Indonesian Journal of Global Health Research

The Influence of Adolescent Knowledge about Reproductive Health on the Intention to Avoid Smoking

Marmi Marmi — 2025-06-01

Smoking is one of the leading causes of global mortality, significantly impacting reproductive health in both men and women. In Indonesia, the prevalence of adolescent smokers increased from 7.20% in 2013 to 9.10% in 2018, and it is projected to reach 16% by 2030 without effective interventions. The impact of smoking on reproductive health includes fertility disorders, reproductive cancer risks, and hormonal complications, which are often poorly understood by adolescents, particularly in areas with limited access to health information such as Sumenep, Madura.Objective: This study aims to analyze the relationship between adolescents' knowledge of the dangers of smoking to reproductive health and their intention to avoid smoking. Additionally, it seeks to provide scientific insights into the importance of reproductive health education as part of smoking prevention strategies.Methods: This cross-sectional study involved 200 adolescents aged 12–22 years, selected using proportional stratified random sampling. Data were collected through validated structured questionnaires, covering knowledge about the dangers of smoking and intentions to avoid smoking. Data analysis was performed using chi-square tests and logistic regression to identify relationships between variables.Results: The analysis revealed a significant relationship between adolescents' knowledge of the dangers of smoking to reproductive health and their intention to avoid smoking (p = 0.000). Adolescents with high levels of knowledge were more likely to have a strong intention to avoid smoking (OR = 3.25; 95% CI: 1.92–5.51). Pearson correlation analysis showed a positive relationship with an r-value of 0.373.Conclusion: Knowledge about the dangers of smoking to reproductive health plays a crucial role in shaping adolescents' intentions to avoid smoking. The findings of this study underscore the importance of comprehensive reproductive health education programs to increase adolescents' awareness and reduce smoking prevalence, especially in areas with limited access to health information.

Economic Burden of Diabetic Foot Ulcers Across Nations: A Scoping Review

Nur Alaydrus — 2025-06-01

Diabetic foot ulcers (DFUs) are among the most severe complications of diabetes mellitus, leading to significant morbidity, hospitalizations, and healthcare costs. The economic burden of DFU treatment is primarily driven by hospitalization expenses, surgical interventions, and complications such as nephropathy, retinopathy, gangrene, and osteomyelitis. Objective: This study examines the direct medical costs associated with DFU inpatient care, identifying key cost drivers and variations across different healthcare systems. Method: A scoping review was conducted using PubMed, PubMed Central, and ScienceDirect to analyze peer-reviewed studies published between 2014 and 2024. The review focused on DFU-related hospitalization costs, surgical expenditures, and the impact of comorbidities on financial burden. Results: Hospitalization constituted the largest cost component, with expenses escalating due to surgical procedures, particularly amputations. Economic disparities between high-, middle-, and low-income countries influenced DFU-related expenditures, highlighting differences in treatment accessibility and cost structures. Conclusions: Standardized management strategies and cost-effective interventions are essential to optimize resource allocation and improve patient outcomes. This study provides insights into the financial challenges of DFU treatment, emphasizing the need for healthcare policy reforms to mitigate economic burden and enhance care efficiency.

Relationship between Sleep Quality and Gastritis Symptoms in Students

Irfan Wabula — 2025-06-01

Gastritis or often called stomach disease is one of the health problems with high prevalence. Gastritis occurs more often in productive age. Students are a productive age group who are busy with various activities. Sleep quality can be one of the factors that can worsen gastritis and even cause death. Objective to determine the relationship between sleep quality and gastritis symptoms in Nursing students of the Faculty of Health Sciences, University of West Sulawesi. Method: This type of research is observational analytic and the sampling technique used in this study is stratified random sampling. The research design used is Cross Sectional. The number of samples is 222 nursing students. Demographic data collection through questionnaires. The statistical test used is the Chi-Square test. There is a relationship between sleep quality and gastritis symptoms in nursing students of the Faculty of Health Sciences, University of West Sulawesi with a p value of 0.037 (p <0.05). There is a relationship between sleep quality and gastritis symptoms in nursing students of the Faculty of Health Sciences, University of West Sulawesi.

The Effect of Epidemiologist Explorations Gamification to Increase Children's Health Knowledge

Diah Adni Fauziah — 2025-06-01

Generational change can be interpreted as educational development, including changes in educational strategies so that education is carried out more effectively and efficiently. One approach that suits the character of learning in the 21st century is through gamification, namely game-based learning. Objective: Exploring Epidemiologists was a game approach based on introducing the Epidemiology profession which aimed to increase children's health knowledge. Method: This research used a quasi-experimental pre-post one study design. Samples consisted of 17 respondents, children aged 8-10 years who took part in the Epidemiologist Exploration activity. Data were analyzed using the Wilcoxon Test to see the results of pre and post intervention knowledge. Results: The results of the research showed that there was no effect of Epidemiologist Exploring gamification on increasing children's health knowledge (p=0.755). Conclusions: The gamification process in children's health education should pay attention to environmental confounding factors found by respondents.

