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Nommensen Journal of Medicine
Published by Universitas HKBP Nommensen
ISSN : 24601616     EISSN : 26862565     DOI : https://doi.org/10.36655/njm.v5i2
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Neuroscience Public Health
Nommensen Journal of Medicine (NJM) memuat artikel penelitian (research article), artikel review, dan laporan kasus (case report) di bidang kedokteran.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 72 Documents
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Perbedaan Tingkat Pengetahuan dan Sikap Ibu Terhadap Kelengkapan Imunisasi Dasar Wajib di Wilayah Kerja Puskesmas Hutarakyat Kecamatan Sidikalang Kabupaten Dairi Tahun 2019 Regina Saely Sitanggang; Ade Pryta Simaremare; Saharnaul J Verawaty Simorangkir
Nommensen Journal of Medicine Vol 5 No 1 (2019): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.783 KB) | DOI: 10.36655/njm.v5i1.72

Abstract

Immunization is an effort to raise / enhance immunity against a disease actively, if one day body is exposed to the disease, it will not get sick or it will get mild illness. According to the 2013 and 2018 Riskesdas data on complete obligatory basic immunization coverage in Indonesia it was found decrease from 59.2% to 57.9%. Obligatory basic immunization coverage in Dairi Regency in 2016 - 2017 has decreased, in 2016 (83.7%) and 2017 (81.3%). The objective of this study was to determine the differences in the level of knowledge and attitudes of mothers with the completeness of obligatory basic immunizations in the working area of ​​the Hutarakyat Health Center in 2019. This was an analytical study with a case control design. The study sample was 76 respondents taken by consecutive sampling. Data collected is using questionnaire. The results of this study showed that of 76 respondents, mothers who brought their babies for immunization in 2019 had the most adulthood (77.6%), had higher education (69.7%), had a non-working status (60.5%), had good knowledge (65.9%), and had a positive attitude (62.5%). Toward immunization there were significant differences in the level of knowledge and attitudes of mothers towards the completeness of obligatoty basic immunization. There were differences in the level of knowledge and attitudes of mothers with the completeness of obligatory basic immunizations.
Gambaran Kepribadian Mahasiswa Fakultas Kedokteran Universitas HKBP Nommensen Angkatan 2016 Berdasarkan Keberhasilan Akademik Ervina Julien Sitanggang
Nommensen Journal of Medicine Vol 5 No 1 (2019): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.25 KB) | DOI: 10.36655/njm.v5i1.79

Abstract

Academic success of medical students is influenced by cognitive and non-cognitive factors. Included in non-cognitive factors associated with academic success in the pre-clinical phase is the basic personality. The aim of this study was to describe the personality of Faculty of Medicine Universitas HKBP Nommensen students batch 2016 based on academic success. This research is a descriptive research. The subjects of this study were 50 students of the Faculty of Medicine Universitas HKBP Nommensen class of 2016 who were selected by the total sampling method. Personality data was obtained from the Indonesian Mental Health Test report which was undertaken by students while participating in the selection of the Faculty of Medicine Universitas HKBP Nommensen in the 2016/2017 academic year. Based on academic success in the first and second years, both students who were successful and those who did not succeed academically, the majority were in the big category for conscientiousness, while moderate for openness, extraversion, agreeableness and neuroticism domain. When compared based on academic success, in the first and second years a similar picture of personality was found in the group of students who succeeded and did not succeed academically.
Korelasi Indeks Massa Tubuh dengan Kapasitas Vital Paksa Paru Rebecca Rumesty Lamtiar; Fansisca Siallagan
Nommensen Journal of Medicine Vol 5 No 1 (2019): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.223 KB) | DOI: 10.36655/njm.v5i1.80

