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All Journal Jurnal Ilmiah Universitas Batanghari Jambi Jurnal Kedokteran Anatomica (Anatomica Medical Journal) Jurnal Kesehatan Masyarakat dan Lingkungan Hidup JURNAL ANALIS LABORATORIUM MEDIK Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang
Tiara Rajagukguk
Universitas Sari Mutiara Indonesia
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Civil Engineering, Building, Construction & Architecture Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Public Health

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FAKTOR PRILAKU DAN LINGKUNGAN DENGAN KEJADIAN DEMAM BERDARAH DENGUE (DBD) DI DESA TANJUNG LENGGANG KECAMATAN BAHOROK KABUPATEN LANGKAT TAHUN 2017 siregar, laura; Rajagukguk, Tiara; Sitorus, Mido Ester J
Jurnal Kesehatan Masyarakat dan Lingkungan Hidup Vol 4 No 1 (2019): JURNAL KESEHATAN MASYARAKAT DAN LINGKUNGAN HIDUP
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Penyakit DBD dapat muncul sepanjang tahun dan dapat menyerang seluruh kelompok umur, penyakit ini berkaitan dengan kondisi lingkungan dan perilaku masyarakat dengan Incidence Rate dan Case Fatality Rate pada tahun 2015 jumlah penderita DBD yang dilaporkan sebanyak 129.650 kasus dengan jumlah kematian sebanyak 1.071 orang (IR/Angka kesakitan= 50,75per 100.000 penduduk dan CFR/angka kematian = 0,83%). Berdasarkan catatan Profil dari Puskesmas Bahorok Kecamatan Bahorok Kabupaten Langkat Tahun 2016 DBD merupakan salah satu penyakit endemis yang keberadaannya selalu ada dan menyebar di Desa, menurut Kepala Puskesmas Bahorok di Desa Tanjung Lenggang Kabupaten Langkat tahun 2016 ada sebanyak 822 KK yang mengalami Kasus DBD dengan jumlah kasus sebanyak 10 kasus. Penelitian ini bersifat deskriptif analitik dengan desain “cross sectional study” yaitu untuk melihat adanya hubungan perilaku dan lingkungan dengan kejadian DBD. Populasi dalam penelitian ini adalah 6.039  KK, sedangkan sampel dalam penelitian ini sesuai dengan hasil survei sementara sebanyak 98 orang yang menderita DBD. Penelitian dilakasanakan di Desa Tanjung Lenggang, pada bulan Mei s/d Agustus 2018. Hasil Penelitian  Ada hubungan signifikan antara kebiasaan melakukan 3M dengan kejadian DBD (0,000<0,05), Ada hubungan signifikan antara kebiasaan menggunakan anti nyamuk dengan kejadian DBD (0,021<0,05), Ada hubungan signifikan antara keberadaan jentik nyamuk dengan kejadian DBD (0,000<0,05), tidak ada hubungan signifikan antara tempat penampungan air dengan kejadian DBD (0,922<0,05). Disarankan kepada masyarakat agar merubah perilakunya terutama dalam hal melaksanakan 3 M, serta membersihkan lingkungan agar jentik nyamuk tidak bersarang lagi, serta memakai anti nyamuk seperti kelambu dan memasang kawatkasa di jendela, Disarankan kepada Puskesmas dalam upaya mengendalikan kepadatan jentik dan kebisaan melakukan 3 M yang sangat berpotensi dengan kejadian DBD dapat dilakukan dengan cara mengintervensikan program intervensi DBD dan memberdayakan masyarakat salah satunya adalah dengan membinasakan antara juru pemantau jentik dan pemeliharaan ikan pemakan jentik pada TPA serta melakukan upaya peningkatan pengetahuan dan perilaku masyarakat terkait DBD.
Gaya Kepemimpinan dan Komitmen Paramedis dalam Implementasi Akreditasi Rumah Sakit Versi SNARS Daniel Ginting; Nina Fentiana; Tiara Rajagukguk; Harry Wahyudi
Jurnal Ilmiah Universitas Batanghari Jambi Vol 19, No 3 (2019): Oktober
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (333.809 KB) | DOI: 10.33087/jiubj.v19i3.642

