https://ojs.poltekkes-medan.ac.id/icohs/issue/feed Proceeding International Conference On Health Science 2025-10-03T02:07:41+07:00 Dr. Rismahara Lubis, SSiT, M.Kes rismaharalubis@gmail.com Open Journal Systems <p><strong>Proceedings International Conference On Health Research And Science</strong></p> https://ojs.poltekkes-medan.ac.id/icohs/article/view/2324 THE COMPARISON OF VITAMIN D CONTENT OF FISH OIL EXTRACTS OF SEVERAL TYPES OF FRESHWATER FISH 2025-10-02T04:32:42+07:00 Gabriella Septiani Nasution gabriellaseptiani01@gmail.com Nita Andriani Lubis 4024128001@poltekkes-medan.ac.id Sri Widia Ningsih widianingsih29@gmail.com Adriana Hamsar adrianahamsardrg@gmail.com <p>Fish is beneficial for health due to its content of EPA, DHA, linoleic acid, iodine, protein, selenium, omega-3, vitamin A, vitamin D, and vitamin B12. Fish has the potential to be developed into fish oil. According to WHO, the consumption of fish oil can prevent the risk of mortality and improve health functions. However, fish consumption in toddlers is still low. A survey conducted on children in Indonesia showed that 45.1% experienced Vitamin D deficiency. Vitamin D is known to play a role in the immune system as an immunomodulator and enhances innate immunity. This research aims to compare the vitamin D content of fish oil extracts from several types of freshwater fish and determine their fatty acid content. The researched fish will produce different fish oil and vitamin D content, necessitating research to assess the vitamin D content. Furthermore, fish oil with high vitamin D content can be considered a competent candidate for health supplements. Three types of fish, namely snakehead fish, eel, and catfish, were chosen as research samples. The research was conducted at the Integrated Laboratory of Poltekkes Medan and PPKS. This experimental research used a Randomized Block Design (RBD) with three replications. The data were then statistically analyzed using Anova with a significance level of 5%. The research results indicate that the highest vitamin D content is found in eel with alcohol solvent (12.2974 mg/l). The vitamin D content in snakehead fish with alcohol solvent is 7.8832 mg/l, while in catfish with alcohol solvent, it is 3.0069 mg/l. For fish oil with N-Hexane solvent, the vitamin D content in snakehead fish is 1.4096 mg/l, eel is 2.2489 mg/l, and catfish is 4.5706 mg/l.</p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2325 OVERVIEW OF HELMINTH INFECTION IN CHILDREN 2025-10-02T04:56:07+07:00 Melika Ostina Purba melikapoerba@gmail.com Nelma nelmahasibuan10@gmail.com Suparni suparni@gmail.com Liza Mutia lizamutia@gmail.com Karolina Br Surbakti karolinabrsurbakti@gmail.com Ice Ratnalela Siregar iceratnalelasiregar@gmail.com Halimah Fitriani Pane halimahfitrianipane@gmail.com Suryani MF Situmeang suryanifmsitumeang@gmail.com Digna Renny Panduwati dignarennypanduwati@gmail.com Riri Indrayani ririindrayani@gmail.com Mardan Ginting mardanginting@gmail.com Sri Bulan Nasution sribulannasution@gmail.com <p><em>Worm infections remain a significant public health issue in Indonesia, with a high prevalence in many regions. These infections can adversely affect children's health, nutrition, intelligence, and overall productivity. Worms are transmitted through contaminated soil, and individuals become infected by ingesting eggs or larvae present in the soil. This study aimed to examine the prevalence of worm infections in children and analyze hygiene factors that contribute to the spread of these infections. Factors such as poor hygiene practices, including buying snacks carelessly, not washing hands after playing, not wearing shoes, and not regularly trimming nails, were observed. Stool examinations over two consecutive days revealed that seven children were infected with worm eggs. The breakdown included three children aged 6 years (6%), two children aged 5 years (4%), and two children aged 7 years (4%). Furthermore, a survey on personal hygiene showed that 76% of children did not maintain proper nail hygiene, 70% did not wash their hands before eating, and 80% did not take deworming medication regularly. These findings underscore the critical need for better education on personal hygiene and regular deworming to improve children's health and quality of life, ultimately reducing the prevalence of worm infections in the community</em><em>.