Abstract

Lung function consists of ventilation, diffusion, and perfusion. One of the parameters used to assess the function of lung ventilation is forced vital capacity of the lungs. One of the factors that influence a person's lung function is body mass index. Some studies suggested that person obesity had a decresing of Forced vital lung capacity (FVC)The objective of this study was to see how the correlation between the Body Mass Index and Forced Vital Capacity in students of the Faculty of Sport Sciences, Universitas Negeri Medan. This was a correlative analytic study with cross sectional design. 63 male students of the sports faculty of Universitas Negeri Medan, aged 18-23 years and did not have smoking habits were selected as samples by purposive sampling method. The Body Mass Index was measured body weight and height while the measurement of Forced Vital Capacity was carried out using a calibrated Fukudo Sangyo brand. The correlation between the Body Mass Index and the Forced Vital Capacity of Lungs was analyzed using the Pearson correlation test. The mean value of the student Body Mass Index (BMI) is 22.77 with SD + 2.59. The average value of forced vital capacity of students is 106.44% with SD + 20.25. Based on the Pearson correlation test, there is a significant positive correlation between body mass index and forced lung vital capacity of the sports science faculty(p value = 0.008) with medium correlation strength (r = 0.302). The higher the body mass index, the higher the vital capacity of the student's lung force.
Analisis Kesesuaian Materi Ajar Blok Tropical Medicine Tahun Ajaran 2016/2017 Fakultas Kedokteran Universitas HKBP Nommensen Medan Jenny Novina Sitepu
Nommensen Journal of Medicine Vol 5 No 1 (2019): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.083 KB) | DOI: 10.36655/njm.v5i1.81

Abstract

Learning method and learning content must be suitable with Learning objectives in the ideal curriculum. Standar Kompetensi Dokter Indonesia (SKDI) 2012 as a minimal competency standard that any doctor in Indonesia able to do. The aim of this study was to evaluated the suitability of learning content with learning objectives and SKDI 2012 in Tropical Medicine Modules Educational Year 2016/2017 Medical Faculty of Universitas HKBP Nommensen. This study was a qualitative descriptive study with documents analysis design. The documents that have been analysed were module learning objectives which described in buku rencana pengajaran, satuan acara perkuliahan, practical guidelines, tutorial guidelines, skills lab guidelines and student examination scores. The suitability of variables were evaluated by evaluation rubric that have been arranged before. Every learning objective has been described in learning content, although a learning objective could not described in every learning method. Tetanus and difteria were not described in learning content although they were included in SKDI 2012. Teaching materials given to students in general are in accordance with the learning objectives and SKDI in 2012.
Seorang Pria 21 Tahun dengan Urin Berwarna Gelap Joseph Partogi Sibarani
Nommensen Journal of Medicine Vol 5 No 1 (2019): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (191.955 KB) | DOI: 10.36655/njm.v5i1.82

Abstract

First published by Strubing in 1882, Paroxysmal Nocturnal Hemoglobinuria (PNH) is a chronic acquired disorder characterized by the occurrence of intravascular hemolysis and hemoglobinuria which commonly occurs when patients sleep at night, caused by cellular abnormalities due to somatic mutations that cause intrinsic damage on the red blood cell membrane, making it more susceptible to complement lysis. The incidence of PNH varies greatly in various populations and is more common in Southeast Asia. In general, the incidence is estimated to be 1 -1.5 cases / million population. This case is more common in young adults, but can also be found in children and parents. In general the clinical picture of PNH includes symptoms of anemia, hemoglobinia, signs of bleeding, and gastrointestinal complaints. Diagnosis can be determined through blood, urine, bone marrow and cytogenetic examination. We reported the case of a 21-year-old man with complaints of pale face, easy fatigue and tea colored urine in the morning. After several laboratory tests and aspiration of the bone marrow, PNH diagnosis is made. Glucocorticoids used as therapy, and patients are discharged with clinical improvement.
PERBANDINGAN RUMUS JOHNSON DAN RUMUS RISANTO DALAM MENENTUKAN TAKSIRAN BERAT JANIN PADA IBU HAMIL DENGAN BERAT BADAN BERLEBIH Leo Jumadi Simanjuntak; Patrick Anando Simanjuntak
Nommensen Journal of Medicine Vol 5 No 2 (2020): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.816 KB) | DOI: 10.36655/njm.v5i2.139

