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Ervina Julien Sitanggang
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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 5 Documents
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Search results for , issue "Vol 5 No 2 (2020): Nommensen Journal of Medicine" : 5 Documents clear
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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