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2346 UTILIZATION OF ACTIVATED CARBON OF THE CASSAVA PEEL IN DECREASING IRON (FE) AND MANGANESE (MN) CONCENTRATION IN THE DUG WELL WATER 2025-10-03T01:57:09+07:00 Nelma nelmahasibuan10@gmail.com <p>Water is a very vital requirement for an organism. Clean water is used for daily requirements whose quality meets health requirements and can be drunk after cooking. The carbonization stage of activated carbon is carried out using a furnace with temperature variation of 400 C and 500 C and then soaked for 24 hours with NaOH 0,5 N. Samples in the form of water were treated by adding cassava peel active carbon with levels of 0,1 gr, 0,5gr and 1,0gr in every 100 ml of water and 0 gr in each control performed 3 repetitions. The result achieved a decrease in Mn and Fe levels of each treatment temperature and adding different activated charcoal, the temperature of 500 C decreased Fe levels between 33.8 % - 93.3 %, Mn 20 % - 92 % while at a temperature of 400 C decreased Fe levels between 26.7 % - 92.8 %, Mn of 16.8 – 91.8%. The result of statistical analysis using ANOVA showed a significant difference in Fe and Mn level before and after the addition of activated carbon of cassava peel at 400 heating and at 500 heating of 0.1 g, 0.5 g, and 1.0 g.</p> 2025-04-04T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2329 SCREENING OF BLOOD GLUCOSE, CHOLESTEROL, URIC ACID, AND BLOOD PRESSURE 2025-10-03T00:55:29+07:00 Riri Indriyani Indriyani199428@gmail.com Nita Andriani Lubis 4024128001@poltekkes-medan.ac.id <p><em>Early detection of cardiovascular and metabolic problems that might affect general health depends on health checkups. In a recent exam in Dusun XIII, Saentis Village, 100 people's vital signs—such as blood pressure, cholesterol, uric acid, and blood glucose—were measured. 21% of individuals had increased blood glucose levels, suggesting possible risks for diabetes, according to the screening's alarming results. A further finding was that 44% of people had high uric acid, which can cause gout and other problems. According to cholesterol testing, 38% of individuals had abnormal cholesterol levels, which raises the risk of stroke and heart disease. Particularly concerning blood pressure tests showed that 83% of patients having increased systolic blood pressure and 67% having abnormal diastolic blood pressure. These results underline the significance of early identification in averting major health consequences and the necessity of continuous health monitoring. The high frequency of aberrant outcomes across several important health indicators highlights the need for proactive steps to mitigate the risks associated with these illnesses and for greater community awareness. Enhancing the population's long-term health and well-being requires focused healthcare programs, lifestyle modifications, and routine tests.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2330 THE FORMULATION OF KECOMBRANG FLOWER HAND SANITIZER 2025-10-03T01:02:14+07:00 Maya Handayani Sinaga handayanisinaga703@gmail.com Elizawarda elizajuli63@gmail.com Lavinur avinlavinur@gmail.com <p><em>Microorganisms that cause disease stick to the hands through physical contact with the environment. The easiest and most appropriate way to clean them is by washing your hands with soap and clean water. If clean water is not available, use an alcohol-based hand sanitizer or contains an antibacterial known as a hand sanitizer which contains a synthetic antiseptic which is relatively expensive and whose use causes dry, cracked skin and even hypersensitivity. It is necessary to look for an antiseptic made from natural ingredients that is effective, relatively safe, easy to obtain, and more affordable, namely the kecombrang flower because it contains flavonoids, essential oils with an aromatic smell, and has traditionally been used to stop bleeding and eliminate body odor. Fresh kecombrang flowers as test material were crushed and dried at a temperature of around 60OC, until dry powder was obtained. Liquid gel formulation with concentrations of 5%, 10% and 15%. Evaluation of the preparations obtained includes organoleptic tests, preference tests, homogeneity, pH, spreadability, stability, irritation to volunteer skin. The results show that the 10% concentration preparation is the best, very preferred, stable at room temperature storage for 12 weeks, no irritation occurs, and the 15% concentration is the most effective, killing Staphylococcus aureus and Escherichia coli bacteria in a strong category so that kecombrang flower liquid gel can be used to clean hands from bacteria, its use is easy, practical, safe without using water</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2331 PRECLINICAL TESTING OF ETHANOL EXTRACT OF FOREST BITTER MELON (MOMORDICA BALSAMINA) LEAVES AS ANTIHYPERGLYCAEMIA AND ACUTE TOXICITY 2025-10-03T01:05:48+07:00 Nadroh Br. Sitepu nadroh1980@gmail.com Riska Putri Ana RiskaPutriAna@gmail.com Debora Nancy Prihatin Dawolo