Abstract

Background: Estimated fetal weight (EFW) is important to determine mode of delivery. The use of estimated fetal weight based on fundal height has been widely used, but the use on overweight mothers is still limited. Objectives: This study aimed to compare the Johnson’s and Risanto’s formula in estimating fetal weight on overweight mothers. Method: The design used was cross-sectional, conducted at Mitra Sejati, Herna, and Methodist Sussana Wesley hospital on November 2019 until January 2020. Mann-Whitney test was used to compare EFW mean differences between Johnson’s and Risanto’s to actual birth weight. Paired t-test was used to compare EFW mean differences between Johnson’s and Risanto’s. Results: There were 103 overweight pregnant mothers fulfilling study criteria. The BMI mean was 31,26 ± 5l,54 kg/m2. Both Johnson’s and Risanto’s formula had no significant mean difference compare to actual birth weight, of 332,45 gram on Johnson’s (p value = 0,070) and 298,57 gram on Risanto’s (p value = 0,863). The mean difference between Risanto’s formula and actual birth weight was significantly lower than Johnson’s (mean difference = 33,88 gram, p value = 0,01). Conclusions: EFW measurement using Johnson’s and Risanto’s formula based on fundal height can be applied and used properly by health care workers. Risanto’s formula was more accurate to estimate fetal weight than Johnson’s in overweight mothers. Latar belakang: Menentukan taksiran berat janin (TBJ) adalah penting bagi penolong persalinan untuk menentukan jenis persalinan. Pengukuran TBJ menggunakan tinggi fundus uterus merupakan metode yang banyak digunakan, namun penggunaan pada ibu hamil dengan berat badan berlebih masih terbatas. Tujuan: Penelitian ini bertujuan membandingkan rumus Johnson dan rumus Risanto dalam menentukan TBJ pada ibu hamil dengan berat badan berlebih. Metode: Desain penelitian adalah potong lintang, data diambil di RSU Mitra Sejati, RSU Herna, dan RSU Methodist Sussana Wesley pada November 2019 – Januari 2020. Dilakukan uji Mann-Whitney untuk membandingkan perbedaan rerata TBJ dengan rumus Johnson dan Risanto dengan berat badan lahir. Uji-t berpasangan digunakan untuk membandingkan perbedaan rerata TBJ dengan rumus Johnson dan Risanto. Hasil: Didapatkan 103 ibu hamil yang memenuhi kriteria penelitian dengan rerata IMT 31,26 ± 5l,54 kg/m2. Terdapat perbedaan rerata TBJ rumus Johnson dan rumus Risanto dibandingkan berat badan lahir sebesar 332,45 gram dan 298,57 gram. Tidak terdapat perbedaan rerata bermakna antara penghitungan TBJ menggunakan rumus Johnson dengan berat badan lahir (p = 0,070) dan rumus Risanto dengan berat badan lahir (p = 0,863). Perbedaan selisih TBJ Risanto dengan berat badan lahir lebih rendah dibandingkan selisih TBJ Johnson dengan berat badan lahir, yaitu sebesar 33,88 gram dan bermakna secara statistik (p = 0,01). Kesimpulan: Pengukuran TBJ menggunakan rumus Johnson dan rumus Risanto dapat diterapkan dan digunakan dengan baik oleh tenaga medis. Rumus Risanto memiliki tingkat ketepatan yang lebih baik dibandingkan rumus Johnson dalam menentukan TBJ pada ibu hamil dengan berat badan berlebih.
Analisis Capaian Kompetensi Mahasiswa dalam Objective Structured Clinical Examination (OSCE) Semester Ganjil Tahun Ajaran 2017/2018 Fakultas Kedokteran Universitas HKBP Nommensen Medan Jenny Novina Sitepu
Nommensen Journal of Medicine Vol 5 No 2 (2020): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.259 KB) | DOI: 10.36655/njm.v5i2.152

