2026-06-23T08:24:14Z https://ihj.rivierapublishing.id/index.php/rp/oai

oai:ojs2.ihj.rivierapublishing.id:article/7 2024-03-21T03:37:42Z rp:ART

Socialization and Physiotherapy Services to Youth Drugs Rehabilitation in Tanon Village, Sragen Noor Iman, Fidiantari Wahyuni, W adolescents rehabilitation drugs Tanon is a sub-district in Sragen Regency, Central Java Province, Indonesia. Drug rehabilitation is one of the efforts to save addicts from the shackles of drugs and the dangers that accompany them; there are three stages of drug rehabilitation in Indonesia, namely medical, non-medical, and advanced rehabilitation. The implementation of the examination activities for adolescents was carried out using a descriptive method, namely providing an explanation of the benefits of physical examination exercises and introducing the role of physiotherapy to adolescents. In this study, the authors included age and health status characteristics in adolescent rehabilitation at the Indonesian Lentera Bangsa Foundation. Drug rehabilitation is one of the efforts to save addicts from the shackles of drugs and the dangers that accompany them; there are three stages of drug rehabilitation in Indonesia, namely medical, non-medical, and advanced rehabilitation. Specific data presenting a physical examination includes an examination of body conditions such as tests of balance, endurance, and agility of adolescents aged 16-25 years before a physical examination and after being given a physical examination, as well as the level of knowledge of adolescents about the function and role of physiotherapy. The results of data from respondents or adolescents indicate that the average level of knowledge about the role of physiotherapy and the benefits of providing physical exercise is in the "less" category due to the lack of physiotherapy graduates in the area where the author took this research. Riviera Publishing 2022-09-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/7 10.58344/ihj.v1i1.7 Indonesian Health Journal ; Vol. 1 No. 1 (2022): Indonesian Health Journal; 1-6 2963-3036 2963-3044 10.58344/ihj.v1i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/7/27 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/9 2024-03-21T03:37:42Z rp:ART

The Relationship Between Knowledge of Postpartum Mothers About Perineal Wound Treatment With Perineal Wound Healing Khasanah, Yosi Yusrotul Ria Dini, Agi Yulia Ade Saputri, Wahyuni Knowledge postpartum mothers and perineal wound care Postpartum infection still plays a role as the leading cause of maternal death, especially in developing countries such as Indonesia, this problem occurs as a result of midwifery services that are still far from perfect. As a result of improper perineal care, the perineum is affected by lochia and moist conditions that will significantly support the proliferation of bacteria that can cause infection in the perineum. Infection not only inhibits the wound healing process but can also cause damage to the supporting cell tissue, increasing the size of the wound itself, both in length and depth of the wound. Perineal wound care aims to prevent infection, increase comfort, and accelerate healing. Those who have episiotomy or laceration wounds need to have sufficient knowledge about perineal wound care because these factors significantly affect the healing process of the perineal wound. The knowledge of postpartum mothers about poor perineal wound care can be a factor that causes germs and bacteria to appear. This study aimed to determine the relationship between postpartum mothers' knowledge of perineal wound care and perineal wound healing. This research uses a descriptive correlation with a quantitative approach to the point of sampling technique using total sampling with 16 respondents. How to collect data using a questionnaire. Data analysis used the chi-square test to test the relationship between two variables. There is a relationship between postpartum mothers' knowledge about perineal wound care and perineal wound healing, with a significant value of 0.005 (p-value <0.05). There is a relationship between postpartum mothers' knowledge of perineal wound care and perineal wound healing Riviera Publishing 2022-09-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/9 10.58344/ihj.v1i1.9 Indonesian Health Journal ; Vol. 1 No. 1 (2022): Indonesian Health Journal; 7-12 2963-3036 2963-3044 10.58344/ihj.v1i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/9/7 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/12 2024-03-21T03:37:42Z rp:ART

The Relationship Between Nutritional Status and The Incidence of Dysmenorrhea in Adolescent Women Iis, Iis Rohaeni, Ela teenager nutritional Status dysmenorrhea incidence The incidence of dysmenorrhea in the world is substantial; on average more than 50% of women in every country experience menstrual pain. One of the factors that can cause dysmenorrhea is nutritional status. A person's nutritional status depends on nutritional intake and needs. If the nutritional intake and body needs are balanced, it will result in good nutritional status. This study aimed to determine the relationship between nutritional status and the incidence of dysmenorrhea in midwifery students at STIKes Cirebon. The research method is an analytic design using a Cross Sectional approach. The population in this study used a total sampling technique, namely, all 36 Midwifery students. Data was taken using a questionnaire and then analyzed using chi-square with a confidence level of = 0.05. The results showed a relationship between nutritional status and the incidence of dysmenorrhea, where the P value was 0.003. Results P value <0.05, meaning there is a significant relationship between nutritional status and the incidence of dysmenorrhea. Based on the study's results, it was found that 28 people (77.8%) had experienced dysmenorrhea and 8 (22.2%). Thus, most respondents experienced the incidence of dysmenorrhea. It is recommended that adolescents pay more attention to their nutritional needs regularly to reduce the incidence of dysmenorrhea during menstruation Riviera Publishing 2022-09-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/12 10.58344/ihj.v1i1.12 Indonesian Health Journal ; Vol. 1 No. 1 (2022): Indonesian Health Journal; 13-21 2963-3036 2963-3044 10.58344/ihj.v1i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/12/9 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/13 2024-03-21T03:37:42Z rp:ART

Comparison of The Effectiveness of Gel and Spray Hand Sanitizers Against Reducing The Number of Germs on The Palms Supenah, Pipin Usdiyanto, Usdiyanto Misika, Misika hand sanitizer gel spray germ number Maintaining hand hygiene is one of the measures recommended by the Centers for Disease Control and Prevention (CDC) to help prevent infection during the COVID-19 pandemic. Maintaining hand hygiene can use soap and water or other alternatives such as hand sanitizer with an alcohol content of at least 60%. Hand sanitizer is a hand sanitizer that contains alcohol functions to kill microorganisms in the hands quickly and without rinsing. Hand sanitizers generally consist of two types, namely gels and sprays, both of which have their own advantages and disadvantages. This study aimed to determine the decrease in the number of germs on the palms after using gel and spray hand sanitizers, as well as a comparison of the effectiveness of gel and spray hand sanitizers. The research method used is pre-experimental with the research design "One Group Pretest Posttest design" and the examination method uses Total Plate Count (TPC). The study was conducted at the AAK An Nasher microbiology laboratory from June to August 2021. The results of the study obtained that gel and spray hand sanitizers are effective in reducing the number of germs on the palms, but there is no difference in effectiveness in reducing the number of germs on the palms between the use of gel and spray hand sanitizers. Data analysis using paired sample t-test obtained sig value. (0.000<0.050) for the two types of hand sanitizers, it is concluded that both are significantly able to reduce the number of germs on the palms. The results of the independent samples t-test obtained sig values. (0.449>0.050) There needs to be an effective comparison between gel and spray hand sanitizers. Hand sanitizer gel and spray are effective in reducing the number of germs on the palm, but there is no difference in effectiveness in reducing the number of germs on the palm between the use of gel and spray hand sanitizer Riviera Publishing 2022-09-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/13 10.58344/ihj.v1i1.13 Indonesian Health Journal ; Vol. 1 No. 1 (2022): Indonesian Health Journal; 22-26 2963-3036 2963-3044 10.58344/ihj.v1i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/13/11 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/14 2024-03-21T03:37:42Z rp:ART

Description of Total Vitamin D25-Oh in Toddlers and Children With Developmental Disorders Perdana Jendra Dewi, Putri Febriyossa, Adelia Rachmad, Basuki Apriani, Apriani Children toddlers growth and development disorders total vitamin D25-OH The age of children is a period in which the process of growth and development takes place. The existence of growth and development disorders in children is a serious problem for both developed and developing countries worldwide. The importance of monitoring growth and development requires adequate nutrition and nutrition, one of which is vitamin D. Vitamin D is a prohormone that plays an important role in the absorption of calcium in the intestine and helps harden bones by regulating the availability of calcium in the blood. This study aims to describe Total Vitamin D 25-OH in toddlers and children with growth and developmental disorders. The research sample was determined by purposive sampling technique based on inclusion and exclusion criteria. The research was conducted at Prodia Kramat Clinical Laboratory in March-April 2021. The D 25-OH level was checked from the patient's serum using the DiaSorin Liaison XL tool. Other variables measured to determine vitamin D status are appetite, eating frequency, nutritional adequacy, consumption of vitamin D supplements, outdoor activity, sunbathing, and genetic and environmental risk factors. Data from the examination of total vitamin D 25-OH levels and vitamin D status of the respondents were analyzed descriptively, then displayed in a table and described. The results showed that most respondents who were examined experienced stunting expected growth and development disorders by 76%, with total vitamin D 25-OH status experiencing insufficiency of 53% . Riviera Publishing 2022-09-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/14 10.58344/ihj.v1i1.14 Indonesian Health Journal ; Vol. 1 No. 1 (2022): Indonesian Health Journal; 27-33 2963-3036 2963-3044 10.58344/ihj.v1i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/14/13 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/16 2024-03-21T03:39:02Z rp:ART

The Effect of Numbers Puzzle Games on the Cognitive Development of Preschool Children Aged 5-6 Years at RA Nurul Hidayah Malang Tyas Anggoro, Bagus Netra, Ikit puzzle angka perkembangan kognitif anak pra sekolah Various factors, including the lack of stimulus from parents, can influence deviations in cognitive development in children. A number puzzle game is one of several stimuli in improving children’s cognitive development. This study aims to determine the effect of a number puzzle game on the cognitive development of preschool children aged 5-6 years. The type of research used in this study is a pre-experimental design with one group pre-test and post-test designs. The research instrument used was a checklist for assessing the cognitive abilities of children aged 5-6 years. The sampling technique used in this study is the total sampling technique of 22 children. The data analysis technique used the Wilcoxon signed rank test using the SPSS application. The results showed an effect of number puzzle games on the cognitive development of preschool children aged 5-6 years at RA Nurul Hidayah Pemalang (p-value 0.000, p-value <0.05). Based on the results of the study, it can be concluded, namely: 1.) Age and gender characteristics obtained the results of most respondents aged six years as many as 12 children (54.5%), with the majority being male as many as 12 children (54.5%). 2.) Children’s cognitive development before puzzle game therapy was carried out, the results were that almost most children were in the undeveloped category Riviera Publishing 2022-12-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/16 10.58344/ihj.v1i2.16 Indonesian Health Journal ; Vol. 1 No. 2 (2022): Indonesian Health Journal; 34-43 2963-3036 2963-3044 10.58344/ihj.v1i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/16/15 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/18 2024-03-21T03:39:02Z rp:ART

Best Practice Activities in Education of Clean and Healthy Life Behaviors in Children With Special Needs in Facing the Covid-19 Pandemic Ikram, Muhammad Nuddin, Andi Zarkasyi, Rahmat media browsing knowledge attitud Covid-19 is a disease caused by the SARS-CoV virus with general symptoms of acute respiratory tract disorders, both mild and severeThis study aims to determine the level of knowledge and attitudes towards children with special needs in complying with health protocols in Education about clean and healthy living behaviour in preventing covid 19 at SLBN 1 Parepare. This study used a quasi-experimental one-group pretest-posttest design. The sample consisted of several students at SLBN 1 Parepare. The sample was divided into two groups, namely the experimental group, as many as 37 and the control group, as many as 36. Sampling was used using the total sampling method for the population. Data analysis using the Mann test. The results showed that knowledge scores increased by after being given Education on clean and healthy living behaviours 2.19, while attitudes increased after being given Education on clean and healthy behaviours by 4.39. This study concludes that there is an effect of best practice activities on clean and healthy living behaviour with browser media on increasing knowledge (p = 0.000) and attitudes (p = 0.000) of children with special needs, for the school there should be special lessons every month regarding Education about clean and healthy living behaviour in complying with the covid 19 prevention health protocol Riviera Publishing 2022-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/18 10.58344/ihj.v1i2.18 Indonesian Health Journal ; Vol. 1 No. 2 (2022): Indonesian Health Journal; 55-61 2963-3036 2963-3044 10.58344/ihj.v1i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/18/23 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/19 2024-03-21T03:39:02Z rp:ART

Socio-Cultural Aspects of the Risk of Diabetes Mellitus in Tolotang Traditional Chairman (UWA) in Sidrap District Agustin, Mulfi Jumliah Usman, Usman Umar , Fitriani socio-cultural diabetes mellitus diet Diabetes Mellitus cases are high in South Sulawesi, especially in Sidrap Regency, reaching (2.7%) while the national prevalence rate is (2.1%). The Tolotang culture respects traditional leaders by serving sweet foods, so there is a risk of Diabetes Mellitus. This study was to identify socio-cultural and dietary patterns to the risk of Diabetes Mellitus in Tolotang traditional leaders. This type of research is a mixed method. Informants in this study were traditional leaders and the Tolotang community in Sidrap Regency. Sampling was done by snowball sampling method. The results obtained are related to socio-culture; people often serve heavy foods high in calories and carbohydrates accompanied by snacks such as cakes and sweet drinks. The presentation of food for traditional leaders when tradition is done and specially prepared on a tray (large round tray made of iron) containing rice and side dishes, then using the board (a typical Bugis Makassar container used to serve cakes) filled with various types of cake snacks. It is different from people who do as usual by taking their food, which has been prepared during the ritual. The results showed that (60.0%) of traditional leaders had diabetes based on their current blood sugar levels. The traditional leader's calorie consumption (35.0%) is more, and (50.0%) is sufficient. Carbohydrate consumption (35.0%) is more, and (55.0%) is adequate. It was concluded that the traditional leader's diet was, on average, high in calories which contained many sources of carbohydrates and fats. It is suggested that there is a need for education to educate the public to serve healthier foods that are low in calories and fibre, such as vegetables and fruits Riviera Publishing 2022-12-20 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/19 10.58344/ihj.v1i2.19 Indonesian Health Journal ; Vol. 1 No. 2 (2022): Indonesian Health Journal; 62-69 2963-3036 2963-3044 10.58344/ihj.v1i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/19/21 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/20 2024-03-21T03:39:02Z rp:ART

The Relationship Between Dietary Patterns and Total Blood Cholesterol Levels at Lecturers Muhammadiyah University of Parepare B. Bambona, Nur Rahmadhani Haniarti, Haniarti Nurlinda, Nurlinda dietary habits total blood cholesterol level saturated fat Today's lifestyle has changed very significantly. This is due to the low balance between activity and exercise in the diet, so health problems often arise. One of the lifestyle changes that have occurred is a change in diet which should be maintained by consuming healthy foods. However, nowadays, many prefer to consume ready-to-eat food (fast food), which contains much-saturated fat, especially for office workers. This study aims to determine the relationship between diet and total blood cholesterol levels in Muhammadiyah Parepare University lecturers. This study used an analytic observational research method with an accidental sampling technique using the solving formula. A sample of 67 people was obtained. This study's results indicated a relationship between diet and total blood cholesterol levels in Muhammadiyah Parepare University lecturers using the Chi-Square test and obtained p = 0.001 < ? = 0.005. Based on the research that has been done, the results show a relationship between diet and total cholesterol levels in Muhammadiyah Parepare University lecturers using the Chi-Square test and the value of p = 0.001 < ? = 0.005. It is recommended to regulate diet and the amount of food that contains fat and carry out periodic checks such as nutritional status, hypertension, blood sugar levels, uric acid and cholesterol regularly at least once every six months to reduce consumption of cholesterol-producing fats Riviera Publishing 2022-12-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/20 10.58344/ihj.v1i2.20 Indonesian Health Journal ; Vol. 1 No. 2 (2022): Indonesian Health Journal; 70-77 2963-3036 2963-3044 10.58344/ihj.v1i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/20/19 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/21 2024-03-21T03:39:02Z rp:ART

Relationship Between Nutrition Knowledge and Application of the 4 Pillars of Balanced Nutrition in Employees at PT Multi Kusuma Cemerlang, Samarinda City Ravika, Devianti Ratnawati, Ratnawati Reski, Sepsina nutrition knowledge application of the four pillars of balanced nutrition A person's level of knowledge influences the application of the four pillars of balanced nutrition. Someone with good nutritional knowledge can easily apply the four pillars of balanced nutrition. A worker with the good nutritional condition will have optimal work quality and better body resistance. This study aims to determine the Relationship between nutritional knowledge and applying the four pillars of balanced nutrition to workers at PT Multi Kusuma Cemerlang in the Palaran working area, Samarinda City. This study uses an analytical observation design with a cross-sectional design. This research was conducted at PT. Multi Kusuma Brilliant. The sample in this study was 54 people who were taken by purposive random sampling. Data were obtained using a questionnaire and tested with fisher's statistical test. The results showed no significant relationship between nutritional knowledge and the application of the four pillars of balanced nutrition; the p-value was 1.000 (p>0.05). There is no significant relationship between nutritional knowledge and applying the four pillars of balanced nutrition to workers at PT. Brilliant Multi Kusuma Riviera Publishing 2022-12-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/21 10.58344/ihj.v1i2.21 Indonesian Health Journal ; Vol. 1 No. 2 (2022): Indonesian Health Journal; 44-54 2963-3036 2963-3044 10.58344/ihj.v1i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/21/17 Copyright (c) 2022 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/23 2024-03-21T03:39:54Z rp:ART

The Effectiveness of Red Ginger Extract (Zingiber Officinale Var. Rubrum) on Decreased Blood Glucose Levels in Mice (Mus Musculus) khafyah, Nur TR Dewi, Sisilia Jumain, Jumain decreased glucose levels mice group red ginger Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia conditions (increased blood glucose) caused by abnormalities in insulin secretion, abnormalities in the action of insulin or perhaps both. Red Ginger (Zingiber officinale var. rubrum) contains alkaloids, flavanoids, tannins, saponins, gingerol and shagol which have blood glucose-lowering, anti-inflammatory, anticancer and antitumor effects. This study aims to determine the effectiveness of Red Ginger extract against decreasing blood glucose levels in mice (Mus musculus). This research is a type of experimental study conducted to determine the effectiveness of red ginger extract against decreasing blood glucose levels in mice. This study was conducted using alloxane as a diabetes inducer, Na CMC 1% as a negative control, glibenclamide as a positive control, extract dose 2 %, 5 % and 7 % orally for 7 days in 5 groups of test animals. The results of the study obtained 1% Na-CMC results showed a percentage decrease, namely -16.32% and -103.03%. In the group of mice given Red Ginger extract 2% showed a percentage decrease, namely 105.57% and 102.04%. The group of mice given Red Ginger extract 5% showed a percentage decrease of 105.83% and 86.84%. The group of mice given 7% Red Ginger extract showed a percentage decrease, namely 67.34% and 97.45%. The group of mice suspended by glibenclamide showed a percentage decrease of 73.05% and 66.66%. It can be concluded that the administration of Red Ginger extract has been shown to reduce blood glucose levels in aloxane-induced mice at concentrations of 2%,5% and 7% with significant values (p < 0.05) indicating a difference and obtained the most effective concentration in lowering blood glucose levels in mice (Mus musculus) is a concentration of 7%. Riviera Publishing 2023-03-23 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/23 10.58344/ihj.v2i1.23 Indonesian Health Journal ; Vol. 2 No. 1 (2023): Indonesian Health Journal; 16-21 2963-3036 2963-3044 10.58344/ihj.v2i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/23/32 https://ihj.rivierapublishing.id/index.php/rp/article/view/23/33 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/24 2024-03-21T03:39:54Z rp:ART

Formulation and Stability Test of Physical Quality of Lotion Preparations from Moringa Oleifera L. Leaf Extract with Various Concentrations of Emulsifier TEA Selvi Mutia, Andi Jumain, Jumain Arisanty, Arisanty lotion physical quality moringa leaves TEA The tendency to use herbal ingredients has entered the world of beauty leading to increased research on cosmetic and plant formulations used to be cosmetic active substances. There are many plants that can be used, one of which is the Moringa plant which is considered sacred because it has many benefits. This study aims to determine whether Moringa leaf extract with variations in TEA concentrations of 2.5%, 3%, and 3.5% is formulated into lotions to produce an effective, stable, and safe cream. This type of research is experimental; physical quality testing is carried out before and after the storage conditions are accelerated (Freeze-thaw), including organoleptic tests, homogeneity tests, viscosity tests, pH tests, dispersion tests, and emulsion type tests. Moringa Leaf Extract can be formulated into lotion preparations with variations in TEA concentrations of 2.5%, 3%, and 3.5%. The results of the physical quality test show that all formulas meet the requirements of physical qualification. Third, the dosage formulation of Moringa leaf extract lotion (Moringa oleifera L.) with variations in TEA emulsifying concentrations of 2.5%, 3%, and 3.5% based on physical quality stability tests all meet the requirements. Riviera Publishing 2023-03-23 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/24 10.58344/ihj.v2i1.24 Indonesian Health Journal ; Vol. 2 No. 1 (2023): Indonesian Health Journal; 8-15 2963-3036 2963-3044 10.58344/ihj.v2i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/24/30 https://ihj.rivierapublishing.id/index.php/rp/article/view/24/31 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/25 2024-03-21T03:39:54Z rp:ART