DeboraNancyPrihatinDawolo@gmail.com <p><em>Diabetes mellitus is a metabolic disease characterised by hyperglycaemia due to impaired insulin secretion, insulin action, or both. The use of medicinal plants, such as forest bitter melon (Momordica balsamina) leaves, as an alternative treatment for diabetes is increasingly attracting attention. This study aimed to test the antihyperglycaemia effect of ethanol extract of forest bitter melon leaves and assess its acute toxicity. The research method was conducted by observing the blood KGD of mice induced by dexamethasone and sucrose. The mice were then treated with bitter melon leaf ethanol extract at concentrations of 10%; 15% and 20%. Acute toxicity test was conducted by Brine Shrimp Lethality Test (BSLT) method. Data were analysed with ANOVA test. The results of the antihyperglycaemia test showed a p-value = 0.035 (H<sub>0</sub> rejected) which means there is a significant difference in the pre and post test KGD values with the most effective concentration reducing the KGD of mice is 20% with an average of 75 mg/dl. <sub>50</sub> Acute toxicity test showed LC value = 203.19 ppm (&lt; 1000 ppm) indicating relatively high toxicity. In conclusion, ethanol extract of bitter melon leaves has antihyperglycaemia activity with a very toxic classification value.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2332 HYPOGLYCEMIC EFFECTIVENESS TEST OF GREEN TEA LEAF ETHANOL EXTRACT INDUCED BY DEXAMETHASONE 2025-10-03T01:09:52+07:00 Nurul Hidayah nurul.hidayah3607@gmail.com Syahdiana Waty syahdianawaty@gmail.com Sri Widia Ningsih widianingsih29@gmail.com Feronika Sihotang FeronikaSihotang@gmail.com <p><em>Diabetes mellitus (DM) is a chronic metabolic disease caused by abnormal insulin secretion characterized by increased blood glucose levels. Long-term use of drugs also causes side effects. Alternative therapies are needed with potential and mechanisms of action that are close to the body's physiological processes in controlling blood glucose so as to help reduce the development and complications of diabetes mellitus, and can be obtained at an affordable price. This study aims to test the effectiveness of green tea leaf extract in lowering blood sugar levels in male mice induced with dexamethasone. The type of research used is an experimental method with a Pretest-Posttest Control Group Design. This study tested the hypoglycemic effect of ethanol extract of green tea leaves on mice induced with dexamethasone 2.5 mg/kgBW of mice orally. The study began with the collection of green tea leaf samples, the manufacture of simplicia, and testing the hypoglycemic effect for 15 days of research. Ethanol extract of green tea leaves has a hypoglycemic effect on white mice induced by dexamethasone. EEDTH dose of 1.25 g/KgBW in rats showed better hypoglycemic potential compared to glibenclamide in a rat model induced by dexamethasone.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2333 TORBANGUN FLOUR-BASED FOOD BAR AS A FUNCTIONAL EMERGENCY FOOD PRODUCT FOR BREASTFEEDING MOTHERS 2025-10-03T01:14:33+07:00 Tetty Herta Doloksaribu tettyhertadolok1000@gmail.com Made Darawati MadeDarawati@gmail.com Herta Masthalina herta_tobing@yahoo.co.id Kiki Kristiandi KikiKristiandi@gmail.com Andi Eka Yunianto AndiEkaYunianto@gmail.com <p><em>Indonesian has a large risk of natural disasters therefore it is important to develop emergency food products for high-risk target groups such as lactating mothers. This study aimed to formulate torbangun flour into food bars that serve as essential nutritional support for breastfeeding mothers during emergency disaster situations. This experimental study using a completely randomized design. The research phase began by formulating materials for product development consisting of torbangun flour, sweet potato flour, green bean flour, pineapple pulp and guava pulp. Continued by processing food bars and organoleptic testing the products. The most prefered product was analyzed for energy content, protein, antioxidant activity and quercetin content. The results showed that the most preferred product was a food bar torbangun with a composition of 21% sweet potato flour, 28% green bean flour, 12% margarine, 12% granulated sugar, 11% eggs, 14% pineapple pulp and 2% torbangun leaf flour. Every 100 g of food bars contain 395 kcal of energy; protein 11 g; antioxidant activity of 30.29 mg / 100g AEAC (ascorbic acid equivalent antioxidant capacity) and quercetin content of 11.7 ppm. The food bar torbangun is recommended as a functional supplementary food for breastfeeding mothers in emergencies due to natural&nbsp;disasters.