Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed <p><span style="font-family: helvetica; font-size: small;"><span style="font-family: helvetica; font-size: medium;">p-ISSN : <a href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1536210767&amp;1&amp;&amp;" target="_blank" rel="noopener">2623-0046</a> (mulai edisi Vol. 13, No. 2, September-Desember 2018)<br />e-ISSN : <a href="http://issn.pdii.lipi.go.id/issn.cgi?daftar&amp;1536214181&amp;1&amp;&amp;">2685-2764</a> (mulai edisi Vol. 14, No. 2, September-Desember 2019)<br /></span></span></p> <p><span style="font-family: helvetica; font-size: small;"><span style="font-family: helvetica; font-size: medium;"><span style="font-family: helvetica; font-size: small;"><span style="font-family: helvetica; font-size: medium;"><strong>Jurnal Ilmiah PANNMED (Pharmacyst, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)</strong></span></span></span></span> is a scientific journal published by Poltekkes Kemenkes Medan Articles published in the <strong>Jurnal Ilmiah PANNMED</strong> cover the fields of Pharmacy, Analyst, Nursing, Nutrition, Midwifery, Environmental Health, and Dental Hygiene. <strong>Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dental Hygiene)</strong> is published 3 (three) times a year in<strong> April (No 1); August (No 2); December (No 3).</strong></p> <p> </p> <p><strong>Jurnal Ilmiah PANNMED (Pharmacyst, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist)</strong> first printed version in 2006 and has p-ISSN: 1907-3046 to Vol 13, No. 1, May-August 2018. Due to improved journal administration, new p-ISSN number was submitted and p-ISSN number was obtained: 2623-0046. In July 2019, e-ISSN was published for the PANNMED Journal, 2685-2764.</p> Poltekkes Kemenkes Medan en-US Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2623-0046 GAMBARAN PERILAKU MENGGOSOK GIGI TERHADAP KEBERSIHAN GIGI DAN MULUT PADA USIA SEKOLAH DASAR http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2138 <p><em>Dental health efforts need to be reviewed from environmental aspects, knowledge, education, public awareness and handling of dental health including prevention and treatment. But most people ignore the overall dental health conditions. This study aims to determine the correlation between tooth brushing behavior on dental and oral hygiene in elementary school children. The type of research used was a systematic review research.</em></p> <p><em>Based on the results of the study, it was found that the characteristics of the condition of dental and oral hygiene were GOOD, 50% of the articles with the criteria of MEDIUM dental and oral hygiene, and 30% of the articles with the criteria of POOR dental and oral hygiene. From this systematic review, it proved that the condition of dental and oral hygiene obtained data that 20% of articles with good dental and oral hygiene criteria, 50% articles with moderate dental and oral hygiene criteria, and 30% articles with poor oral hygiene criteria, so it can be concluded that Elementary School Children must further improve their behavior in maintaining dental and oral health by brushing their teeth regularly so that their dental and oral health will be better.</em></p> Nurhamidah Nurhamidah Netty Jojor Aritonang Asmawati Intan Aritoanng Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-10-08 2024-10-08 19 2 187 192 PENYULUHAN KESEHATAN STUNTING DENGAN MENGGUNAKAN MEDIA AUDIO VISUAL MELALUI WHATSAPP http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2141 <p><em>Counseling on Stunting Prevention Using Audio-Visual Media via WhatsApp is a crucial information tool because it contains elements of sound and images, which involve the senses of sight and hearing in the absorption process. The lack of knowledge among mothers of toddlers about stunting prevention is influenced by the lack of information obtained, including in the form of counseling, especially through Audio-Visual Media. This type of research is a descriptive survey method aimed at understanding the impact of stunting prevention counseling using audio-visual media via WhatsApp on the knowledge and attitudes of mothers of toddlers, with a sample size of 30 people. Data collection was carried out by distributing questionnaires before and after counseling using audio-visual media via WhatsApp. The results obtained from the data showed that the level of knowledge among mothers about stunting prevention before counseling was mostly in the poor category, with 12 people (40%). However, after counseling, the level of knowledge among mothers increased to a majority in the good category, with 25 people (83.3%), and none were in the poor category. The conclusion of this study is that there is an increase in the knowledge and attitudes of mothers about stunting prevention after counseling with audio-visual media via WhatsApp, which aligns with the objectives of the counseling. It is hoped that communication media such as WhatsApp will continue to be used to enhance knowledge, particularly about stunting prevention among mothers of toddlers.