Abstract

Clause 40 paragraph (1) of Law Number 44 of 2009 concerning Hospitals states that in an effort to improve the quality of hospital services, accreditation must be carried out periodically at least every three years. The leadership design is needed to support the formation of paramedic commitments in the implementation of accreditation. The research aims to identify the leadership style of direct paramedic leaders and paramedic commitment in the implementation of SNARS version accreditation. The study was designed with a cross sectional approach at Delia Hospital with a sample of 79 paramedics and using primary data obtained through observation and interviews. Correlation and simple linear regression tests showed leadership style and paramedic commitment in implementing hospital accreditation showed a strong and positive pattern of relationships. The results of the study concluded that achievement-oriented leadership style is the leadership style that is considered the most able to build paramedic commitment in the implementation of accreditation.
PEMERIKSAAN KETON PADA URINE PENDERITA DIABETES MELITUS TIPE 2 YANG DI RAWAT INAP DI RSUD. H ADAM MALIK MEDAN Erlan Aritonang; Tiara Rajagukguk
Jurnal Analis Laboratorium Medik Vol 1 No 2 (2016): JURNAL ANALIS LABORATORIUM MEDIK
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Diabetes Melitus adalah penyakit menahun yang timbul pada seseorang disebabkan karena adanya peningkatan kadar gula atau glukosa darah akibat kekurangan insulin baik absolut maupun relatif. Diabetes terjadi karena tubuh tidak mampu mengubah makanan menjadi energi. Tujuan penelitian ini adalah untuk mengetahui ada tidaknya keton pada urine penderita diabetes melitus tipe 2 yang dirawat di RSUP. H. Adam Malik Medan. Jenis penelitian adalah deskriptif analitik. Tempat penelitian dilakukan di Laboratorium Klinik RSUP. H. Adam Malik Medan. Waktu penelitian dilakukan pada bulan maret –agustus 2016. Sampel diambil sebanyak 20 orang dari seluruh populasi. Dari Hasil penelitian yang dilakukan terhadap 20 pasien ditemukan 2 orang pasien yang urinenya positif keton. Ditemukannya keton pada urine penderita diabetes melitus disebabkan karena tingkat gula darah yang tidak terkontrol sehingga terjadi pemecahan lemak yang berlebihan sehingga dapat mengalami koma yang disebut koma diabetik.
ANALISA KADAR HIGH SENSITIVITY C-REACTIVE PROTEIN (hsCRP) PADA PENDERITA PENYAKIT JANTUNG KORONER DI RUMAH SAKIT UMUM PUSAT H. ADAM MALIK MEDAN Tiara Rajagukguk; Nova Florentina
Jurnal Analis Laboratorium Medik Vol 3 No 1 (2018): JURNAL ANALISIS LABORATORIUM MEDIK
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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Abstract

Penyakit Jantung Koroner merupakan kerusakan otot jantung akibat tersumbatnya suplai darah arteri koroner. Terjadinya sumbatan suplai arteri koroner disebabkan oleh aterosklerosis. Hal ini digambarkan sebagai penumpukan bahan lemak, dan kolesterol dengan konsistensi lunak atau kalsium yang mengeras disepanjang dinding arteri. High Sensitivity C-Reactive Protein (hsCRP) merupakan petanda biokimia untuk peradangan dan memprediksi kelainan arteri koroner. Uji ini sensitif untuk mendeteksi resiko penyakit kardiovaskular. hsCRP yang melebihi nilai normal menunjukkan bahwa seseorang beresiko tinggi mengalami penyakit arteri koroner (coronary artery disease/CAD). Penelitian ini bertujuan untuk mengetahui kadar hsCRP pada penderita penyakit jantung koroner. Penelitian ini dilakukan mulai dari bulan Mei sampai Juni 2015 di Laboratorium Patologi Klinik Rumah Sakit Umum Pusat H. Adam Malik Medan. Desain penelitian ini bersifat deskriptif cross sectional dengan dilakukan terhadap 10 sampel yang terdiri dari 3 orang berjenis kelamin perempuan dan 7 orang berjenis kelamin laki-laki. Pemeriksaan ini dilakukan dengan dengan menggunakan metode Imunoturbidimetri dengan alat Cobas 6000 E501 dengan panjang gelombang 552 nm. Didapat hasil penelitian dengan kadar hsCRP yang meningkat sebanyak 6 sampel (60%) yang terdiri dari 4 orang berjenis kelamin laki-laki dan 2 orang berjenis kelamin perempuan serta kadar hsCRP yang tidak meningkat sebanyak 4 sampel (40%) yang terdiri dari 3 orang berjenis kelamin laki-laki dan 1 orang berjenis kelamin perempuan.
ANALISA KADAR ASAM URAT PADA WANITA MENOPAUSE DI DUSUN XI DESA BANDARKHALIPAH KECAMATAN PERCUT SEI TUAN Tiara Rajagukguk; Maniur Arianto Siahaan; Erlan Aritonang
Jurnal Analis Laboratorium Medik Vol 5 No 1 (2020): JURNAL ANALIS LABORATORIUM MEDIK
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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