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2334 PROVISION OF SOCIAL REPRODUCTIVE HEALTH IN TEENAGE PREGNANCY IS VERY IMPORTANT FOR LONG-TERM WELL-BEING 2025-10-03T01:18:37+07:00 Ratna Dewi Puspita Sari ratnadewipuspitasari15@gmail.com <p><em>Addressing social reproductive health in adolescent pregnancy is an important step to ensure long-term well-being, both for young mothers and their babies. This study aims to analyze the challenges, needs, and effective interventions in supporting pregnant adolescents from health, psychosocial, and economic aspects. This study uses a literature study. Article searches using the PubMed and Google Scholar databases from 2020 to 2024. The results of the study show that adolescent pregnancy has a significant impact on physical health, such as prenatal complications, anemia, and premature birth. In terms of psychosocial, pregnant adolescents face challenges such as social stigma, isolation, and limited family support. Intervention programs involving reproductive health education, family support, and access to adolescent-friendly health services have proven effective in reducing the risk of complications and improving the well-being of pregnant adolescents. However, obstacles such as the lack of health facilities in remote areas and the lack of trained medical personnel are still major obstacles. This study confirms that a multidisciplinary approach involving medical personnel, psychologists, social workers, and families is essential to support the well-being of pregnant adolescents. With appropriate interventions, social reproductive health care can not only have positive impacts on young mothers and their babies, but also contribute to the development of more inclusive and sustainable societies.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2347 CHANGES IN MIDWIFERY KNOWLEDGE ON THE TRIAL OF THE SAMSIDER-JULI PREGNANCY EXAMINATION APPLICATION IN EFFORTS TO PREVENT MATERNAL MORTALITY IN DAIRI REGENCY 2025-10-03T02:07:41+07:00 Samsider Sitorus samsidarsitorus@yahoo.co.id <p><em>Introduction Online antenatal care can help provide relatively economical medical services and reduce inequality for health checkups, especially for pregnant women, cost-effectiveness, especially in developing countries or large areas such as Indonesia, especially Dairi as a mountainous area where health services still cannot reach the entire community, especially in areas that do not have infrastructure and facilities that cannot be passed&nbsp; by vehicles such as motorcycles and cars. However, some pregnant women doubt the reliability of the online information because they do not communicate directly face-to-face. There fore, it was important to ensure the quality and security of online services. Online pregnancy examination services using an application so that midwives and patients can write complaints in the application where the 14 T service was already available in the application. Method: This study was quasi-experimental research. The sample was 84 midwives (Slovin formula) and was selected in a balanced manner (proportional to size). Bivariate analysis uses the paired t test to analyze the difference in midwifery knowledge before and after the trial of using the pregnancy examination application. Results of the study: Knowledge shows that before the trial of using the Samsider-Juli pregnancy examination application, the majority of midwives had poor knowledge, which was 48 people 57.1%. After the trial of using the Samsider – Julipregnancy examination application, the majority of good knowledge was 56 people 66.7%. The test using the paired t test showed that there was a difference in the knowledge of midwives before, namely the mean value of 30.15 and after the mean value of 31.35. Midwifery knowledge has increased after the trial of using the Samsider-Juli pregnancy examination application with a mean difference of 1.20238 and&nbsp; p value of 0.002. This means that statistically there was statistically significant difference (p&lt;0.05) difference in knowledge before and after the trial of the pregnancy screening application.&nbsp; Conclusion: There was a change in the knowledge of midwives before and after the trial of the Samsider – Juli pregnancy examination application where the knowledge of midwives became better.