The Effect of Nutrinest Application-Based Feeding Rules Education on the Nutritional Status of Toddlers

Sarah Rahmania — 2025-06-01

Toddlers are an age stage that is vulnerable to malnutrition. This is due to the lack of understanding of mothers about feeding rules which affects feeding practices. NutriNest application based feeding rules education can increase maternal knowledge in improving the nutritional status of toddlers. This study aims to analyze the effect of feeding rules education based on the NutriNest application on the Nutritional status of toddlers. The research method is a quasi-experimental pre-post test control group with repeated measures with purposive sampling technique of 40 mothers who have toddlers. Respondents are divided into two groups, namely intervention and control. Measurement of toddler nutritional status is carried out every week for 1 month, both before and after the intervention based on BB/TB then converted into a z-score values. Data analysis used the Mann-Whitney bivariate test and GLM-RM multivariate analysis. The results showed that there was an average difference between the intervention and control groups of 14.55 with a p-value of 0.000 (<0.05). The difference in nutritional status of toddlers in the intervention group was seen in the 4th measurement (1 month of intervention) with a p-value of 0.027 (<0.05). It can be concluded that there is an effect of providing feeding rules education on the nutritional status of toddlers at the Cipondoh Health Center, Tangerang City. The NutriNest application-based feeding rules education program is expected to be integrated into health services as an effort to prevent malnutrition and improve the nutritional status of toddlers.

The Relationship of Information Sources with Adolescent Behavior about Personal Hygiene During Menstruation

Evi Yuniarti — 2025-06-01

Adolescent girls are a group that is very vulnerable to infections in the reproductive organs due to lack of knowledge and poor behavior in maintaining personal hygiene during menstruation. Information about the cleanliness of the genitals during menstruation is very important for adolescent girls to know, information can be obtained through parents, peers and teachers at school is very important for building good reproductive health. The purpose of this study is to find out the relationship between information sources and adolescent behavior about personal hygiene (genetalia) during menstruation. The type of research conducted is a quantitative analytical survey method with a cross sectional approach. This research will be conducted in July-September 2022 with a population of all students in class XI Science at MAN I Palembang with sampling using purposive sampling techniques. The data collection technique using questionnaires and data was analyzed using the Chi Square statistical test. Based on the results of the analysis, it was shown that out of 35 people, 56.4% had positive personal hygiene behavior, while from 57 people who received indirect information, 89.2% had negative personal hygiene behavior. The results of the Chi Square analysis test obtained a p value = 0.000 (< 0.05) showing that there was a significant relationship between information sources and adolescent girls' behavior about personal hygiene (genetalia) during menstruation. Based on the results of this study, it is suggested that schools can create innovative programs as an effort that can be made for adolescent reproductive health.

Discourse on Human Genetics Research in Mass Media News

Stefanus Khrismasagung Trikusumaadi — 2025-06-01

The development of genetic research in humans provides new hope for a better quality of life. One of the studies can reveal the molecular mechanism of a disease, the direction of prevention, and its treatment. Online and offline newspapers are one alternative publication for a wider audience. The purpose of this research is to see how the results of genetic research in humans are constructed in media discourse, both in the form of news, features, and news articles. The ideological content will be explored through an analysis of rhetorical elements in news discourse. This research is a qualitative content analysis, using the discourse analysis method. The unit of analysis is news texts about human genetic research published in 5 online newspapers with the highest readers in the period January - December 2024. Reduction was carried out to obtain relevant news samples. The research results show that the results of human genetic research are discussed in health and lifestyle themes with informative and advocative purposes. The news conveys the latest research results, while also providing recommendations for healthy living at the individual level without a complete explanation in a broader social context. Based on the analysis of rhetorical elements, such presentation indicates the existence of a certain ideology at play in the construction of discourse.

Prevalence of Trichomoniasis in Women with HIV in Sragen District

Adhi Kumoro setya — 2025-06-01

Trichomonas vaginalis infection remains one of the most common non-viral sexually transmitted infections (STIs) globally, despite being one of the most easily treatable STIs. This study aims to determine the prevalence and risk factors associated with trichomoniasis among HIV-positive women in Sragen Regency. A total of 30 HIV-diagnosed women from the Sehat Panghuripan Sukowati Foundation in Sragen, aged 15–49 years, participated in this study. Respondents completed a questionnaire and underwent urinalysis at Prodia Medical Laboratory, Sragen. The presence of Trichomonas vaginalis infection was evaluated using a wet mount microscopic method. Clinical features were collected through structured questionnaires administered to each participant. Result: The findings revealed the prevalence of Trichomoniasis among HIV-positive women, indicating that Trichomoniasis can increase HIV viral load in vaginal fluid, potentially heightening the risk of HIV transmission. The study demonstrated a higher infection rate in women with a history of sexually transmitted infections (HIV), particularly those over 30 years of age. Most participants were housewives with a single sexual partner, reported no vaginal discharge complaints, but had experienced abnormal vaginal secretions in the past. The recorded prevalence of Trichomoniasis in this study was 10% (3 out of 30 samples)