Abstract

Backgroud: Clinical skills is one of competency as a doctor. Objective Structured Clinical Examination (OSCE) is an ideal way to assess clinical skills for undergraduated, graduated, and postdraduated clinical students. The low score in some OSCE station can be an input for teaching and curriculum improvement. This study aim to analyzed student competency achievement in first term in 2017/2018 academic year in Fakultas Kedokteran Universitas HKBP Nommensen. Methods: This study was qualitative study with descriptive design. The sample was OSCE score in first term in 2017/2018 academic year. Student achievement was the mean score of every student in all station in OSCE. Competency achievement was the mean of students score for every competency in OSCE. Next, the stations was categorized in practice/ procedure skills station and clinical reasoning skills station. Skills achievement was got form the mean of score (in percent) of procedure skills and clinical reasoning station. Indept interview with students and lectures was held to knowed their perception about OSCE. Results: Students’ achievement in OSCE of first term academic year 2017/2018 was 62.4% for 2015’s students, and 64.6% for 2016’ students. The lowest competency achievement of 2015’s students was diagnosis and differential diagnosis. For the 2016’s students, it was farmacology treatment. Practice/ procedure skills achievement in OSCE of first term academic year 2017/2018 was 61.34% (2015’s students) and 74.4% (2016’s students). The clinical reasoning skills achievement was 62.80% (2015’s students), and 58.77% (2016’s students). Based on indept interview, the things that make student’s achievement low were the clinical reasoning ability of students was still low, the standard patient that involved in OSCE didn’t acted properly, the students’ knowledge about medicine and prescription was poor, and there were lot of learning schedules and learning subjects that students must did and learned. Conclusions: Students’ achievement in OSCE of first term academic year 2017/2018 is need to be improved.
Hubungan Tingkat Pengetahuan dan Sikap dengan Tindakan Pencegahan Infeksi Soil Transmitted Helminth Memakai Obat Cacing Pada Siswa SDN 095252 Dan SDN 097658 Bandar Pulo, Kecamatan Bandar Kabupaten Simalungun Novita Hasiani Simanjuntak
Nommensen Journal of Medicine Vol 5 No 2 (2020): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.055 KB) | DOI: 10.36655/njm.v5i2.158

Abstract

According to WHO, in 2018, more than 1.5 million people (24% of the world's population) were infected by Soil Transmitted Helminthiasis (STH). more than 267 million of pre-school and school-aged children in this area are continually infected, need prevention and treatment interventions. WHO recommends giving antihelmintic drug without initial examination in endemic areas. namely Albendazol and Mebendazol, because they are effective, inexpensive, and easy to administer, even if not by health workers. Research in the form of cross-sectional design. This research was conducted at SDN 095252 and SDN 097658 Bandar Pulo Village, Bandar District, Simalungun Regency, from April to August 2019. The target population was elementary school students in Bandar District, Simalungun District. Affordable population is SDN 095252 students with 80 students and SDN 097658 with 139 students. The selection of research subjects with simple random sampling technique. In this study a sample of 120 respondents was obtained. This study uses a questionnaire as a measurement tool for all variables, with the median as a cut-off point for good and bad values, because the data is not normally distributed. Students with poor knowledge have a greater percentage than those who have good knowledge (55%). The attitude of good and bad students has a balanced percentage. The percentage of students who experienced signs and symptoms of helminthiasis was 82.5%, and the percentage of students who did not receive helminthic prevention had a greater percentage than those who received (65.8%). Prevention by giving worm medicine, the highest percentage is that students have been given worm medicine, but it has been given more than 6 months ago, that is equal to 57.5%. The results of bivariate analysis show that there is a significant relationship between the level of knowledge and prevention with the administration of worm medicine (p = 0.035), and there is no significant relationship between attitude and prevention with the administration of worm medication (p = 0.248). The conclusion of the research is that there is a significant relationship between the level of knowledge and prevention by giving worm medicine, and there is no significant relationship between attitude and prevention by giving worm medicine.
Hubungan Tingkat Pengetahuan dan Sikap Ibu tentang Air Susu Ibu Eksklusif dengan Pemberian Air Susu Ibu Eksklusif di Wilayah Kerja Puskesmas Pembantu Hutatinggi Kecamatan Parmonangan Tahun 2019 Ade Pryta Romanauli Simaremare
Nommensen Journal of Medicine Vol 5 No 2 (2020): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (249.903 KB) | DOI: 10.36655/njm.v5i2.173