</em></p> 2025-04-04T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2335 ANTENATAL CARE 10 T SERVICES WITH PREGNANT WOMEN'S SATISFACTION 2025-10-03T01:20:50+07:00 Astrina Ompusunggu astrinaompusunggu5@gmail.com Samsider Sitorus 2samsidarsitorus@yahoo.co.id <p><em>Antenatal care (ANC) is a service provided by health workers to mothers during pregnancy by established standards. Health services will be effective if pregnant women are satisfied with the services provided by midwives. This research aims to determine the Correlation between ANC 10 T services and the satisfaction of pregnant women at the Patumbak Community Health Center. The type of research used is quantitative with a cross-sectional approach and analytical design. Sampling was carried out by purposive sampling with a total sample of 48 TM III pregnant women. The research results showed that most of the 10 T ANC services were carried out completely, namely 34 pregnant women (70.8%), the satisfaction of pregnant women when carrying out ANC examinations. Most pregnant women were satisfied with the services provided by midwives, namely 32 pregnant women (66.7%). The chi-square test showed that there is a Correlation between the 10 T Antenatal Care service and the satisfaction of pregnant women at the Patumbak Community Health Center with a p-value of 0.000 &lt; 0.05. It is hoped that health workers will improve the quality of ANC services so that mothers who undergo ANC feel satisfied with the services provided.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2336 EFFECTIVENESS OF RED GUAVA AND RED SPINACH COMBINATION JUICE TO INCREASE HEMOGLOBIN LEVELS OF MIDWIFERY STUDENT AT MEDAN HEALTH POLYTECHNIC 2025-10-03T01:23:57+07:00 Leevania HD. Siambaton LeevaniaHDSiambaton@gmail.com Gelis Putri Afdillah GelisPutriAfdillah@gmail.com Yulina Dwi Hastuty yulinadwihastuty@gmail.com Yusniar Siregar 1409yusniar@gmail.com Suswati suswatiakbar123@gmail.com Yunashyfa Azzura Balqis YunashyfaAzzuraBalqis@gmail.com <p><em>Anemia is one of the health problems that adolescents often suffer, while in young women it has a big impact, among others, it can cause irregular menstruation which, if left unchecked, will have an impact on their reproductive health, as future mothers. The combination of guava juice and red spinach can increase the hemoglobin level of adolescent girls. The purpose of this study was to determine the difference in the effectiveness of the combination of red guava juice and red spinach with Fe tablets on increasing hemoglobin levels in female adolescents in the dormitory of the Midwifery department at Poltekkes Medan. This research is a quasi- experimental study examining a population consisting of 30 female adolescents, where 15 respondents were included in the combination group of red guava juice and red spinach, while 15 others were included in the Fe tablet group. Through research, the following results were obtained: the average hemoglobin level before consuming the combination of red guava juice and red spinach was 10.9400, after that it became 14.4133; the average hemoglobin level before consumption of Fe tablets was 11.1333 and after that it became 13.5800. It was found the effectiveness of consuming a combination of red guava juice and red spinach on increasing hemoglobin levels with a p-value of 0.000 &lt;0.05, and it was also found that the effectiveness of consuming Fe tablets on increasing hemoglobin levels with a p-value of 0.000 &lt;0.05. It was found that there was a difference in the effectiveness of consuming a combination of red guava juice and red spinach with consumption of Fe tablets on increasing hemoglobin levels, where the p-value was 0.024 &lt;0.05. It is expected that health workers provide dissemination about the benefits of guava juice combined with red spinach to increase hemoglobin levels in female adolescents.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2337 ANALYSIS OF KNOWLEDGE TO PREVENT ANEMIA DURING MENSTRUATION AT SMA NEGERI 17 MEDAN 2025-10-03T01:28:24+07:00 Dina Indarsita dindarsita@gmail.com Yufdel imelhamzah@gmail.com Meidar Dwi Alfani Zega MeidarDwiAlfaniZega@gmail.com <p><em>Anemia is a body condition where the hemoglobin (HB) level in the blood is lower than normal. Young women are susceptible to anemia due to puberty, where the need for iron increases due to rapid growth, especially menstruation every month which causes them to lose a lot of blood. The aim of this research is to determine the relationship between knowledge of adolescent girls and measures to prevent anemia during menstruation at SMA Negeri 17 Medan. This type of research is observational analytic with a cross sectional design. The research sample was 63 out of 173 class XI female students. This research uses purposive sampling techniques and the Spearman test. The research results showed that the majority of respondents had good knowledge (52.4%) and had actions in the sufficient category (46.0%). The p-value is 0.000 (&lt;0.05). Conclusion: There is a significant relationship between knowledge of young women and measures to prevent anemia during menstruation at SMA Negeri 17 Medan. Suggestion: It is hoped