Medical Methodist Journal (MediMeth)

A HUBUNGAN ANTARA AKTIVITAS FISIK DAN KEBIASAAN MEROKOK DENGAN KEJADIAN OSTEOPOROSIS PADA LANSIA DI WILAYAH MEDAN AREA TAHUN 2024

Tue, 30 Sep 2025 00:00:00 +0700

Background: A condition characterised by reduced and increased bone density referred to as osteoporosis, which can lead to fractures, has become a global health issue. Various other factors including protein deficiency, vitamin D deficiency, deficient calcium intake, BMI, gender, age, as well as race, all pose a risk for osteoporosis.

Objective: This study was conducted to determine how physical activity and smoking habits are related to the incidence of osteoporosis in elderly

Method: This research method is an observational analytic study using a case control design, using a questionnaire instrument. The sample obtained was 36 people with sampling using consecutive sampling technique.

Results: A chi square test was conducted resulting in physical activity values (p = 0.004; OR = 0.047; 95%CI = 0.005-0.434), and smoking habits (p = 0.008; 0R = 0.110; 95%CI = 0.024-0.500).

Conclusion: Respondents from Khu Orthopedic Clinic who have participated in this study, showed an association of physical activity on the incidence of osteoporosis and there was also an association of smoking habits on the incidence of osteoporosis.

Key word : Osteoporosis, elderly, physical activity, smoking habits

Hubungan Jenis Antibiotik Dengan Lama Perawatan Pasien Anak Demam Tifoid Tanpa Komplikasi Pada Rawat Inap di RS Advent

Kezia Fransella, Endy Julianto, Wijaya Taufik — Tue, 30 Sep 2025 00:00:00 +0700

ABSTRAK
Demam tifoid/enterik disebabkan oleh infeksi organisme Salmonella Enterica, subspesies Enterica, serotipe
Typhi (S. Typhi) pada manusia. Gejala yang dialami antara lain demam yang berlangsung lebih dari seminggu
terutama pada sore atau malam hari, diare, mual, muntah, sakit kepala, nyeri perut dan otot. Pengobatan yang
diberikan berupa pengobatan awal dan perawatan suportif, pengobatan diberikan dengan tujuan untuk
menormalkan suhu tubuh, mengurangi gejala yang terjadi, mencegah komplikasi dan meminimalkan kematian.
Tujuan : Untuk mengetahui hubungan jenis antibiotic dengan lama pengobatan pada pasien anak demam tifoid
tanpa komplikas.
Metode: Jenis penelitian ini menggunakan pendekatan cross sectional.
Hasil: Uji statistik chi square menghasilkan nilai p < 0.05 untuk jenis antibiotik dengan lama perawatan.
Kesimpulan: Terdapat hubungan yang signifikan antara jenis antibiotik dan durasi pengobatan untuk pasien
anak dengan demam tifoid tanpa komplikasi

The Relationship between Knowledge, Family Support and the Role of Health Workers with Stunting Prevention Behavior in Pregnant Women at the Salak Community Health Center, Pakpak Bharat Regency in 2024

Grace Berutu, Eka Hutasohit, Renatha Nainggolan, Budi Sembiring, Jekson Siahaan — Tue, 30 Sep 2025 00:00:00 +0700

Background : Stunting is a problem in children who experience delays in growth due to chronic malnutrition, recurrent infections, and inadequate psychosocial stimulation.

Objective : to determine the relationship between knowledge, family support and the role of health workers with stunting prevention behavior at the Salak Community Health Center, Pakpak Bharat Regency.

Research method : The type of research used in this research is analytical research with a cross sectional design. The instrument used in this research is a questionnaire with validity and reliability tests. The population for this research was 38 pregnant women at the Salak Community Health Center, Pakpak Bharat Regency. Data analysis techniques consist of univariate and bivariate. Data analysis used the chi-square test.

Results : The results of the research showed that 16 pregnant women had good maternal knowledge (42.1%), 14 pregnant mothers had good category family support (36.8%), 14 pregnant mothers had the good category of the role of health workers (36,8%), and stunting prevention behavior in the good category was 16 pregnant women (42.1%). The results of the chi-square statistical test showed that knowledge (p-value was 0.015), family support (p-value was 0.038), and the role of health workers (p-value was 0.038) with stunting prevention behavior in pregnant women.

Conclusion : There is a significant relationship between knowledge, the role of health workers and stunting prevention behavior at the Salak health center, Pakpak Bharat Regency. It is hoped that health workers will increase education regarding stunting.

A The Relationship between Smoking and Body Mass Index to Hypertension at the Sei Semayang Health Center, Deli Serdang Regency in 2024

Tue, 30 Sep 2025 00:00:00 +0700

Background : Hypertension is the biggest health problem in the world because of its high prevalence rate and is associated with an increased risk of cardiovascular disease. According to data from the Ministry of Health of the Republic of Indonesia in 2013, 25.8% of people in Indonesia aged over 18 years experienced hypertension and this increased to 34.1% in 2018. Smoking is a factor that influences the development of hypertension. Apart from smoking, BMI is a factor that contributes to the development of hypertension.