Abstract

Uric acid is the final product of purine metabolism (adenine dan guanine) and is a constituent of nucleic acids. This is the end of the biological process of the menstrual cycle decreases in esterogen levels uric acid levels in women are generally low and only increase after menopause because menopause is a point where women no longer produce esterogen, estradiol is the largest part of estradiol esterogen plays a role in helping uric acid excretion get sick through urin. The population in this study were menopausal women. Aims to determine uric acid levels in menopausal women. Research with the title analysis of uric acid levels in menopausal women in the hamlet XI village Bandar khalipah sub district percut sei master 2018.uses the easytouch brand stick tool. uses descriptive cross sectional research type. Examination of uric acid levels 20 samples of post menopausal women obrained normal uric acid levels of 11 people (55%) and uric acid is levels increased by 9 people (45%). Post menopausal women to kepp checking regulary to determine the progression of the didease
Pemeriksaan Kadar Asam Urat Pada Lansia Penderita Hipertensi Di Rsu Bandung Medan Tiara Rajagukguk; Dicky Wiratma Yuswardi Wiratma; Erlan Aritonang; Erlan Aritonang
ANATOMICA MEDICAL JOURNAL | AMJ Vol 4, No 2 (2021)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/amj.v4i2.7928

Abstract

Diantara beberapa jenis penyakit degeneratif, hipertensi masih menjadi salah satu penyakit yang paling banyak terjadi pada usia lanjut. Asam urat merupakan hasil akhir metabolisme purin yang tidak boleh berlebih kadarnya di dalam tubuh. Lansia yang menderita hipertensi perlu mendapatkan perhatian lebih karena seiringnya usia yang bertambah maka semakin menurunnya fungsi organ tubuh. Penelitian ini bertujuan untuk mengetahui kadar asam urat pada pasien lanjut usia yang menderita hipertensi di RSU Bandung Medan. Metode: Penelitian ini dilakukan pada bulan Mei sampai dengan bulan Juni. Jenis penelitian ini bersifat deskriptif. Sampel yang diperiksa adalah darah kapiler dari penderita hipertensi dengan jumlah 15 orang. Pemeriksaan dilakukan dengan metode strip test. Hasil: kadar asam urat yang meningkat sebanyak 6 orang (40%), normal sebanyak 7 orang (47%), dan yang menurun sebanyak 2 orang (13%). Kesimpulan: Meningkatnya kadar asam urat pada lansia disebabkan karena mengkonsumsi makanan yang tinggi purin dan juga karena menurunnya fungsi ginjal sehingga tidak mampu membuang secara sempurna sisa metabolisme tubuh.Kata Kunci:  Asam Urat, Lanjut Usia, Hipertensin
Penyuluhan Pencegahan Tuberkulosis untuk Meminimalisasi Penularan pada Masyarakat Lanjut Usia di Kabupaten Serdang Bedagai Dicky Yuswardi Wiratma; Tiara Rajagukguk
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 5, No 3 (2020): November 2020
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v5i3.4227