Geographical Variations in Moringa Oleifera and Its Potential for Stunting Intervention: A Systematic Review

Ika Muryasari — 2025-03-17

Stunting is a major global health issue, particularly in Indonesia, where malnutrition rates remain high. Poor childhood nutrition affects growth, cognition, and long-term health. Moringa oleifera is a nutrient-rich herbal supplement, but its nutritional composition varies by geography, potentially influencing its effectiveness in stunting interventions. Objective: To identify the best Moringa leaf source for extract production to support weight and height improvement in stunted children. Method: A systematic literature review (SLR) was conducted using Google Scholar, ScienceDirect, and PubMed (2014–2024). From 70 initially identified articles, 6 were selected using the PICOS method, focusing on Moringa supplementation, malnourished children, and growth outcomes. Results: Highland Moringa contains higher vitamin C and flavonoid levels, while lowland Moringa offers greater biomass for large-scale production. Studies confirm that dried Moringa extract significantly improves weight gain (p = 0.002), though its effects on height and inflammation reduction were less pronounced. Conclusion: Dried Moringa extract shows promise for weight gain and nutrition enhancement in stunted children. However, geographical factors influence its nutrient content, requiring further research to standardize formulations, optimize dosages, and assess long-term effects in human trials.

Antibacterial Potential of Ethanol Extract Cream of Kersen Leaves (muntingia Calabura L) Against Pseudomonas Aeruginosa

Muhammad Nurul Fadel — 2025-06-01

Bacterial infections remain a substantial health concern. Several resistant microorganisms can induce bacterial infections, including Pseudomonas aeruginosa. Some research indicate that Kersen leaves (Muntingia calabura L), due to its flavonoids, tannins, and saponins that have undergone clinical testing, possess antibacterial characteristics. This study seeks to evaluate the antibacterial efficacy of a 96% ethanol extract cream derived from Kersen leaves (Muntingia calabura L) against the proliferation of Pseudomonas aeruginosa bacteria. The research performed was experimental in a laboratory setting. The procedure for evaluating antibacterial efficacy via the disc diffusion method utilising formulations of 0%, 5%, 10%, 15%, and gentamicin. The technique of data analysis employing One Way ANOVA to discover differences in data. The antibacterial activity of the cream against Pseudomonas aeruginosa was tested, yielding a 5% inhibition of 17.33 mm (strong category), 10% inhibition of 19.00 mm (strong category), and 15% inhibition of 22.66 mm (very strong category). The research concludes that a 96% ethanol extract cream of Kersen leaves (Muntingia calabura L) possesses the potential to suppress the growth of Pseudomonas aeruginosa bacteria.

The Impact of Age on Seizure Severity Characteristics in Children With Drug Resistant Epilepsy

Tria Diana Lestari — 2025-06-01

Drug-resistant epilepsy (DRE) is found in up to one-third of individuals with epilepsy who have received appropriate therapy and this condition causes significant child morbidity and mortality. Epilepsy that appears at an early age is at higher risk of developing DRE. Objective to assess the effect of age on the characteristics of seizure severity in children with DRE. This study used a cross-sectional design involving 36 DRE patients aged 2-18 years at the Child Neurology Polyclinic, Adam Malik Hospital Medan, from September to October 2024. Seizure severity characteristics were assessed using the Global Assessment of the Severity of Epilepsy (GASE) questionnaire instrument. The categorical data are presented in the form of proportions and the effect of age on seizure severity characteristics was analyzed using the chi-square test. There were 36 children with DRE in this study, predominantly aged ≥ 10 years. Bivariate analysis showed a significant effect of age in children with drug resistant epilepsy only on the disruption of activity experienced by children with a p value = 0.036 (p <0.05). Most patients aged ≥ 10 years did not experience activity disorders or experienced mild activity disorders (73.9%), while in patients aged <10 years, most patients experienced severe activity disorders (61.5%). The age of children with drug resistant epilepsy have a significant effect on daily activity disorders.

The Relationship between I Love You Massage and Decreased Frequency of Colic in Bloated Infants

Debora Paninsari — 2025-06-01

Infantile colic or also known as colic in infants is when a healthy baby experiences bloating and crying loudly for no apparent reason. One way to get rid of the disorder in the form of flatulence and colic pain in infants is to provide massage techniques which are gentle stroking movements on the abdomen that resemble the letters “I” “L” and “U”, helping digestive health and improving the digestive system. Objective: This study aims to see the relationship of I Love You massage with a decrease in the frequency of colic in bloated babies at the Siti Hajar midwife clinic in Medan Marelan. Methods: This type of research is Quantitative research with Correlation design research design. The population is all babies who experience bloating as many as 40 babies. The sampling method used Non Probability Sampling with Accidental Sampling type as many as 36 bloated babies, carried out using observation sheets and interviews. With data analysis using the Chi Square test. Results: The results of this study indicate that the p value = 0.000 <0.005 so that the null hypothesis (H0) is rejected. Conclusion: there is a relationship between I Love You massage with a decrease in frequency in baby bloating.