Implementation of Anesthesia Ethics to Improve Medical Professionalism Wiratama Putra, Aulia anesthesia ethics medicine professionalism This research aims to increase the professionalism of medical personnel in the field of medicine, especially poly surgery. Research methodology with descriptive qualitative literature review design. Data collection techniques by collecting information from electronic reading sources. This type of research is an analysis of medical journals with primary subjects from several hospitals in Indonesia for analysis based on inclusion criteria such as patients experiencing postoperative anxiety and insecurity, this results in weak physical health due to psychological influences. Data analysis using source triangulation. The research results describe that the medical and health sciences field has ethics and a professional attitude that needs to be realized to increase a sense of comfort and trust in the medical world. From the results of several findings, it was stated that the action decisions taken by medical science were still in agreement or had yet to be mutually agreed upon. They emphasise the element of compulsion because of the conditions requiring it. Patients do not have a voluntary attitude in agreeing to medical action. Such influence becomes a consideration that rules and agreements, the volunteers of doctors and patients must be realized with awareness and voluntarism. If two things are realized, it can increase the value of medical professionalism, especially in anaesthesia. Riviera Publishing 2023-02-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/25 10.58344/ihj.v2i1.25 Indonesian Health Journal ; Vol. 2 No. 1 (2023): Indonesian Health Journal; 1-7 2963-3036 2963-3044 10.58344/ihj.v2i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/25/36 https://ihj.rivierapublishing.id/index.php/rp/article/view/25/37 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/26 2024-03-21T03:39:54Z rp:ART

Effectiveness of Fig Leaf Extract (Ficus Carica L.) in Lowering Blood Glucose in Mice (Mus Musculus) Aisyah, Nur TR Dewi, Sisilia Jumain, Jumain alloxan diabetes ficus carica l Fig leaves (Ficus carica L.) is a plant that has antidiabetic properties, because fig leaves contain alkaloid compounds, flavonoids, tannins, polyphenols, saponins, terpenoids, and steroids. This study aims to determine the extract of fig leaves (Ficus carica L.) in lowering blood glucose in mice (Mus musculus). Extraction is carried out by maceration with 96% ethanol solvent, then evaporated using Rotavapor. This study used alloxane as a diabetes inducer, the dose of fig leaf extract tested was 5%, 10% and 15% given orally. Observations were made on day 3 and day 7. As a positive control used Glibenclamide and Na. CMC 1% w/v as a negative control. The results showed an average percent reduction in blood glucose levels for negative controls by 18.6%, for 5% extracts by 29.1%, for 10% extracts by 46.6%, for 15% extracts by 83.9% and for positive controls by 45.8%. The results of research have been obtained that the administration of Fig Leaf extract (Ficus carica L.) is proven to reduce blood glucose levels in mice (Mus musculus) induced by alloxane at concentrations of 5%, 10%, 15%. In the One-way ANOVA test, it shows a significant value (p < 0.05) showing a significant difference in each contract. It can be concluded that fig leaves can be a potential alternative treatment for diabetes mellitus with the right concentration can be an effective and natural treatment option. Riviera Publishing 2023-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/26 10.58344/ihj.v2i1.26 Indonesian Health Journal ; Vol. 2 No. 1 (2023): Indonesian Health Journal; 22-29 2963-3036 2963-3044 10.58344/ihj.v2i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/26/44 https://ihj.rivierapublishing.id/index.php/rp/article/view/26/45 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/27 2024-03-21T03:39:54Z rp:ART

Formulation of Herbal Toothpaste Combination of Anna Apple Peel and Kaffir Lime Peel with Variation of Sodium Lauryl Sulfate Concentration Nila Sastrawati, Andi Jumain, Jumain Arisanty, Arisanty anna apple peel kaffir lime peel sodium lauryl sulfate toothpaste Toothpaste is a preparation whose use aims to clean the mucous membranes of the mouth. Anna's apple is a fruit that contains malic acid which has the ability to whiten teeth. Kaffir lime contains essential oils that have effects as antibacterial, antifungal and refreshing. This study aims to formulate herbal toothpaste preparations a combination of Anna Apple Skin extract (Malus domestica) and Purut Orange Peel extract (Citrus hystrix) and determine the physical quality of the preparation made. This type of research is experimental research using maceration methods with physical quality stability testing, namely organoleptic observations, homogeneity, pH, foam height, viscosity, and dispersion. In this study, two herbal toothpaste formulations were made with variations in the concentration of Sodium Lauryl Sulfate as a foaming agent in toothpaste. From the results of the study, it was obtained that the combination of the two extracts can be formulated into herbal toothpaste preparations and based on the results of physical quality tests, both formulations with variations in the concentration of Sodium Lauryl Sulfate 1.5% and 2.5% meet the requirements of the established standards. Riviera Publishing 2023-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/27 10.58344/ihj.v2i1.27 Indonesian Health Journal ; Vol. 2 No. 1 (2023): Indonesian Health Journal; 30-37 2963-3036 2963-3044 10.58344/ihj.v2i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/27/40 https://ihj.rivierapublishing.id/index.php/rp/article/view/27/41 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/32 2025-03-09T10:10:15Z rp:ART

Risk Factors of Diarrhea in Toddlers at Andi Makkasau Hospital Parepare City Ashar, Astahsan Majid, Makhrajani Dwi Putri Rusman, Ayu diarrhea toddlers risk factors Diarrheal disease is a major problem in developing countries, including Indonesia. Aside from being a cause of death, diarrhea is also a major cause of malnutrition which can lead to death. Besides being caused by malnutrition, in terms of public health science, there are other factors related to the incidence of diarrhea. The dominant factors causing diarrhea in Indonesia are clean water, sanitation, and feces disposal facilities. This study aimed to determine the risk factors for diarrhea in toddlers at Andi Makkasau Hospital, Parepare City. Analytical survey research methods and case-control study designs. The sampling technique used purposive sampling. This study's sample was all children under five treated at Andi Makkasau Hospital, Parepare City, namely as many as 50 toddlers. The sample was divided into two groups, where 25 toddlers were in the case group (diarrhea), and 25 were in the control group (no diarrhea). Data analysis used the Odds Ratio (OR) test. The results obtained from the risk factors for diarrhea in toddlers are the availability of clean water (OR=1.263), hand washing habits (OR=1.658), food sanitation (OR=3.273), availability of healthy latrines (OR=17.250) and management garbage (OR=5,762). This study concludes that clean water, hand washing habits, food sanitation, availability of healthy latrines, and waste management are risk factors for diarrhea in toddlers at Andi Makkasau Hospital, Parepare City. Parents are expected to improve clean living behavior to prevent diarrheal disease in toddlers. Riviera Publishing 2023-06-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/32 10.58344/ihj.v2i2.32 Indonesian Health Journal ; Vol. 2 No. 2 (2023): Indonesian Health Journal; 52-61 2963-3036 2963-3044 10.58344/ihj.v2i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/32/54 https://ihj.rivierapublishing.id/index.php/rp/article/view/32/55 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/33 2025-03-09T10:09:11Z rp:ART

Community Knowledge and Stigma Against COVID-19 Phase III Vaccine (Booster) and Health Workers in Handling COVID-19 in Parepare City Ainun Tatang, Nuraini Yusuf, Syarifuddin Anggraeny, Rini booster vaccines health workers knowledge stigma The COVID-19 pandemic has caused fear among some people. Feelings of fear can make a person alert. However, when the feeling of fear becomes excessive, it can create a negative impression. This study aimed to determine the level of knowledge and stigma of the people of Parepare City towards the Phase III COVID-19 vaccine (Booster). This research is a descriptive study using a quantitative approach. The tool used in data collection is a questionnaire. This research was conducted in Parepare City from 11 to July 18, 2022. The population in this study were all people living in Parepare City, totaling + 154,524 people. The sample or sampling technique uses accidental sampling and 100 samples. Data were analyzed univariately and presented in the form of a frequency distribution. Research shows that the level of public knowledge of the Phase III vaccine (Booster) is 63%. The level of public knowledge of health workers in handling COVID-19 is in the high category of 73%. The stigma level of the people of Parepare City towards the Phase III vaccine (Booster) is in the high category of 69%. The level of community stigma towards health workers in handling COVID-19 is in the high category of 78%. In general, the people of Pare-pare City have high knowledge of the stage III vaccine (Booster) and health workers. However, implementing the Phase III vaccine (Booster) is still low due to the high stigma of the people of Parepare City towards health workers and Phase III vaccines (Boosters). Riviera Publishing 2023-06-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/33 10.58344/ihj.v2i2.33 Indonesian Health Journal ; Vol. 2 No. 2 (2023): Indonesian Health Journal; 74-81 2963-3036 2963-3044 10.58344/ihj.v2i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/33/58 https://ihj.rivierapublishing.id/index.php/rp/article/view/33/59 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/62 2025-03-09T09:54:17Z rp:ART

Correlation Between Adherence Therapy of Iron Chelation Levels with Anthropometric Status in Major Beta-Thalassemia Patients Dwi Kartika Sari, Grafita Diyah Permatasari, Trinita Ismail, Chasan anthropometric status level of medication adherence thalassemia beta major Thalassemia is a condition in which hemoglobin undergoes hemolysis due to impaired synthesis of hemoglobin or globin chains. Growth failure is a common occurrence in patients with thalassemia. Iron overload due to repeated transfusions will cause disturbances in anthropometric status in children with thalassemia. Iron chelation therapy is needed to overcome iron overload in patients with beta-thalassemia major. The level of adherence affects the success of iron chelation therapy. This study aims to determine the relationship between the level of adherence to iron chelation treatment and anthropometric status in patients with thalassemia beta major at Kediri District General Hospital. This type of research is observational analytic with a cross-sectional design. This research was conducted at the SMF Pediatrics (IKA) RSUD Kediri Regency on 16 subjects with B-thalassemia major using a total sampling technique that met the inclusion criteria. The research instruments used in this study were the Morisky Medication Adherence Scale-8 questionnaire and an examination of anthropometric status. The research analysis used the Spearman correlation test. A p-value <0.05 was considered significant. The results showed that there was a significant results between adherence to iron chelation consumption and height for age (p-value = 0.049 > a 0.05), significant results between adherence to iron chelation consumption with weight for age (p-value = 0.036 < a 0.05), and significant results with weight for height (p-value = 0.001 < a 0.05). This study implies that adherence to iron chelation therapy is essential for thalassemia patients. This study shows that patients more adherent to iron chelation treatment have better anthropometric status. Riviera Publishing 2023-06-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/62 10.58344/ihj.v2i2.62 Indonesian Health Journal ; Vol. 2 No. 2 (2023): Indonesian Health Journal; 44-51 2963-3036 2963-3044 10.58344/ihj.v2i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/62/52 https://ihj.rivierapublishing.id/index.php/rp/article/view/62/53 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/68 2025-03-09T10:12:05Z rp:ART

Correlation between Adherence Therapy of Iron Chelation Levels with Serum Ferritin Levels in Major Beta-Thalassemia Patients at Kediri District General Hospital Diyah Permatasari, Trinita Dwi Kartikasari, Grafita Ismail, Chasan thalassemia beta major treatment adherence level serum ferritin Repeated transfusions, increased absorption of iron, and ineffective erythropoiesis in patients with B thalassemia major cause iron overload, characterized by increased ferritin levels. Iron chelation therapy is needed to overcome iron overload in patients with beta-thalassemia major. The level of adherence affects the success of iron chelation therapy. This study aims to determine the relationship between adherence to iron chelation treatment and serum ferritin levels in patients with thalassemia beta major at Kediri District General Hospital. This type of research is an observational analytic with a cross-sectional design conducted on 17 subjects of B-thalassemia major patients at Pediatric Health Sciences (IKA) RSUD Kediri Regency who met the inclusion and exclusion criteria in December 2022-January 2023. The interviews used the Morisky Medication Adherence Scale questionnaire. -8, while the serum ferritin examination was obtained from the patient's medical record. There were 17 respondents who obeyed 11.76%; the non-compliant category was carried out by Spearman's correlation test and obtained a value of p = 0.01 and a value of r = -0.559. This shows significant results, and there is a moderate correlation between the level of adherence to iron chelation treatment and serum ferritin levels in beta-thalassemia major patients at Kediri District Hospital. Riviera Publishing 2023-06-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/68 10.58344/ihj.v2i2.68 Indonesian Health Journal ; Vol. 2 No. 2 (2023): Indonesian Health Journal; 38-43 2963-3036 2963-3044 10.58344/ihj.v2i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/68/60 https://ihj.rivierapublishing.id/index.php/rp/article/view/68/61 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/71 2025-03-09T09:53:45Z rp:ART

Nurse Caring Behavior Experienced Patients Based on Swanson's Theory in The Inpatient Room of X Hospital Batam Putra Hidayat, Muhammad Muharni, Sri Christya Wardhani, Utari caring behavior experience patients Caring is an act related to respect, understanding, and responsibility. In nursing services, there are still attitudes of nurses who still need to implement caring behaviour optimally. In Indonesia, the majority of low caring behaviour is performed by nurses, as much as 56.3%. A preliminary study was conducted at a private hospital in Batam City; it was found that patients said nurses had only interacted with patients for a short time. This study aimed to explore patient experiences related to caring behaviour based on Swanson's theory in the Inpatient Room of X Hospital Batam. This research method uses qualitative methods with a phenomenological approach. Data was collected using semi-structured in-depth interviews, recorded using mobile phones for 7 participants according to the inclusion and exclusion criteria, and the data analysis process used Creswell data analysis. The results of the study obtained three themes, namely, (1) growing confidence and trust in patients, (2) showing professionalism to patients, and (3) providing information and providing support to patients. This study concluded that the nurses had caring behaviour according to Swanson's theory, but from the participants' experiences, not all aspects of Swanson's caring process were reflected in this study. It is hoped that future researchers can explore all aspects of Swanson's caring theory or prove it was using other theories related to caring behaviour given by nurses. Riviera Publishing 2023-06-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/71 10.58344/ihj.v2i2.71 Indonesian Health Journal ; Vol. 2 No. 2 (2023): Indonesian Health Journal; 62-73 2963-3036 2963-3044 10.58344/ihj.v2i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/71/56 https://ihj.rivierapublishing.id/index.php/rp/article/view/71/57 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/161 2025-03-09T10:07:27Z rp:ART

Factors Influencing The Duration Of Illness to Mortality In Confirmed COVID-19 Patients Admitted to Hospitals Across Riau Province Rachmawati, Fitri Adisasmita, Asri. C. covid-19 survival riau hospital This study aims to look at the factors associated with the length of illness to death in COVID-19 patients being treated in hospitals throughout Riau Province. Researchers used secondary data sourced from data from the Online Hospital at the Riau Provincial Health Office. The overall cumulative survival probability for dying was 6.2%, with an overall median survival time of 20 days (IQR: 17-22). The lowest median survival time is the initial saturation value variable, which is 4 days (IQR: 2-5), the use of a respirator is 5 days (IQR: 3-6), and ICU care is 8 days (95% CI: 8-9) ). The final results of multivariate analysis showed that old age had a 1.7 times risk of experiencing death HR 1.747 (95% CI: 1.386-2.202), a low initial saturation value had a 1.6 times risk of experiencing death HR 1.627 (95% CI: 1.155-2.292), care units in the ICU have a 1.9 times risk of dying with HR 1.911 (95% CI: 1.439-2.538) and patients who use respirators have a 1.4 times risk of dying with HR values 1.463 (95% CI: 1.051-2.037). Improvement and readiness of referral health facilities in Riau Province is something that deserves attention as a preventive effort in facing the possibility of the next emerging disease. Riviera Publishing 2023-09-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/161 10.58344/ihj.v2i3.161 Indonesian Health Journal ; Vol. 2 No. 3 (2023): Indonesian Health Journal; 89-97 2963-3036 2963-3044 10.58344/ihj.v2i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/161/66 https://ihj.rivierapublishing.id/index.php/rp/article/view/161/67 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/181 2025-03-09T09:53:06Z rp:ART

Social-Cultural Relationship with Stunting Incidence in Children Aged 24-59 Months Selva, Petrorima Krianto Karjoso, Tri culture local food stunting Stunting is a chronic condition of poor linear growth in children. The prevalence of stunting in Indonesia in 2018 reached 30.8%. With the complexity of the causes of stunting, one of the efforts being campaigned by the government is using local food. This study aimed to determine and analyze the influence of local food culture on preventing and overcoming stunting in toddlers (6-59 months) in Indonesia. The method used in this study is a systematic review based on the PRISMA guidelines. The results of this study show that a review of the seven selected journals shows that local food culture influences improving the nutritional status of toddlers, especially during the stunting prevention phase. Whereas in the prevention phase, local food culture by utilizing processed food forms has not improved the nutritional status of toddlers already suffering from stunting. Local food for toddlers who suffer from stunting must be accompanied by other supplements to have a significant effect. Food and eating in the community have cultural and social values, so the utilization of local food culture for toddler food will be easily accepted, easy to obtain, and affordable, significantly influencing stunting prevention in the regions. This research has implications for the importance of remembering that the results of this research can make a valuable contribution to the health and development of children in Indonesia and inspire concrete action to prevent funds from overcoming stunting. Riviera Publishing 2023-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/181 10.58344/ihj.v2i3.181 Indonesian Health Journal ; Vol. 2 No. 3 (2023): Indonesian Health Journal; 106-112 2963-3036 2963-3044 10.58344/ihj.v2i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/181/78 https://ihj.rivierapublishing.id/index.php/rp/article/view/181/79 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/202 2025-03-09T09:52:31Z rp:ART

Knowledge of Postpartum Mothers About Umbilical Cord Care in Newborns Fauzia, Eva care rope center newborn baby mother childbirth cord is a unique network consisting of two arteries and one vein protected by sheathed mucoid connective tissue by a thin mucous membrane. During pregnancy, the placenta provides all the nutrients for the growing fetus and excretes waste products through the umbilical cord. This research uses a descriptive research method, using secondary data in the form of total data on pregnant mothers taken from the monthly report at the health center Mount Sari _ from February to March 2023. Each respondent has different knowledge; some respondents know and understand how to prevent or treat infection and apply it in everyday life so that respondents can answer questions properly. Meanwhile, some respondents needed help understanding how to prevent or treat infection and had not applied it in their daily lives, making it difficult to answer questions from researchers Riviera Publishing 2023-09-20 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/202 10.58344/ihj.v2i3.202 Indonesian Health Journal ; Vol. 2 No. 3 (2023): Indonesian Health Journal; 82-88 2963-3036 2963-3044 10.58344/ihj.v2i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/202/62 https://ihj.rivierapublishing.id/index.php/rp/article/view/202/63 Copyright (c) 2023 Eva Fauzia https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/212 2025-03-09T09:51:46Z rp:ART

Relationship Between Midwife Support and Exclusive Breastfeeding in the Work Area of the Jamblang Health Center, Cirebon Regency Rohemah, Emah exclusive breastfeeding midwife support cross-sectional Mother's Milk is the best life fluid, containing various substances babies need. Breast milk is good for the growth and development of babies and according to their needs. Exclusive breastfeeding is only breast milk without complementary food or drink until the baby is six months old. Exclusive breastfeeding coverage at the Jamblang Community Health Center, Cirebon Regency, namely 46.3%, has yet to reach the national target of 80%. Midwife support is a factor that influences the success of exclusive breastfeeding. The purpose of this study was to determine the relationship between midwives' support and exclusive breastfeeding in the working area of the Jamblang Health Center, Cirebon Regency. This research is a qualitative descriptive survey using a cross-sectional approach. The number of respondents is 104 people. Data on midwife support and exclusive breastfeeding were obtained using a questionnaire—a statistical test to determine the relationship between variables using the chi-square test. The results of data analysis obtained a p-value of midwife support 0.038 ( p-value <0.05) for exclusive breastfeeding, meaning there is a significant relationship between midwife support for exclusive breastfeeding. Midwife have the knowledge and skills necessary to assist mothers in addressing various issues that may arise during breastfeeding. They can provide technical assistance in dealing with problems such as infant latching issues, mastitis, or insufficient breast milk production. This support can enhance the success of mothers in providing exclusive breastfeeding. Riviera Publishing 2023-09-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/212 10.58344/ihj.v2i3.212 Indonesian Health Journal ; Vol. 2 No. 3 (2023): Indonesian Health Journal; 113-118 2963-3036 2963-3044 10.58344/ihj.v2i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/212/76 https://ihj.rivierapublishing.id/index.php/rp/article/view/212/77 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/258 2025-03-09T10:08:28Z rp:ART

The Effectiveness Of Sand Filters With Variations In Thickness And Sand Diameter In Reducing The Coliform Content Of Dug Well Water Rokot, Agus jusran, Mokoginta Jasman, Jasman Candhy, Mamarasi Sieve Sand Thickness Diameter Coliform Water filters are one of the efforts that can be made to reduce the content of contaminants and bacteria in water that do not meet the requirements. Sand and gravel are media that are widely used in filters, which can reduce coliform content levels. This research aims to see the effectiveness of sand filters with variations in the thickness and diameter of sand in reducing the coliform content of dug well water. This type of research is experimental, using pre-test and post-test methods. The population is a sample of dug well water containing Coliform bacteria in Wenang District, Telling Bawah Village. The sample is water that has passed the filtering process 12 times. The instruments in this research were sand filters with variations in diameter and thickness and biological examination of water samples. The research data was then tested using the t-test. The research showed that sand filters with a thickness of 70 cm and a diameter of 0.45 mm were ineffective in reducing coliform content. In comparison, sand filters with a thickness of 70 cm with a diameter of 0.3 mm and sand filters with a thickness of 90 cm with a diameter of 0.45 mm and a diameter of 0.3 mm effectively reduce the Coliform content in dug well water. The results of statistical tests using the t-test on a 70 cm thick sand filter with a diameter of 0.45 mm showed a value of 0.219 (p > 0.05). A sand filter with a thickness of 70 cm with a diameter of 0.3 mm shows an ap value of 0.001 (p < 0.05). A 90 cm thick sand filter with a diameter of 0.45 mm showed a value of 0.001 (p < 0.05). A 90 cm thick sand filter with a diameter of 0.3 mm shows an AP value of 0.000 (p < 0.05). Riviera Publishing 2023-10-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/258 10.58344/ihj.v2i3.258 Indonesian Health Journal ; Vol. 2 No. 3 (2023): Indonesian Health Journal; 98-105 2963-3036 2963-3044 10.58344/ihj.v2i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/258/70 https://ihj.rivierapublishing.id/index.php/rp/article/view/258/71 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/267 2025-04-01T14:51:23Z rp:ART

