Deli Medical and Health Science Journal

Peran Etika Pendidikan dalam Membentuk Profesionalisme di Fakultas Kedokteran

Siska Anggreni Lubis — Tue, 02 Dec 2025 05:30:36 SE Asia Standard Time

Educational ethics play a crucial role in shaping students' character, particularly in Medical Schools, where students are expected to apply moral values and professionalism in their medical practice. This paper aims to explain the importance of educational ethics within the context of medical education, and to identify ethical violations commonly occurring among students, faculty, and educational staff. The study employs a qualitative descriptive analysis method, utilizing an internet-based literature review and observation of academic articles related to educational ethics and academic integrity. The findings indicate that ethical violations, such as plagiarism, academic dishonesty, and abuse of power, frequently occur, which can undermine academic integrity and the moral values of the profession. Therefore, it is essential for medical schools to integrate ethics and morality into the curriculum, either through dedicated modules or additional courses addressing medical ethics. This paper is expected to offer solutions to enhance the understanding of educational ethics and prevent future ethical violations.

Tinjauan Pustaka: Penyakit Kulit Akibat Kerja (Occupational Skin Disease) pada Pekerja Pabrik Sarung Tangan Berbahan Karet: Perspektif Epidemiologi dan Biomolekuler

Sumihar M R Pasaribu — Tue, 02 Dec 2025 05:30:47 SE Asia Standard Time

Penyakit kulit akibat kerja (Occupational Skin Disease, OSD) memang menjadi perhatian serius, terutama di industri yang bergantung pada bahan kimia seperti pabrik sarung tangan karet. Dengan risiko tinggi terhadap dermatitis kontak dari paparan lateks dan bahan kimia aditif, pekerja di sektor ini menghadapi tantangan kesehatan yang nyata. Data dari periode 2015-2025 menunjukkan adanya lonjakan insidensi dermatitis di Asia Tenggara, menyoroti perlunya intervensi lebih lanjut. Mekanisme patogenesis yang terlibat cukup kompleks, mencakup reaksi imunologis dan stres oksidatif. Paparan berulang terhadap bahan kimia tak hanya memengaruhi kesehatan kulit tetapi juga bisa mengganggu keseimbangan biomolekuler tubuh, yang terlihat dari peningkatan ROS dan kerusakan pada sawar kulit. Oleh karena itu, pemantauan biomarker seperti MDA dan IL-6 menjadi krusial untuk deteksi dini. Ini membuka peluang untuk penelitian lebih dalam di daerah tertentu, seperti Sumatera Utara, guna memperkuat pemahaman kita mengenai OSD dan menunjukkan betapa pentingnya kebijakan kesehatan kerja yang berbasis bukti. Semoga hasil penelitian ini bisa membantu mengedukasi dan melindungi pekerja dari risiko yang dapat dihindari.

Peran Hipertensi sebagai Faktor Risiko Terjadinya Gagal Ginjal Kronik

Novita Rachmasari; Mhd. Teguh Asyraf — Tue, 02 Dec 2025 05:30:57 SE Asia Standard Time

The prevalence of chronic kidney disease continues to increase in Indonesia and ranks second after heart disease. Hypertension is one of the dominant factors causing chronic kidney disease. This study aims to analyze the relationship between hypertension and the risk of chronic kidney disease. The method used is a Systematic Literature Review (SLR) by reviewing articles from accredited national journals (SINTA) and international journals indexed in Scopus published between 2020 and 2025. The results of the analysis show that hypertension is significantly associated with the risk of chronic kidney disease. The underlying mechanism of hypertension and chronic kidney disease is through the activation of the renin-angiotensin-aldosterone system (RAAS).