</em></p> Brajakson Siokal Nurhayati Wahyuningsih Jumrah Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-30 2024-08-30 19 2 193 196 PENGGUNAAN MEDIA RODA BERPUTAR DALAM MENINGKATKAN PENGETAHUAN TENTANG PEMELIHARAAN KESEHATAN GIGI DAN MULUT SISWA SD KELAS V PANCUR BATU http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2147 <p><em>Dental and oral health problems can occur due to inadequate knowledge about oral and dental health maintenance techniques. Dessimination is an effort to increase knowledge of dental and oral health maintenance techniques using certain media, one of which is the spinning wheel game. This research is descriptive with a survey method, using a questionnaire, before and after dessimination, which aims to get an overview of dissimination, using a rotating wheel, on the level of knowledge of 30 grade 5 students regarding techniques for maintaining oral health at State Elementary School No. 101816 Pancur Batu. The results of the research show the level of knowledge of grade 5 students at State Elementary School No. 101816 Pancur Batu before and after dessimination by playing the spinning wheel: before dessimination, 10 students (33.3%) with good criteria, 16 students (53.3%) with medium criteria, and 4 students (13.4%) with bad criteria. and after dessimination, 23 students (76.7%) had good criteria, 7 students (23.3%) had medium criteria and none had bad criteria. This research concluded that there was an increase in students' knowledge after participating in the discussion by playing the spinning wheel. It is hoped that the dental and oral health team and schools educate students on maintaining oral health using media spin wheel games to increase elementary school students' knowledge.</em></p> Rawati Siregar Sri Junita Nainggolan Yetti Lusiani Aminah br Saragih Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-30 2024-08-30 19 2 197 201 DETEKSI DINI, PENENTUAN GRADING DAN MANAJEMEN MULTIDISIPLIN ORAL SQUAMOUS CELL CARCINOMA (OSCC) http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2153 <p><em>Oral squamous cell carcinoma (OSCC) is the most common type of oral cancer with high morbidity and mortality rates. This study aims to examine a comprehensive approach to the early detection, grading and multidisciplinary management of OSCC. Early detection of OSCC, through the use of clinical examination, radiologic imaging and molecular biomarkers, is essential to improve patient prognosis. Grading of OSCC using histopathological evaluation and the TNM classification system, provides critical information on tumor aggressiveness and guidance for therapeutic decisions. Effective management of OSCC requires a multidisciplinary approach involving various medical specialties to provide comprehensive care. Primary therapies such as surgery, radiation therapy, and chemotherapy, as well as adjuvant therapies including immunotherapy and targeted therapies, play an important role in optimizing clinical outcomes and patient quality of life. The study also identifies recent advances in imaging technology and genetic analysis that can improve diagnostic accuracy and treatment effectiveness.</em></p> <p><em>&nbsp;</em></p> <p><strong><em>Keyword :</em></strong><em> Oral squamous cell carcinoma, multidiscipline, quality of life</em></p> Daniel Rexi Sitompul Mutiara Pangaribuan Albertus Samosir Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-30 2024-08-30 19 2 202 206 FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEKURANGAN ENERGI KRONIK (KEK) PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS AMBACANG http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2161 <p><strong>Abstrak</strong></p> <p>KEK pada ibu hamil memiliki prevalensi global 35-75%, Indonesia berada di urutan keempat (35,5%) (Abadi &amp; Putri, 2020). KEK pada ibu hamil dapat menyebabkan komplikasi seperti persalinan sulit, anemia, dan risiko kesehatan bagi ibu dan bayi. Penelitian ini bertujuan mengidentifikasi faktor-faktor individu dan lingkungan yang berhubungan dengan KEK pada ibu hamil di Puskesmas Ambacang. Penelitian ini dilakukan pada bulan Desember 2023 hingga Juni 2024 dengan jumlah sampel 102 ibu hamil. Pengambilan sampel diambil menggunakan teknik accidental sampling. Analisis menggunakan uji chi-square. Hasil penelitian menunjukkan faktor-faktor seperti usia ibu, pendidikan, pengetahuan, jarak melahirkan, paritas, pendapatan keluarga, dan kunjungan ANC tidak signifikan dengan KEK (p &gt; 0,05). Faktor-faktor tersebut tidak memiliki hubungan yang signifikan dengan KEK pada ibu hamil di wilayah kerja Puskesmas Ambacang. Meskipun demikian masih ditemukan ibu hamil dengan KEK berjumlah 11 orang di Wilayah kerja Puskesmas Ambacang.