Institut Kesehatan Medistra Lubuk Pakam Open Journal System
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Implementation Of Patient Safety Culture By Nurses
No full textBackground: Patient safety in hospitals involves the participation of all health workers, especially nurses. Not only implemented by nurses, but also support from all parties involved either directly or indirectly towards the patient. Objective: This study aims to describe the implementation of patient safety culture at Wira Husada General Hospital. Research method: The research method uses qualitative descriptive. The subjects in the study consisted of main informants and triangulation informants. The main informant is 1 person from the hospital management, 5 technical implementers in the implementation of patient safety (IT 1-5). Then the triangulation informants are 3 patients (IT 6-8). Research results: Efforts made in the implementation of patient safety culture Based on Patient Identification at Wira Husada General Hospital have been running well. The implementation of a program policy will run smoothly when supported by the availability of resources, both human resources, facilities and financial resources (funds). However, on the contrary, if there is a lack of resources in a program policy, its implementation will tend to be ineffective. Conclusion: Efforts made in implementing patient safety culture Based on Effective Communication at Wira Husada General Hospital have been implemented well, the safety of High Alert drugs, based on the risk of infection, based on the risk of patient falls at Wira Husada General Hospital has been implemented well. Therefore, improvements are still needed from the Hospital to be able to optimize resources in services, especially human resources
Evaluation of the Implementation of Occupational Health and Safety Management System at Lima Puluh Public Health Center, Batu Bara Regency, in 2025
No full textThe Occupational Health and Safety Management System (OHSMS) is a critical component in ensuring a safe and healthy work environment, especially in healthcare service facilities such as community health centers (Puskesmas). This study aims to evaluate the implementation of OHSMS at Lima Puluh Public Health Center in Batu Bara Regency, focusing on three key components: policy establishment, planning, and implementation of OHS plans. A qualitative method with a case study approach was used, and data were collected through in-depth interviews, focus group discussions, observations, and documentation involving 10 informants from the District Health Office and the Puskesmas staff. The results show that although OHS policies have been formally established through official decrees, their implementation remains weak. Most team members were unaware of the decree, had not received OHS training, and lacked written work plans. Risk identification was informal and undocumented, and there was no systematic OHS planning document. The implementation of OHS activities was reactive and relied heavily on staff habits or personal initiatives. Out of 11 OHS standards for healthcare facilities, six had not yet been implemented, including hazard identification and risk control, application of ergonomic principles, periodic health examinations, immunization, management of facilities and infrastructure from an OHS perspective, and emergency or disaster preparedness. The study recommends strengthening management commitment, improving human resource capacity through training, and allocating specific budgets for OHS programs to optimize OHSMS implementation. The Batu Bara District Health and Family Planning Office, as the supervisor of OHSMS implementation, is expected to conduct continuous monitoring and evaluation to ensure sustainable improvement in OHS performance
Relationship Between Level Of Knowledge And Attitudes Towards Waste Management Behavior In Neighbouhood 02, Donohudan Village, Ngemplak District, Boyolali Regency
No full textEnvironmental issues are inevitable. Along with population growth, economic activity, and residential expansion, more waste is generated. The amount of waste produced by the community in Boyolali Regency continues to increase every year. Plastic waste from food packaging is scattered along the roadsides around the Donohudan Hajj Dormitory Complex, Ngemplak, Boyolali. This is due to the high volume of group shopping activities by pilgrimage escorts from various regions. The objective of this study is to investigate the relationship between knowledge and attitudes toward waste management in RW 02, Donohudan Village, Ngemplak Subdistrict, Boyolali District. The research method employed was a cross-sectional survey involving 61 respondents selected through random sampling. Data was collected through a questionnaire and analyzed using the chi-square test. The findings of this study indicate a significant relationship between knowledge and attitudes toward waste management behavior in RW 02, Donohudan Village, Ngemplak Subdistrict, Boyolali District (p-value = 0.000)
The Role of Human Resource Management in Improving Hospital Service Quality to Support Accreditation at Grandmed Hospital Lubuk Pakam
No full textHuman resource management (HRM) is a key factor in improving hospital service quality and achieving accreditation. This study aims to analyze the role of HRM in supporting the achievement of accreditation standards at Grandmed Hospital Lubuk Pakam. The research method employed was literature review and descriptive analysis of hospital documents, including HR policies, training programs, performance evaluations, and quality culture. The findings show that HRM plays a crucial role through workforce planning based on service needs, competency-based recruitment and selection, continuous training on patient safety, performance appraisal using quality indicators, motivation and staff retention strategies, as well as strengthening quality and patient safety culture. The implementation of these six aspects has been proven to enhance hospital readiness in meeting accreditation standards while positively impacting service quality and patient satisfaction. In conclusion, optimizing HRM at Grandmed Hospital is an essential strategy to achieve accreditation and ensure safe, effective, and sustainable healthcare services