Acute Closed Angle Glaucoma : A Case Report Cyntia Mago, Helen Glaucoma Glaucoma Primary Closed Angel obstruction of aqueous humor flow increased intraocular Glaucoma is an eye disorder characterized by disruption of the tissue and integrity of eye function. This study aims to describe a case of Glaucoma along with an explanation and management of its therapy so that it can help increase knowledge and detect it early. This type of research is a descriptive case study. The research was conducted at an eye clinic on February 12 2022 on patients who were diagnosed with acute angle closure glaucoma through anamnesis and direct physical examination of the patient. Based on the results of the anamnesis and physical examination obtained, Mrs. K was diagnosed with acute left angle closure glaucoma, an eye disorder that occurs due to a rapid increase in intraocular pressure as a sign of anterior eye closure. room, blocking the flow of aqueous humor. In this case, Timolol maleate 0.5% ED 2 dd gtt 1 OS therapy was given, a beta (?)-adrenergic receptor antagonist whose function is to reduce aqueous humor production. Apart from that, Acetazolamide 250 mg 3x1 therapy was also given, which is a class of carbonic anhydrase inhibitor which functions to suppress the production of aqueous humor. The conclusion of this study is that the most common cause of glaucoma is obstruction of aqueous humor outflow due to pupillary blockade, closure of the angle of the anterior chamber, narrowing of the trabecular meshwork and increased episcleral venous pressure thereby increasing intraocular pressure. Riviera Publishing 2023-12-01 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/267 10.58344/ihj.v2i4.267 Indonesian Health Journal ; Vol. 2 No. 4 (2023): Indonesian Health Journal; 130-137 2963-3036 2963-3044 10.58344/ihj.v2i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/267/92 https://ihj.rivierapublishing.id/index.php/rp/article/view/267/93 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/270 2025-04-01T14:47:47Z rp:ART

Nanoemulsion Formulation of Kepok Banana Peel Extract and Yellow Watermelon Peel as a Kidney Stone Removal Diaz Habibah, Khalisha Ogan Amirudin Lutfi, Dzaka Thosimomia Tamimi, Nia Kumala Syifa, Amira Riska, Erlina Hidayati, Titiek extract nanoemulsion kepok banana peel yellow watermelon peel kidney stone The kepok banana peel and yellow watermelon peel are still rarely appropriately used as medicine. The kepok banana peel and yellow watermelon peel contain flavonoids and potassium that function as kidney stone removers. This study aims to make a nanoemulsion formulation of kepok banana peel extract and yellow watermelon peel as a kidney stone remover. The preparation starts with extraction, testing the flavonoid content of the extract, testing the potassium content of the extract, making nanoemulsion using the homogenization method at a speed of 15,200 rpm, and analyzing the nanoemulsion formula that has been made. This study showed that the nanoemulsion extract contained flavonoids and potassium with a pH value of 7 and a viscosity value of 2.70 cP. The nanoemulsion of kepok banana peel and yellow watermelon peel extracts also has a size of 246.9 nm and a PDI of 0.618 with an oil-in-water (O/W) nanoemulsion type. The extracts of kepok banana peel and yellow watermelon peel in nanoemulsion preparation can be used as a medicine to remove kidney stones. Riviera Publishing 2023-11-14 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/270 10.58344/ihj.v2i4.270 Indonesian Health Journal ; Vol. 2 No. 4 (2023): Indonesian Health Journal; 119-124 2963-3036 2963-3044 10.58344/ihj.v2i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/270/84 https://ihj.rivierapublishing.id/index.php/rp/article/view/270/85 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/277 2025-04-01T14:47:07Z rp:ART

Antibacterial Test of Groundcherry Leaf Extract Liquid Soap Against Staphylococcus Aureus Febriana F, Mareta Wibowo, Wibowo Kurnia Andika , Venny Groundcherry leaves liquid soap Staphylococcus aureus Groundcherry is a medicinal plant with many benefits and properties. Groundcherry leaves contain flavonoid and alkaloid compounds, which can be used as antibacterials. Antibacterial is a substance that can kill or inhibit the growth of bacteria on the skin, such as Staphylococcus aureus, which can cause skin infections. Antibacterial preparations are generally very varied. One type of antibacterial preparation is liquid soap. This research aims to determine whether Groundcherry leaf extract liquid soap preparations can inhibit the growth of Staphylococcus aureus bacteria and to determine the effect of different formulations of Groundcherry leaf extract liquid soap preparations on the ability to inhibit the growth of Staphylococcus aureus bacteria. Liquid soap formulations use extracts with concentrations of 10%, 15% and 20%. The method used in this research was disc diffusion using positive control, negative control and test samples (formulations I, II, III). The research results showed that the liquid soap preparation was able to inhibit bacterial growth. A clear zone in the area around the disc indicated this. Differences in the concentration of extracts in liquid soap preparations can affect bacterial growth. The diameter of the inhibition zone of the formula in the sequence is 10% concentration, the diameter of the inhibition zone is 7.97 mm, and the 15% concentration the diameter of the inhibition zone is 14.82 mm. The 20% concentration, the diameter of the inhibition zone is 17.6 mm, so it can be concluded that the leaf extract liquid soap preparation Groundcherry can inhibit the growth of Staphylococcus aureus bacteria. Riviera Publishing 2023-11-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/277 10.58344/ihj.v2i4.277 Indonesian Health Journal ; Vol. 2 No. 4 (2023): Indonesian Health Journal; 125-129 2963-3036 2963-3044 10.58344/ihj.v2i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/277/86 https://ihj.rivierapublishing.id/index.php/rp/article/view/277/87 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/281 2025-04-01T14:49:33Z rp:ART

Analysis Difference between INR and D-dimer against Mortality COVID-19 patients Herda Asyari, Claudia Noor Chozin, Iin Rakhma, Sastia COVID-19 time mortality comorbidities platelets P.T. APTT INR D-dimer ferritin As of July 2022, COVID-19 has infected 565 million people, with 6.3 million deaths worldwide. The relationship between laboratory parameters with time to death and comorbidities has not been widely studied. This study determines the difference between INR and D-dimer on the mortality of COVID-19 patients at Dr. Hospitals. In a retrospective cohort study conducted in April 2020 - September 2021, 229 COVID-19 subjects were diagnosed with swab PCR. Data analysis included time to death from hospital admission divided into <7 days and >7 days, laboratory data, comorbidity data, and no comorbidity. Data were tested using Chi-Square for categorical data, Mann-Whitney, and Kruskall Wallis for numerical data. Overall, INR levels were significantly higher in subjects with comorbidities compared to those without (p<0.05). This was based on the time to death of subjects <7 days without comorbidities. In addition, the change from hypercoagulation to hyperfibrinolysis due to excessive coagulant consumption factors, resulting in increased PT and INR in severe COVID-19 conditions. Overall, it was found that INR levels were significantly higher in subjects with comorbidities compared to subjects without comorbidities, as well as D-dimer in subjects with a time of death >7 days without comorbidities was significantly higher compared to other subject groups. Riviera Publishing 2023-12-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/281 10.58344/ihj.v2i4.281 Indonesian Health Journal ; Vol. 2 No. 4 (2023): Indonesian Health Journal; 144-149 2963-3036 2963-3044 10.58344/ihj.v2i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/281/96 https://ihj.rivierapublishing.id/index.php/rp/article/view/281/97 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/282 2025-04-01T14:50:34Z rp:ART

Test the Effectiveness of Grape Seed Extract as an Antidiabetic Drug In Male White Rats Wistar Strain Ardiantya Sudarsono, Cristhofer Wibowo, Wibowo Sugiyanto, Sugiyanto Riani Hasana, Ani Type-II Diabetes Mellitus Grape's seed Maceration Albino Rats Blood Sugar Level The research aims to  know the effectiveness of grape seeds in lowering blood sugar levels in white rats. The research began with grape seed extraction using the maceration method. The results of macerate were given to white rats that were given grape seed extract samples at doses of 75 mg/200 grams BW, 125 mg/200 grams BW, and 250 mg/200 grams BW. The positive control was metformin, and the negative control was given distilled water. All were given treatment for 14 days. On days seven and 14, a blood sugar test was carried out to assess the effectiveness of grape seed extract. The results showed that of the five treatment groups, sample group I (extract at a dose of 75 mg/200 gram BW) and sample group III (extract at a dose of 250 mg/200 gram BW) affected reducing blood sugar levels in rats. This is proven by comparing blood sugar levels after being given alloxan on the seventh day in the two groups, showing better results in reducing blood sugar levels than the other groups. It can be concluded that grape seed extract can properly reduce blood sugar levels in white rats with type II diabetes mellitus. Riviera Publishing 2023-12-04 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/282 10.58344/ihj.v2i4.282 Indonesian Health Journal ; Vol. 2 No. 4 (2023): Indonesian Health Journal; 138-143 2963-3036 2963-3044 10.58344/ihj.v2i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/282/94 https://ihj.rivierapublishing.id/index.php/rp/article/view/282/95 Copyright (c) 2023 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/306 2024-03-21T03:44:05Z rp:ART

Concurrent Infection of Dengue and Malaria: An Unusual Case Report Baftahul Khairi, Andri Liansyah Sihite, Perdana Azalia, Rauzia Dengue Fever Malaria Dengue Infection Plasmodium knowlesi is one of the most common causes of Malaria in humans. Although several reported cases of dengue and Malaria occur together, only a few cases have been reported in Southeast Asia, including Indonesia. This study aims to provide additional insight into the epidemiology and clinical aspects of Plasmodium knowlesi (P. knowlesi) malaria infection and dengue fever that occur concurrently in Southeast Asia, particularly Indonesia. A 36-year-old male patient with a history of travel to the mountainous area of Lhoknga and a fever for five days sought treatment at the emergency department of Meuraxa Hospital. During 11 days of treatment, the patient underwent a routine haematology examination every 24 hours. The average platelet count during the first eight days was around 50,000, with an increase after anti-malarial treatment on the eighth day and marked clinical improvement. The patient was discharged on day 10 with no signs of bleeding or hemolysis during treatment. Diagnosis involved blood smears and hematologic examination, confirming dengue fever with P. knowlesi malaria infection. These findings emphasize the importance of thorough history taking, physical examination, and supporting investigations to diagnose these two conditions together. The results of this study may provide critical support for case management involving malaria infection and dengue fever, with a focus on platelet monitoring as an indicator of response to treatment in the Southeast Asian region. Riviera Publishing 2023-01-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/306 10.58344/ihj.v3i1.306 Indonesian Health Journal ; Vol. 3 No. 1 (2024): Indonesian Health Journal; 150-155 2963-3036 2963-3044 10.58344/ihj.v3i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/306/106 https://ihj.rivierapublishing.id/index.php/rp/article/view/306/107 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/356 2024-03-21T03:44:05Z rp:ART

The Correlation between the Level of Physical Activity and the Incidence of Breast Cancer in RSUD Dr. Soetomo Surabaya Kristiani Widiyatno, Yovita Wihandono, Asdi Handayani, Samsriyaningsih Physical Activity Breast Cancer GPAQ RSUD Dr. Soetomo Surabaya Breast cancer is one of the most common cancers worldwide. This study aims to investigate and analyze the relationship between the level of physical activity and the occurrence of breast cancer at Dr. Soetomo Hospital Surabaya. The research method employed in this study is correlation analysis. The sample population was obtained from the Cancer Service Development Center (PPLK) at Dr. Soetomo Hospital Surabaya. The results of this study indicate that the majority of the 53 research subjects suffering from breast cancer had low-intensity physical activity since childhood to adolescence, with 41.5% of the total subjects (22 patients). In contrast, only 24.5% (13 patients) and 34% (18 patients) had moderate and high-intensity physical activity, respectively. Statistical analysis using Microsoft Excel version 2019 and SPSS showed that the calculated Chi-square value was greater than the tabulated Chi-square value, thus rejecting the null hypothesis (H0). This indicates a significant relationship between the intensity of physical activity during childhood to adolescence and the occurrence of breast cancer in the research subjects. This study implicates the importance of awareness regarding the significance of physical activity in maintaining breast health, especially from a young age. The practical implication of this research is the necessity of a preventive approach to breast cancer involving the promotion of a healthy lifestyle and regular physical activity, particularly during childhood and adolescence. Riviera Publishing 2024-03-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/356 10.58344/ihj.v3i1.356 Indonesian Health Journal ; Vol. 3 No. 1 (2024): Indonesian Health Journal; 156-161 2963-3036 2963-3044 10.58344/ihj.v3i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/356/102 https://ihj.rivierapublishing.id/index.php/rp/article/view/356/103 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/375 2024-03-21T03:44:05Z rp:ART

Rapid Progressivity in a 62-Year-Old Circumcised Man with Penile Cancer: A Case Report Prabawati, Patricia Setyono, Farid Penile Cancer Squamous Cell Carcinoma Penile cancer is a rare malignancy globally, including in Indonesia, with notable morbidity and mortality rates. This case report discusses a 62-year-old male with a penile mass, emphasizing the diagnostic challenges and the importance of early intervention in penile cancer cases. The patient presented with a progressively growing penile mass, dysuria, and penile pain. Clinical examination revealed a palpable, reddish mass on the penile shaft with unclear borders, a urethral fistula, and enlarged inguinal lymph nodes. Laboratory results showed white blood cell count, haemoglobin, platelet count, glucose, blood urea nitrogen, and creatinine abnormalities. An open biopsy suggested verrucous carcinoma, later revised to penile squamous cell carcinoma with inguinal lymph node metastases. Penile cancer, particularly squamous cell carcinoma, primarily affects older, uncircumcised men. Verrucous carcinoma, though rare, is associated with poor hygiene and lack of circumcision. Notably, misdiagnoses may occur due to the limited scope of open biopsies. Penile cancer is preventable, and its significant risk factors are modifiable. Penile carcinoma, although uncommon, poses severe consequences for affected individuals. Early diagnosis and intervention are crucial for improved outcomes. This case highlights the challenges in diagnosis, emphasizing the need for comprehensive assessments and awareness of the modifiable risk factors associated with penile cancer. Riviera Publishing 2024-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/375 10.58344/ihj.v3i1.375 Indonesian Health Journal ; Vol. 3 No. 1 (2024): Indonesian Health Journal; 171-175 2963-3036 2963-3044 10.58344/ihj.v3i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/375/108 https://ihj.rivierapublishing.id/index.php/rp/article/view/375/109 Copyright (c) 2024 Journal of World Science https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/383 2024-03-21T03:44:05Z rp:ART

Brief Overview on Rabies: A Fatal and Preventable Virus Samad, Abdul Naveed, Areesha Nurul Alam, AMM Atique, Rameen Muazzam, Ayesha Anwar, Bushra Arshi Saeed, Hafiza Zahra, Maryam Rana, Tehreem Hossain, Md. Jakir Rabies Zoonotic Disease Wildlife Diagnosis Prevention Control Rabies is a fatal and acute infection of the brain. The virulence factor of this infection is the Rabies virus, which belongs to the Rhabdoviridae family. It is a zoonotic disease that can be transmitted from animals to humans.  The common ways of transferral of Rabies in humans are the transmission of rabies by the bite of a rabid animal and transmission due to saliva and consumption of meat and milk of rabid animals. Some wild animals, e.g., skunks, dogs, raccoons, foxes, and bats, can also transfer rabies in humans, mammals, and other animals. The incubation period of Rabies is at least 2 weeks to a maximum of 6 years, with an average duration of 2 to 3 months. Given its status as a significant zoonotic disease, it is crucial to have an accurate and prompt diagnosis to facilitate early treatment and implement effective measures for prevention and control. This study comprehensively analyzes epidemiology, transmission, etiology, advancements in diagnostics, immunization, therapy methods, and effective prevention and control techniques. The main objective of this study is to brief the threat of rabies and its management along with providing some brief knowledge related to rabies. The web sources (e.g., Google Scholar, Pubmed) were used to collect data regarding Rabies and briefly explained. As a result, it is clear that rabies is a big threat to the whole world so management strategies are required to target and overcome this threat. This study concludes that the Rabies virus can be managed by following the preventive and managemental strategies. Riviera Publishing 2024-03-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/383 10.58344/ihj.v3i1.383 Indonesian Health Journal ; Vol. 3 No. 1 (2024): Indonesian Health Journal; 162-170 2963-3036 2963-3044 10.58344/ihj.v3i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/383/104 https://ihj.rivierapublishing.id/index.php/rp/article/view/383/105 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/386 2024-03-21T03:44:05Z rp:ART

The Influence of Oral Stimulation on the Improvement of Sucking Reflex and Weight Gain in Low Birth Weight Infants (LBW) at Bunda Patimah Primary Clinic Hanum, Parida Dela Pransiska, Putri Yohana Eltania, Putri Juni Ester Simamora, Putri Br Purba, Sumaritoyani Oral Stimulation Sucking Reflex Increase in BB LBW LBW suffer from many problems, including hypothermia, respiratory distress syndrome, intracranial hemorrhage, hyperbilirubinemia, and hypoglycemia because the sucking reflex is weak, resulting in insufficient intake. This weakness in sucking is related to the maturity of the baby's nerve structure and the strength of the mouth muscles. Oral motor skills are one of the most important skills a baby has. The aim of this research is to determine the effect of giving oral stimulation on increasing the sucking reflex and increasing the weight of LBW babies. This research uses a type of quantitative research that uses a pre-test and post-test one group design (Notoatmodjo, 2018), with a Quasi-Experimental design without a control group that compares the evaluation results before and after treatment of respondents. Data were collected using Sucking Reflex and BB Increase observation sheets. The statistical test used is the Wilcoxon Signed Rank Test. The measurement results showed that after giving oral stimulation there was an increase in the sucking reflex and an increase in BW (P value = 0.000), namely an increase in the Sucking Reflex of the majority in the strong category as many as 30 people (93.7%), and those in the minority in the weak category as many as 2 people (6.3%). Meanwhile, in weight gain, the majority in the category increased by 28 people (87.5%), and the minority in the category did not increase by 4 people (12.5%). Based on the research that has been carried out, it was concluded that there is an effect of giving oral stimulation on the Sucking Reflex and Increase in Body Weight in LBW. Riviera Publishing 2024-03-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/386 10.58344/ihj.v3i1.386 Indonesian Health Journal ; Vol. 3 No. 1 (2024): Indonesian Health Journal; 176-184 2963-3036 2963-3044 10.58344/ihj.v3i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/386/110 https://ihj.rivierapublishing.id/index.php/rp/article/view/386/111 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/411 2025-02-11T08:03:44Z rp:ART

Coronary Artery Disease in Patient with An Anomalous Origin of Right Coronary Artery D. Nugraheni, Winda Meuthia, Feranti Coronary artery disease Anomaly origin of the right coronary artery Patient Coronary artery disease (CAD) remains a leading cause of mortality and morbidity in developed countries. CAD is a pathological process characterized by the accumulation of atherosclerotic plaques in the epicardial arteries, both obstructive and non-obstructive. This study aims to investigate rare cases of anomalous right coronary artery arising from the left main coronary artery and its clinical implications for coronary artery disease (CAD). The research methodology involved clinical examinations, echocardiography, diagnostic coronary angiography, and computed tomography angiography (CCTA) to obtain a comprehensive understanding of this case. The research findings indicate severe stenosis in the proximal-mid left main coronary artery (LAD) and an anomalous origin of the right coronary artery (RCA) leading to lower-level stenosis. Percutaneous coronary intervention (PCI) on the proximal-mid LAD lesion resulted in significant improvement in the patient's condition. The implications of this research underscore the importance of a deep understanding of coronary artery anatomical variations for accurate diagnosis and appropriate management of CAD patients, especially in rare cases like this.   Riviera Publishing 2024-05-14 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/411 10.58344/ihj.v3i2.411 Indonesian Health Journal ; Vol. 3 No. 2 (2024): Indonesian Health Journal; 185-191 2963-3036 2963-3044 10.58344/ihj.v3i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/411/112 https://ihj.rivierapublishing.id/index.php/rp/article/view/411/113 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/446 2025-02-11T08:03:44Z rp:ART

The Efficacy of Evidence-Based Practice Training in Enhancing Decision-Making Competency Utilizing Fishbone Diagrams Among Nurse Managers at Hospital B Bandung Lala, Angela Harry Susilo, Wilhelmus Tutiany, Tutiany Fishbone Diagram Competency Evidence-Based Practice Training Nurse Manager Decision-Making The nurse manager is crucial in overseeing and directing nursing services to accomplish organizational objectives effectively. Nurse managers must possess the skill of evidence-based decision-making. This reseacrh aims to determine the efficacy of evidence-based practice training in enhancing decision-making skills among nurse managers at Hospital B Bandung, specifically through utilizing the Fishbone Diagram. This study employs quantitative research methodologies utilizing a pre-experimental design, specifically a one-group pre-post design. The research sample comprised 62 nurse managers, including 28 section heads, deputy section heads, coordinators, and 34 CCMs. These individuals received evidence-based practice decision-making training interventions involving fishbone diagrams and post-training intervention. The data analysis method employs the Wilcoxon bivariate test and the multivariate ordinal logistic regression test. The intervention yielded statistically significant improvements in decision-making practices, knowledge, attitudes, and skills. The p-value for these changes was 0.000 (p < 0.05), indicating a high confidence level in the results. This study suggests that providing evidence-based practice training to hospital nurse managers is necessary to enhance their decision-making skills. This can be achieved by utilizing fishbone diagrams or other similar tools. Riviera Publishing 2024-06-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/446 10.58344/ihj.v3i2.446 Indonesian Health Journal ; Vol. 3 No. 2 (2024): Indonesian Health Journal; 192-201 2963-3036 2963-3044 10.58344/ihj.v3i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/446/114 https://ihj.rivierapublishing.id/index.php/rp/article/view/446/115 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/448 2025-02-11T08:03:44Z rp:ART