Objective : To determine the relationship between smoking and body mass index on hypertension at the Sei Semayang Community Health Center, Deli Serdang Regency.

Method: The research carried out was analytical research using an observational approach with a cross-sectional design, using the Spearman test to assess the relationship between variables. The sample for this study used the Slovin formula, namely 56 hypertension patients at the Sei Semayang Community Health Center, Deli Serdang Regency in July 2024.

Results : The results of the study using the Spearman test, showed that there was a relationship between smoking and hypertension in respondents at the Sei Semayang Health Center in July 2024 (p = 0.031 (p < 0.05)) and there was a relationship between Body Mass Index and respondents' hypertension at the Sei Semayang Health Center in July 2024. 2024 ( p = 0.001 (P<0.05)).

Conclusion : There is a relationship between smoking and hypertension at the Sei Semayang Health Center and there is a relationship between Body Mass Index and hypertension at the Sei Semayang Health Center in July 2024 among respondents.

THE RELATIONSHIP BETWEEN THE INCREASE IN THE RATIO OF NEUTROPHIL LYMPHOCYTES TO COVID-19 SEVERITY AT BHAYANGKARA TK II HOSPITAL, MEDAN CITY IN 2020 – 2023

Megaria Pangaribuan, Ronald T.H Tambunan, Maestro B.U. Simanjuntak — Tue, 30 Sep 2025 00:00:00 +0700

Background : Corona Virus disease (COVID-19) is a problem in the health sector that can be transmitted and the cause is the corona virus, namely Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2). COVID-19 is transmitted via droplets, both direct and indirect contact. This case first started in Indonesia on March 2 2020, as of December 31 2020, it is known that in Indonesia there were 743,198 cases with 109,963 active cases. At the beginning of the pandemic, there were difficulties in diagnosing COVID-19 due to the limited availability of PCR machines, so research was carried out on the neutrophil lymphocyte ratio as an indicator for diagnosing COVID-19 cheaply and quickly.

Objective : To find out whether there is a relationship between increasing RNL and severe COVID-19 at the Bhayangkara Tk II Hospital, Medan City, 2020 – 2023.

Method : The type of research used was observational analytical measurement research, with a cross sectional design involving a sample of 222 COVID-19 patients.

Results : From the results of the hypothesis test regarding the relationship between an increase in the neutrophil lymphocyte ratio and the severity of COVID-19 using the chi-square test, it was found that the value was [X2 Calculation 34.44 > X2 Table 0.05(1) 3.841; RP 2.1; CI 95%; 1.6268 – 2.9199].

Conclusion : There is a relationship between increasing Neutrophil Lymphocyte Ratio values and severe COVID-19 at Bhayangkara Tk II Hospital, Medan City.

A Pengaruh Pemberian Ekstrak Daun Pandan Wangi (Pandanus amaryllifolius Roxb.) Terhadap Kadar Gula Darah Pada Mencit Jantan (Mus Musculus) Model Diabetes Melitus Yang Diinduksi Aloksan

Tue, 30 Sep 2025 00:00:00 +0700

Abstract

Background: DM is a disease caused by damage to the insulin hormone which is characterized by an increase in blood sugar levels that exceed normal limits. The increase in DM sufferers continues to increase so it is of special concern. The use of oral hypoglycemic drugs and insulin is the goal of therapy for DM sufferers. However, undesirable side effects often occur. Many people use plants as medicine. One of the medicinal plants that has antidiabetic properties is fragrant pandan leaves (Pandanus amaryllifolius Roxb.).

Objective: to understand the impact of wangi pandan leaf extract (Pandanus amaryllifolius Roxb.) on reducing blood sugar content in male mice (Mus musculus) in a model of diabetes mellitus that has been induced by alloxan.

Method: This observation includes True Experimental research with a pre test design and post test control group design. This observation used male mice which were divided into 6 groups, namely the normal group, the negative group, the positive control group, the group that received fragrant pandan leaf extract at a dose of 2 mg/0.5 ml, 4 mg/0.5 ml and 6 mg/0. .5 ml.

Results: in this observation there was a significant impact indicating a reduction in blood sugar content that was close to normal in the group given fragrant pandan leaf extract with a score of P(0.0001) (P<0.05)

Conclusion: Wangi pandan leaf extract at a dose of 2 mg/0.5 ml is more effective in reducing blood sugar content in male mice.

Model Hiperglikemia dengan Pemberian HFD

Tue, 30 Sep 2025 00:00:00 +0700

Background: Diabetes mellitus (DM) is a chronic metabolic disorder with dysfunction and/or insulin secretion, causing persistent hyperglycemia. Insulin resistance that is due to obesity is the one of the main pathology of metabolic syndrome and one of the risks that increases the possibility of type 2 diabetes is high intake of saturated fatty acids (HFD). Therefore, this study explores the effect of giving HFD for 30 days on blood glucose.