Effectiveness of Clinical Nursing Supervision to Improve Nursing Performance for Safety Nurse Care: A Literature Review

Masrifah Masrifah — 2025-06-01

Nurses require supervision as a crucial leadership skill when working within a nursing team. The entire health team, including nurses, must provide high-quality, safe, and comprehensive health services due to the rapid development of technology and information. This study aims to assess the effectiveness of clinical nursing supervision in enhancing nursing performance for safe nurse care. The method used was a literatur review of journal databases within the last eight years (2016-2024). Search terms were constructed in collaboration with an academic librarian and were based on a PICOS structured question. Keywords adjusted to Medical Subject Heading (Mesh) phrases, namely “Clinical Supervision OR Supervision AND Nursing AND Performance”. All keywords were used in each database. Articles or journals there were included in the inclusion criteria were limited by year and language used according to the inclusion criteria. Online databases searched included Science Direct, Pubmed, WoS, and SAGE.. Studies were included in the review if they reported clinical nursing supervision to improve nursing performance for safety nurse care with quasy experiment or Experiment design. . Study show that six studies according to the specified inclusion criteria. Analysis of the results of this study using the Joanna Briggs Institute (JBI) tool. The review results indicate that effective clinical nursing supervision can enhance safety, serve as an educational model in conjunction with supervision to enhance nurses' performance in patient care, and improve the utilisation of the nursing process. It can be concluded that clinical nursing supervision can enhance patient safety and improve nurses' performance in patient care.

Analysis of Nutritional Problems using Focused Interviews Method in Elementary School Children (Later Childhood) in Batam City

Roza Erda — 2025-06-01

Optimal nutrition significantly impacts human health, particularly for primary school-aged children. Malnutrition manifests in various health issues, such as stunting, underweight, micronutrient deficiencies, and obesity. The prevalence of malnutrition among school-aged children in Indonesia, including Batam City, is rising yearly. This study aimed to analyse factors affecting the nutritional needs of elementary school children in Batam City. The study was conducted over one month and employed a qualitative approach. Participants included 39 respondents: 13 children, 11 parents, 5 peers, 5 teachers, and 5 school health centre officers, selected purposively. Data collection used open-ended responses through in-depth interviews. Findings revealed limited knowledge among children about balanced nutrition. All informants emphasized the importance of consuming diverse foods to meet nutritional needs, with children showing a positive attitude toward trying various foods. The respondents also highlighted the importance of avoiding impulsive snacking. Moreover, the study identified a positive relationship between physical activity and cognitive focus in learning, underscoring the need for regular physical activity. Programs addressing the specific nutritional challenges faced by children in Batam could enhance awareness and encourage healthy eating habits among elementary students.

Application of Aloevera Compress to Reduce Fever in Children

Alifka Pratiwi — 2025-06-01

Fever is one of the common symptoms in children that can be caused by viral or bacterial infections. Treatment of fever generally uses antipyretic drugs, but natural methods such as compresses are often applied as additional therapy. Aloe vera is known to have antipyretic and anti-inflammatory properties that can help lower body temperature naturally. Implementing the intervention of giving Aloe vera compresses to reduce fever in children based on the results of body temperature measurements before and after the intervention in 10 child patients with fever. This study analyzed body temperature changes before and after administering Aloe vera compresses to 10 children with fever. Temperature was measured with a digital thermometer, and the significance of the changes was determined using appropriate statistical methods. The results of the intervention showed that out of 10 patients, 8 children experienced a decrease in body temperature after being given Aloe vera compresses, while 2 children did not show significant changes in temperature. The temperature decrease that occurred ranged from 0.1°C to 0.3°C after the intervention. This shows that Aloe vera compresses can help lower children's body temperature, although its effectiveness may vary depending on the condition of each patient. Aloe vera compress can be a safe non-pharmacological therapy alternative to help reduce fever in children. However, further research is needed with a larger sample size and consideration of other factors that may affect its effectiveness.

Application of the Response Elaboration Training (RET) Method on Narrative Ability in Aphasia Patients in Surakarta City

Feby Ahadiyatul Aminah — 2025-06-01

Aphasia is the loss of language function due to brain damage in an area associated with language comprehension and production. Patients with aphasia need a method that can be used to aid language recovery, one of which uses the method of response elaboration training (RET) by providing a stimulus for narrative ability through speech prompting. The purpose of this study was to determine the effectiveness of the application of the Response Elaboration Training (RET) method on storytelling ability in aphasia patients in Surakarta City. This study experimental with a one-group pretest-posttest design and five intervention using the response elaboration training (RET) method. The total sampling technique with the of respondents in this study amounted to 15 respondents with aphasia. The Wilcoxon test was used for data analysis. Results of the Wilcoxon test obtained a p-value (Sig.) of 0.001 (p-value <0.05), so it can be concluded that there is an efficacy of the aphasia training. There is an effectiveness of the application of the response elaboration training (RET) method on the narrative ability of aphasia patients in Surakarta City.

