System publikasi Jurnal Ilmiah Berbasis OJS (Open Journal System) Institut Kesehatan DELI HUSADA Deli Tua
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    HUBUNGAN PENINGKATAN ANTIBODY Ig A ANTI EA EBV PADA PASIEN PENDERITA KNF PADA SUKU NIAS

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    Nasopharyngeal carcinoma (NPC) is a malignant tumor of the head and neck region, predominantly found in Southeast Asia, and is closely associated with Epstein–Barr Virus (EBV) infection. Detection of Immunoglobulin A (IgA) antibodies against the Early Antigen (EA) of EBV has been recognized as a potential non-invasive biomarker for early diagnosis. Genetic, environmental, and lifestyle factors — including the traditional habit of consuming preserved foods among the Nias ethnic group — are believed to influence the antibody response. This study aimed to analyze the association between elevated IgA anti-EA EBV antibody levels and the occurrence of NPC among Nias patients. An observational analytic study with a case–control design was conducted involving 29 NPC patients and 29 healthy Nias individuals as controls. Serum samples were examined serologically at the Integrated Laboratory, Faculty of Medicine, University of North Sumatra. Data were analyzed using the Chi-square and Mann–Whitney tests. The findings revealed that the mean level of IgA anti-EA EBV antibodies in NPC patients (246.22 ± 320.05 U/mL) was significantly higher than that of healthy controls (51.79 ± 1.55 U/mL) (p < 0.05). Positive serological reactivity was detected in 55.2% of NPC patients compared to 10.3% in the control group. No significant associations were found between age or gender and the serological results (p > 0.05). These results indicate that elevated IgA anti-EA EBV antibody levels may serve as an important immunological marker for early detection of NPC, particularly among high-risk populations such as the Nias ethnic group

    PENGARUH TERAPI RELAKSASI BENSON PADA PENURUNAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS TIPE 2 DI PUSKESMAS DELI TUA TAHUN 2025

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    Relaxation therapy is among the non-pharmacological methods that has been proven effective in addressing various health problems, including type 2 diabetes mellitus. One approach that can be applied is Benson relaxation therapy, which combines deep breathing techniques and positive suggestions to help reduce stress. This research aims to examine the effect of Benson relaxation therapy on lowering blood sugar levels in patients with type 2 diabetes mellitus. The methodology employed in this study was a quasi-experimental design with a one-group pre-post test approach. The total sample size for this study comprised 37 respondents, selected through purposive sampling techniques. The instrument utilized was an observation sheet, and testing was carried out with the Wilcoxon test. The findings indicated a significant decrease in blood sugar levels after the application of Benson relaxation therapy for 2 weeks (p<0.05) in type II diabetes mellitus patients at the Deli Tua Health Center. This decrease is due to the effect of therapy in reducing stress, that contributes significantly to the regulation of stress hormones and glucose metabolism. In conclusion, Benson relaxation therapy is effective as an additional therapy to help lower blood glucose levels in individuals with type 2 diabetes mellitus

    ANALISIS KADAR TANIN BERBAGAI JENIS TEH HITAM DAN TEH HIJAU KHAS KOTA PAGARALAM SEBAGAI ANTIOKSIDAN MENGGUNAKAN METODE SPEKTROFOTOMETER UV-VIS

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    The plant known as tea (Camellia sinensis L.) is widely grown in Indonesia. The shoots of young tea leaves are brewed into a health drink. This research was carried out with the aim of determining the tannin content of green tea and black tea as well as their antioxidant activity using the UV-Vis spectrophotometer method. Thick extracts from black tea and green tea from qualitative and quantitative test results showed the presence of tannin compounds with tannin levels in the samples obtained were T1 Black tea (CTC Tea) Slopes of Mount Dempo 0.070, T2 Green tea (PTPN 7) Pagaralam tea typical of South Sumatra 0.061, T3 Green tea (PTPN 7) Gunung Dempo 0.028, T4 Black Tea (CTC Tea) Pucuk Gunung Dempo 0.059, and antioxidant activity was tested using 2,2 diphenyl-1-picrylhydrazyl (DPPH). Black tea and green tea extracts have antioxidant activity with a value of IC50 (Inhibition Concentration 50). T1 has very strong antioxidant activity (13.89%), followed by code T2, the antioxidant activity is also very strong (3.67%), code T3 has very strong antioxidant activity. strong (2.02 %), and T4 code moderate antioxidant activity (6.02 %). Black tea and green tea extracts contain high levels of tannin and have very strong antioxidant activity