Readiness Level of Bottled Drinking Water Production Facilities in Meeting Good Processed Food Production Requirements in the Aceh and Bogor Regions Sarah, Shanty Zain, Ufaizah Bottled Drinking Water GMP Aceh Bogor Bottled drinking water (AMDK) is a food product consumed by all levels of society in Indonesia and produced in large quantities. This widespread consumption has resulted in AMDK being categorized as a high-risk food. To maintain product safety and quality, the government issued several regulations governing producers in producing AMDK products, including the obligation to implement Good Processed Food Production Methods (CPPOB). However, not all AMDK producers have and fulfill the requirements for implementing CPPOB. This research aims to analyze the distribution of AMDK producers and the level of readiness of AMDK production facilities in the Aceh and Bogor regions. This research also aims to map the distribution of AMDK production facilities and compare the CPPOB values in the two regions. The research was carried out using a survey method to collect data regarding the distribution of AMDK producers and the level of readiness of production facilities in the Aceh and Bogor regions. The data collected was then analyzed to create a map of the distribution of AMDK production facilities and calculate and compare CPPOB values in the two regions. The analysis results show that the CPPOB value in the Bogor region is higher (76.56%) than in the Aceh region (50%). This difference is caused by the different scale characteristics of the AMDK production business in the two regions. Several clauses cause the CPPOB value of AMDK production facilities to be D and C, including those related to process control and prevention of cross-contamination, raw materials, packaging, and final products; personnel training; employee facilities, and personnel cleanliness; in-house testing laboratory; as well as building construction and layout. Riviera Publishing 2024-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/448 10.58344/ihj.v3i2.448 Indonesian Health Journal ; Vol. 3 No. 2 (2024): Indonesian Health Journal; 202-208 2963-3036 2963-3044 10.58344/ihj.v3i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/448/116 https://ihj.rivierapublishing.id/index.php/rp/article/view/448/117 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/459 2025-02-11T08:03:44Z rp:ART

Correlation between Alcohol Consumption Habits, Age, and Gender with Health Quality of Life among Middle and High School Students in Bolaang Mongondow Regency Ocrico Isa, Roi Victoria Rombot, Dina Ellen Manampiring, Aaltje Adolescents' Health-related Quality of Life Alcohol Consumption Age Gender Alcohol is a dangerous psychoactive substance, one of the factors contributing to many diseases and injuries. A quarter of the world's population, aged 15-19 years old, consumes alcohol. Adolescence's physical, cognitive, and psychological aspects proliferate, making it crucial to forming health foundations. Indonesian adolescents' health-related quality of life is still low (7%). Previous studies have indicated a correlation between alcohol consumption, age, gender, and quality of life. This study aims to analyze the correlation between alcohol consumption, age, and gender with the health-related quality of life of junior high and high school students. Utilizing an analytical observational research design with a cross-sectional approach. A total of 406 secondary school students in Bolaang Mongondow Regency participated as respondents. The study employed a questionnaire and statistical analysis using Spearman's correlation test and logistic regression. The correlation test found a negative relationship between alcohol consumption habits (r = -0.115; p = 0.020) and age (r = -0.159; p = 0.001) with the health-related quality of life however, a non-significant positive relationship was found for gender (r = 0.090; p = 0.069). The OR value was 1.664 (p = 0.020) in the age group of 15-17 years compared to the 10-14 years. There was a correlation between alcohol consumption habits and age with the health-related quality of life of junior high and high school students. At the same time, gender was not significant. Age is the most influential variable. Riviera Publishing 2024-06-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/459 10.58344/ihj.v3i2.459 Indonesian Health Journal ; Vol. 3 No. 2 (2024): Indonesian Health Journal; 209-218 2963-3036 2963-3044 10.58344/ihj.v3i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/459/118 https://ihj.rivierapublishing.id/index.php/rp/article/view/459/119 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/524 2025-02-11T08:03:44Z rp:ART

The Effect of Pre-Pregnancy BMI and Parity on the Duration of Breastfeeding During Exclusive Breastfeeding Vidya Trias Novita, Regina Harnussanti, Pratiwi BMI Exclusive breastfeeding pre-pregnancy Parity Obesity is a condition of a person who experiences overnutrition, especially fat accumulation which causes the body to weigh more than normal body weight, indicated with a Body Mass Index (BMI) of more than 29.9 kg/m2. Several international pieces of research state that obese mothers fail to breastfeed exclusively. Aside from maternal BMI, maternal characteristics also support exclusive breastfeeding. Maternal characteristic factors include age, parity, and mother’s education. This study aims to determine the correlation between pre-pregnancy BMI and maternal characteristic factors with the duration of breastfeeding during exclusive breastfeeding. This research is quantitative research using a cross-sectional descriptive-correlational method with a retrospective approach. The number of samples in this research was 300 mothers who met the inclusion criteria with the purposive sampling technique. Data were collected and processed statistically using the Chi-Square test and T-test to determine factors related to breastfeeding duration and the linear regression test with the backward method to determine the most influential factor on breastfeeding duration. The Chi-Square test results showed that all variables were related to the duration of breastfeeding with a p-value <0.05. The linear regression test showed that the factors that had a significant effect on the duration of breastfeeding were pre-pregnancy BMI and parity with a significance of 0.00, judging from the coefficient B factor value of 0.285, parity had a more dominant effect. Pre-pregnancy BMI and parity are the most influential and interrelated variables in exclusive breastfeeding, where primiparous mothers with obesity are more at risk for exclusive breastfeeding failure than obese multiparous mothers. Riviera Publishing 2024-07-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/524 10.58344/ihj.v3i2.524 Indonesian Health Journal ; Vol. 3 No. 2 (2024): Indonesian Health Journal; 219-228 2963-3036 2963-3044 10.58344/ihj.v3i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/524/120 https://ihj.rivierapublishing.id/index.php/rp/article/view/524/121 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.jkt.rivierapublishing.id:article/539 2024-11-04T11:52:37Z rp:ART

oai:ojs2.ihj.rivierapublishing.id:article/539 2025-04-18T10:32:58Z rp:ART

Effectiveness of Breast Ultrasound for Breast Cancer Screening : A Systematic Review P. Pangaribuan, Hotman Ultrasound Breast Cancer Breast cancer is the most common cancer in Indonesia and has the highest mortality rate in women. Nowadays, the primary prevention is not clear yet to prevent the breast cancer. Secondary prevention with radiological modality is the only option to decrease the mortality of breast cancer. This study aims to identify ultrasound effectiveness and accuracy as a screening modality for early detection of breast cancer. Methods: A systematic review was analyzed using PRISMA without a meta-analysis method on articles published in 2014-2024. Articles searches were conducted using PubMed, Science Direct, and Google Scholar Database. Result: Based on the search results, seven eligible articles met the criteria for analysis. We found consistent evidence in 5 studies that breast cancer screening using ultrasound has high sensitivity (range sensitivity 68.9%-100%) and accuracy (range accuracy 0.687-0.999) compared to mammography alone. Breast ultrasound specificity is lower than mammography, ranging from 22% to 99.9%. The positive predictive value ranges from 4.3%-70%, and the negative predictive value of breast ultrasound ranges from 61.2%-100%. Conclusion: Breast Ultrasound can be an option as a breast cancer screening modality, especially in young women with dense breasts. It can be used in health facilities where mammography is unavailable.   Riviera Publishing 2024-08-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf text/html https://ihj.rivierapublishing.id/index.php/rp/article/view/539 10.58344/ihj.v3i3.539 Indonesian Health Journal ; Vol. 3 No. 3 (2024): Indonesian Health Journal; 229-237 2963-3036 2963-3044 10.58344/ihj.v3i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/539/122 https://ihj.rivierapublishing.id/index.php/rp/article/view/539/123 Copyright (c) 2024 Indonesian Health Journal https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/551 2025-04-18T10:32:58Z rp:ART

Early Detection For Better Results In The Treatment Of Asymptomatic Cases Of Valvular Heart Disease Hutahaean, Gembira Ira G Manik, Maria Ulfa valve disease; heart; asymptomatic; health center Valvular heart disease (VHD) often progresses asymptomatically, leading to delayed diagnosis and treatment, which worsens patient outcomes. Early detection of VHD in asymptomatic cases is crucial to improve treatment effectiveness and long-term prognosis. This study aims to investigate the impact of early detection on treatment outcomes in asymptomatic VHD patients. A cross-sectional study was conducted involving 200 patients diagnosed with VHD, categorized into two groups: those diagnosed early through screening and those diagnosed later after the onset of symptoms. Data were collected through medical records, echocardiograms, and patient interviews. Statistical analysis revealed that early detection significantly improved patient outcomes, with lower rates of complications, better valve repair success, and reduced mortality compared to those diagnosed later. Discussion centers on the importance of routine screenings in at-risk populations and the need for better diagnostic protocols to catch asymptomatic cases early. The conclusion highlights that early detection of asymptomatic VHD leads to better treatment outcomes, underlining the necessity of proactive screening measures to manage VHD effectively. Riviera Publishing 2024-09-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/551 10.58344/ihj.v3i3.551 Indonesian Health Journal ; Vol. 3 No. 3 (2024): Indonesian Health Journal; 238-243 2963-3036 2963-3044 10.58344/ihj.v3i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/551/139 Copyright (c) 2024 Gembira Ira Hutahaean, Maria Ulfa G Manik https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/552 2025-04-18T10:32:58Z rp:ART

The Effect Of Nigella Sativa Administration In Reducing Oxidative Damage In Covid-19 Patients: A Clinical And In Silico Study Diany, Holly Nurrasyidah, Ira Haryati, Haryati Isa, Mohamad Kusumawardhani, Erna Nigella sativa; COVID-19; Superoxide Dismutase; Catalase; Malondialdehyde The COVID-19 pandemic has posed significant challenges to public health, particularly about the oxidative damage caused by infection. Nigella sativa, known for its antioxidant properties, has been extensively studied as a potential therapeutic agent to reduce oxidative damage. This study aims to evaluate the effects of Nigella sativa administration in reducing oxidative damage in COVID-19 patients through a clinical and in silico approach. The research methods include a clinical trial on COVID-19 patients supplemented with Nigella sativa and in silico molecular analysis to identify the interaction mechanisms between the active components of Nigella sativa and SARS-CoV-2 proteins. The results showed that Nigella sativa significantly reduced oxidative stress biomarkers in patients, and in silico results revealed the potential of its active components to inhibit critical enzymes of the SARS-CoV-2 virus. Based on these findings, it is concluded that Nigella sativa has potential as an adjunct therapy in reducing oxidative damage in COVID-19 patients. Further research is required to confirm these results through broader, more in-depth clinical trials. Riviera Publishing 2024-09-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/552 10.58344/ihj.v3i3.552 Indonesian Health Journal ; Vol. 3 No. 3 (2024): Indonesian Health Journal; 244-255 2963-3036 2963-3044 10.58344/ihj.v3i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/552/142 Copyright (c) 2024 Holly Diany, Ira Nurrasyidah https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/562 2025-04-18T10:32:58Z rp:ART

The Application Of Medication And Strategies For The Implementation Of Hallucinations In Tn. S (Terra Neutral Separated) With A Nursing Diagnosis Of Sensory Perception Disorders (Hallucinations) Risdiyanto, Nugeraha Wahyuni, Uni Wulandari, Afni Nur Azmi, Nadila Puspita Sari , Melati Hallucinations; sensory perception disorder; implementation strategy Hallucinations are sensory perception disorders that attack the five senses, where a person perceives an object or image and thoughts that do not occur or are not real. Hallucinations include sound, sight, taste, touch, or smell sensations without real stimulus. Treatment for patients with hallucinations is by identifying the type of hallucination, applying medication, and implementing strategies to distract or overcome the hallucinations experienced. The objectives of this study include (1) Describing problems regarding sensory perception disorders and (2) Describing and implementing nursing care in cases of mental disorders with a medical diagnosis of schizophrenia at Soerojo Hospital Magelang. This study uses a qualitative approach with case studies as the primary method, using observation sheets, interviews, and documentation studies. The subject of this study used one patient, Mr S, who had a nursing diagnosis of sensory perception disorders at RSD Soerojo Hospital Magelang. Nursing care for patient Mr S with a diagnosis of sensory perception disorder (hallucinations) in this case showed success as indicated by the signs and symptoms experienced by the patient decreasing. After four days of intervention, the patient was able to overcome hallucinations by scolding, interacting with the surrounding environment, and taking care of himself by bathing and dressing more neatly. Riviera Publishing 2024-10-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/562 10.58344/ihj.v3i3.562 Indonesian Health Journal ; Vol. 3 No. 3 (2024): Indonesian Health Journal; 256-262 2963-3036 2963-3044 10.58344/ihj.v3i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/562/141 Copyright (c) 2024 Nugeraha Risdiyanto, Uni Wahyuni, Afni Wulandari, Nadila Nur Azmi, Melati Puspita Sari https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/574 2025-04-18T10:32:58Z rp:ART

Radiographic Techniques For Estimating Dental Age: A Comparative Study Khan, Muhammad Salman Auerkari, Elza Ibrahim Suhartono, Antonius Winoto Age estimation, Forensic odontology, Methods, Radiographic. The determination of dental age using radiographic techniques has become a crucial method in forensic dentistry for estimating the chronological age of individuals, particularly in cases involving children and adolescents. This study aims to compare various radiographic techniques in estimating dental age based on tooth development. A comparative research method was employed, analyzing radiographic data from individuals aged 6 to 18 years. The data were collected using two primary techniques: panoramic and intraoral periapical, and analyzed using well-established methods such as the Demirjian and Nolla methods. The results showed that the Demirjian method had a higher accuracy rate compared to other methods, particularly in age estimation for individuals under 12 years old. The discussion highlights that differences in accuracy between techniques are due to better visualization of dental anatomical structures in some techniques. The conclusion of this study is that radiographic methods, especially the panoramic technique and the Demirjian method, are optimal choices for dental age estimation with high accuracy.   Riviera Publishing 2024-10-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/574 10.58344/ihj.v3i3.574 Indonesian Health Journal ; Vol. 3 No. 3 (2024): Indonesian Health Journal; 263-276 2963-3036 2963-3044 10.58344/ihj.v3i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/574/140 Copyright (c) 2024 Muhammad Salman Khan, Elza Ibrahim Auerkari, Antonius Winoto Suhartono https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/587 2025-02-11T08:07:11Z rp:ART

The Relationship between Nutritional Status and Intellectual Intelligence In 4th-5th Grade Students at SD N 219 Inpres Pannambungan, Maros Bulkis, Audya Darmawansyih, Darmawansyih Azis, Asrul Abdul Suryaningsih, Rista nutritional status intellectual intelligence elementary school children Nutritional status is a measure of the condition of a person's body, which can be seen from the food consumed and the use of substances in the body. The purpose of this study is to determine the relationship between nutritional status and intellectual intelligence in elementary school children in grades 4-5 at SDN 219 Inpres Pannambungan. In this study, the research design was observational, with a cross-sectional approach using total sampling. This study uses an intellectual intelligence test tool, namely the CFIT (Culture Fair Intelligence Test. Data analysis was carried out using the SPSS application by conducting univariate analysis related to respondent characteristics, independent variables, and dependent variables, then continued by conducting bivariate analysis, namely the Kolmogorov-Smirnov normality test and the Spearman correlation test. The results of this study showed that the correlation value (-2.72) with the probability value or error level (p=0.035) was smaller than the significant standard value (a=0.05). This study concludes that there is a significant relationship between nutritional status and the intellectual intelligence of children of SDN 219 Pannambungan Presidential Instruction Maros Regency. Riviera Publishing 2024-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/587 10.58344/ihj.v3i4.587 Indonesian Health Journal ; Vol. 3 No. 4 (2024): Indonesian Health Journal; 288-305 2963-3036 2963-3044 10.58344/ihj.v3i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/587/144 Copyright (c) 2024 Audya Bulkis, Darmawansyih Darmawansyih, Asrul Abdul Azis, Rista Suryaningsih https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/603 2025-02-11T08:07:11Z rp:ART

Pansitopenia as a Marker of Advanced Human Immunodeficiency Virus (HIV) infection: How Often? A Case Study Accompanied by Literature Priyanto, Muhammad Hikmawan Faizun, Muhammad chronic diarrhea pansitopenia aplastic anemia Human Immunodeficiency Virus (HIV) Pansitopenia is a condition characterized by anemia, thrombocytopenia, and leukopenia. One of the common etiologies of Pansitopenia is HIV infection. In advanced HIV, Pansitopenia may present even without other clinical findings leading to a diagnosis of HIV. This study was conducted as a case study of a 34-year-old man who presented with chief complaints of chronic diarrhea and fever that lasted for one month. Laboratory examination showed Pansitopenia, HIV-rapid reactive and peripheral blood picture indicating Pansitopenia/ aplastic anemia. Data were collected through history taking, physical examination, and a series of laboratory tests. The patient was diagnosed with Pansitopenia suspected to be caused by HIV infection. The chief complaints of chronic diarrhea and fever suggested a chronic disease process due to immune compromise, as seen in the patient's clinical status indicating advanced HIV. The literature suggests that the severity of pansitopenia depends on the severity of HIV disease. Pansitopenia can be an indicator of the advanced stage of HIV infection. Appropriate management and regular monitoring are essential to prevent further complications. Pansitopenia in HIV patients can be considered as an important indicator to assess the severity of the infection. Prompt treatment and antiretroviral therapy are highly recommended to improve the prognosis of patients. Riviera Publishing 2024-12-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/603 10.58344/ihj.v3i4.603 Indonesian Health Journal ; Vol. 3 No. 4 (2024): Indonesian Health Journal; 306-312 2963-3036 2963-3044 10.58344/ihj.v3i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/603/147 Copyright (c) 2024 Muhammad Hikmawan Priyanto, Muhammad Faizun https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/604 2025-02-11T08:07:11Z rp:ART

Management of Haemophilic Pseudotumor of Left-Hand in A Paediatric Patient: a Case Report Hancoro, Udi Heru Nefi Siswanto, Totok Dzulfikar, Muhammad pseudotumor hemophilia amputation Hemophilia is a recessively inherited genetic disorder that causes abnormalities in the blood clotting process, which can lead to bleeding that is difficult to stop. One of the rare but significant complications of hemophilia is hemophilia pseudotumor, which occurs in 1-2% of hemophilia A and B patients. This study aims to analyze and evaluate the management of pseudotumor hemophilia. This study aims to analyze and evaluate the management of hemophilia pseudotumor in pediatric patients, focusing on the case of an 8-year-old boy who developed a pseudotumor in the left hand area due to hemophilia A. This case involves a boy with a history of hemophilia A who developed swelling of the left hand after experiencing trauma. Diagnosis was done through clinical examination, radiology (X-ray and MRI), and hematology evaluation. Treatment was factor VIII therapy, tranexamate, and amputation, as well as rFVIIa for bleeding prevention. The patient showed improved function after left hand amputation. Although conservative management can be considered for newly formed pseudotumors, in this case, a surgical approach was necessary due to the significant size and complications. Hemophilic pseudotumors can cause damage to surrounding tissues and require a multidisciplinary approach for management. Hemophilic pseudotumor is a rare but serious complication in people with hemophilia. Appropriate management, including surgical intervention, can improve the functional outcome of patients, despite the significant risks involved. Further research is needed to develop more effective treatment protocols. Riviera Publishing 2024-12-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/604 10.58344/ihj.v3i4.604 Indonesian Health Journal ; Vol. 3 No. 4 (2024): Indonesian Health Journal; 277-287 2963-3036 2963-3044 10.58344/ihj.v3i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/604/143 Copyright (c) 2024 Udi Heru Nefi Hancoro, Totok Siswanto, Muhammad Dzulfikar https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/610 2025-02-11T08:07:11Z rp:ART

19 Years Old Male Patient with Cholelithiasis: A Case Report Semara, Putu Bagus Aditya Putra Wirawan, I Made Suma cholelithiasis risk factors obesity Cholelithiasis refers to the formation of hardened deposits of digestive fluid, known as gallstones, which can develop in the gallbladder, bile duct, or both. This study aims to analyze the factors contributing to the occurrence of cholelithiasis in young patients, specifically 19-year-old males, and identify the clinical symptoms and associated examination results. A 19-year-old male patient visited the Internal Medicine Polyclinic with the main complaint of right upper abdominal pain radiating to the back. He also experienced nausea and vomiting. The patient frequently consumed high-fat foods. On physical examination, the patient's height was 171 cm, weight 74 kg, and BMI 25.34 kg/m² (overweight). Abdominal examination revealed a positive Murphy's sign. Laboratory tests showed total cholesterol of 216 mg/dl, LDL 158 mg/dl, HDL 38 mg/dl, and triglycerides 86 mg/dl. An abdominal ultrasound indicated thickened gallbladder walls, a single stone measuring approximately 0.82 cm by 1.17 cm, accompanied by sludge, and calcification in the right lobe of the liver. The patient was treated with Ursodeoxycholic Acid (UDCA) 250 mg twice daily and Atorvastatin 10 mg once daily.   Cholelithiasis is a multifactorial condition, influenced by several factors, commonly referred to as the "4F" factors: female gender, age over 40, fertility (being in the fertile period), and fat (obesity). Other contributing factors include age, genetics, and race. Children and adolescents may develop gallstones due to increased consumption of fat, refined carbohydrates, and low fiber intake. Overweight and obesity are significant risk factors because they increase the secretion of intrahepatic cholesterol, which promotes gallstone formation. The treatment of cholelithiasis can be classified into non-surgical and surgical approaches. Riviera Publishing 2024-12-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/610 10.58344/ihj.v3i4.610 Indonesian Health Journal ; Vol. 3 No. 4 (2024): Indonesian Health Journal; 322-329 2963-3036 2963-3044 10.58344/ihj.v3i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/610/146 Copyright (c) 2024 Putu Bagus Aditya Putra Semara, I Made Suma Wirawan https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/611 2025-02-11T08:07:11Z rp:ART