The Relationship Between Maternal Nutritional Knowledge and Maternal Behavior on the Nutritional Status of Children Under Five at the Blangkejeren City Health Center
No full textThe problem of undernutrition and malnutrition among children under five remains a major public health challenge in Indonesia, including in the working area of the Blangkejeren City Health Center. This condition is influenced by inadequate dietary intake and the high prevalence of infectious diseases among toddlers. One of the key determinants in preventing nutritional problems is the role of mothers, particularly their level of knowledge and behavior in providing balanced and nutritious meals to their children. Limited maternal understanding of healthy eating patterns may reduce attention to the nutritional needs of toddlers, thereby leading to suboptimal feeding practices. This study aimed to examine the relationship between maternal nutritional knowledge and maternal behavior with the nutritional status of children under five at the Blangkejeren City Health Center. A quantitative research approach with a cross-sectional design was applied. The population consisted of all mothers who had children under five within the health center’s working area, with a total sample of 22 respondents. Data were analyzed to describe the distribution of knowledge, behavior, and nutritional status, as well as to test the relationships among variables. The findings revealed that the majority of mothers had good nutritional knowledge (77.3%), frequently practiced balanced feeding behavior (63.6%), and most children under five had normal nutritional status (72.7%). Statistical tests indicated significant associations between maternal nutritional knowledge and children’s nutritional status (p = 0.000), as well as between maternal behavior and children’s nutritional status (p = 0.000). These results suggest that the better the mothers’ knowledge and behavior regarding nutrition, the higher the likelihood that their children will achieve normal nutritional status
Counseling on Healthy Home Ventilation as an Effort to Prevent the Transmission of Pulmonary TB at the Tanjung Beringin Community Health Center
No full textPulmonary tuberculosis (TB) is a contagious infectious disease that remains a serious challenge to improving public health in Indonesia. TB is transmitted through airborne droplets containing Mycobacterium tuberculosis, so the living environment, particularly the quality of home ventilation, plays a crucial role in preventing the spread of this disease. Inadequate ventilation can increase indoor germ density and increase the risk of transmission, especially in families living with TB sufferers. Therefore, promotive and preventive efforts are needed through public education regarding the importance of healthy home ventilation. This community service activity was held on October 3, 2025, from 9:00 a.m. WIB until completion in the Tanjung Beringin Community Health Center work area, with the aim of increasing public knowledge and awareness regarding the role of home ventilation in preventing the transmission of pulmonary TB. The activity implementation method included health education, interactive discussions, and practical demonstrations on how to optimize home ventilation, such as window arrangement, utilization of natural light, and good air circulation management. This activity involved 23 families, among whom there were TB patients. The results of the activity showed a significant increase in participant knowledge, with an average understanding achievement above 90% after participating in the counseling. In addition, participants expressed a willingness and commitment to implement improvements in home ventilation as a concrete step in preventing TB transmission. Overall, this community service activity made a positive contribution in supporting promotive and preventive efforts for pulmonary TB and has the potential to create a healthier and safer residential environment in the Tanjung Beringin Community Health Center work area
Potential of Flavonoids from Cat's Whiskers Plant (Orthosiphon Stamineus) as Antidiabetic Candidates through Inhibition of Tyrosine Phosphatase 1B and Aldose Reductase Proteins
Full text linkDiabetes mellitus is a chronic metabolic disorder characterized by impaired regulation of blood glucose levels. The enzymes Protein Tyrosine Phosphatase 1B (PTP1B) and Aldose Reductase are known to play significant roles in the development of insulin resistance and diabetes-related complications. This study aims to evaluate the potential of flavonoid compounds from Orthosiphon stamineus as dual inhibitors of these enzymes through an in silico approach. The research involved phytochemical screening of flavonoids reported in O. stamineus, followed by molecular docking and validation using PyRx software on the crystal structures of PTP1B (PDB ID: 1AAX) and Aldose Reductase (PDB ID: 1AH3). Docking validation was performed via redocking of native ligands, yielding RMSD values < 2 Å. Ligand-protein interactions were analyzed using Discovery Studio, while pharmacokinetic and toxicity predictions were carried out using SwissADME, pkCSM, and ProTox-II. Docking results revealed that sinensetin and salvigenin exhibited the highest binding affinities to PTP1B and Aldose Reductase, with binding energies of -9.4 and -8.4 kcal/mol, respectively. These compounds formed strong interactions with key residues at the active sites of the enzymes, indicating their potential as effective inhibitors. Pharmacokinetic evaluation showed that most compounds complied with Lipinski’s rule of five and demonstrated favorable ADME profiles, including good absorption and potential blood-brain barrier penetration. Toxicity analysis indicated that the candidate compounds were non-toxic (toxicity class III–IV) and safe for oral administration. Flavonoid compounds from O. stamineus, particularly sinensetin and salvigenin, demonstrated strong potential as dual inhibitors of PTP1B and Aldose Reductase. This study supports further development of O. stamineus flavonoids as natural multitarget therapeutic agents for the management of diabetes mellitus
