambiloto leaves (Andrographis paniculata) concentrations of 5% and 10% because the collagen density was already very large and dense compared to treatment group 1 and the control group in skin tissue histopathology. These results indicate that the methanol extract of sambiloto leaves (Andrographis paniculata) has the potential as a natural antioxidant and anti-aging agent for skin exposed to UV rays
Analysis Of Factors Influencing The Utilization Of Integrated Counseling Posts For Non-Communicable Diseases (Posbindu PTM) In Work Area Siulak Deras Public Health Center, Mount Kerinci District, Kerinci Regency
No full textThis study aims to analyze the factors that influence the use of the Integrated Development Post for Non-Communicable Diseases (Posbindu PTM) in Siulak Deras Mudik Village, Gunung Kerinci District, Kerinci Regency. This type of research is cross sectional. The sample in this study was the number of patient visits, namely 212 respondents. Data were analyzed using Chi-Squere and Logistic Regression. The results of the research show that there is a significant relationship between level of education, health status, family support and support from health cadres on the utilization of integrated development posts for non-communicable diseases (Posbindu PTM) in the Siulak Deras Community Health Center Working Area, Gunung Kerinci District, Kerinci Regency. There is no relationship between work and knowledge regarding the use of integrated development posts for non-communicable diseases (Posbindu PTM) in the working area of the Siulak Deras Community Health Center, Gunung Kerinci District, Kerinci Regency. The variables of health cadre support and family support are the most dominant variables in the utilization of integrated development posts for noncommunicable diseases (Posbindu PTM) in the Siulak Deras Community Health Center Working Area, Gunung Kerinci District, Kerinci Regenc