</p> <p>&nbsp;</p> Nirmala Sari nadiasalsa Hendri Devita3 Ira Suryanis Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-30 2024-08-30 19 2 207 214 EFEKTIVITAS PENGGUNAAN PASTA GIGI HERBAL EKSTRAK DAUN SIRIH DAN EKSTRAK SIWAK TERHADAP pH SALIVA http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2163 <p><em>The degree of acidity or pH (potential of hydrogen) of saliva is an important factor that plays a role in dental caries, periodontal disorders and other diseases in the oral cavity. The mechanical action of brushing your teeth is the most basic action for cleaning your teeth and mouth. Brushing teeth is accompanied by the use of toothpaste which contains several elements including herbal ingredients, detergent, water, binders, sweeteners, therapeutic ingredients and anti-bacterial substances. The herbs contained in toothpaste can affect the pH of saliva as one of the factors causing dental caries. This research method is quasi experimental design. This study aims to determine the effectiveness of using herbal toothpaste with betel leaf extract and miswak extract on salivary pH. A sample of 38 respondents was divided into 2 groups, namely the betel leaf and siwak herbal toothpaste groups. Samples were asked to brush their teeth using toothpaste given 2 times a day for 7 days. The statistical test results of this study showed that there was a significant difference in saliva pH between before and after the intervention in the betel leaf herbal toothpaste group with a p value &lt;0.05. There was also a significant difference in the miswak herbal toothpaste group between before and after intervention with a p value &lt;0.05. The conclusion in this study is that the herbal toothpaste of betel leaves and miswak is effective in increasing saliva pH significantly with a p value &lt;0.05. The use of herbal toothpaste from betel leaves and miswak is highly recommended for use in daily life because it is effective in increasing the pH of saliva so that it can reduce the factors that cause caries in Indonesian society.</em></p> Syahdiana Waty Sani Aspipa Harahap Nurul Hidayah Yetti Lusiani Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-30 2024-08-30 19 2 215 219 DETERMINAN KEJADIAN OBESITAS PADA ANAK SEKOLAH DASAR http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2164 <p><em>Along with the rapid development of the times and technology, the nutritional problem in Indonesia is not only a problem of malnutrition but has also entered into a double nutritional problem, namely obesity in school children. There are many factors that influence obesity in school children. The aim of this research is to determine the determinants of obesity in elementary school children. This research uses an analytical observational method with a cross-sectional design. The sample for this research was 43 elementary school students. Obesity was dependent variable meanwhile knowledge, attitudes and junk food intake were independent variables. The sampling technique was purposive sampling. Data analysis with logistic regression test. The results show that knowledge, attitude and junk food intake has a significantly relationship with the incidence of obesity. The dominant determinant was knowledge. The conclusion is that there is a significant relationship between knowledge, attitude, and junk food intake with the incidence of obesity among elementary school children. It is required to analyze another factors related to the incidence of obesity in elementary school children.</em></p> Abdul Hairuddin Angkat Fauzi Romeli Emi Inayah Sari Siregar Wanda Lestari Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-24 2024-08-24 19 2 220 226 GAMBARAN MENGUNYAH BUAH APEL DAN BUAH MELON TERHADAPPENURUNAN DEBRIS INDEKS PADASISWA/I KELAS 2 SMP N 7 KISARAN http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2165 <p><em>Debris is a soft mineral that sticks to teeth, usually stuck in between teeth and is a contributing factor to the formation of dental caries and tartar. Debris can only be cleaned by brushing your teeth and consuming fibrous foods. Fiber foods have good teeth-cleaning power, found in fruits such as apples and melons. Chewing fruit will increase saliva and help rinse teeth from stuck food debris. Apples and melons are fruits that contain high fiber.</em></p> <p><em>This type of research was descriptive research using the Debris Index examination method directly in the oral cavity. The sample in this study was 30 students in Class 2 of SMP N 7 Kisaran. The research results showed that before chewing an apple, none of the respondents had good Debris Index criteria, 80% had moderate criteria and 20% had poor criteria. Before chewing melon, none of the respondents had good Debris Index criteria, 60% had moderate criteria and 40% had poor criteria. After chewing an apple there was a 100% Debris Index in good criteria. After chewing melon, respondents who had a Debris Index with good criteria were 66.67%, with moderate criteria 33.33% and none had bad criteria. It can be concluded that chewing apples and melons can reduce the Debris Index number. The decrease in Debris Index after chewing apples was 1.22 on average and after chewing melons, it was 1.21 on average. It is hoped that students regularly consume fruit that contains lots of fiber such as apples and melons.