Subjects and Methods: This was a posttest only controlled group design study conducted in Universitas Methodist Indonesia with a total of 30 rats were divided into 6 groups. The rats will go through adaptation for 14 days. After adaptation, the blood glucose of the rats will be measured and then the mice will be given HFD for 30 days. During the HFD administration, the blood glucose of the rats will be measured every week for 4 times.

Results: Blood glucose did not increase after high-fatty diet administration for 30 days. The ANOVA test result showed that the p value > 0.05 which indicates that there is no difference between groups.

Conclusion: Providing High-fatty diet for 30 days has not been able to effectively increase blood glucose in rats, thus requires a longer period of time to administer high-fatty diet in rats to increase blood glucose.

Keywords: Diabetes mellitus, Obesity, High-Fatty Diet, Blood Glucose

A DIABETES MODEL WITH HFD ADMINSTRATION

Tue, 30 Sep 2025 00:00:00 +0700

Background: Diabetes Mellitus (DM) is a dangerous chronic disease characterized by hyperglycemia and glucose intolerance that occurs due to the pancreatic gland that cannot produce insulin adequately or can be due to the body not being able to use insulin production effectively so that it increases blood sugar levels (KGD).

Research method: This study is laboratory experimental with a pretest-posttest only control group design, using male white rats (Rattus norvegicus) which are divided into 6 groups, namely the normal group, the negative control group, the positive control group, and the group given a high-fat diet (HFD). The independent variable HFD, and the bound variable is blood sugar levels. The data was tested using the Anova test.

Results: The results of the study showed that after 4 weeks of HFD administration with a dose of 4 ml/day, there could not be seen an increase in KGD into diabetes, this occurred due to the lack of time in administering HFD to test animals so that insulin resistance has not occurred.

Conclusion: Based on the study's results, it can be concluded that after 4 weeks of HFD administration still cannot cause diabetes in male white rats.

A Hubungan Persepsi, Sikap,dan Pengetahuan Ibu Dengan Kelengkapan Imunisasi Dasar Pada Bayi di Puskesmas Medan Sunggal

Tue, 30 Sep 2025 00:00:00 +0700

The immunity that a person obtains through immunization is active immunity, so that if they are exposed to a disease they will only experience mild illness. According to the Decree of the Minister of Health of the Republic of Indonesia Number 12 of 2017 concerning the Implementation of Immunization, it is explained that Indonesia is currently facing two health problems which are becoming a double burden, namely the emergence of infectious diseases and non-communicable diseases. Indicators of the success of the immunization program can be seen from complete basic immunization coverage, Universal Child Immunization (UCI) village coverage, namely 80% of babies less than one year old have received five complete basic immunizations such as Hepatitis B, BCG, DPT-HB, Polio and Measles. Aim : To determine the relationship between maternal perceptions, attitudes and knowledge and basic immunization equipment for babies. Method: This type of research uses cross sectional method. Results: The chi square statistical test obtained a p value <0.05 for each variable, namely mother's perception, attitude and knowledge. Conclusion: There is a significant relationship between completeness of basic immunization and maternal perceptions, attitudes and knowledge

RELATIONSHIP BETWEEN EDUCATION LEVEL TOWARDS KNOWLEDGE, ATTITUDE AND ACTIONS OF MOTHERS GROUP ON BREAST CANCER PREVENTION IN AMALIYAH VILLAGE, DUSUN VII, PAYAGELI VILLAGE

Tue, 30 Sep 2025 00:00:00 +0700

The incidence of breast cancer is the highest in the world and in Indonesia, totaling 2,261,419 people in the world and 65,858 people in Indonesia. The high incidence of cancer in Indonesia is due to the lack of public awareness in recognizing the risks and symptoms early on. In this prevention, knowledge is very influential, which is a very important domain and a person's attitude. Prevention efforts will affect behavior or actions in good and correct prevention so that maximum and sustainable results are obtained. Objective: The purpose of this study was to determine the relationship between education levels and knowledge, attitudes and actions of mothers' groups about breast cancer prevention in Perwiritan Amaliyah Dusun VII Payageli Village. Research Method: The type of research used was analytical research with a cross-sectional design. The number of samples required is 34 respondents. The analysis of this study used the Spearman Rank test. Results: From the results of this study using the Spearman Rank test, there is a relationship between education level and knowledge of breast cancer prevention with a p-value = 0.008 (p <0.05) with a correlation coefficient value (r) = 0.449. There is a relationship between education level and attitudes towards breast cancer prevention with a p-value = 0.004 (p <0.05) with a correlation coefficient value (r) = 0.449. There is a relationship between education level and breast cancer prevention actions with a p-value = 0.022 (p <0.05) Conclusion: The results of the study showed a relationship between education level and knowledge, attitudes and actions of mothers regarding breast cancer prevention in the amaliyah village of Dusun VII, Payageli Village.