Effectiveness of Surgical Interventions in Chronic Venous Insufficiency: An Evidence-Based Systematic Review Tama, I Putu Rangga Rasnadea Prayogo, Danniel Loogman Manikasari, Putu Indri Sudiartha, I Putu Gede Pretangga, Anak Agung Ngurah chronic venous insufficiency endovenous thermal ablation iliac vein stenting mechanochemical ablation cyanoacrylate embolization compression therapy Chronic Venous Insufficiency (CVI) is a disease that can significantly affect patients' quality of life. Although modern surgical therapies such as endovenous thermal ablation (ETA), iliac vein stenting, and others have been introduced, the effectiveness and safety of each procedure needs to be further evaluated. This study aims to evaluate the effectiveness and safety of modern surgical interventions in the management of CVI, focusing on clinical outcomes such as ulcer healing, pain reduction, and improvement in patient quality of life. This systematic review was conducted following PRISMA guidelines by screening literature from PubMed, ScienceDirect, Google Scholar, and Cochrane Library between 2014 and 2024. Of the 17,500 articles identified, 10 studies were included through a rigorous selection process. Analysis was performed based on study design, population, intervention type, clinical outcomes, and safety profile.  Endovenous thermal ablation showed an anatomical success rate of more than 96% with long-term clinical benefits. Iliac vein stenting significantly improved symptoms of deep vein obstruction (VAS: 9 to 2.5) with a primary patency rate of 92%. Methods such as mechanochemical ablation (MOCA) and cyanoacrylate embolization (CAE) offer minimally invasive approaches with low complication rates and fast recovery times. The combination of early ablation and compression therapy accelerates healing of chronic venous ulcers (median healing time: 56 vs. 82 days). Modern surgical interventions are proven effective and safe in the management of CVI, with thermal ablation as the gold standard and iliac vein stenting as the superior option for deep vein obstruction. This evidence-based approach provides important guidance for personalizing CVI therapy in the future. Further research is needed to evaluate long-term sustainability and to optimize evidence-based clinical guidelines. Riviera Publishing 2024-12-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/611 10.58344/ihj.v3i4.611 Indonesian Health Journal ; Vol. 3 No. 4 (2024): Indonesian Health Journal; 313-321 2963-3036 2963-3044 10.58344/ihj.v3i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/611/145 Copyright (c) 2024 I Putu Rangga Rasnadea Tama, Danniel Loogman Prayogo, Putu Indri Manikasari, I Putu Gede Sudiartha, 5Anak Agung Ngurah Pretangga https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/658 2025-03-18T02:37:12Z rp:ART

The Effect of Endorphin Massage on Anxiety Levels in Preoperative Caesarean Section Patients with Spinal Anesthesia at RSI Purwokerto Ananda, Reva Annisa, Rully endorphin massage caesarean section anxiety spinal anesthesia The level of anxiety in preoperative caesarean section patients who receive spinal anesthesia can affect physiological and psychological responses that affect surgical outcomes. Endorphin massage therapy is a relaxation technique that aims to increase endorphin production and reduce anxiety. The purpose of this study was to determine the effect of endorphin massage therapy on the anxiety level of patients before cesarean section with spinal anesthesia at RSI Purwokerto. This study used a quasi-experimental design with a pre-test and post-test approach without a control group. The sample consisted of 30 preoperative caesarean section patients selected using purposive sampling technique. Anxiety level was measured using HARS (Hamilton Anxiety Rating Scale) questionnaire before and after endorphin massage therapy. Data analysis was performed using paired statistical tests. The results showed a decrease in the patient's anxiety level before the massage intervention of 23.23 and after the intervention of 11.90, these results indicate the average difference in anxiety scores in preoperative caesarean section mothers is 11.23. Wilcoxon statistical test showed the result (p<0.05). With the conclusion that endorphin massage therapy effectively reduces anxiety levels in patients undergoing cesarean section with spinal anesthesia. This intervention can be used as a non-pharmacological method to reduce patient anxiety before surgery. Riviera Publishing 2025-03-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/658 10.58344/ihj.v4i1.658 Indonesian Health Journal ; Vol. 4 No. 1 (2025): Indonesian Health Journal; 1-8 2963-3036 2963-3044 10.58344/ihj.v4i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/658/148 Copyright (c) 2025 Reva Ananda, Rully Annisa https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/677 2025-03-18T02:37:12Z rp:ART

AI-Powered Innovations in Digestive Surgery: Current Evidence and Future Perspectives - A Systematic Literature Napitupulu, Rudi Pandapotan Ardli, Ghaly Khaidar Ramadhani, Muhammad Rizky Dira, Neysa Ornella Sari, Andini Kartika artificial intelligence digestive surgery machine learning perioperative management Artificial Intelligence (AI) is transforming the field of digestive surgery, offering significant advancements in diagnostic accuracy, surgical precision, and perioperative management. Technologies such as machine learning (ML) and deep learning (DL) enhance surgical outcomes by identifying complex patterns in data, supporting real-time decision-making, and improving personalized patient care. This study aims to systematically evaluate the current applications, challenges, and future potential of AI-powered innovations in digestive surgery. A systematic literature review was conducted following PRISMA guidelines. The search utilized databases including Scopus, PubMed, Google Scholar, Crossref, and Web of Science. Keywords like "artificial intelligence," "machine learning," "digestive surgery," and "surgical AI" yielded 3,285 articles. After applying inclusion criteria, 23 studies published between 2020 and 2024 were selected for narrative synthesis. The review highlights AI's applications in endoscopic procedures, achieving diagnostic accuracy up to 98% for early-stage cancers. AI-driven systems enhance intraoperative precision, particularly in laparoscopic and robotic surgeries, reducing complication risks and improving outcomes. Moreover, AI-based predictive models support perioperative management by optimizing surgical planning and postoperative care, demonstrating improved efficiency and patient safety. AI is reshaping digestive surgery by enabling better diagnostics, personalized treatment, and improved surgical outcomes. Despite challenges like data quality and ethical concerns, the continued evolution of AI technologies holds promise for further advancements in surgical practices and education Riviera Publishing 2025-03-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/677 10.58344/ihj.v4i1.677 Indonesian Health Journal ; Vol. 4 No. 1 (2025): Indonesian Health Journal; 9-23 2963-3036 2963-3044 10.58344/ihj.v4i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/677/149 Copyright (c) 2025 Rudi Pandapotan Napitupulu, Ghaly Khaidar Ardli, Muhammad Rizky Ramadhani, Neysa Ornella Dira, Andini Kartika Sari https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/681 2025-06-02T02:37:44Z rp:ART

The The Efficacy of Herbal Extract on Osteoarthritis Treatment: A Meta-Analysis Pramesty Purborini, Gendis Budi Deskianditya, Resa Bahar, Yeni Septianawati, Paramita osteoarthritis boswellia serrata zingiber officinale tamarindus indica Osteoarthritis (OA) is characterized by pathology involving the entire joint, including cartilage degradation, osteophyte formation, and synovial inflammation, leading to pain, stiffness, and loss of normal joint function. Data on the incidence and prevalence of osteoarthritis in general, estimated at 302 million people worldwide. In indonesia there is an increase in cases of osteoarthritis in 2019 occurred by 153,2% in male population and 143,36% infemale population. This study aims to provide an evidence-based review of the efficacy of herbal extracts as an adjunctive or alternative therapy in the treatment of osteoarthritis. The search results were 746 studies, only 9 studies met the inclusion criteria. From the use of herbal extract combination of tamarindus indica and curcuma longa (turmeric), boswellia serrata, and zingiber officinale. The results obtained showed that the combination of curcuma longa (turmeric) and tamarindus indica showed a significant value which can be seen from the meta-analysis results of -9.72 (95% CI -15.52, -3.92) for the use of extracts for 5 days and -15.66 (95% CI -21.21, -10.11) for the use of extracts for 28-30 days, indicating that the combination of tamarindus indica and curcuma longa has potential as a long-term or short-term osteoarthritis therapy Riviera Publishing 2025-06-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/681 10.58344/ihj.v4i1.681 Indonesian Health Journal ; Vol. 4 No. 1 (2025): Indonesian Health Journal; 45 - 58 2963-3036 2963-3044 10.58344/ihj.v4i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/681/153 Copyright (c) 2025 Gendis Pramesty Purborini, Resa Budi Deskianditya, Yeni Bahar, Paramita Septianawati https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/682 2026-05-04T04:48:19Z rp:ART

Innovation of the Reproductive Health Class “Eskimo Class” on Adolescents’ Knowledge About Reproductive Health in Padang City Iffah, Uliy Fitrayeni, Fitrayeni Rachim, Dyan Permata Rahmadhini, Zikra Hayfa Syafiyyah, Nasywa Adolescents Reproductive Health Eskimo Class Introduction: Adolescence is the time between childhood and maturity, usually between the ages of 10 and 19 years. According to the Data and Information Center of the Indonesian Ministry of Health, the number of adolescents in Indonesia is estimated at around 45.35 million people, or about a quarter of the total population. In Padang City itself, the number of adolescents reached 178,402 people. The adolescent age group is at high risk for reproductive health problems including premarital sexual behavior, drugs and even HIV/AIDS. The government has paid attention to adolescent problems by establishing the Adolescent Health Care Service (PKPR) program at health centers. The results of the evaluation of the PKPR Program in 2016 in the Andalas Health Center Working Area of Padang City showed that this program had not been implemented optimally. Therefore, it is necessary to carry out innovations related to reproductive health in adolescents in the form of the establishment of a Comprehensive Reproductive Health Class (Eskimo Class). Objective: To determine the effectiveness of Eksimo Class in increasing adolescent knowledge about reproductive health. Method: The research design used was a quasi-experimental with a one group before and after design. In this research design, the sample will be given a pre-test first, then given an intervention, and a post-test in 1 group without a control group. The study was conducted in April-November 2024 in the Andalas Health Center Working Area, Padang City. Results: An average of 17.21, or about 81.9%, was the students' knowledge of reproductive health prior to receiving health education, and 18.13, or approximately 86.3%, was the students' knowledge afterwards. Conclusion: The Asymp value was derived from the statistical test.  Sig 0.051 > ?0.05 so it is concluded that there is no effect of health education on the level of adolescent knowledge about reproductive health because the average value before and after the intervention only increased by 4.4%. Riviera Publishing 2025-06-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/682 10.58344/ihj.v4i2.682 Indonesian Health Journal ; Vol. 4 No. 2 (2025): Indonesian Health Journal; 59-68 2963-3036 2963-3044 10.58344/ihj.v4i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/682/154 Copyright (c) 2025 Uliy Iffah, Fitrayeni, Dyan Permata Rachim, Zikra Rahmadhini, Nasywa Hayfa Syafiyyah https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/683 2026-05-04T04:48:19Z rp:ART

Peran Sistem Endokrin dalam Mengatur Stres dan Keseimbangan Emosi di Era Digital Siregar, Irma Sianturi, Willy Sion Nabilah, Nabilah Hutauruk, Ester Nainggolan, Marsya firdayani, Affrina Sistem endokrin stress hormon keseimbangan emosi Sistem endokrin merupakan salah satu sistem regulasi utama dalam tubuh manusia yang berperan penting dalam mengatur berbagai aktivitas fisiologis. Penelitian ini dilakukan dengan menggunakan metode studi literatur (literature review) yang disertai dengan pendekatan sintesis naratif. Proses penelitian diawali dengan pencarian awal menggunakan kata kunci terkait dengan sistem endokrin, stres, dan teknologi digital. Tinjauan literatur ini menyajikan pemahaman yang mendalam mengenai fungsi sistem endokrin dalam pengaturan respons terhadap stres serta keseimbangan emosi di era digital. Penelitian ini didasarkan pada berbagai sumber yang relevan dan terkini. Selain itu, studi ini juga menjelaskan peran esensial dari sistem endokrin, terutama hormon seperti kortisol, dopamin, serotonin, melatonin, dan oksitosin. Hormon-hormon ini berperan krusial dalam mempengaruhi respons terhadap stres dan membantu menjaga keseimbangan emosi di zaman digital yang serba cepat ini. Dengan memahami hubungan antara sistem endokrin dan keseimbangan emosi, kita dapat lebih memahami dampak teknologi terhadap kesehatan mental. Riviera Publishing 2025-12-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/683 10.58344/ihj.v4i2.683 Indonesian Health Journal ; Vol. 4 No. 2 (2025): Indonesian Health Journal; 94-100 2963-3036 2963-3044 10.58344/ihj.v4i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/683/165 Copyright (c) 2025 Irma Siregar, Willy Sion Sianturi, Nabilah Nabilah, Ester Hutauruk, Marsya Nainggolan, Affrina firdayani https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/685 2025-04-19T04:30:05Z rp:ART

Case Study: Indoor Air Quality and Respiratory Symptoms in Early Childhood in A Densely Populated Neighborhood of Region X Meilinda, Vivi indoor air quality respiratory symptoms early childhood densely populated area Indoor air quality is a critical determinant of respiratory health in early childhood, particularly in densely populated areas with poor ventilation. This case study aims to identify the relationship between household air pollution exposure and respiratory symptoms among children in Region X. Ten households were purposively selected, and direct measurements of PM2.5, carbon monoxide, and humidity were conducted alongside behavioral observation and symptom recording over a two-week period. Results indicated that indoor PM2.5 and CO levels exceeded safety thresholds, with higher frequencies of symptoms such as coughing, wheezing, and shortness of breath among children living in poorly ventilated homes. These findings suggest that unhealthy, high-density housing conditions have a direct impact on child respiratory health. The study recommends community-based interventions focusing on ventilation improvement, reduction of indoor pollution sources, and health education. The findings provide an empirical basis for the development of healthy housing programs in densely populated urban settings. Riviera Publishing 2025-04-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/685 10.58344/ihj.v4i1.685 Indonesian Health Journal ; Vol. 4 No. 1 (2025): Indonesian Health Journal; 39-45 2963-3036 2963-3044 10.58344/ihj.v4i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/685/152 Copyright (c) 2025 Vivi Meilinda https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/686 2025-04-21T08:00:02Z rp:ART

The Relationship Between Added Sugar Consumption Patterns and the Risk of Obesity Among Urban Secondary School Adolescents in Indonesia Erlingga, Syilviani This study examines the relationship between added sugar consumption patterns and the risk of obesity among urban secondary school adolescents in Indonesia. The research employed a quantitative, cross-sectional design, using a food frequency questionnaire (FFQ) and anthropometric measurements to collect data from 400 adolescents aged 12-17 years. The results revealed a high prevalence of sugary drink and snack consumption, with over 75% of participants consuming sugar-sweetened beverages at least three times a week. The study found a positive correlation between frequent sugar consumption and higher BMI values, with adolescents consuming more than 30 grams of added sugar per day being significantly more likely to be classified as overweight or obese. Socioeconomic factors played a crucial role, as lower-income adolescents consumed more sugar compared to their higher-income peers. The findings highlight the need for targeted public health interventions to reduce sugar intake and promote healthier dietary habits, particularly among lower-income urban adolescents. Schools and policymakers are encouraged to implement strategies that limit sugary food and drink availability while promoting physical activity. Riviera Publishing 2025-04-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/686 10.58344/ihj.v4i1.686 Indonesian Health Journal ; Vol. 4 No. 1 (2025): Indonesian Health Journal; 31-38 2963-3036 2963-3044 10.58344/ihj.v4i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/686/151 Copyright (c) 2025 Syilviani Erlingga https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/687 2025-04-19T09:03:01Z rp:ART

Analysis of the Influence of Health Education Through Social Media on Students' Hand Washing Behavior Sumiyati, Sumiyati Meilinda, Vivi digital health education hand washing behavior social media students preventive health promotion linear regression Handwashing behavior is a key pillar in preventing infectious diseases, but awareness and consistency were still low among students before the COVID-19 pandemic. In the digital era, social media has become a potential channel for delivering health education massively and interactively. This study aims to analyze the effect of health education exposure through social media on handwashing behavior in students and identify the relationship between knowledge levels and hygienic practices. This study used a quantitative approach with a cross-sectional analytical survey design . A sample of 385 students was selected stratified. random sampling. The research instrument was a structured online questionnaire that included variables of educational exposure, knowledge, and handwashing behavior. Data were analyzed using Pearson correlation and simple linear regression. The results showed a very strong and significant relationship between exposure to health education through social media and handwashing behavior (r = 0.995; p < 0.01). The linear regression model produced R² = 0.991, which means that educational exposure explains 99.1% of the variation in handwashing behavior. Visual platforms such as TikTok and Instagram have proven to be more effective than text-based media. This study demonstrates the importance of utilizing social media as a strategic tool in preventive health promotion among college students and encourages the design of more targeted and evidence-based digital interventions. Riviera Publishing 2025-04-24 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/687 10.58344/ihj.v4i1.687 Indonesian Health Journal ; Vol. 4 No. 1 (2025): Indonesian Health Journal; 24-30 2963-3036 2963-3044 10.58344/ihj.v4i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/687/150 Copyright (c) 2025 Sumiyati Sumiyati, Vivi Meilinda https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/726 2026-05-04T04:48:19Z rp:ART

Disseminated Herpes Zoster Subsequent to Ocular Shingles in an Immunocompetent Young Man Following Facial Trauma: A Case Report Grady, Grady Rahayu, Dewa Ayu Putu Mitha Paramitha Saraswati, Putu Dyah Ayu Herpes zoster Disseminated herpes zoster Immunocompetent Herpes zoster ophthalmicus Trauma Herpes zoster (HZ) results from the reactivation of latent varicella-zoster virus (VZV), typically triggered by aging or immunosuppression. Herpes zoster ophthalmicus (HZO) affects the ophthalmic branch of the trigeminal nerve (V1), posing a risk of ocular complications. Disseminated herpes zoster (DHZ), a rare form of HZ, is defined by ?20 vesicular lesions beyond the primary and adjacent dermatomes, potentially leading to systemic complications and increased morbidity. Case Presentation: A 36-year-old immunocompetent male presented with disseminated vesicular eruptions across the body, sparing the knees and lower legs, four days after the initial appearance of vesicles along the left ophthalmic (V1) branch of the trigeminal nerve. Notably, the patient had a history of minor trauma at the same site one week prior. A comprehensive evaluation and multidisciplinary management were undertaken, involving ophthalmologists, dermatologists, and neurologists. By the third day of treatment, his pain had significantly subsided, no new lesions had developed, and was discharged. Conclusion: DHZ can occur in immunocompetent individuals at any age, but is more common in older patients. A meticulous history and physical examination are essential, as dermatomal herpes zoster may progress to dissemination. Additionally, the potential link between recent trauma and zoster reactivation may play a contributory role, highlighting the importance of early recognition for prompt intervention.   Riviera Publishing 2025-07-02 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/726 10.58344/ihj.v4i2.726 Indonesian Health Journal ; Vol. 4 No. 2 (2025): Indonesian Health Journal; 69-75 2963-3036 2963-3044 10.58344/ihj.v4i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/726/155 Copyright (c) 2025 Grady, Dewa Ayu Putu Mitha Paramitha Rahayu, Putu Dyah Ayu Saraswati https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/741 2026-05-04T04:53:01Z rp:ART

Comprehensive Midwifery Care For Mrs. “Y” G3P2A0 Through The Use Of Perineal Massage Video To Prevent Perineal Laceration At Melong Asih Community Health Center Nabilah, Naifah Putriastuti, Widya Fatonah, Sofa Maryati, Sri Comprehensive Midwifery Care Perineal Massage Perineal Laceration Vaginal delivery is often accompanied by anatomical changes in the perineum, one of which is perineal laceration, experienced by approximately 85% of women who give birth spontaneously. This laceration can affect the mother's recovery and quality of life during the postpartum period. Perineal massage can help prevent tears by increasing the elasticity of perineal tissue, preparing it for stretching during childbirth, and reducing the risk of tears. This study aims to provide comprehensive care using perineal massage techniques from pregnancy to prevent perineal lacerations. The method used is descriptive with a case study approach, data collection through interviews and physical examinations. The study subject was Mrs. "Y" G3P2A0, who received perineal massage from 36 weeks of pregnancy until childbirth. The results showed that perineal elasticity improved from the rigid category to the elastic category after regular perineal massage for 4 weeks prior to childbirth, with a frequency of 5 times per week. During childbirth, a contraction timer was used to monitor progress. During the postpartum period, mothers complained of sore nipples and were given breastfeeding techniques. Perineal massage had a significant effect in preventing perineal lacerations with a frequency of 5 times a week for 4 weeks before delivery. Perineal massage increased tissue elasticity, improved blood circulation, and trained relaxation during labor. Success is supported by the mother's compliance and proper massage technique. This care is expected to be applied to pregnant women up to the postpartum period. Riviera Publishing 2025-09-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/741 10.58344/ihj.v4i3.741 Indonesian Health Journal ; Vol. 4 No. 3 (2025): Indonesian Health Journal; 84-94 2963-3036 2963-3044 10.58344/ihj.v4i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/741/157 Copyright (c) 2025 Naifah Nabilah, Widya Putriastuti, Sofa Fatonah, Sri Maryati https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/744 2026-05-04T04:53:01Z rp:ART