    eval_UASI PROGRAM BKB EMAS DALAM PENCEGAHAN STUNTING DI KELURAHAN JELUTUNG KOTA JAMBI

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    Stunting merupakan salah satu permasalahan kesehatan yang menjadi prioritas nasional di Indonesia. Program Bina Keluarga Balita (BKB) EMAS merupakan salah satu upaya pencegahan stunting yang berfokus pada peningkatan pengetahuan keluarga tentang gizi, pola asuh, dan kesehatan anak. Penelitian ini bertujuan untuk menganalisis pelaksanaan program BKB EMAS dalam pencegahan stunting di Kelurahan Jelutung, Kecamatan Jelutung, Kota Jambi. Penelitian ini menggunakan desain kualitatif dengan pendekatan deskriptif. Subjek penelitian dipilih menggunakan teknik purposive sampling dengan total 18 informan, terdiri dari kader BKB, ibu peserta program, penyuluh KB, Dinas PPKB Kota Jambi, dan perwakilan BKKBN Provinsi Jambi. Data dikumpulkan melalui wawancara mendalam, observasi, dan dokumentasi. Aspek yang dianalisis meliputi input (SDM dan sarana prasarana), proses (perencanaan, pelaksanaan, pelaporan), dan output (capaian kegiatan). Penelitian ini menunjukkan bahwa legalitas SDM telah terpenuhi, tetapi jumlah kader masih kurang, dan beberapa kader memerlukan peningkatan kapasitas. Sarana dan prasarana tersedia, meskipun sebagian besar masih perlu pembaruan. Proses pelaksanaan belum sepenuhnya sesuai pedoman, terutama dalam pembagian kelompok usia. Capaian program menunjukkan keikutsertaan keluarga yang rendah, dengan tingkat partisipasi bulanan di bawah 30%. Pelaksanaan program BKB EMAS belum berjalan optimal, terutama pada aspek SDM, perencanaan target sasaran, dan pelaksanaan yang terstruktur. Diperlukan peningkatan kapasitas kader, partisipasi masyarakat, dan optimalisasi kegiatan sesuai pedoman pelaksanaan

    ANALISIS KETEPATAN KODE DIAGNOSA PENYAKIT PASIEN RAWAT INAP TERHADAP PENAGIHAN KLAIM BPJS DI RSUD CUT NYAK DHIEN MEULABOH TAHUN 2024

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    Pengkodean diagnosa penyakit merupakan kegiatan pemberian kode klasifikasi klinis namun dalam pelaksanaannya masih terdapat kesalahan sehingga berdampak kepada kelancaran penagihan klaim BPJS.Berdasarkan survey awal yang peneliti lakukan ditemukan dari 4.212 berkas klaim sebanyak 1.506 berkas mengalami pending saat klaim dilakukan. Penelitan ini bertujuan untuk mengetahui hubungan ketepatan kode diagnosa penyakit pasien rawat inap terhadap penagihan klaim BPJS di RSUD Cut Nyak Dhien Meulaboh. Penelitian ini dilakukan di RSUD Cut Nyak Dhien Meulaboh.Jenis penelitian ini menggunakan metode kuantitatif.Polulasi berjumlah 1.506 berkas klaim pending dan sampel berjumlah 94 berkas klaim pending dengan menggunakan teknik random sampling. Penelitian ini dilakukan dengan cara observasi. Data dianalisis dengan cara direduksi, disajikan lalu ditarik kesimpulan. Hasil penelitian menunjukkan bahwa Penyebab pending berdasarkan ketepatan Diagnosa utama pada berkas pending klaim rawat inap terbanyak adalah BAB X Respiration system sebanyak 21 atau 22,3% kasus, Penyebab pending berdasarkan ketepatan Kode CMG terbanyak adalah pada kode J (respiratory sistem groups) yaitu sebanyak 19 (20,2%), dan kasus terbanyak peding disebabkan karena keterangan “konfirmasi kode diagnosa” yaitu sebanyak 40 (43%) berkas