Abstract

Pulmonary tuberculosis is one of the highest prevalence of infectious diseases in the world. More than 90% of TB cases and deaths come from developing countries, one of which is Indonesia. The village of Tanjung Harap in Serdang Bedagai Regency still has a high rate of tuberculosis in the elderly. This can occur because of the low awareness of healthy living and knowledge about pulmonary tuberculosis. This counseling activity is intended so that the community, especially the elderly, know the dangers of pulmonary TB infectious diseases and know the precautions and when symptoms have arisen. Counseling was carried out by means of questionnaires, lectures, and video screenings about prevention and what actions should be taken as prevention of infectious diseases, especially pulmonary tuberculosis, this activity ends with blood pressure checks and vital signs. The results of this counseling showed a positive impact and increased knowledge to protect themselves and prevent the transmission of pulmonary tuberculosis in the elderly. Based on the results of the activities carried out, it can be concluded that this has an influence on the insight, knowledge and concern of the community, especially the elderly who are in the village of Tanjung Harap Serdang Bedagai Regency.DOI: https://doi.org/10.26905/abdimas.v5i3.4227 
ANALYSIS OF WIDAL SLIDE TEST ON TIFOID FEVER PATIENTS IN SUNDARI MEDAN GENERAL HOSPITAL Tiara Rajagukguk
Jurnal Analis Laboratorium Medik Vol 7 No 1 (2022): Jurnal Analis Laboratorium Medik
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jalm.v7i1.2903

Abstract

Typhoid fever is an acute systemic disease caused by Salmonella typhi and Salmonella paratyphi A, B and C are characterized by prolonged fever, bacteremia without changes in the endothelial system. Salmonella is a genus of gram-negative enterobacteria bacteria in the form of rods, flagellated, without spores, capsules, and anaerobes that cause typhoid and paratyphoid. Salmonella is the leading cause of foodborne illness. In general, Salmonella causes diseases of the digestive organs. Salmonella antigen structure consists of flagellar antigen (H antigen), somatic antigen (O antigen). Widal test is a serological test procedure to detect Salmonella typhi bacteria infection that causes typhoid fever. This test will show the Salmonella antibody reaction to O- somatic, H-flagellar and Vi (bacterial hoops) antigens in the blood. Culture is the gold standard in examining typhoid fever cases to date because in culture we can determine the morphology of Salmonella. This type of research is a descriptive study that aims to analyze the results of the Widal Slide Test with the agglutination method in the Sundari General Hospital Laboratory, Medan. Of the 15 samples analyzed, the results of the Widal Slide Test were obtained for 33% of typhoid fever patients with agglutination and 67% of those without agglutination. The results were Salmonella typhi O = 4 samples, Salmonella typhi H = 1 sample, Salmonella paratyphi AO = 1 sample, Salmonella paratyphi BO = 2 samples, and Salmonella paratyphi CO = 3 samples. This type of research is a descriptive study that aims to analyze the results of the Widal Slide Test with the agglutination method in the Sundari General Hospital Laboratory, Medan. Of the 15 samples analyzed, the results of the Widal Slide Test were obtained for 33% of typhoid fever patients with agglutination and 67% of those without agglutination. The results were Salmonella typhi O = 4 samples, Salmonella typhi H = 1 sample, Salmonella paratyphi AO = 1 sample, Salmonella paratyphi BO = 2 samples, and Salmonella paratyphi CO = 3 samples. This type of research is a descriptive study that aims to analyze the results of the Widal Slide Test with the agglutination method in the Sundari General Hospital Laboratory, Medan. Of the 15 samples analyzed, the results of the Widal Slide Test were obtained for 33% of typhoid fever patients with agglutination and 67% of those without agglutination. The results were Salmonella typhi O = 4 samples, Salmonella typhi H = 1 sample, Salmonella paratyphi AO = 1 sample, Salmonella paratyphi BO = 2 samples, and Salmonella paratyphi CO = 3 samples.
ANALISA KADAR ASAM URAT PADA WANITA MENOPAUSE DI DUSUN XI DESA BANDARKHALIPAH KECAMATAN PERCUT SEI TUAN Tiara Rajagukguk; Maniur Arianto Siahaan; Erlan Aritonang
Jurnal Analis Laboratorium Medik Vol 5 No 1 (2020): JURNAL ANALIS LABORATORIUM MEDIK
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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