that young women will expand their knowledge regarding the prevention of anemia, especially the types, causes, driving factors and impacts of anemia by seeking information through books and other media and following programs implemented by the school UKS, as well as implementing healthy living behavior so that measures to prevent anemia increase. in a better direction</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2338 FAMILY SUPPORT IN PREPAREDNESS TO PREVENT PULMONARY TB TRANSMISSION 2025-10-03T01:31:18+07:00 Johani Dewita Nasution johaninaufal@gmail.com Wirda Faswita WirdaFaswita@gmail.com Eqlima Elfira EqlimaElfira@gmail.com Dodoh Khodijah dodoh.kdj@gmail.com <p><em>Pulmonary tuberculosis (TB) is an infectious disease that is a global health problem. Prevention of pulmonary TB transmission requires the active role of the family in providing support that contributes to preparedness to prevent transmission. Family support is considered important in building an environment that supports recovery and prevents the spread of TB. This study aims to identify the relationship between family support and preparedness in preventing pulmonary TB transmission in families of TB patients. Methods: This study used a quantitative design with a cross-sectional approach. A total of 100 family respondents of pulmonary TB patients in the working area of Puskesmas X were involved through purposive sampling method. Data were collected using a structured questionnaire and analyzed with the chi-square statistical test to see the relationship between variables. Results: The results showed that most families of patients with good family support had a higher level of preparedness in preventing pulmonary TB transmission (p &lt; 0.05). Emotional support and information from the family were the dominant factors influencing preparedness. Conclusion: Family support plays a significant role in improving preparedness to prevent pulmonary TB transmission. Family-based interventions, such as education and counseling, can be an effective strategy to improve family preparedness in dealing with this disease.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2339 OVERVIEW OF COMMUNITY PREPAREDNESS IN FACING WHIRLWIND NATURAL DISASTERS 2025-10-03T01:35:41+07:00 Perak Maruli Asi Roha Hutagalung perakhutagalung61@gmail.com Jojor Silaban silaban.jojor473@gmail.com Risdiana Melinda Naibaho risdiana.naibaho78@gmail.com <p><em>Indonesia is one of the countries that is very vulnerable to natural disasters. One of them is a tornado disaster. A tornado destroys everything in its path. Preparedness plays an important role in dealing with a tornado disaster. The population in this study was the community in Lae Pinang Village, Sidikalang District, Dairi Regency, totaling 2,258 people, a sample of 44 people using the Slovin formula. The results of the study based on the characteristics of the respondents are as follows: The preparedness of the community of Lae Pinang Village, Sidikalang District, Dairi Regency in Hamlet I is in the very unprepared category with an index value of (36%). Hamlet II is in the very unprepared category with an index value of (30%). Hamlet III is in the less prepared category with an index value of (44%). Hamlet IV is in the very unprepared category with an index value of (27%). Hamlet V is in the very unprepared category with an index value of (34%). It is recommended that health institutions provide health education to the community to carry out disaster preparedness after a tornado so that community knowledge about disaster preparedness after a landslide increases</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2340 RISK FACTOR PROFILE OF HYPERTENSION IN ELDERLY PATIENTS AT PUSKESMAS KM 11 SIEMPAT NEMPU HULU DAIRI DISTRICT IN 2023 2025-10-03T01:38:54+07:00 Risdiana Melinda Naibaho risdiana.naibaho78@gmail.com Rita christina siburian Ritachristinasiburian@gmail.com <p><strong><em>Background:</em></strong><em> Hypertension is a chronic condition often referred to as high blood pressure that increases in the arterial membrane, which forces the heart to pump and causes an increase in arteries throughout the body, blood pressure exceeds the systolic number 140 mmHg and diastolic 90 mmHg. <strong>Purpose</strong>: </em><em>to determine To determine risk factor profile of hypertension in elderly patients</em><em>. <strong>Method</strong>: this research method is a descriptive survey research design to describe hypertension patients with Accidental Sampling sampling technique the population of this study were elderly people with hypertension at the &nbsp;Puskesmas Km 11 Siempat, Nempu Hulu District with a sample size of 49 respondents and willing to be research subjects. <strong>Results</strong>: Results: The description of the results of this study is that the majority of elderly people experience mild hypertension 73.47%, then severe hypertension 22.45% and hypertension 08%, the majority of ages 46-59 years 53.06%, female gender 79.60%, do not consume salt 63.26, do not smoke 77.56, the majority of 65.30%, obese BMI 23-29.9 as much as 65.30%, not hereditary 79.60%, evel stres Lightweight 61.22%, with the Chi-Square test describing the risk factors for elderly people who experience hypertension include age (p=0.001), gender (p=0.025). 