The Correlation between Game Watching Intensity, Youtube, Tiktok with Emotional Intelligence

Anggi Kusuma — 2025-03-20

Indonesia has the highest prevalence of device use (69%), followed by Nigeria (81%), India (79%), and South Africa (78%), according to a global survey. The number of youngsters with emotional mental problems is rising in tandem with the facts. Emotional and mental health issues in children rose 4,0% between 2013 and 2018. Online games, TikTok, and YouTube are frequently utilized gadget applications. Objective: The research objective was to determine the correlation between the intensity of watching games, YouTube, and TikTok and emotional intelligence in elementary school children. Method: The type of research used in this study is quantitative. with the approach method used is cross sectional. The sample in this study were elementary school students who used the gadget applications youtube, tiktok and online games as many as 74 students. The sampling technique used Purposive Sampling. Bivariate analysis using the Gamma test. Results: The study's findings indicated that while emotional intelligence was primarily in the medium to low range, the intensity of viewing online games, YouTube, and TikTok was primarily in the high range. A positive correlation value with a p value <0,05 was obtained from the gamma test analysis, indicating a relationship between emotional intelligence and the amount of time spent viewing online games, YouTube, and TikTok. Conclusions: Controlling the intensity of children's gadget use is one way that parents or other caregivers can optimize positive effects and minimize negative ones.

High Self-Efficacy Strongly Predicted Self-Management Among Hypertensive Patients in Palembang

Sanny Frisca — 2025-04-01

Hypertension as a chronic disease with a major sign of increased blood pressure is becoming a problem globally. Increased blood pressure can be the cause of various other chronic diseases such as coronary artery disease and stroke. As an effort to prevent these complications, hypertensive patients need good and sustainable self-care. Self-efficacy is one of the factors that contribute to good self-care. This study aims to determine the effectiveness of self-efficacy on self-management in hypertensive patients. This study was conducted in Palembang with 35 respondents with hypertension aged >17 years. Data was taken through self-efficacy and self-management questionnaires that have been declared valid and reliable. Most 35 respondents have elementary and high-school education backgrounds, high self-efficacy, and moderate self-management. Self-efficacy strongly predicts self-management, although age and educational background do not significantly influence it.

"Hygroma Colli" Sonographic Indication of Chromosomal Abnormality: A Case Report

Hamka Koerslo — 2025-06-01

This case report aims to highlight the significance of ultrasound imaging in the prenatal diagnosis of hygroma colli, a condition often associated with chromosomal abnormalities, particularly Turner Syndrome (45,XO). A 26-year-old primigravid woman at 17 weeks of gestation was referred for further evaluation of a fetal neck mass detected during routine ultrasound. The sonographic findings revealed a symmetrical, non-septated, hypoechoic cystic mass in the posterolateral region of the fetal neck, along with agenesis of one lung lobe. Based on these findings, pregnancy termination was planned and performed using misoprostol and laminaria insertion. The fetus was delivered with a birth weight of 150 g, a length of 14 cm, and Apgar Score 0/0. Postnatal examination confirmed the presence of hygroma colli, consistent with the ultrasound findings. This case reinforces the importance of early ultrasound screening in identifying fetal anomalies and guiding clinical decisions.

Risk Factors of Anencephaly: A Case Report

Hamka Koerslo — 2025-06-01

This case report discusses the risk factors of anencephaly, a severe neural tube defect characterized by the absence of brain tissue and the skull. The study highlights the role of maternal obesity and folic acid deficiency as contributing factors. A 22-year-old woman (G3P0A2H0) at 26-27 weeks of gestation was diagnosed with an anencephalic fetus during an ultrasound examination, showing the ‘frog face’ sign. The patient had a history of two spontaneous abortions, a BMI of 30.4, and no folic acid supplementation. Pregnancy termination was planned and conducted using misoprostol, resulting in the delivery of a stillborn male fetus weighing 1500 g, with Apgar Score 0/0. The findings emphasize the importance of early folic acid supplementation and weight management in preventing neural tube defects. Pregnancy termination remains a viable option due to the poor prognosis associated with anencephaly.

Educational Intervention to Reduce Stigma Toward Person with Severe Mental Illness (SMI): A Scoping Review

Afifatul Mukaromah — 2025-06-01

Stigma against individuals with mental health disorders remains a significant barrier to recovery, exacerbating patient conditions, fostering social discrimination, and limiting access to adequate healthcare services. Objective: This study aims to identify effective education-based interventions to reduce societal stigma toward individuals with severe mental illness (SMI) through a literature review. Method: A scoping review was conducted by searching literature in Scopus, PubMed, ProQuest, and Science Direct. Included studies (2019–2024) explored educational interventions to reduce mental health stigma. Excluded were incomplete, duplicate, review, and retracted articles Results: Of the 2,277 identified articles, eight studies met the criteria for further analysis. Findings indicate that educational methods, such as conventional psychoeducation, case studies, problem-based learning (PBL), and contact-based education, effectively reduce stigma against individuals with SMI. All interventions focused on improving mental health knowledge. Educational strategies varied based on target audiences, delivered through offline approaches (lectures, case studies, PBL) and online methods (educational videos). Combining online and offline approaches further enhanced knowledge and attitudes toward individuals with SMI. Conclusions: Several educational strategies have been developed to address stigma, whether through online education, face-to-face offline interactions, contact with individuals with mental illnesses, or a combination of these methods. By implementing the right educational methods, stigma toward individuals with (SMI) can be addressed across various target groups.