    HUBUNGAN KARAKTERISTIK BALITA DENGAN KEJADIAN STUNTING PADA BALITA DI PROVINSI SUMATERA UTARA

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    The world ranks Indonesia fifth for the preval_ence of stunting. Stunting is not only about a straight physical growth issue, but also it severely inhibits cognitive functioning and cognitive ability. The objective is to examine the correlation among age, sex, birth length, and birth weight about stunting in children between aged 24-59 months in North Sumatra in 2013. The data utilized in this investigation were secondary data from the Basic Health Research Indonesia, known as RISKESDAS, run in 2013 as a cross-sectional study with a sample size of 573 children. Data were gathered via structured questionnaires and analysed via the chi-square test. The variables analysed included the child’s age, sex, birth weight, and birth length. The findings showed that 40.3% of the children were stunted. The percentage of infants with diminished birth weight (<2500 grams) stood at 2.3%, and those delivered with abbreviated birth stature (<48 cm) accounted for 85.3%. There was no significant correlation between stunting and sex, birth weight, or birth length, according to the results of the chi-square test. Nevertheless, age was linked with stunting (p = 0.044; RP = 1.24), showing that children aged 24–36 months had a 1.24 times higher chance of stunting. Families are urged to make the most of community-based health services, including Posyandu, in order to monitor and assist youngsters in catching up on their growth. &nbsp

    RELATIONSHIP BETWEEN EXPERIENCE AND VERBAL PERSUASION OF FAMILY PMO WITH ADHERENCE TO TAKING TUBERCULOSIS PATIENT MEDICATION IN THE WORKING AREA OF SIMANGUMBAN HEALTH CENTER IN 2024

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    Non-compliancer with merdication in ther caser of tuberrculosis is a complerx and multidimernsional heralth carer problerm rerlaterd to patiernts, carer, and / or heralth carer providerrs. At Simangumban Heralth Cernterr therrer werrer 132 positiver casers of Tuberrculosis. It was found 59.8% of nerw casers and 53 casers (40.1%) of Multi Drug Rersistancer-Tuberrculosis of 132 Tuberrculosis casers with a non-compliancer rater of 36% perr yerar. This study aims to derterrminer ther rerlationship of verrbal Surverrvisor Taker Merdication erxperrierncer and family perrsuasion with adherrerncer to taking merdication for tuberrculosis patiernts in ther Simangumban Public Heralth Serrvicer work arera in 2019. Ther rerserarch merthod was cross serctional with a family Surverrvisor Taker Merdication population. Ther sampler sizer was derterrminerd by ther Lamershow formula as many as 41 casers of family Surverrvisor Taker Merdication with inclusion criterria: Surverrvisor Taker Merdication ager 15-60 yerars, Surverrvisor Taker Merdication corer family mermberrs, Tuberrculosis sufferrerrs had underrgoner treratmernt <2 months, Agerncy Of Heralth Assurancer heralth paymernt systerm and erxclusion criterria: sufferrerd from Tuberrculosis, could not, and rerfuserd to participater. Samplers werrer drawn by consercutiver sampling terchniquer and ther instrumernt terst was carrierd out with Cronbach alpha. Data analysis was perrformerd by logistic rergrerssion merthod at a reral lerverl α = 0.05. From ther rersults of ther analysis it was found that therrer was a rerlationship of erxperrierncer that serttlerd ther family Surverrvisor Taker Merdication (p <0.05), Rp. 8.80; 95% CI (1,47-69,6), erxperrierncer obtainerd by family Surverrvisor Taker Merdication (p <0,05), Ratio Prervalernsi(RP) = 7,98; 95% CI (1.08-59.0), heralth literracy of family Surverrvisor Taker Merdication (p <0.05), RP = 10.92; 95% CI (2.79-112.5 with adherrerncer to drinking drug.From ther rersults of ther study it was concluderd that serttlerd erxperrierncer, erxperrierncer gainerd, and heralth literracy of family Surverrvisor Taker Merdication werrer rerlaterd to merdication compliancer. It is rercommernderd for Public Heralth Cernterr officerrs to increraser promotion programs for family Surverrvisor Taker Merdication and Tuberrculosis sufferrerrs

    ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN GANGGUAN PENGLIHATAN PADA PEKERJA PENGELASAN DI PT MILANO, KECAMATAN TORGAMBA

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    Efforts in occupational safety and health (OSH) are directed at preserving workers' overall well-being, encompassing physical, mental, and social aspects. Illnesses that develop due to specific job roles or the working environment are categorized as occupational diseases. One common issue is visual impairment, which may emerge when the eyes are forced to work beyond their capacity in unfavorable visual conditions, leading to a decline in sight function. This research investigates the factors that may lead to vision problems among welders employed at PT Milano, situated in Torgamba District, South Labuhan Batu Regency. The study employs a qualitative approach, involving all 30 workers at the company, selected using a total sampling method. Data on visual health were obtained through interviews and questionnaire-based assessments. Findings from the Chi-Square statistical test revealed a meaningful relationship between the use of Personal Protective Equipment (PPE) and work duration with incidents of visual impairment. PPE usage (p = 0.008; α = 0.05; OR = 26.654) and years of service (p = 0.001) showed significant associations. However, variables like age (p = 0.513), duration of employment (p = 0.729), and overall work experience (p = 0.337) did not show a statistically significant link. To help prevent visual health problems and minimize work-related illnesses, the use of proper personal protective gear is strongly encouraged for all workers in welding operations

    ANALISIS FAKTOR FAKTOR YANG MEMPENGARUHI KEPATUHAN PENGGUNAAN APD OLEH PERAWAT DI PUSKESMAS RAWAT INAP BABAHROT KECAMATAN BABAHROT KABUPATEN ACEH BARAT DAYA PROVINSI ACEH TAHUN 2024

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    Nurse compliance in using Personal Protective Equipment (PPE) is behavior as a professional regarding recommendations that must be carried out and obeyed according to procedures. The research is a quantitative analytical study using a cross sectional design. The aim of the research is to analyze the factors that influence compliance with the use of Personal Protective Equipment (PPE) by nurses at the Babahrot Inpatient Health Center, Aceh Regency. the population was 58 respondents in the Babahrot Inpatient Health Center, with total sampling technique, the data was obtained from the results of interviews by distributing questionnaires that had been prepared by the researcher. The Data analysis was carried out univariately and bivariately using an independent t-test with an alpha value (a) of 0.05. The results of the research were the influence of knowledge, attitudes, information about Personal Protective Equipment (PPE), availability of PPE, and supervision of compliance with the use of PPE at the Babahrot inpatient health center, Babahrot sub-district, last year. There was no effect of the work period on compliance with the use of (PPE) at the Babahrot inpatient health center, last year. There was no influence of education on compliance with the use of Personal Protective Equipment (PPE )at the Babahrot inpatient health center, Babahrot subdistrict,last year

    MENINGKATKAN KESADARAN IBU HAMIL AKAN PEMERIKSAAN ANC MELALUI EDUKASI INOVATIF BERBASIS LEMBAR BALIK

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    The coverage of Antenatal Care (ANC) visits in Indonesia has not yet reached the national target of 95%. Low awareness among pregnant women regarding the importance of ANC remains a challenge, influenced by factors such as education level, knowledge, family support, and limited access to health information. To address this issue, appropriate and effective educational approaches are needed to increase pregnant women's understanding and adherence to routine ANC visits. One effective educational tool is the flip chart, a visual aid composed of sequential pages containing concise and structured health information, supported by illustrations and diagrams. Flip charts promote two-way communication between healthcare providers and clients, delivering information in a gradual and visually engaging manner. This Community Service Program (PKM) aims to raise pregnant women’s awareness and understanding of ANC through flip chart-based education. The flip chart serves not only as an information medium but also as an interactive tool to support informed health decisions. It is expected that this intervention will enhance knowledge and positively influence pregnant women’s behavior in complying with ANC schedules, ultimately contributing to better maternal and fetal health outcomes

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