HUBUNGAN PENINGKATAN ANTIBODY Ig A ANTI EA EBV PADA PASIEN PENDERITA KNF PADA SUKU NIAS

Hana Isal Salina Ginting — Tue, 02 Dec 2025 05:31:10 SE Asia Standard Time

Nasopharyngeal carcinoma (NPC) is a malignant tumor of the head and neck region, predominantly found in Southeast Asia, and is closely associated with Epstein–Barr Virus (EBV) infection. Detection of Immunoglobulin A (IgA) antibodies against the Early Antigen (EA) of EBV has been recognized as a potential non-invasive biomarker for early diagnosis. Genetic, environmental, and lifestyle factors — including the traditional habit of consuming preserved foods among the Nias ethnic group — are believed to influence the antibody response. This study aimed to analyze the association between elevated IgA anti-EA EBV antibody levels and the occurrence of NPC among Nias patients. An observational analytic study with a case–control design was conducted involving 29 NPC patients and 29 healthy Nias individuals as controls. Serum samples were examined serologically at the Integrated Laboratory, Faculty of Medicine, University of North Sumatra. Data were analyzed using the Chi-square and Mann–Whitney tests. The findings revealed that the mean level of IgA anti-EA EBV antibodies in NPC patients (246.22 ± 320.05 U/mL) was significantly higher than that of healthy controls (51.79 ± 1.55 U/mL) (p < 0.05). Positive serological reactivity was detected in 55.2% of NPC patients compared to 10.3% in the control group. No significant associations were found between age or gender and the serological results (p > 0.05). These results indicate that elevated IgA anti-EA EBV antibody levels may serve as an important immunological marker for early detection of NPC, particularly among high-risk populations such as the Nias ethnic group.

PENGARUH TERAPI RELAKSASI BENSON PADA PENURUNAN KADAR GULA DARAH PADA PENDERITA DIABETES MELLITUS TIPE 2 DI PUSKESMAS DELI TUA TAHUN 2025

Muhammad Tsawaby Hasian, Meta Rosaulina — Tue, 02 Dec 2025 05:31:20 SE Asia Standard Time

Relaxation therapy is among the non-pharmacological methods that has been proven effective in addressing various health problems, including type 2 diabetes mellitus. One approach that can be applied is Benson relaxation therapy, which combines deep breathing techniques and positive suggestions to help reduce stress. This research aims to examine the effect of Benson relaxation therapy on lowering blood sugar levels in patients with type 2 diabetes mellitus. The methodology employed in this study was a quasi-experimental design with a one-group pre-post test approach. The total sample size for this study comprised 37 respondents, selected through purposive sampling techniques. The instrument utilized was an observation sheet, and testing was carried out with the Wilcoxon test. The findings indicated a significant decrease in blood sugar levels after the application of Benson relaxation therapy for 2 weeks (p<0.05) in type II diabetes mellitus patients at the Deli Tua Health Center. This decrease is due to the effect of therapy in reducing stress, that contributes significantly to the regulation of stress hormones and glucose metabolism. In conclusion, Benson relaxation therapy is effective as an additional therapy to help lower blood glucose levels in individuals with type 2 diabetes mellitus.

LITERATUR REVIEW: HUBUNGAN ANTARA DURASI PENGGUNAAN KOMPUTER DENGAN KELELAHAN MATA PADA KARYAWAN

dian primadia putri; Selvia Arisma, Selvia Arisma — Tue, 02 Dec 2025 05:31:32 SE Asia Standard Time

Background: Excessive computer use can lead to eye fatigue or Computer Vision Syndrome (CVS) due to prolonged screen exposure, non-ergonomic viewing distances, and substandard lighting conditions. This condition can reduce comfort and work productivity.

Objective: To determine the relationship between computer usage duration, viewing distance, and workspace lighting with eye fatigue among computer users.

Methods: A literature review of five national research articles published between 2023–2025, employing a cross-sectional design and analyzing the relationship between ergonomic factors and eye fatigue.

Results: Four out of five articles showed a significant association between computer usage duration and eye fatigue (p < 0.05). Viewing distance and lighting were also influential factors, although results varied across studies.

Conclusion: Eye fatigue among computer users is closely related to work habits and non-ergonomic environmental conditions.

LITERATURE REVIEW : PENGARUH KERJA SHIFT TERHADAP GEJALA GASTROESOPHAGEAL REFLUX DISEASE (GERD) PADA PEKERJA

Andriyeni ,; Fanny Gabriella Br Perangin-Angin — Tue, 02 Dec 2025 05:31:43 SE Asia Standard Time

Background: Shift work, particularly during nighttime hours, disrupts circadian rhythm regulation of gastric acid secretion and lower esophageal sphincter function. This physiological dysregulation may increase susceptibility to Gastroesophageal Reflux Disease (GERD). Several studies have consistently reported a higher prevalence of GERD symptoms among shift workers compared with those working regular daytime schedules.