The Relationship between Bullying and Self-Confidence Levels in Adolescents

Feri Agustriyani — 2025-06-01

Adolescence is one of the period to be experienced individual in the his life , where in period This will experience Lots change in himself . As a result changes experienced , can formed inappropriate behavior Good like violence . violence No only happen to yourself Alone but also to other people. One of form violence that often appears in adolescents is behavior bullying .bullying is behavior aggressive that can in the form of physical , psychological , or verbal. Behavior bullying give impact bad to victims of bullying , including having an impact on low self awareness , anxiety , fear even depression , insomnia, difficulty concentrate and not believe themselves .Types of research is study quantitative with analytical survey use approach cross sectional with design survey analytics and approaches cross-sectional , sample taken use method Proportional Stratified Random Sampling from population of 230 respondents , resulting in 146 respondents . Analysis bivariate using statistical tests Gamma . Analysis results show that from 146 respondents low bullying was found at 65.1%, moderate bullying at 33.6%, high bullying at 1.4%, while variable level trust self low 64.4%, level trust self is 34.2%, and the level trust self high 1.4%. From the gamma test results obtained p- value = 0.000 < 0.05 means there is connection bullying with level trust themselves in adolescents . For the parties school and parents provide system support to teenager For increase trust self and for teenagers to avoid conflict with Friend same age and brave say not on behavior bullying.

MicroRNA-21 Expression in Prostate Cancer: A Systematic Review

Maria Ulfa — 2025-06-01

Prostate cancer is the second most prevalent and fourth largest cause of death for men globally. Meanwhile, in Indonesia, prostate cancer ranks and is the fourth leading cause of death. Molecular studies continue to be conducted to understand the molecular heterogeneity, both genetic and epigenetic, that affects the progression of prostate cancer, one of which is the role of microRNA. This study aims to analyze the expression profile of microRNA-21 associated with the development and aggressiveness of prostate cancer. Comprehensive search into three databases; PubMed, Cochrane Library, and Science Direct was performed by authors. The study that best met the inclusion criteria was chosen from among duplicates. The QUADAS-2 (Quality Assessment of Diagnostic Accuracy Studies) tool was used to assess the risk of bias before the relevant data were retrieved for analysis. There were eleven studies that included a variety of sample sources, sample size and methods. Although a number of the studies had unclear standard reporting, the research overall quality was acceptable. For the results, Prostate cancer samples showed a significantly higher expression level of miR-21 than controls in ten of the studies, and was linked to cancer aggressiveness. In one study, the expression of miR-21 did not significantly increase, despite the use of extracellular vesicle isolation samples.

Evaluation of the Implementation of Mosquito Breeding Eradication (PSN) for Dengue Hemorrhagic Fever (DHF) in Elementary Schools in Pekalongan City

Opik Taufik — 2025-06-01

Dengue Hemorrhagic Fever (DHF) remains a public health issue in Pekalongan City, particularly among elementary school children. Mosquito Nest Eradication (PSN) is a key strategy in DHF control; however, cases are still being reported. This indicates challenges in PSN implementation and factors affecting its success. Objective to analyze the implementation of PSN in elementary schools and identify factors contributing to the persistence of DHF cases among elementary school children in Pekalongan City. A qualitative study with a case study approach was conducted, involving 20 participants. The primary informants included representatives from the Health Office, Education Office, school principals, teachers, and school health officers. Triangulation informants consisted of jumantik (mosquito monitoring) cadres, parents, and students. Data were collected through in-depth interviews, observations, and documentation.The data analysis followed a thematic analysis approach. First, all interviews were transcribed verbatim, and field notes from observations were reviewed. The data were then coded systematically to identify patterns and emerging themes. Codes were grouped into broader categories, and themes were refined through an iterative process. Triangulation was conducted by comparing data from different sources to enhance credibility and validity. Finally, findings were interpreted in relation to the study objectives, supported by direct quotes from participants to provide depth and context. PSN implementation in elementary schools in Pekalongan City has been carried out through activities such as draining water containers, covering potential mosquito breeding sites, and monitoring by health officers and school jumantik cadres. However, several challenges remain, including low community awareness of environmental cleanliness, lack of regular supervision in schools, and environmental and climatic factors that support mosquito breeding. Additionally, limited facilities and human resources in schools pose challenges to optimizing the PSN program. The implementation of PSN in elementary schools in Pekalongan City has been conducted but remains suboptimal, leading to the continued occurrence of DHF cases. Increasing community awareness, strengthening routine supervision in schools, and cross-sectoral support are needed to ensure the sustainability of the PSN program and reduce DHF incidence.