Acute Toxicity Evaluation of Mango (Mangifera indica L.) Leaf and Peel Extracts on Zebrafish (Danio rerio) Embryos
Full text linkMangiferin is the main flavonoid compound found in Mangifera indica L. (mango), known for its antioxidant and anti-inflammatory activities. In addition to the leaves, secondary metabolites such as alkaloids, flavonoids, and triterpenoids are also present in mango peels, contributing to their antibacterial properties. This study aimed to evaluate the acute toxicity of mango leaf and peel extracts using the Zebrafish Embryo Acute Toxicity Test (ZFET). The test was conducted over a 96-hour post-fertilization (hpf) period using zebrafish (Danio rerio) embryos exposed to five different concentrations of the extracts: 50 ppm, 100 ppm, 150 ppm, 200 ppm, and 250 ppm, along with an internal control using embryo water. Observed parameters included mortality rate and morphological abnormalities such as pericardial edema, yolk sac edema, spinal deformities, and tail malformations. Probit regression analysis revealed LC?? values of 156.133 ppm for mango leaf extract and 160.353 ppm for mango peel extract at 96 hpf. According to the EPA toxicity classification, both extracts fall into the practically non-toxic category. These findings provide preliminary evidence that mango leaf and peel extracts are relatively safe and have potential for further development into natural product-based formulations. However, additional research is required to support their clinical applications and long-term toxicological profiles
Testing The Effectiveness of An Ethanol Extract Gel Preparation of Kelakai Leaves (Stenochlaena palustris (Burm.F.) Bedd.) on Reducing The Extent of Burns in Male White Rats (Rattus novergicus)
Full text linkThe wound healing process is essential for restoring body tissue to its original integrity or normal function. This process involves several stages, including the inflammatory, proliferative, and maturation phases. Both internal and external factors play a role in accelerating wound healing. Kelakai leaves are traditionally used as a topical treatment for burns in gel form, as they are safe for use, non-toxic, and do not cause harmful side effects. The most significant effect was observed with the gel formulation containing 15% w/w kelakai leaf extract, which was able to reduce burn wound area by 13.75%. This demonstrates the effectiveness of kelakai leaf extract gel (Stenochlaena palustris (Burm. F.) Bedd.) in the wound healing process. Therefore, the gel has the potential to reduce the extent of burn injuries.The aim of this study was to analyze the effect of various concentrations of ethanol-based kelakai leaf extract gel. As an effort to reduce burn wound area, this research included several stages, starting from the collection of materials and equipment, plant identification, research procedures, to the extraction process of kelakai leaf simplicia using maceration. This was followed by phytochemical screening and gel formulation at concentrations of 5%, 10%, and 15%, which were then tested for effectiveness on male white rats. The data were analyzed using ANOVA with a significance level of p < 0.050. The findings indicate that the gel containing kelakai leaf extract has a significant effect in reducing the burn wound area in rats
The Role of Social Media on Adolescent Behavior in Accessing Pornographic Content
Full text linkThe development of the era followed by an increase in technological sophistication has resulted in easy access to information through various media including social media. Teenagers as one of the most active groups of people using technology are highly exposed to the influence of social media. This phenomenon has both positive and negative impacts on the behavior and mindset of adolescents, especially in accessing pornographic content. This study aims to look at the relationship between social media exposure and adolescent behavior in accessing pornographic content. This study used a cross-sectional analytic research approach with a total sample size of 76 samples. The sampling method used was probability proportional to size. The data source in this study is primary data obtained directly from adolescents through filling out questionnaires. Adolescents who easily access information media and have consumed pornography amounted to 48.7%, while adolescents who have difficulty accessing information media and have consumed pornography amounted to 83.8%, with a p value of 0.001. There is a relationship between information media access and pornography consumption. Despite the government's efforts to restrict pornographic content, this does not prevent teenagers from consuming pornographic content. They look for other alternatives in the form of media to access the content as stated by the teenagers in this study. Teenagers admitted that pornographic content is mostly accessed through websites, social media, whatsapp groups and telegrams. They access pornographic videos and photos more than pornographic stories/comics or porn games