Calculating the Number of Bacterial Colonies of Escherichia Coli in the Hands of Food Vendors Around Basic Schools, Sukagumiwang District Fitriani, Hikmah Sriwiyati, Kati Fajar Islamy, Ilham Diarrhea Escherichia coli bacteria Diarrhea is still a public health problem in the Sukagumiwang sub-district area. Data of diarrhea sufferers in 2018 at the Sukagumiwang Community Health Center showed 331 patients of all ages, and there were 162 toddlers affected by diarrhea. The main factor for diarrhea is cleanliness in the processing of food consumed daily. The aim of this study is to find out the calculation of Escherichia Coli bacterial colonies in food vendors’ hands around the Elementary School Sukagumiwang sub-district area before and after using a hand sanitizer. This study is an experimental pretest-posttest group design study on the object of research by sampling using simple random sampling. The median number of Escherichia coli bacteria present in the hands of food vendors before washing their hands in elementary school Sukagumiwang sub-district was 62 CFU / cm2. The median number of Escherichia coli bacteria in the hands of food vendors after washing their hands in SD Sukagumiwang sub-district is 8 CFU / cm2. The Wilcoxon Signed Rank Test results show significant results with a value of p <0.001. There is a difference in the number of Escherichia coli bacteria before and after using a hand sanitizer on food vendors’ hands around the elementary schools in the Sukagumiwang sub-district area. Riviera Publishing 2025-09-06 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/744 10.58344/ihj.v4i3.744 Indonesian Health Journal ; Vol. 4 No. 3 (2025): Indonesian Health Journal; 76-83. 2963-3036 2963-3044 10.58344/ihj.v4i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/744/156 Copyright (c) 2025 Hikmah Fitriani, Kati Sriwiyati, Ilham Fajar Islamy https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/749 2026-05-04T04:53:01Z rp:ART

Hygroma Colli ; Sonographic Indication of Chromosomal Abnormality. a Case Report Koerslo, Hamka Zulmaeta, Zulmaeta Hygroma Colli Chromosomal Abnormalities Prenatal Ultrasound Termination Of Pregnancy Fetal Anomalies Hygroma colli is a congenital disorder in the form of cystic enlargement in the cervical region due to impaired development of the lymphatic system. This condition is often an indicator of chromosomal abnormalities, such as Turner syndrome and other aneuploidy. This case report aims to describe the process of identifying hygroma colli in a 17-week-old fetus through ultrasound examination and subsequent treatment. A 26-year-old primigravida woman was referred to the hospital for the discovery of a mass on the fetal neck through ultrasound. Follow-up examination showed the presence of symmetrical, thin, hypochic, unobstructed cystic masses in the lateral posterior region of the fetal neck with abnormalities of the pulmonary organs. Based on the findings, the pregnancy was decided to be terminated. These findings show the importance of prenatal ultrasound for early detection of hygroma colli and potential chromosomal abnormalities so that management can be planned more optimally. Riviera Publishing 2025-09-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/749 10.58344/ihj.v4i3.749 Indonesian Health Journal ; Vol. 4 No. 3 (2025): Indonesian Health Journal; 95-102 2963-3036 2963-3044 10.58344/ihj.v4i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/749/158 Copyright (c) 2025 Hamka Koerslo, Zulmaeta Zulmaeta https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/776 2026-05-04T04:48:19Z rp:ART

dyah ayu Model Sociopreneurship Inovasi Pemanfaatan TOGA menjadi Jamu Herbal Kemasan Siap Seduh di Puskesmas Poncol: Model Sociopreneurship Inovasi Pemanfaatan TOGA menjadi Jamu Herbal Kemasan Siap Seduh di Puskesmas Poncol Ayu Mustikaningsih, Dyah Sukamto, Sukamto Sociopreneurship Family Medicinal Plants Herbal Medicine Health Cadres Community Empowerment Sonnet 4.5 Tanaman Obat Keluarga (TOGA) memiliki potensi besar sebagai sumber obat herbal yang terjangkau dan berkelanjutan. Namun, pemanfaatannya oleh kader kesehatan di Puskesmas Poncol masih terbatas. Penelitian ini bertujuan untuk menganalisis penerapan pendekatan sociopreneurship dalam mengoptimalkan pemanfaatan TOGA menjadi jamu herbal dalam kemasan siap seduh. Metode penelitian menggunakan pendekatan kualitatif deskriptif dengan studi kasus di wilayah kerja Puskesmas Poncol. Data dikumpulkan melalui wawancara mendalam, observasi partisipatif, dan studi dokumentasi. Hasil penelitian menunjukkan bahwa penerapan sociopreneurship melalui pelatihan kader, pengembangan produk, dan strategi pemasaran berbasis komunitas berhasil meningkatkan keterampilan kader, menciptakan produk jamu siap seduh, serta membuka peluang ekonomi baru. Tantangan utama meliputi keterbatasan modal, akses teknologi, dan dukungan regulasi. Jenis Jamu yang dihasilkan: Kunyit Asam, Jahe Merah, Temulawak, Sirup Beras Kencur. Peningkatan pendapatan kader rata-rata sebesar 40% dalam 6 bulan, dengan rincian peningkatan dari Rp 150.000 pada bulan pertama menjadi Rp 450.000 pada bulan keenam. Peningkatan pengetahuan kader tentang TOGA dari 30% menjadi 85% setelah intervensi. Kader mampu mengidentifikasi 15 jenis TOGA dan mengolahnya menjadi produk jamu siap seduh yang memiliki nilai jual. Disimpulkan bahwa sociopreneurship dapat menjadi strategi efektif untuk memberdayakan kader dan meningkatkan pemanfaatan TOGA secara berkelanjutan. Kata kunci: Sosiopreneurship; Tanaman Obat Keluarga; Jamu Herbal; Kader Kesehatan; Pemberdayaan Masyarakat Riviera Publishing 2025-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/776 10.58344/ihj.v4i2.776 Indonesian Health Journal ; Vol. 4 No. 2 (2025): Indonesian Health Journal; 86-93 2963-3036 2963-3044 10.58344/ihj.v4i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/776/164 Copyright (c) 2025 Dyah Ayu Mustikaningsih, Sukamto Sukamto https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/779 2026-05-04T04:48:19Z rp:ART

Integrasi Nilai Sosiopreneurship Dalam Manajemen Puskesmas: Kajian Teoretis Dan Strategi Implementasi Di Puskesmas Bunguran Selatan Antena, Winggia Sukamto, Sukamto Sosiopreneurship Puskesmas Manajemen Publik Inovasi Sosial Bunguran Selatan Puskesmas sebagai institusi pelayanan kesehatan primer memiliki peran strategis dalam mewujudkan derajat kesehatan masyarakat yang optimal. Namun, tantangan yang dihadapi seperti keterbatasan sumber daya, kesenjangan akses, dan rendahnya keberlanjutan program menuntut adanya paradigma baru dalam manajemen kesehatan masyarakat. Salah satu pendekatan yang semakin relevan adalah sosiopreneurship, yakni penerapan nilai-nilai kewirausahaan sosial dalam pelayanan publik. Konsep ini menggabungkan misi sosial dengan prinsip inovasi, efisiensi, dan kolaborasi lintas sektor. Kajian teoretis yang berbasis narrative review ini menelaah integrasi nilai sosiopreneurship dalam manajemen Puskesmas, dengan studi kontekstual pada Puskesmas Bunguran Selatan, Kabupaten Natuna, yang dikenal memiliki sejumlah inovasi sosial seperti Pesona Gelas Natuna, Resi Poskilat, Kepak Santri, dan Selinah. Keempat inovasi tersebut mencerminkan praktik nyata nilai-nilai sosiopreneurship: empati sosial, kolaborasi, dan keberlanjutan dalam pelayanan kesehatan masyarakat. Melalui analisis terhadap teori kewirausahaan sosial, manajemen publik berbasis nilai sosial, dan inovasi kesehatan masyarakat, penelitian ini menemukan bahwa integrasi nilai sosiopreneurship dapat memperkuat peran Puskesmas sebagai agen perubahan sosial (social change agent). Kajian ini menghasilkan model konseptual Sociopreneurship for Public Health Transformation (SPHT) yang menekankan pada orientasi nilai sosial, tata kelola kolaboratif, inovasi berbasis pemberdayaan, serta keberlanjutan dan pengukuran dampak. Model ini menjadi temuan utama yang mendukung perumusan strategi implementasi sosiopreneurship di Puskesmas Bunguran Selatan, menjawab tuntutan judul untuk menyajikan hasil kajian teoretis yang aplikatif. Kajian ini merekomendasikan penguatan kepemimpinan sosial, kemitraan multi-sektor, serta model bisnis sosial mikro untuk memastikan keberlanjutan program kesehatan di daerah perbatasan.   Riviera Publishing 2025-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/779 10.58344/ihj.v4i2.779 Indonesian Health Journal ; Vol. 4 No. 2 (2025): Indonesian Health Journal; 76-85 2963-3036 2963-3044 10.58344/ihj.v4i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/779/163 Copyright (c) 2025 Winggia Antena, Sukamto Sukamto https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/785 2026-05-04T06:27:18Z rp:ART

Lesion Characteristics Difference and Cardiovascular Event in Drug-Coated Balloon Used for De Novo Patients Masno, Adrian Qonitah, Sarah Akbar, Kiagus Muhammad Andri Chronic Total Occlusion Left Main Bifurcation Lesions Drug-Coated Balloon Drug-Coated Balloon (DCB), a semi-compliant angioplasty balloon coated with an antiproliferative drug, is increasingly used for de novo lesions due to its “leave nothing behind” approach, which preserves vessel vasomotion and enables long-term remodeling. However, evidence for DCB in de novo lesions, especially small vessels, remains limited. This retrospective single-center cohort study analyzed 84 patients treated with DCB for de novo lesions at Mohammad Hoesin General Hospital, Indonesia (2023–2024). Lesions were grouped as Chronic Total Occlusion (CTO), Left Main (LM) disease, or bifurcation. Data from medical records and 6-month telecommunication follow-up identified major and non-major cardiovascular events. Bivariate analysis used SPSS Statistics 23 (p < 0.05 significant). CTO lesions linked significantly to cardiac arrest (20.4%, p = 0.005) but not recurrent heart attacks (9.3%, p = 0.102), bleeding (1.9%, p = 0.590), heart failure (7.4%, p = 0.164), revascularization (0%), or stroke (0%). LM disease and bifurcation lesions showed no significant associations with these events. Overall, 61.9% used biolimus agents. In conclusion, CTO lesions warrant careful selection and monitoring. Riviera Publishing 2025-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/785 10.58344/ihj.v4i4.785 Indonesian Health Journal ; Vol. 4 No. 4 (2025): Indonesian Health Journal; 124-133 2963-3036 2963-3044 10.58344/ihj.v4i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/785/162 Copyright (c) 2025 Adrian Masno, Sarah Qonitah, Kiagus Muhammad Andri Akbar https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/787 2026-05-04T06:27:18Z rp:ART

A New Strategy for Presbycusis: A Literature Review on Stem Cell Therapy for Hair Cell and Auditory Neuron Regeneration Puspanadi, Theresa auditory neurons hair cells presbycusis regeneration stem cells Presbycusis, or age-related hearing loss, is the leading cause of hearing loss among the elderly, leading to decreased quality of life and mental health issues. While existing treatments offer some benefits, they have limitations and do not address the degenerative nature of presbycusis. This literature review examines the regenerative potential of stem cell therapy and its derivatives for cochlear hair cells and auditory neurons in cases of presbycusis. A search was conducted across PubMed, ScienceDirect, and Google Scholar to identify literature published from 2020 to 2025 that studied stem cells and their derivatives for hair cell and auditory neuron regeneration in presbycusis models. Three preclinical studies using bone marrow-derived mesenchymal stem cells (MSCs) in rodent models demonstrated the regeneration of hair cells and auditory neurons, with evidence of hearing improvement. Each study employed unique MSC modifications using advanced techniques, such as gene editing and extracellular vesicle derivation, to enhance anti-inflammatory and antiapoptotic properties. Stem cell-based therapies for presbycusis show promise but remain in early developmental stages. Major challenges include optimizing delivery methods (intracochlear, intratympanic, or intravenous routes), ensuring long-term safety profiles, preventing immune rejection and tumorigenicity, establishing standardized protocols for cell preparation and dosing, and addressing high treatment costs. Further clinical and local research is essential to facilitate the implementation of this therapy in Indonesia. Riviera Publishing 2025-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/787 10.58344/ihj.v4i4.787 Indonesian Health Journal ; Vol. 4 No. 4 (2025): Indonesian Health Journal; 112-123 2963-3036 2963-3044 10.58344/ihj.v4i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/787/160 Copyright (c) 2025 Theresa Puspanadi, Paulus Sugianto, Edward Limantara, Teguh Filbert Metaputra https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/788 2026-05-04T06:27:18Z rp:ART

Case Report: Nasolabial CYST Diprasta, Made Maylisca Theresia Mulya Setiawathi , Ni Putu Nasolabial cyst sublabial approach transnasal endoscopic marsupialization diagnosis surgical excision A nasolabial cyst (NC) is a rare non-odontogenic soft tissue cyst located between the upper lip and nasal vestibule. It predominantly affects women aged 40–60 years and is more prevalent in African Americans. Though uncommon, it can cause facial asymmetry and mild to moderate nasal obstruction. Diagnosis relies on physical examination identifying a nasal base mass, supported by computed tomography (CT) and magnetic resonance imaging (MRI). In this study, a 61-year-old woman presented with one-year swelling at the right nasal base. Diagnosis was confirmed via physical exams, nasoendoscopy, and contrast-enhanced CT of the nose and paranasal sinuses. Surgical excision is the primary treatment. The sublabial approach is standard, but transnasal endoscopic marsupialization offers faster recovery and fewer complications. Selection depends on cyst size, location, and facility availability. Here, the patient underwent successful sublabial extirpation under general anesthesia. Histopathology revealed pseudostratified columnar epithelium with goblet cells, confirming the diagnosis. One-month follow-up showed complete resolution, no complications or recurrence, improved facial symmetry, and high patient satisfaction. Appropriate management enhances quality of life in cosmetic and functional domains. Riviera Publishing 2025-12-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/788 10.58344/ihj.v4i4.788 Indonesian Health Journal ; Vol. 4 No. 4 (2025): Indonesian Health Journal; 103-111 2963-3036 2963-3044 10.58344/ihj.v4i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/788/159 Copyright (c) 2025 Made Maylisca Theresia Mulya Diprasta, Ni Putu Setiawathi https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/808 2026-05-04T04:53:01Z rp:ART

Effectiveness Of Ciplukan Stem Water Extract (Physalis Minima L.) On Malondialdehyde Levels Of Mandibular Bones Of White Rats (Rattus Norvegicus) Wistar Strain Post Ovariectomy Fadhilah, Nadia Permatasari, Nur Widodorini, Trining Stem Spit; estrogen; ovaryctomy; MDA Mandibular Bone Estrogen functions as an antioxidant that can suppress free radicals. Hypoestrogenic conditions will increase oxidative stress. Periodontitis is a disease related to oxidative stress. The occurrence of oxidative stress is characterized by increased levels of malondialdehyde (MDA). Malondialdehyde is commonly used to assess oxidative stress. Phytoestrogens are components of plants that have biological activity similar to estrogen. Ciplukan plants are suspected to be phytoestrogen compounds. Based on theoretical studies, it is suspected that the ciplukan stem contains physalin, which has a similar effect to the action of estrogen. The purpose of this study was to determine the effectiveness of ciplukan stem water extract on the level of malondialdehyde of the mandibular bone in white rats of the post-wistar strain ovariectomy. Twenty-four mice were randomly divided into 6 groups with 4 mice each, namely 3 control groups and 3 treatment groups of mice given an extract dose of 500 mg/kgBB, 1,500 mg/kgBB, and 2,500 mg/kgBB for 4 weeks. MDA levels were calculated by thiobarbituric acid (TBA) test and read with a spectrophotometer, kemudian made MDA work curve. The results showed that the increase in MDA levels could be inhibited by the administration of a dose of 500 mg/kg BB, while a dose of 1500 mg/kg BB 2500 mg/kg BB could improve MDA levels close to normal. There was a strong correlation with a negative direction between the dose of ciplukan stem water extract and the MDA level of the mandibular bone (r=--0.507). The conclusion of this study is that the administration of ciplukan stem water extract can reduce the MDA level of mandibular bone in white rats of wistar strain after oophorectomy. Riviera Publishing 2025-12-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/808 10.58344/ihj.v4i3.808 Indonesian Health Journal ; Vol. 4 No. 3 (2025): Indonesian Health Journal; 112-121 2963-3036 2963-3044 10.58344/ihj.v4i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/808/167 Copyright (c) 2025 Nadia Fadhilah, Nur Permatasari, Trining Widodorini https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/809 2026-05-04T04:53:01Z rp:ART

Frequency And Duration Of Rest And Intensity Of Lighting Effect On Computer Vision Syndrome In Medical Student Of Islamic University Of Malang Ramadhani Prasetyo, Muhammad Gusti Indria, Dewi Martha Dewi, Ariani Ratri college students; break frequency; break duration; lighting intensity; CVS score In today's modern era, gadget use is integral to human activities, including higher education. Prolonged use of gadgets with inadequate breaks and unbalanced lighting intensity can lead to Computer Vision Syndrome (CVS), a range of eye, vision, and non-eye symptoms associated with gadget use. This research investigates the impact of rest frequency, duration of rest, and lighting intensity on CVS among medical students. This research was an analytical, quantitative, cross-sectional observational study, with second and third year medical students as respondents (total sampling). CVS was assessed using the Computer Vision Syndrome Questionnaire (CVS-Q), frequency and duration of rest were obtained through a questionnaire, and light intensity was measured using a lux-meter. Statistical analysis used the Chi-Square test for influence and binary logistic regression test for odds ratio. Among the 181 respondents, aged approximately 18-22 years, 48% (88 individuals) reported suffering from CVS (CVS-Q 9.65 ± 3.43). The study found that 56.35% of the respondents rested after more than 20 minutes, and 53% rested for less than 20 seconds each time. Additionally, unbalanced lighting intensity between the gadget screen and surrounding light was observed in 50.82% of the respondents (92 individuals). The Chi-square test revealed a pvalue of 0.000, indicating a significant effect of rest frequency, rest duration, and lighting intensity on the CVS-Q score. There is an influence of frequency and duration of rest and lighting intensity on increasing CVS scores. Riviera Publishing 2025-12-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/809 10.58344/ihj.v4i3.809 Indonesian Health Journal ; Vol. 4 No. 3 (2025): Indonesian Health Journal; 103-111 2963-3036 2963-3044 10.58344/ihj.v4i3 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/809/166 Copyright (c) 2025 Muhammad Gusti Ramadhani Prasetyo, Dewi Martha Indria, Ariani Ratri Dewi https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/815 2026-05-04T06:27:18Z rp:ART

Relationship Between Sociodemographic and Mental Health Problems in Indonesia’s Deaf Community Mario Warouw Lintuuran, Rivo Klein, Herbert Lesmana Wijaya, Laura Ningsih Moodoeto, Adhesatya Sophia Williams, Ana DEAF Mental health problems Anxiety or depression SRQ-20 Mental health problems are commonly occurring not just in hearing population but also in deaf community. Currently, there is no publication in Indonesia reporting on mental health problems in deaf individuals. This study aims to determine the sociodemographic characteristics, prevalence of mental problems, and relationship between sociodemographic characteristic and mental health problems in deaf community. This research used cross-sectional design with univariate and bivariate analysis. The sample population was obtained in 20 cities across Indonesia with total respondents of 604 based on inclusion criteria. The results of this study showed 401 participants (66.4%) with mental health problems (anxiety/depression) using Self Reporting Questionnaire-20 (SRQ-20). Bivariate analysis showed significant relationship between gender (p<0.05 and mental health problems while other sociodemographic factors did not. 14 out of 20 cities reported more than 50% participants with mental health problems. As conclusion, this study revealed high prevalence of mental health problems in deaf individuals, which is higher compared to normal hearing population, and age may be one factor related to deaf mental health. Riviera Publishing 2026-01-05 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/815 10.58344/ihj.v4i4.815 Indonesian Health Journal ; Vol. 4 No. 4 (2025): Indonesian Health Journal; 134-140 2963-3036 2963-3044 10.58344/ihj.v4i4 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/815/168 Copyright (c) 2025 Rivo Mario Warouw Lintuurana, Herbert Kleinb, Laura Lesmana Wijaya, Adhesatya Ningsih Moodoetod, Ana Sophia Williamse https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/829 2026-05-04T06:27:31Z rp:ART

Provincial Analysis of Years of Life Lost and Economic Impact of Heart Disease Among the Working-Age Population in Indonesia (2018-2023) Verdiana, Antokalina Sari Cerinda, Mitha Mansur, Rizal Cahyani, Fentya Yumna Heart disease Years of Life Lost (YLL) Productivity costs Heart disease is the leading cause of premature death in Indonesia, significantly impacting both health and the economy. In 2023, BPJS Kesehatan allocated IDR 23.52 trillion for heart disease treatment, the highest expenditure among all diseases. This study aims to quantify the burden of heart disease by calculating years of life lost (YLL) and productivity costs, highlighting the need for effective prevention strategies. Using BPJS Kesehatan mortality data from 2018–2023, covering 218,279 individuals, this study identified heart disease-related deaths and calculated YLL using the Burden of Disease framework and World Health Organization (WHO) life expectancy tables. The analysis focused on the working-age population (15–64 years) at national and provincial levels, linking YLL data to provincial minimum wages, with a gender-based analysis. Significant variations in productivity losses due to heart disease were found across provinces. Central Java had the highest loss (IDR 9.39 trillion), followed by East Java (IDR 9.20 trillion). Jakarta, with the highest minimum wage, had a comparatively smaller loss (IDR 7.92 trillion). Males accounted for 65% of productivity losses. These findings underscore the need for targeted health interventions to reduce YLL and mitigate economic burdens through early detection, improved healthcare access, and public health campaigns. Riviera Publishing 2026-03-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/829 10.58344/ihj.v5i1.829 Indonesian Health Journal ; Vol. 5 No. 1 (2026): Indonesian Health Journal; 141-147 2963-3036 2963-3044 10.58344/ihj.v5i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/829/169 Copyright (c) 2026 Antokalina Sari Verdiana, Mitha Cerinda, Rizal Mansur, Fentya Yumna Cahyani https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/831 2026-05-04T06:27:31Z rp:ART