The Effectiveness of Education Programs on the Management of Acute Coronary Syndrome Patients: A Scoping Review

Yulis Setiya Dewi — 2025-06-01

Acute Coronary Syndrome (ACS) is a serious condition that requires quick treatment to prevent complications and death. The education program is one of the effective interventions in improving the understanding, compliance, and quality of life of ACS patients. Objective: This study aims to evaluate the effectiveness of educational programs in ACS patient management through a scoping review. Method: This study uses the scoping review method with the PRISMA-Scr protocol. Data was obtained from Scopus, ProQuest, PubMed, and EBSCO databases with relevant keywords and publication of articles in the last 5 years (2019–2024). Articles that met the inclusion criteria were analyzed using a descriptive approach. Quality assessment is carried out using the Joanna Briggs Institute (JBI) Critical Appraisal tool. Results: Of the initial 34,668 articles, 12 articles with good and medium quality were selected. Effective educational programs include behavioral, media, distance, and group-based methods. These interventions have been shown to improve patient understanding, medication adherence, and quality of life as well as reduce anxiety and depression. The instruments used included PPE-15, HADS-A, HADS-D, SF-12, HeartQoL and GENEActiv accelerometer questionnaires. Conclusions: Educational programs based on a patient-centered care approach (PCC), technology, and physical exercise have proven to be effective in improving ACS patient management. Behavioural and media-based education, such as traffic light labels for nutrition understanding, is able to support lifestyle changes and patient rehabilitation. Intensive education also has a positive impact in reducing the risk of long-term complications.

The Role of Nursing Intervention in Postoperative Pain Management: A Scoping Review

Navy Sealsi Adinda Prisca Marina Marina — 2025-06-01

Surgical or perioperative procedures are always followed by anesthesia, which is a state without pain sensation. Patients who undergo perioperative procedures experience moderate to severe postoperative pain. Therefore, postoperative pain management in addition to analgesics is needed to help stabilize pain intensity. The purpose of this study is to determine the role of nurses in the implementation of pain management programs in postoperative patients. Methods: This study used the ScR scoping reviews approach and used PRISMA-ScR for article identification and screening. The articles were obtained from several databases, include Scopus, PubMed, ScienceDirect, and ProQuest. Articles published in the last 5 years (2019-2024) and using keywords related to the role of nurses, pain management, and postoperative. The review of 12 articles was conducted systematically with a data extraction process to identify aspects of research objectives, methods, samples, results and to find gaps or new findings that can be used as recommendations. Results: From the findings of 5,175 initial articles, 12 articles were produced that met the inclusion criteria. The analysis obtained several points of the role of nurses in postoperative pain management: (1) Pain management with relaxation in the form of guided imagery, benson relaxation and a combination of aromatherapy relaxation in postoperative patients; (2) Pain management with simple physical exercise techniques on the bed and mabulation support and effective cough breathing exercises (3) Multidisciplinary and complementary collaboration for complementary therapy of pain management with acupuncture techniques, foot and hand massage; (4) Electrical stimulation therapy, namely TENS as a stimulus for pain relief. Conclusions: These findings confirm the importance of the role of nurses to ensure continuity of care in postoperative pain management and invasive measures.

Analysis of Room Head Leadership, Internal Supervision and Nurses' Commitment Towards Service Unit Performance

Erna Rosiyawati Maruapey — 2025-06-01

A hospital is a health service institution that provides comprehensive individual health services, providing inpatient, outpatient and emergency care (Health Law No. 17 of 2023). To realize all of this, a hospital which is a place for health services must be able to provide professional resources . One of the resources that must be prepared to be able to provide excellent service to its clients is a nurse. Improving the performance of health workers maintenance is matter Which very important in repair efforts service health to the community in general. The purpose of the study was to determine the influence of leadership, supervision internal And commitment nurse to performance service unit in Prof Dr. Soekandar Mojokerto Regency. Design study observational with approach cross-sectional . Population all nurses at Prof Dr. Soekandar Mojosari , Mojokerto Regency as many as 294 respondents. A sample of 170 respondents with proportional technique to size . Independent variables are the leadership of the head of the room, internal supervision, and nurse commitment. The dependent variable is the performance of the service unit. The research instrument used a questionnaire that was tested for validity and reliability. The analysis used was univariate and multivariate analysis with linear regression using SPSS. Test regression linear Which done show There is connection leadership For head space (p=0.005), internal supervision (p=0.000) and employee commitment (p=0.019) on employee performance. Multivariate analysis shows that the influential variable is internal supervision with a significance level of p=0.000 and B=0.188 The results of the research conducted are expected to provide input to hospitals to improve leadership by adapting to conditions. hospitals through internal supervision and performance improvement to optimize the quality of hospital services in the eyes of the public.