</em></p> Yenny Lisbeth Siahaan Rifkia Amel Azhima Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-24 2024-08-24 19 2 227 232 GAMBARAN TINGKAT PENGETAHUAN KESEHATAN GIGI DAN MULUT DENGAN METODE PENYULUHAN CERITA DAN DEMONSTRASI PADA SISWA/I KELAS IV SD KEMALA BHAYANGKARI 1 MEDAN http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2171 <p><em>Dental and oral health is very important to maintain, because teeth and gums that are not cared can cause pain, chewing disorders and can even interfere with other part of body health. Increasing knowledge of dental and oral health can be achieved through dissemination using the story and demonstration method where respondents will more easily understand what is conveyed, besides that respondents will also be more impressed because they see and are directly involved when invited to demonstrate an activity. This research is a descriptive study, xamining 32 grade IV students at Kemala Bhayangkari 1 Elementary School, Medan as samples, and aiming to determine the level of students' knowledge about dental and oral health through dissemination using story and demonstration methods. Student knowledge data were collected through questionnaires. The results showed that the level of knowledge of students about dental and oral health before dissemination was 7 people (21.8%) in good criteria, 23 people (71.8%) in medium criteria, and 2 people (6.25%) in poor criteria; while after the dissemination, 32 people (100%) had a good level of knowledge. The conclusion from this study is that the dissemination of oral health through storytelling and demonstration methods can increase students' interest and understanding of oral health. It is important to carry out promotive actions for dental and oral health through the School Dental Health Efforts (UKGS) program in collaboration with the Public Health Center.</em></p> ASNITA BUNGARIA SIMAREMARE Sondang Rizka Mahpuza Marbun Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-24 2024-08-24 19 2 233 238 GAMBARAN PENGETAHUAN, SIKAP, HYGIENE PERSONAL DAN PENGGUNAAN AC DENGAN KEJADIAN HAND FOOT MOUTH DISEASES (HFMD) DI KOTA PONTIANAK TAHUN 2024 http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2173 <p><em>Hand, foot, and mouth disease (HFMD) or known as foot, hand and mouth disease is one of the acute viral infectious diseases caused by coxsackievirus A type 16 (CV A16) and enterovirus 71 (E71) which is usually mild and goes away on its own. Although the disease is mild and can heal itself, this disease is very contagious so it has the potential to become an extraordinary event (KLB). In Pontianak City, there were 83 confirmed cases recorded at the Pontianak City Health Office. The type of research used in this study is descriptive research which aims to obtain a picture of Knowledge, Attitudes, Personal Hygiene and Use of AC with the Incident of Hand Foot Mouth Diseases (HFMD) in Pontianak City in 2024. The sample in this study was 67 children who were confirmed to have Singapore flu in Pontianak City. The results of the study showed that most children aged &lt;5 years were (68.7%), female (52.2%), children who had not attended school (55.2%), maternal education up to high school and college (46.3%), children's bedrooms using air conditioning (AC) (68.7%), good maternal knowledge (56.7%), supportive maternal attitudes (53.7%), and good personal hygiene (55.2%). From the results obtained, the suggestions that can be given are expected for health workers to continue to improve the recording and search for cases of Foot and Mouth Disease (HFMD) in Pontianak City.</em></p> Fahrul Alam Selviana Ufi Ruhama Helfi Nolia Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-24 2024-08-24 19 2 239 243 INDEKS PLAK GIGI SEBELUM DAN SESUDAH BERKUMUR SEDUHAN THE HIJAU ANAK UMUR 10 TAHUN DI MIN 1 LAMPUNG BARAT http://nutrition.poltekkes-medan.ac.id/ojs-3.3.0-13/pannmed/article/view/2176 <p><em>Dental</em><em> plaque is a soft deposit that adheres tightly to the tooth surface. Dental plaque on the tooth surface can trigger dental caries. This requires good efforts to reduce oral diseases caused by dental plaque. Mechanical plaque control methods are regular brushing and the use of dental floss. One way to prevent plaque chemically is to use mouthwash such as green tea brew, because it contains polyphenolic compounds that can reduce the formation of dental plaque. Purpose of the study: to determine the effect of gargling green tea brew in reducing the plaque index. Research. Methods: This type of research is pre-experimental with a One-Group Pretest Posttest design with a sample size of 52 students aged 10 years. Results: Data analysis using the Wilcoxon statistical test. The results of the Wilcoxon statistical test showed a significant difference in plaque index scores between before and after gargling green tea brew with a P value of 0.000 (&lt;0, 05). This means that there is a difference. &nbsp;Conclusion: There is an effect of gargling green tea brew on plaque index in 10-year-old children at MIN 1 West Lampung.</em></p> Lies Elina Desi Andriyani Erin Istiandani Copyright (c) 2024 Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) 2024-08-30 2024-08-30 19 2 244 248