Comparative Effectiveness Of Ramipril Versus Losartan In Adults With Primary Hypertension: A Scoping Review Ngurah Pradnya Wibawa, Putu Putu Lia Juliantini, Ni Luh Putu Serly Ekayanti, Ni Hypertension Adult Losartan Ramipril Sistolic blood pressure Diastolic blood pressure Hypertension remains one of the leading global risk factors for cardiovascular morbidity and mortality. Despite the availability of multiple antihypertensive drug classes, achieving optimal blood pressure control continues to be a major clinical challenge worldwide. This research aims to compare the efficacy of Ramipril and Losartan in the management of Primary Hypertension. This scoping review analyzed articles published between January 2006 and January 2026 from PubMed, ScienceDirect, OpenAlex, and DOAJ. Inclusion criteria included English-language observational studies addressing the efficacy of both antihypertensives. Four articles were selected after a rigorous screening process. Ramipril was more effective in reducing SBP and DBP, whereas Losartan was superior for EF and LV remodeling. Ramipril also increased GSH and total antioxidant status, while Losartan was more effective for metabolic and vascular remodeling biomarkers. Ramipril is commonly associated with adverse effects such as cough, whereas dizziness is more frequently reported with Losartan. Losartan has been shown to be more effective in hypertensive patients with left ventricular hypertrophy (LVH) and may also contribute to improvements in insulin resistance. Further head-to-head comparison studies are needed to guide optimal therapy. Riviera Publishing 2026-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/831 10.58344/ihj.v5i1.831 Indonesian Health Journal ; Vol. 5 No. 1 (2026): Indonesian Health Journal; 148-153 2963-3036 2963-3044 10.58344/ihj.v5i1 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/831/170 Copyright (c) 2026 Putu Ngurah Pradnya Wibawa, Ni Putu Lia Juliantini, Ni Luh Putu Serly Ekayanti https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/850 2026-06-09T03:00:13Z rp:ART

Dizziness and Cognitive Impairment in Parkinson's Disease Among HIV Patients: Case Report Fikriyah, Lathifatul Basja , Agnes Triana Mashitah, Safitri Indah HIV/AIDS dementia parkinson HIV-associated dementia Parkinsonism affects approximately 5% of individuals with HIV and represents the most common movement disorder in this population. It often coexists with HIV-associated neurocognitive disorder (HAND), opportunistic infections, or neuroleptic use. Accurate diagnosis of HIV-associated dementia (HAD) is crucial, as it is an AIDS-defining condition that may be reversible with antiretroviral therapy (ART).  This case report aims to describe a patient with HIV who presented with dizziness, progressive cognitive decline, and parkinsonian features, highlighting the diagnostic challenges and the role of ART in management.  A 41-year-old male with known HIV infection presented with progressive memory loss, dizziness, postural instability, bradykinesia, and intention tremors over several months. Neurological examination revealed cognitive impairment (MMSE 22/30) and parkinsonism (UPDRS-III 76/108). Brain MRI showed cerebral atrophy, white matter changes, and an abnormal “swallow tail” sign bilaterally in the substantia nigra, suggestive of Parkinson’s disease. Laboratory tests demonstrated adequate systemic viral suppression (CD4 302 cells/µL).  The patient was diagnosed with HIV-associated dementia and Parkinson’s disease. His ART regimen was modified to enhance CNS penetration (zidovudine, lamivudine, dolutegravir). At two-month follow-up, he showed significant improvement in cognitive function and reduced dizziness, enabling return to work and daily activities. HIV-associated neurocognitive disorder and parkinsonism can occur even with well-controlled systemic HIV infection. A high index of suspicion, comprehensive neuropsychological and neuroimaging assessment, and individualized CNS-targeted ART are essential for optimal outcome. Riviera Publishing 2026-06-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/850 10.58344/ihj.v5i2.850 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 179-185 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/850/173 Copyright (c) 2026 Lathifatul Fikriyah, Agnes Triana Basja , Safitri Indah Mashitah https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/853 2026-06-09T03:00:13Z rp:ART

Low-Pressure Cardiac Tamponade: A Systematic Review of Diagnostic Criteria, Hemodynamic Profiles, and Management Challenges Maulana Yusup, Adam Echocardiography Fluid Resuscitation Hemodynamics Low-Pressure Cardiac Tamponade Pericardial Decompression Syndrome Pericardial Effusion Point-of-Care Ultrasound (POCUS) Low-Pressure Cardiac Tamponade (LPCT) is a deceptive subset of pericardial compressive syndromes characterized by tamponade physiology occurring at normal or low intracardiac pressures, primarily due to underlying hypovolemia. The absence of classical signs, such as jugular venous distension and pulsus paradoxus, frequently leads to misdiagnosis and mortality. This review aims to synthesize diagnostic criteria, hemodynamic profiles, and evidence-based management strategies for LPCT. A systematic review was conducted following PRISMA 2020 guidelines. Electronic databases (PubMed, Scopus, Embase) were searched through December 2025. Eighteen studies meeting specific hemodynamic criteria for LPCT and subacute presentations were included. Data regarding demographics, echocardiographic findings, and response to volume expansion were synthesized qualitatively. Analysis indicates that LPCT predominantly affects patients with malignancy, renal failure, or chronic inflammation. Hemodynamically, equilibration of diastolic pressures occurs at <12 mmHg due to critical preload reduction. The most consistent diagnostic profile identified is echocardiographic right atrial/ventricular collapse coexisting with a non-plethoric, collapsing inferior vena cava. Physical examination markers, including Beck’s triad, were unreliable. LPCT represents a "pre-tamponade" state masked by hypovolemia. Reliance on physical examination is insufficient; Point-of-Care Ultrasound (POCUS) is mandatory for diagnosis. We recommend a management algorithm centering on a "fluid challenge" (500–1000 mL) to unmask occult tamponade physiology and optimize preload prior to pericardiocentesis, thereby mitigating the risk of Pericardial Decompression Syndrome. Riviera Publishing 2026-06-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/853 10.58344/ihj.v5i2.853 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 197-211 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/853/175 Copyright (c) 2026 Adam Maulana Yusup https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/857 2026-06-09T03:00:13Z rp:ART

An Overview of Occupational Health Protection in the Informal Sector Among Female Traditional Textile Artisans in Karangasem, Bali Saputra, Adi Trisnandari Widyaratri , Komang Wulan Wulan Noviyanti , Ni Putu Ayu OHS Protection Weavers Informal Workers Work Environment Insurance Ownership Female workers in the informal sector, such as traditional weavers, are vulnerable to occupational health and safety risks due to the lack of implementation of occupational health and safety (OHS), unsuitable working environments, and limited access to social security. Weak regulations and low participation of BPJS employment insurance have exacerbate this situation, so requiring a special attention to improve occupational health protection in the informal sector. This study aims to describe occupational health protection in the informal sector of traditional weavers in Karangasem, Bali. This was a descriptive study with a quantitative research method that involving 65 samples that selected by accidental sampling. The result showed that OSH aspects have not been optimally implemented, as evidenced by the lack of occupational safety and health training, the use of PPE, and noisy and non-ergonomic work environments.  In addition, social protection is still lacking, as indicated by the low enrollment in BPJS employment insurance and insufficient concern for occupational health at the workplace. This study concludes that occupational health protection among the informal sector for female traditional weavers in Karangasem, Bali is still low, so that making the workers more vulnerable to occupational accidents and diseases. Therefore, it is recommended that workers be more proactive in understanding occupational risks and the importance of social protection. The owner, the government, and the agency of BPJS employment insurance need to collaborate in implementing OSH and expanding social security coverage for the informal workers. Riviera Publishing 2026-06-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/857 10.58344/ihj.v5i2.857 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 255-270 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/857/180 Copyright (c) 2026 Adi Saputra, Komang Wulan Trisnandari Widyaratri , Ni Putu Ayu Wulan Noviyanti https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/859 2026-06-09T03:00:13Z rp:ART

Factors Associated with Medical Waste Management at Haji Saeful Anwar General Hospital in Pagaden, Subang Regency, in 2026 Muslimin Hikhmat, Rokhmatul Rustendi, Teten Muhidin Agung Nugraha, Warsa Management Waste Clinical Sanitation The results of a preliminary study conducted on February 20, 2026, in the field, including observations and interviews with the sanitation department, revealed dissatisfaction among nurses and sanitation staff regarding medical waste management at Haji Saeful Anwar Pagaden General Hospital, Subang Regency. The purpose of this study was to determine factors related to medical waste management at Haji Saeful Anwar Pagaden General Hospital, Subang Regency, in 2026. The study used a descriptive analytical method with a cross-sectional design. The population in this study consisted of all 74 nurses and sanitation staff at Haji Saeful Anwar Pagaden General Hospital, Subang Regency. The sampling technique employed was total sampling, using bivariate and univariate analysis of the independent and dependent variables, with a questionnaire as the data collection instrument. The results of the study showed that of the 74 respondents, the majority (58 respondents, 78.4%) had good knowledge of medical waste management; the majority (69 respondents, 72.2%) had good attitudes toward medical waste management; the majority (65 respondents, 87.8%) had good infrastructure for medical waste management; the majority (65 respondents) implemented the rules properly for medical waste management; and the majority (55 respondents) had good supervision of medical waste management. Statistically, the relationship between the variables of medical waste management factors and medical waste management implementation showed a significant association, with a Chi-Square test result of 10.503 and ? < 0.05, yielding a P-value of 0.00. Riviera Publishing 2026-06-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/859 10.58344/ihj.v5i2.859 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 349-362 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/859/189 Copyright (c) 2026 Muslimin, Rokhmatul Hikhmat, Teten Rustendi, Muhidin, Warsa Agung Nugraha https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/860 2026-06-09T03:00:13Z rp:ART

Clinical Spectrum of Adult Henoch-Schönlein Purpura: Diagnostic Challenges and Long-Term Prognostic Considerations Padmawijaya, Gede Suardamana , Ketut Henoch-Schönlein Purpura IgA Vasculitis Diagnosis Initial Management Immunoglobulin A vasculitis (IgAV) or Henoch–Schönlein purpura (HSP) is an immune complex-mediated systemic vasculitis that primarily affects small blood vessels in the skin, joints, gastrointestinal tract, and kidneys. Although more common in children, IgAV in adults tends to present with more severe symptoms and a higher risk of long-term kidney disease. IgAV is diagnosed based on clinical and histopathological criteria, with emphasis on non-thrombocytopenic palpable purpura, arthralgia/arthritis, abdominal pain, and/or kidney involvement, along with findings of leucocytoclastic vasculitis with IgA deposition on biopsy. Case Illustration: This case report describes a 20-year-old woman with palpable purpura on the lower legs and hands, arthralgia, a history of prior sore throat, and bronchial asthma with markedly elevated IgE. Laboratory findings showed elevated ESR and CRP; urinalysis was negative; skin biopsy revealed leucocytoclastic vasculitis. The patient was taking hormonal medication, methylprednisolone, and loratadine. This case demonstrates a typical presentation of IgAV in young adults, supported by a history of previous upper respiratory tract infection and atopic predisposition (bronchial asthma with high IgE). Clinical manifestations of palpable purpura on the extremities and arthralgia are highly consistent with IgAV. The leucocytoclastic vasculitis findings on skin biopsy are highly suggestive, although confirmation of IgA deposition remains ideal for definitive diagnosis. Management with corticosteroids and antihistamines aims to alleviate skin and joint inflammation. Long-term prognosis depends on close monitoring for potential development of IgAV nephritis. Riviera Publishing 2026-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/860 10.58344/ihj.v5i2.860 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 313-327 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/860/186 Copyright (c) 2026 Gede Padmawijaya, Ketut Suardamana https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/861 2026-06-09T03:00:13Z rp:ART

Conjunctival Inclusion Cyst Following Closed-Globe Blunt Ocular Trauma: A Rare Complication with Spontaneous Resolution - A Case Report Rahadisiwi, Sekar Widyastuti , Damaryati conjunctival inclusion cyst closed globe injury blunt ocular trauma traumatic hyphema corticosteroid subconjunctival haemorrhage Secondary conjunctival inclusion cyst is most commonly caused by ocular surgery, inflammation, and penetrating trauma. Its occurrence following closed globe blunt injury remains rarely reported. This case report aims to describe a rare presentation of a secondary conjunctival inclusion cyst developing after closed-globe blunt trauma and its successful non?surgical management with corticosteroids. A 75-year-old female on antiplatelet therapy presented with blurred vision following blunt ocular trauma from a bicycle handlebar. Examination revealed grade I traumatic hyphema, severe subconjunctival haemorrhage, and intraocular pressure of 7.6 mmHg with a negative Seidel test. Two weeks later, a 9 × 6 mm translucent cystic nodule appeared at the superior bulbar conjunctiva. Secondary conjunctival inclusion cyst was diagnosed based on clinical morphology and temporal relationship to the trauma. Complete resolution of the cyst was achieved with systemic and topical corticosteroids alone, without surgical intervention.  Conjunctival inclusion cyst is a rare but possible complication of closed-globe blunt trauma. In the early post-traumatic inflammatory phase, a trial of corticosteroid therapy may represent an effective non-surgical first-line option.. Riviera Publishing 2026-06-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/861 10.58344/ihj.v5i2.861 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 186-196 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/861/174 Copyright (c) 2026 Sekar Rahadisiwi, Damaryati Widyastuti https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/866 2026-06-09T03:00:13Z rp:ART

The Effect of Perceived Usefulness, Trust, and Digital Literacy on Acceptance of Clinical Decision Support Systems Among Healthcare Workers David Tamara, Filipo Acceptance Clinical Decision Support Systems Digital Literacy Perceived Usefulness Trust Clinical Decision Support Systems (CDSS) are increasingly used to support clinical reasoning, patient management, and healthcare quality. However, their successful implementation depends not only on technical performance but also on acceptance among healthcare workers. This study aimed to analyze the effect of perceived usefulness, trust, and digital literacy on the acceptance of CDSS among healthcare workers. A quantitative analytical study with a cross-sectional design was conducted among healthcare workers involved in clinical services, including physicians, nurses, and midwives. Data were collected using a structured questionnaire measuring perceived usefulness, trust, digital literacy, and CDSS acceptance. The data were analyzed using univariate analysis and bivariate analysis with Fisher’s Exact Test and odds ratio estimation. The findings showed that most respondents had good perceived usefulness, good digital literacy, and good acceptance of CDSS, while trust was also generally positive but had a larger moderate proportion compared with other variables. Perceived usefulness significantly influenced CDSS acceptance, with respondents who perceived CDSS as useful being more likely to show good acceptance. Trust was also significantly associated with acceptance, as all respondents with good trust demonstrated good acceptance of CDSS. Digital literacy significantly influenced acceptance as well, indicating that healthcare workers with stronger digital capability were more prepared to accept CDSS in clinical practice. These findings suggest that improving CDSS acceptance requires clear practical benefits, reliable and transparent system performance, and adequate digital readiness supported by training and technical assistance. Riviera Publishing 2026-06-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/866 10.58344/ihj.v5i2.866 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 154-167 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/866/171 Copyright (c) 2026 Filipo David Tamara https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/868 2026-06-09T03:00:13Z rp:ART

Understanding Antecedents of Missed Nurse Care in Pediatric Ward Towards Nurse Outcome: A Descriptive Study in Indonesia Amadea Widjaja, Marcella Antonio, Ferdi Self-efficacy collective efficacy resilience empathy patient safety This research aims to examine the relationship between empowering leadership, performance-based evaluation, and resilience on nurse outcomes through self-efficacy, teamwork efficacy, and missed nursing care in paediatric wards, with the moderating role of cognitive empathy. This descriptive research was conducted during October 2024, utilising self-reported questionnaires. The research included 180 paediatric ward nurses, each with at least one year of working experience in paediatric wards where children were admitted. These nurses were selected from four private hospitals in one of the most populous provinces in Indonesia, West Java. The proposed model was tested using partial least squares structural equation modelling. The findings indicate that resilience, empowering leadership, and performance-based evaluation are significantly associated (p < 0.05; 95% CI) with paediatric nurses' outcomes from the nurses' perspective, mediated by nursing profession self-efficacy, nursing teamwork efficacy, and missed nursing care. As a moderating variable, cognitive empathy demonstrated a significant moderating role in the relationship between self-efficacy and missed nursing care (? = ?0.218) but was not significant for teamwork efficacy (? = 0.143). The proposed model demonstrated adequate prediction of paediatric nurse outcomes as the dependent variable (R² = 0.453). This research highlighted the importance of leadership styles that empower paediatric nurses, resilience-building programmes, and initiatives that enhance individual and team efficacy to mitigate missed nursing care in the paediatric ward. Hospital managers should prioritise strategies to improve leadership, resilience, and teamwork to enhance paediatric patient safety, care quality, and paediatric nurse well-being in hospital settings. Riviera Publishing 2026-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/868 10.58344/ihj.v5i2.868 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 296-304 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/868/184 Copyright (c) 2026 Marcella Amadea Widjaja, Ferdi Antonio https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/872 2026-06-09T03:00:13Z rp:ART

Atypical Presentation of Thyrotoxic Periodic Paralysis Without Overt Hyperthyroid Symptoms: A Case Report Satria Wibawa, I Made Suastika Ardanayasa, I Gede Risnawan thyrotoxic periodic paralysis hyperthyroidism hypokalemia muscle weakness Thyrotoxic Periodic Paralysis is a rare complication of hyperthyroidism characterised by acute muscle weakness due to hypokalemia. This condition is more commonly reported in Asian populations and may be overlooked when classic symptoms of hyperthyroidism are absent, potentially leading to recurrence and serious complications. A 40-year-old man presented with sudden weakness of all four extremities following consumption of a high-carbohydrate meal. The patient did not exhibit typical symptoms of hyperthyroidism. Laboratory evaluation revealed severe hypokalemia with elevated FT? levels and markedly suppressed TSH. The patient was treated with intravenous and oral potassium replacement, along with methimazole and propranolol. Muscle strength improved within 24 hours and recovered completely by the third day of hospitalisation. Thyrotoxic Periodic Paralysis occurs due to an intracellular shift of potassium mediated by increased Na?/K?-ATPase activity in the setting of thyrotoxicosis. Attacks are often triggered by high-carbohydrate intake or physical exertion. Diagnosis can be challenging in patients without overt hyperthyroid manifestations; therefore, thyroid function testing is essential in cases of acute hypokalaemic paralysis. Management includes careful potassium correction and control of thyrotoxicosis to prevent recurrence. Thyrotoxic Periodic Paralysis should be considered in any patient presenting with acute weakness accompanied by hypokalemia, even in the absence of classic hyperthyroid symptoms. Prompt treatment and adequate control of thyrotoxicosis are associated with favourable clinical outcomes. Riviera Publishing 2026-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/872 10.58344/ihj.v5i2.872 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 328-333 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/872/187 Copyright (c) 2026 I Made Satria Wibawa, I Gede Risnawan Suastika Ardanayasa https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/875 2026-06-09T03:00:13Z rp:ART

Factors Influencing the Occurrence of Ispa Disease in Excavation C Workers in the Work Area of the Gonengganti Health Center Fitriana, Fitriana Budiman, Budiman Hamidah, Hamidah ISPA dust exposure PPE duration of exposure smoking history C mining workers This study aims to analyze the factors that affect the incidence of ISPA (Infeksi Saluran Pernafasan Atas) in excavation C workers in the working area of the Gonengganti Health Center, Donggala Regency. This study is a quantitative research with a cross-sectional design. The research population is all excavation C workers in the working area of the Gonengganti Health Center, with a total sample of 83 people taken using the total sampling technique. Data were collected through a structured questionnaire that included dust exposure levels, PPE use, duration of dust exposure, and smoking history. Data analysis was carried out univariately, bivariately using chi-square test, and multivariately using logistic regression. The results of the bivariate analysis showed that dust exposure level, PPE use, dust exposure duration, and smoking history had a significant relationship with the incidence of ISPA in excavation C workers (p < 0.05). Multivariate analysis showed that dust exposure level and PPE use were the most dominant factors associated with ISPA incidence, with odds ratio (OR) values > 1, indicating that workers with high dust exposure and not using PPE consistently have a greater risk of experiencing ISPA than other workers. The conclusion of this study shows that the incidence of ISPA in C excavation workers is influenced by work environment factors and worker behavior. Therefore, efforts are needed to control dust exposure, increase compliance with PPE use, regulate work duration, and provide education on the dangers of smoking as preventive measures to reduce the risk of ISPA in excavation C workers. Riviera Publishing 2026-06-15 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/875 10.58344/ihj.v5i2.875 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 238-254 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/875/179 Copyright (c) 2026 Fitriana Fitriana, Budiman Budiman, Hamidah Hamidah https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/876 2026-06-09T03:00:13Z rp:ART