Analysis of Influence Service Quality, Facilities and Level of Satisfaction in Returning Treatment

Tartilah Nur Amani — 2025-06-01

Increasing the quality of service and supporting facilities will provide patient satisfaction. If patients are satisfied with the health services received, if the patient needs health services they will tend to be interested in making repeat visits to seek treatment at the Watukenongo Health Center. This study aims to analyze the effect of service quality, facilities and satisfaction levels on repeat visit interest at the Watukenongo Community Health Center. The research method uses a cross-sectional study design. This study was conducted at the Watukenongo Health Center outpatient clinic starting from January-February 2025. The sample in the study was 165 patients, namely new patients, general patients and patients who were in the Watukenongo Health Center area and received services. The sampling technique was simple random sampling. The data analysis method used was univariate analysis, chi square and multiple logistic regression tests. The results of the chi square test were that service quality (p value 0.0371 <0.05) had a significant effect on interest in visiting the Watukenongo Health Center, facilities (p value 0.009 <0.05) had a significant effect on interest in repeat visits, satisfaction (p value 0.005 <0.05) had a significant effect on interest in visiting the Watukenongo Health Center. From the results of the logistic regression test, namely, satisfaction with a p-value of 0.0043 and OR/ (Exp(B))= 2.217, facilities with a p-value of 0.0015 and OR/ (Exp(B))= 3.942, quality of health services with a p-value of 0.0016 and OR/ (Exp(B))= 4.436. The conclusion is that the quality of service, facilities and level of satisfaction affect the interest in revisiting the Watukenongo Health Center. However, for patients who feel satisfied, it is 4.436 times more influential in attracting interest in revisiting the Watukenongo Health Center.

The Prediction System of A Pregnant Women at Risk of Anemia Using A Fuzzy Logic

Khairul Fuady — 2025-03-24

Prenatal development determines whether a child is normal or abnormal. The health of the mother and her nutritional intake during pre- and pregnancy will influence the birth of a healthy baby. The nutritional problems during pregnancy during antenatal check-ups are vital because nutrition is one of the factors that affect the incidence of chronic energy deficiency (CHD) in pregnant women. This research aims to prepare a prediction system for pregnant women at risk of anemia by applying fuzzy logic. This research will use steps that include problem identification, preparation of input variables , application of fuzzy logic and system testing. This research is expected to produce output variables in the form of predictions of pregnant women at risk of anemia or not at risk. The results of this study can provide valid initial information about the anemia-related conditions of a pregnant woman to avoid unwanted things during childbirth and postpartum. The rule base contains input variables (hemoglobin, blood pressure, conjunctiva examination) and output variables in the form of anemia prediction and its level in a pregnant women.

The Correlational Study on Cadres Knowledge and Readiness for Pregnancy Stunting Prevention

Debora Aprilia — 2025-06-01

Stunting is a condition of growth failure in children under five due to malnutrition, so their height is below average. Stunting incidence in Kampung Dadap in October 2023 reached 70% of cases. Data collected from Kutai Health Center states that there are 18 pregnant women, four of whom are at high risk of stunting. The number of active cadres is 69, and five are at Posyandu Dadap. During the data collection, the stunting prevention program for examining pregnant women in Kampung Dadap had not yet begun, as it is scheduled to commence in early 2024 The program that will be carried out in early 2024 is the examination for pregnant women stunting prevention. Objective: This study aimed to determine the correlation between knowledge and readiness of cadres towards implementing a pregnancy stunting prevention program in Kutai Health Center. Method: This study uses a correlational quantitative research method with a cross-sectional approach. The sample was selected using a total sampling technique where the sample size was 69 cadres. The instrument used two types of questionnaires with 30 questions that had been tested for validity and reliability. The data analysis technique uses bivariate analysis, which has been tested using the Chi-Square test. Results: This study indicates no significant relationship between knowledge level and cadres readiness (p-value = 0.702). Conclusions: Future researchers are advised to examine other variables such as length of service, motivation, and level of education, and they can expand the population and sample in the study by using several health centers as research targets.

Pain Management in the Clinical Practice with Non-Pharmacological Therapy Warm Compress: Systematic Review”

Junianto Junianto — 2025-06-01

Pain is a distressing sensory and emotional experience caused by tissue damage. Pain management can be pharmacological or non-pharmacological, with warm compress therapy as a supportive treatment to reduce pain scores. This study aims to analyse the effectiveness of warm compress therapy in pain management. This Systematic Review includes articles from Science Direct, PubMed, Cochrane Library, and Google Scholar (2014-2024). Article assessment was conducted using the Joanna Briggs Institute instrument, with inclusion criteria based on PICOS: pain patients (P), warm compress intervention (I), control group (C), pain score reduction (O), and RCT studies (S). Based on 10 reviewed articles, warm compress therapy is applied through various methods, including hot compresses, electric heating pads, warm water bags, Chinese herbs, infrared belts, and sterile towels. Besides pain reduction, this therapy improves blood circulation, relaxes muscles, and reduces anxiety. Warm compress therapy is recommended as a non-pharmacological approach to pain management.