Method: A literature review was conducted through PubMed, Google Scholar, and Garuda databases using the keywords “shift work,” “GERD,” and “questionnaire,” covering publications from 2015 to 2025. Eight articles met the inclusion criteria, which involved active workers, cross-sectional study design, and GERD symptom measurement using standardized questionnaires.

Result: Most studies demonstrated a higher prevalence of GERD symptoms among shift workers (23–40%) compared with non-shift workers. Increased risk was associated with prolonged exposure to night shifts and poor sleep quality. A meta-analysis indicated that shift work significantly increased the likelihood of GERD (Odds Ratio 1.53; 95% CI 1.33–1.77).

Conclusion: Shift work shows a significant association with increased GERD symptoms through circadian disruption, psychological stress, and irregular sleep patterns. Preventive workplace strategies, including healthier shift scheduling and health promotion interventions, are needed to reduce GERD risk among shift workers.

Hubungan Antara Dukungan Sosial di Tempat Kerja dan Kontrol Tekanan Darah pada Perawat dengan Hipertensi Esensial di Rumah Sakit

Erwinsyah Erwinsyah, Rudy Dwi Laksono — Thu, 04 Dec 2025 04:05:30 SE Asia Standard Time

Latar belakang. Hipertensi tetap menjadi salah satu faktor risiko utama penyakit kardiovaskular pada populasi dewasa, termasuk tenaga kesehatan. Perawat menghadapi berbagai karakteristik kerja yang berpotensi meningkatkan risiko hipertensi, seperti shift malam bergilir, beban moral, tuntutan administratif, dan paparan stres emosional. Dukungan sosial di tempat kerja berperan penting dalam mengurangi dampak stres terhadap tekanan darah, namun bukti empiris pada populasi perawat di Indonesia masih terbatas. Penelitian ini bertujuan untuk menilai hubungan antara tingkat dukungan sosial dan kontrol tekanan darah, mengidentifikasi jenis dukungan sosial yang paling berpengaruh, serta menilai peran stres kerja dan pola shift dalam memoderasi hubungan tersebut.

Methode. Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan potong lintang pada 60 perawat rumah sakit di Jawa Barat. Instrumen yang digunakan mencakup kuesioner dukungan sosial (emosional, instrumental, informasional), skala stres kerja, serta pengukuran tekanan darah menggunakan sphygmomanometer digital. Analisis dilakukan menggunakan uji korelasi Pearson dan regresi linier berganda setelah uji asumsi klasik terpenuhi. Signifikansi ditetapkan pada α = 0,05.

Hasil. Hasil menunjukkan bahwa dukungan sosial total berkorelasi negatif signifikan dengan tekanan darah sistolik (r = −0.45; p = 0.001), sedangkan stres kerja (r = +0.42; p = 0.001) dan pola shift bergilir (r = +0.33; p = 0.015) berkorelasi positif signifikan. Regresi menunjukkan bahwa dukungan sosial total (β = −0.38; p = 0.000) merupakan prediktor paling dominan terhadap tekanan darah sistolik, diikuti stres kerja (β = +0.29; p = 0.003) dan pola shift (β = +0.23; p = 0.022). Model regresi menjelaskan 41% variasi tekanan darah sistolik (R² = 0.41; F = 9.15; p < 0.001). Jenis dukungan sosial yang paling berpengaruh adalah dukungan emosional (r = −0.41; p = 0.002).

Diskusi. Dukungan sosial yang tinggi, terutama dukungan emosional, terbukti memiliki efek protektif terhadap tekanan darah dengan menurunkan respons fisiologis terhadap stres kerja. Sebaliknya, stres kerja dan kerja shift malam meningkatkan risiko tekanan darah tinggi akibat disrupsi ritme sirkadian dan aktivasi sistem simpatis. Temuan ini mendukung Job Demands–Resources Model yang menekankan pentingnya keseimbangan antara tuntutan kerja dan sumber daya psikososial. Implementasi program dukungan sosial dan manajemen stres di tempat kerja dapat menjadi strategi efektif dalam pengendalian hipertensi pada perawat.

Kesimpulan. Dukungan sosial emosional di tempat kerja berperan signifikan dalam menurunkan tekanan darah perawat hipertensi, sedangkan stres kerja dan kerja shift bergilir memperburuk kontrol tekanan darah. Intervensi berbasis dukungan sosial dan pengelolaan stres kerja disarankan untuk diterapkan dalam kebijakan kesehatan kerja rumah sakit.