001), Gender (p=0.001), Body Mass Index / BMI (0.085), Stress level (p=0.021). Consumption of Salty / Salt, smoking does not describe the risk factors in the elderly who experience hypertension. Suggestion: Health workers provide more intensive education to the elderly.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2341 TUBERCULOSIS MONITORING INFORMATION SYSTEM - COMORBID (SIMTB-CO) APPLICATION IN MEDAN CITY 2025-10-03T01:41:51+07:00 Dame Evalina Simangunsong dameevalinas8@gmail.com Desy Ari Apsari desyariapsari@gmail.com Marlisa marlisanurse@gmail.com <p><em>Multidrug resistant TB (MDR-TB) is triggered by a long treatment process and access to health facilities, potentially leading to TB treatment failure or lost to follow up. Various approaches in the treatment process have been carried out, but have not produced good results. To achieve the TB elimination target by 2030, new and innovative strategies are needed to identify TB, strengthen and expand laboratory-based surveillance, track initial loss to follow up (iLTFU) of MDR-TB patients, and develop TB vaccines. This study aims to design an application capable of tracking lost to follow up patients with a developed monitoring information system, which is expected to be able to send notifications for taking medication, visit schedules, patient tracking and TB-related education (SIMTb-Co application). The waterfall method was chosen to assess the use of SIMTb-Co (Comorbid Tb Monitoring Information System) application in several health centres in Medan City. The assessment of the use of the application has been started in June-August 2024 and it can be concluded that the SIMTb-Co application can be used in the service of pulmonary patients at Puskesmas and can show the treatment track record of pulmonary TB patients from the beginning of treatment until they are declared cured.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025 https://ojs.poltekkes-medan.ac.id/icohs/article/view/2342 INFLUENCE OF THE ROLE OF DALIHAN NA TOLU IN PREVENTING TYPE 2 DIABETES MELLITUS IN PADANGSIDIMPUAN CITY 2024 2025-10-03T01:44:31+07:00 Soep soep15182@gmail.com Megawati hjmegawati1963@gmail.com Indrawati gayoindrawati@gmail.com <p><em>Diabetes Mellitus (DM) is a non-communicable disease condition that occurs due to damage to insulin production in the body (PERKENI, 2021). DM sufferers usually experience symptoms such as frequent urination, excessive thirst, blurred vision, rapid fatigue, and significant weight loss. An increase in blood sugar levels that exceeds normal limits, or hyperglycemia, can trigger various health complications.</em> <em>Dalihan Na Tolu (DNT) is a symbol of three indigenous community groups working together to resolve various existing affairs, problems and burdens. Principles such as togetherness, mutual cooperation, rights and obligations, and love to maintain family relationships are highly respected in this culture</em> <em>Apart from that, DNT also plays an important role in regulating and guiding individual behavior in the social life of society</em><em>.</em> <em>This research uses a qualitative approach with the Participatory Action Research (PAR) method. This method was chosen because it was considered appropriate for designing a health promotion model based on Dalihan Na Tolu (DNT) in an effort to prevent Type 2 Diabetes Mellitus in the at-risk Mandailing ethnic group in Padangsidimpuan City. Before this study was conducted, there were 34 people or 85% categorised as high risk of type 2 diabetes mellitus, and 6 people or 15% categorised as low risk. After this study was conducted. There is 38 people or 95% categorized as low risk of type 2 diabetes mellitus and 2 people or 5 % categorised low risk.</em> <em>Health promotion with the Dalihan Na Tolu approach as a measure to prevent type 2 diabetes mellitus includes promotive and preventive efforts, without neglecting curative and rehabilitative aspects. The main objective of this approach is to reduce morbidity, disability and mortality from type 2 diabetes mellitus.</em></p> 2025-10-03T00:00:00+07:00 Copyright (c) 2025