Abstract

Uric acid is the final product of purine metabolism (adenine dan guanine) and is a constituent of nucleic acids. This is the end of the biological process of the menstrual cycle decreases in esterogen levels uric acid levels in women are generally low and only increase after menopause because menopause is a point where women no longer produce esterogen, estradiol is the largest part of estradiol esterogen plays a role in helping uric acid excretion get sick through urin. The population in this study were menopausal women. Aims to determine uric acid levels in menopausal women. Research with the title analysis of uric acid levels in menopausal women in the hamlet XI village Bandar khalipah sub district percut sei master 2018.uses the easytouch brand stick tool. uses descriptive cross sectional research type. Examination of uric acid levels 20 samples of post menopausal women obrained normal uric acid levels of 11 people (55%) and uric acid is levels increased by 9 people (45%). Post menopausal women to kepp checking regulary to determine the progression of the didease
ANALYSIS OF WIDAL SLIDE TEST ON TIFOID FEVER PATIENTS IN SUNDARI MEDAN GENERAL HOSPITAL Tiara Rajagukguk
Jurnal Analis Laboratorium Medik Vol 7 No 1 (2022): Jurnal Analis Laboratorium Medik
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jalm.v7i1.2903

Abstract

Typhoid fever is an acute systemic disease caused by Salmonella typhi and Salmonella paratyphi A, B and C are characterized by prolonged fever, bacteremia without changes in the endothelial system. Salmonella is a genus of gram-negative enterobacteria bacteria in the form of rods, flagellated, without spores, capsules, and anaerobes that cause typhoid and paratyphoid. Salmonella is the leading cause of foodborne illness. In general, Salmonella causes diseases of the digestive organs. Salmonella antigen structure consists of flagellar antigen (H antigen), somatic antigen (O antigen). Widal test is a serological test procedure to detect Salmonella typhi bacteria infection that causes typhoid fever. This test will show the Salmonella antibody reaction to O- somatic, H-flagellar and Vi (bacterial hoops) antigens in the blood. Culture is the gold standard in examining typhoid fever cases to date because in culture we can determine the morphology of Salmonella. This type of research is a descriptive study that aims to analyze the results of the Widal Slide Test with the agglutination method in the Sundari General Hospital Laboratory, Medan. Of the 15 samples analyzed, the results of the Widal Slide Test were obtained for 33% of typhoid fever patients with agglutination and 67% of those without agglutination. The results were Salmonella typhi O = 4 samples, Salmonella typhi H = 1 sample, Salmonella paratyphi AO = 1 sample, Salmonella paratyphi BO = 2 samples, and Salmonella paratyphi CO = 3 samples. This type of research is a descriptive study that aims to analyze the results of the Widal Slide Test with the agglutination method in the Sundari General Hospital Laboratory, Medan. Of the 15 samples analyzed, the results of the Widal Slide Test were obtained for 33% of typhoid fever patients with agglutination and 67% of those without agglutination. The results were Salmonella typhi O = 4 samples, Salmonella typhi H = 1 sample, Salmonella paratyphi AO = 1 sample, Salmonella paratyphi BO = 2 samples, and Salmonella paratyphi CO = 3 samples. This type of research is a descriptive study that aims to analyze the results of the Widal Slide Test with the agglutination method in the Sundari General Hospital Laboratory, Medan. Of the 15 samples analyzed, the results of the Widal Slide Test were obtained for 33% of typhoid fever patients with agglutination and 67% of those without agglutination. The results were Salmonella typhi O = 4 samples, Salmonella typhi H = 1 sample, Salmonella paratyphi AO = 1 sample, Salmonella paratyphi BO = 2 samples, and Salmonella paratyphi CO = 3 samples.
Co-Authors Daniel Ginting Dicky Yuswardi Wiratma Erlan Aritonang Harry Wahyudi Nina Fentiana Nova Florentina Siahaan, Maniur Arianto Siregar, Laura Sitorus, Mido Ester