Abstract

Introduction : Exclusive breastfeeding means giving baby breast milk only since born until the age of 6 months. Based on data from the Provincial Health Office of North Sumatra in 2017, the achievement of exclusive breastfeeding at Aek Raja Public Health Center was only around 50%, considered to be very low. Factors that very influential on exclusive breastfeeding were limited knowledge, attitude, age, education and increased number of working mothers. Objective : To determine the relationship between level of knowledge, attitude, age, education level and mothers’ employment status regarding exclusive breastfeeding and provision of exclusive breastfeeding in the working area of ​​the Auxiliary Public Health Center of Hutatinggi Parmonangan Subdistrict in 2019. Method : This study was an analytical study with a cross-sectional design. Samples were selected consecutively and 67 respondents were obtained. Data were gained by questionnaires and analyzed using chi-square test. Results : The results of statistical tests obtained p value = 0,000 for the level of knowledge, attitude, age, education level and p value = 0,001 for employment status (p<0,05). This result means that there were relation between the level of knowledge, attitude, age, education level, and maternal employment status regarding exclusive breastfeeding and exclusive breastfeeding providing in the working area of ​​the Auxiliary Public Health Center of Hutatinggi Parmonangan Subdistrict in 2019. Conclusion : The exclusive breastfeeding was influenced by level of knowledge, attitude, age, education and employment status of mothers in the working area of ​​the Auxiliary Public Health Center of Hutatinggi Parmonangan Subdistrict in 2019. Keywords : Exclusive breastfeeding, knowledge and attitude, mother status.
Faktor-Faktor Yang Mempengaruhi Perilaku PenggunaanAntibiotik Tanpa Resep Pada Mahasiswa/I Universitas HKBP Nommensen Medan Henny Erina Saurmauli Ompusunggu
Nommensen Journal of Medicine Vol 5 No 2 (2020): Nommensen Journal of Medicine
Publisher : Universitas HKBP Nommensen

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.146 KB) | DOI: 10.36655/njm.v5i2.226

Abstract

Background : Antibiotics are drugs that work to prevent and treat infection caused by bacteria. However, improper use of antibiotics can cause antibiotic resistance. Antibiotic resistance occurs due to irrational used without a prescription. The aim of this study is to determine the predisposition factors of non prescription use of antibiotics in Universitas HKBP Nommensen students. Methods: This research is descriptive study. Sample of this study were 210 active students of Universitas HKBP Nommensen, who were selected by using purposive sampling technique. The predisposition factors of non prescription use of antibiotics obtained from quetionnaire. Results: The predisposition factors of non prescription use of antibiotics in Universitas HKBP Nommensen students were poor knowledge of antibiotics, the suggestion of relatives or neighbors and the experience of consuming antibiotics to cure the same disease before. Financial problem was not a dominant factor. Conclusion: Poor knowledge of antibiotics, the suggestion of relatives or neighbors and the experience of consuming antibiotics before are the dominant predisposition factors of non prescription use of antibiotics.

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