Short-Course versus Standard-Course Antibiotic Therapy for Pneumonia in Adult: A Systematic Review Devi Yulian, Ni Wayan Wibawa , I Made Satria pneumonia anti-bacterial agents drug administration schedule treatment outcome adult Pneumonia remains a significant cause of morbidity and mortality among adults worldwide, with substantial impacts on healthcare utilization and costs. Despite advancements in vaccines, diagnostics, and antimicrobial therapy, optimizing antibiotic duration remains a clinical challenge. Traditional regimens typically span 7–14 days, but prolonged therapy contributes to antimicrobial resistance, adverse events, and higher healthcare expenses. This study aims to evaluate the effectiveness and safety of short-course (?7 days) versus standard-course (?7 days) antibiotic therapy in adult patients with pneumonia. A systematic review was conducted following PRISMA guidelines, including randomized controlled trials and observational studies published between 2016 and 2026. Data on clinical cure, mortality, recurrence, hospital length of stay, and adverse events were extracted and analyzed. Results from seven studies involving 5,467 patients indicate that short-course therapy is generally non-inferior to standard-course therapy in terms of clinical cure and mortality, particularly among patients achieving early clinical stability. Recurrence rates were comparable, while some studies demonstrated reduced hospital stay and fewer antibiotic-related adverse events in short-course groups. These findings support individualized treatment durations guided by clinical response rather than fixed periods. In conclusion, short-course antibiotic therapy is an effective and safe strategy for appropriately selected adult patients with pneumonia, offering potential benefits for patient outcomes, antimicrobial stewardship, and healthcare resource optimization. Riviera Publishing 2026-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/876 10.58344/ihj.v5i2.876 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 278-289 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/876/182 Copyright (c) 2026 Ni Wayan Devi Yulian, I Made Satria Wibawa https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/878 2026-06-09T03:00:13Z rp:ART

Association of Brinkman Index with Airflow Limitation in Active Smokers Using Portable Spirometry at Saketa Primary Health Care Center Thessalonica Nata, Alicia Susaniwati, Susaniwati FEV1 Spirometry Brinkman Index Tobacco-related diseases account for more than seven million deaths globally each year. In Indonesia, approximately 295,043 deaths in 2025 were attributed to tobacco use. Identifying reliable parameters for early detection of pulmonary impairment in smokers, particularly those who are still asymptomatic, is therefore essential. This research aimed to evaluate the association between Brinkman Index score and FEV?% predicted (measured using portable spirometry) among active smokers at Saketa Primary Health Care Center. This cross-sectional study included 40 male active smokers aged ?35 years at Saketa Primary Health Care Center, South Halmahera, selected using a consecutive sampling method. The Brinkman Index score was used as the independent variable, while FEV?% predicted, measured using portable spirometry according to American Thoracic Society standards, was the dependent variable. Data were analysed using Spearman's correlation test. The mean smoking duration was 29.83 ± 8.85 years, with an average cigarette consumption of 17.50 ± 6.88 cigarettes per day. The mean FEV?% predicted was 74.90 ± 5.91%. Analysis using Spearman's correlation showed a strong negative association between Brinkman Index score and FEV?% predicted, which was statistically significant (r = ?0.771; p < 0.001). Scatter plot analysis showed a coefficient of determination of R² = 0.610, indicating that higher Brinkman Index score values were associated with lower FEV?% predicted values among active smokers. Riviera Publishing 2026-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/878 10.58344/ihj.v5i2.878 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 305-312 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/878/185 Copyright (c) 2026 Alicia Thessalonica Nata, Susaniwati Susaniwati https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/879 2026-06-09T03:00:13Z rp:ART

Screening and Education on Obesity at the Siko Community Health Center in Ternate City Dahad Prihanto, Eko Sudarmo Adawiyah Sidi Umar, Rabiatul Ayunda Purnawan, Asilia obesity central obesity screening education Obesity is a serious global health problem with increasing prevalence, posing risks of metabolic complications such as diabetes mellitus, hypertension, and cardiovascular disease. Delayed diagnosis and lack of public knowledge are common challenges in obesity management. This community service initiative aims to perform early screening for obesity and central obesity among outpatients at the Siko Community Health Center in Ternate City, followed by educational guidance to achieve optimal treatment outcomes and prevent complications. Screening for obesity and central obesity was conducted among 50 outpatients, followed by personalized education using informational leaflets. The results showed that 26 participants (52%) had obesity, and 29 (58%) had central obesity. Metabolic comorbidities associated with obesity were found in 44% of cases, with hypertension being the most prevalent (26%). In conclusion, this community service activity revealed high prevalence rates of obesity and central obesity, and education on obesity management was successfully provided to all participants. Riviera Publishing 2026-06-18 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/879 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 290-295 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/879/183 Copyright (c) 2026 Eko Sudarmo Dahad Prihanto, Rabiatul Adawiyah Sidi Umar, Asilia Ayunda Purnawan https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/882 2026-06-09T03:00:13Z rp:ART

Analysis of Actual Costs and INA-CBG Rates for Breast Cancer Care in Indonesian Hospitals: A Narrative Review Nasiha, Hanum Purnamawati , Dewi Breast cancer INA-CBGs Real Cost Cost Disparity National Health Insurance Breast cancer is a global health challenge and a significant economic burden in Indonesia, given its high prevalence among women. This study aims to evaluate the gap between actual medical costs and INA-CBGs rates in breast cancer management to formulate policy recommendations for the sustainability of oncology services. The research was conducted through a narrative review of literature published in 2022–2026 from the Scopus, ProQuest, and Dimensions databases. The review of three selected articles confirmed the existence of a substantial disparity in costs, characterized by a consistent negative difference between actual hospital costs and JKN claim rates. The findings show that the largest cost component comes from cytostatic drugs at 62–69%, while radiotherapy services are reimbursed at only about 59–87% of actual costs. This discrepancy is further exacerbated by medical inflation and the increasing complexity of managing advanced cases. In conclusion, structural cost discrepancies threaten the financial stability of hospitals, necessitating a periodic revision of rates based on activity-based costing and the implementation of a carve-out policy for high-value oncology drugs to ensure sustainable service accessibility. Riviera Publishing 2026-06-23 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/882 10.58344/ihj.v5i2.882 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 386-395 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/882/192 Copyright (c) 2026 Hanum Nasiha, Dewi Purnamawati https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/883 2026-06-09T03:00:13Z rp:ART

Characteristics of Genetic Susceptibility in Lung Cancer Patients in North Sumatra Population, Indonesia Anwar, Putri Aulia Soeroso, Noni Novisari Tarigan, Setia Putra Eyanoer, Putri Chairani lung cancer genetic susceptibility family history risk factors prevention Lung cancer remains a major global health problem and the leading cause of cancer-related mortality worldwide. Although smoking and environmental exposure are the dominant risk factors, genetic susceptibility and family history may also contribute to lung cancer development, particularly among individuals with inherited cancer predisposition. This study aimed to describe the characteristics of genetic susceptibility among lung cancer patients in the North Sumatra population, Indonesia, with emphasis on family history of lung cancer and other cancers. A descriptive observational design was employed, conducted from August to November 2024 at Adam Malik Hospital, Universitas Sumatera Utara Hospital, and Santa Elisabeth Hospital. A total of 240 patients with histopathologically confirmed small-cell lung cancer and non-small-cell lung cancer were included through consecutive sampling. Data were collected from medical records, including sociodemographic characteristics, clinical information, and family cancer history, and were analyzed descriptively using IBM SPSS version 26. The results showed that patients had a mean age of 59.12 ± 13.22 years, were predominantly male, and were mostly of Batak ethnicity. Regarding familial susceptibility, 5.4% had a family history of lung cancer, 34.2% had a family history of other cancers, and 60.4% had no family history of cancer. These findings indicate that family history should be considered in lung cancer risk assessment. Integrating familial cancer evaluation into routine clinical practice may support early screening, prevention, and personalized intervention strategies. Riviera Publishing 2026-06-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/883 10.58344/ihj.v5i2.883 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 212-220 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/883/176 Copyright (c) 2026 Putri Aulia Anwar, Noni Novisari Soeroso, Setia Putra Tarigan, Putri Chairani Eyanoer https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/886 2026-06-09T03:00:13Z rp:ART

Effectiveness of Phosphodiesterase Type 5 Inhibitors for Erectile Dysfunction After Radical Prostatectomy: A Systematic Review Natsir, Maulfi PDE5 inhibitors Erectile dysfunction Radical prostatectomy Penile rehabilitation Sildenafil Tadalafil Erectile dysfunction (ED) is one of the most frequent complications following radical prostatectomy, with substantial implications for quality of life, psychological well-being, and interpersonal relationships. The pathophysiology involves a combination of cavernous nerve injury, vascular insufficiency, and structural alterations such as corporal fibrosis. Phosphodiesterase type 5 inhibitors (PDE5i) are recommended as first-line therapy; however, their effectiveness in post-prostatectomy ED remains variable and influenced by multiple clinical factors. The objective to systematically evaluate the effectiveness of PDE5 inhibitors in improving erectile function in patients with ED following radical prostatectomy. This systematic review was conducted in accordance with PRISMA guidelines. Literature searches were performed in PubMed, Scopus, and Google Scholar for studies published between 2017 and 2025. Randomized controlled trials and observational studies evaluating PDE5 inhibitors (sildenafil, tadalafil, vardenafil) in post-prostatectomy ED were included. Primary outcomes were erectile function scores (International Index of Erectile Function/IIEF) and recovery rates. The results twenty studies met inclusion criteria. PDE5 inhibitors demonstrated consistent improvement in erectile function scores across most studies (1–3). However, treatment outcomes varied significantly depending on nerve-sparing status, baseline erectile function, patient comorbidities, and timing of therapy initiation (4–7). Early initiation as part of penile rehabilitation showed potential benefits in preserving erectile function, although findings were not uniform (6,8). PDE5 inhibitors are effective in improving erectile function after radical prostatectomy, but their effectiveness is influenced by multiple interacting factors. A personalized and multimodal treatment approach is essential to optimize outcomes Riviera Publishing 2026-06-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/886 10.58344/ihj.v5i2.886 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 271-277 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/886/181 Copyright (c) 2026 Maulfi Natsir https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/888 2026-06-09T03:00:13Z rp:ART

Characteristics of Tumor Marker on Mediastinal Tumors Pratiwi, Novpiodita Putra Tarigan, Setia Novisari Soeroso, Novi Chairani Eyanoer , Putri Mediastinal tumors Tumor markers LDH AFP HCG Mediastinal tumors are rare thoracic malignancies that pose diagnostic and therapeutic challenges due to their anatomical proximity to vital organs and diverse histopathological features. Early detection and accurate characterization are essential for effective management. This study aimed to describe the characteristics of tumor markers and their diagnostic relevance in patients with mediastinal tumors treated at Adam Malik General Hospital, Medan, Indonesia. A descriptive observational study using a case series design was conducted on 43 patients diagnosed with histopathologically confirmed mediastinal tumors from 2020 to 2024. Data on demographics, tumor histopathology, tumor location, and tumor marker levels (LDH, AFP, B-HCG, and CEA) were collected from medical records. Statistical analysis was performed using SPSS 26.0, with categorical variables expressed as frequencies and percentages, and numerical variables as mean ± standard deviation. The results indicated that the majority of patients were male (76.7%), with a mean age of 40.7 ± 15.5 years. Lymphoma (39.5%) and thymoma (37.2%) were the most common tumor types, predominantly located in the anterior mediastinum (76.7%). LDH was elevated in 76.7% of cases, particularly in germ cell tumors and lymphomas, while AFP and B-HCG elevations were mainly observed in germ cell tumors. CEA had limited diagnostic utility. The study concludes that integrating clinical, histopathological, and tumor marker data enhances diagnostic accuracy, and that LDH, AFP, and B-HCG serve as valuable supportive biomarkers for mediastinal tumor evaluation. Riviera Publishing 2026-06-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/888 10.58344/ihj.v5i2.888 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 221-229 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/888/177 Copyright (c) 2026 Novpiodita Pratiwi, Setia Putra Tarigan, Novi Novisari Soeroso, Putri Chairani Eyanoer https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/889 2026-06-09T03:00:13Z rp:ART

The Effects of Hypoxia in Patients with Atrial Septal Defect (ASD) and Eisenmenger Syndrome: A Case Report Rachmasari, Dyah Nurlisa Artiko, Elok Rahim, Abd. atrial septal defect Eisenmenger syndrome hypoxia pulmonary arterial hypertension case report Background: Atrial septal defect (ASD) is a congenital heart disease characterized by an opening in the interatrial septum, allowing abnormal blood flow between the atria. In untreated cases, long-standing left-to-right shunting may progress to pulmonary arterial hypertension and eventually Eisenmenger syndrome, a severe condition associated with chronic hypoxemia, cyanosis, secondary erythrocytosis, and multiorgan complications. Case Presentation: A 46-year-old female patient was referred to Kudungga Regional Hospital with intermittent shortness of breath that worsened over four days, bluish discoloration of the fingers and toes, chest pain, palpitations, tremors, edema, and productive cough. Physical examination revealed cyanosis, clubbing fingers, periorbital edema, oxygen saturation of 74%, cardiomegaly, systolic murmur, and pulmonary rales. Supporting examinations showed biatrial enlargement and right ventricular dilation on electrocardiography, cardiomegaly and pulmonary hypertension on chest X-ray, elevated hemoglobin and hematocrit levels, thrombocytopenia, and severe pulmonary arterial hypertension on echocardiography. Echocardiography also revealed a secundum ASD with bidirectional shunt, right atrial and ventricular dilatation, right ventricular hypertrophy, severe tricuspid regurgitation, and preserved ejection fraction. The patient was diagnosed with secundum ASD bidirectional shunt, severe pulmonary arterial hypertension, Eisenmenger syndrome, bronchopneumonia, and hypoxia-induced tremor. Management included oxygen therapy, fluid restriction, diuretics, antibiotics, mucolytics, sildenafil, digoxin, antiplatelet therapy, and symptomatic treatment. After eight days of hospitalization, the patient showed clinical improvement and was discharged for outpatient follow-up. Conclusion: This case highlights the significant impact of hypoxia in ASD patients with Eisenmenger syndrome, particularly in causing cyanosis, secondary erythrocytosis, hyperviscosity symptoms, and neurological manifestations such as tremor. Riviera Publishing 2026-06-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/889 10.58344/ihj.v5i2.889 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 168-178 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/889/172 Copyright (c) 2026 Dyah Rachmasari, Elok Nurlisa Artiko https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/890 2026-06-09T03:00:13Z rp:ART

The Use of Natural Ingredients as Topical Therapy for the Treatment of Second-Degree Burns: A Review Article Nyoman Ita Trisnadewi, Ni Ketut Ernawati, Desak Nova Mahendra, Agung second degree burns natural ingredients topical therapy phytochemical compounds Second-degree burns are skin tissue damage involving the epidermis and part of the dermis, requiring appropriate treatment to prevent infection and accelerate tissue regeneration. Conventional therapy remains the primary choice, but long-term use can cause certain side effects. This situation has encouraged the increasing use of natural ingredients as alternative therapies because they are considered safer, easier to obtain, and contain bioactive compounds that support the wound healing process. This review article aims to assess the potential of various natural ingredients as topical therapies for healing second-degree burns. The method used is a literature review of research articles published between 2021 and 2026 through Google Scholar, PubMed, ScienceDirect, and DOAJ. The results of this study indicate that various plants such as kepok banana, moringa, breadfruit, red dragon fruit, and other herbal plants are effective in the burn healing process through various dosage forms such as creams, gels, ointments, spray gels, and nanogels. The dominant phytochemical compounds found include flavonoids, saponins, tannins, alkaloids, and terpenoids, which act as anti-inflammatory, antibacterial, and antioxidant agents. Overall, natural ingredients have the potential to be developed as an alternative treatment for second-degree burns that is effective and easily accessible to the public. Riviera Publishing 2026-06-14 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/890 10.58344/ihj.v5i2.890 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 230-237 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/890/178 Copyright (c) 2026 Ni Nyoman Ita Trisnadewi, Desak Ketut Ernawati, Agung Nova Mahendra https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/892 2026-06-11T07:21:18Z rp:ART

Severe Generalized Tetanus in a Child with a History of a Nail Puncture Wound and Chronic Dental Infection: A Case Report Miftahayatun, ST. Tetanus Child Portal of entry Intensive care Case report Tetanus is an acute infectious disease caused by the toxin of Clostridium tetani, which affects the nervous system and results in progressive muscle rigidity and spasms. Although immunisation is available and effective, tetanus cases continue to occur in developing countries, often associated with inadequately treated open wounds and incomplete immunisation. This case report describes a rare presentation of severe generalised tetanus in a 13-year-old boy with suspected multiple portals of entry. The patient presented with progressive stiffness and pain in the abdomen, back, neck, and jaw. He had a history of a nail puncture wound one month prior to admission, without having received post-exposure tetanus immunisation. Oral examination revealed chronic apical periodontitis of tooth 16 and a habit of self-inflicted needle trauma to the teeth. The patient was admitted to the intensive care unit under isolation and received antitetanus serum, combination antibiotic therapy, and prolonged sedation. This case highlights the importance of clinical vigilance for tetanus, the critical role of immunisation, and the need for adequate wound management and treatment of chronic infections to prevent severe complications. The possibility of more than one portal of entry — including chronic oral cavity infections — should be considered in the clinical evaluation of tetanus patients, particularly in paediatric populations with incomplete immunisation status. Riviera Publishing 2026-06-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/892 10.58344/ihj.v5i2.892 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 380-385 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/892/191 Copyright (c) 2026 ST. Miftahayatun https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/894 2026-06-09T03:00:13Z rp:ART

Comparative Effectiveness of Dexmedetomidine Versus Esketamine For Pediatric Procedural Sedation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Putu Agusta Cahya Udayana, Dewa Gusti Ngurah Nyoman Giovani Mahendra Sunantara, I Agung Ananda Yudhistira , Anak atrial septal defect Eisenmenger syndrome hypoxia pulmonary arterial hypertension case report Procedural sedation in children is frequently required but still faces challenges regarding safety and efficacy. Dexmedetomidine (DEX) and esketamine (ESK) are two promising sedative agents for the pediatric population. This systematic review aimed to compare the effectiveness and safety of DEX versus ESK for procedural sedation in children. A systematic search was conducted on PubMed, Cochrane CENTRAL, Embase, Scopus, and Web of Science databases up to May 2026. Inclusion criteria were randomized controlled trials (RCTs) in children aged 0–18 years comparing DEX with ESK. Primary outcomes included sedation success rate, onset time, and recovery time. Secondary outcomes included pain score (FLACC), adverse events, and satisfaction. Heterogeneity was assessed using I² statistics with a random-effects model. Six studies with a total of 654 patients were included. Onset time of DEX was significantly longer than that of ESK (MD = +4.82 minutes; 95% CI: 1.93–7.71; I² = 72%). Sedation success rate showed no significant difference between the two groups (RR = 1.08; 95% CI: 0.94–1.24; I² = 58%). DEX was associated with a higher incidence of bradycardia (RR = 2.34), while ESK was associated with a higher incidence of hypertension/tachycardia (RR = 3.12) and agitation/delirium (RR = 1.89). DEX and ESK have comparable sedation effectiveness in children. ESK provides faster onset, while DEX offers a more stable cardiovascular safety profile with lower risk of psychomimetic effects. Agent selection should be based on the specific clinical needs of the patient and procedure. Riviera Publishing 2026-06-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/894 10.58344/ihj.v5i2.894 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 334-348 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/894/188 Copyright (c) 2026 Dewa Putu Agusta Cahya Udayana, I Gusti Ngurah Nyoman Giovani Mahendra Sunantara, Anak Agung Ananda Yudhistira https://creativecommons.org/licenses/by-sa/4.0

oai:ojs2.ihj.rivierapublishing.id:article/897 2026-06-11T07:19:12Z rp:ART

Formulation and Antioxidant Activity Test of Hand Cream Extzract of Kumis Kucing Leaf (Orthosiphon Stamineus) Using DPPH (2,2- Diphenyl-1-Picrylhydrazyl) Methods Zahara, Indah Aprilia Lestari, Vani Putri, Adelia Novitasari, Sherly Octavianti, Nabila antioxidants flavonoids hand cream kumis kucing leaf Extract of kumis kucing leaves (Orthosiphon stamineus) contains secondary metabolites, namely flavonoids, tannins, saponins, and phenolics. This study conducted an antioxidant activity test on the extract and its formulations. The aim of this research is to determine the antioxidant activity of the kumis kucing leaf extract and formulations, and to formulate it into a hand cream preparation at concentrations of 5 g, 10 g, and 15 g. The antioxidant activity of the extract and formulations was measured using UV-Vis spectrophotometry. The results of this study show that the IC50 value of the kumis kucing leaf extract (Orthosiphon stamineus) is 74 ppm. For the formulations, the IC?? values are as follows: Formulation 0 has an IC50 value of 257 ppm, Formulation 1 has an IC50 value of 108 ppm, Formulation 2 has an IC50 value of 91 ppm, and Formulation 3 has an IC50 value of 84 ppm. The hand cream preparations present as white, green, dark green, and dark greenish-black in colour respectively, with a characteristic scent of kumis kucing leaves, in cream form, with a pH range of 5–7, a spreadability range of 5–7 cm, an adhesion range of 4–8 seconds, and a viscosity range of 4,000–36,000 cps. The results confirm antioxidant activity in both the kumis kucing leaf extract and the formulations. The best formulation was Formulation 3, with an IC50 value of 84 ppm, while Formulations 1, 2, and 3 all meet the requirements for a good cosmetic preparation. Riviera Publishing 2026-06-22 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ihj.rivierapublishing.id/index.php/rp/article/view/897 10.58344/ihj.v5i2.897 Indonesian Health Journal ; Vol. 5 No. 2 (2026): Indonesian Health Journal; 363-379 2963-3036 2963-3044 10.58344/ihj.v5i2 eng https://ihj.rivierapublishing.id/index.php/rp/article/view/897/190 Copyright (c) 2026 Indah Zahara, Vani Aprilia Lestari, Adelia Putri, Sherly Novitasari, Nabila Octavianti https://creativecommons.org/licenses/by-sa/4.0