Journal La Medihealtico

Family Support for the Quality of Life of Plwha at the Vct Polyclinic

2025-12-31T13:11:18+07:00

The increase in people with HIV/AIDS (ODHA) has a negative impact on society. One of the impacts that often occurs in ODHA is self-esteem caused by stigma and discrimination from society so that family support is needed to help eliminate stigma and discrimination from society so that ODHA can be confident, can accept their condition, and are enthusiastic in living life . to determine the relationship between family support and quality of life in ODHA at the Sentani Community Health Center Polyclinic. This type of research is descriptive quantitative conducted in July 2025, with a sample of 56 respondents with a non-probability sampling method. Data were obtained using questionnaires and analyzed univariately and bivariately using Somer's D statistical tests. It was found that 31 respondents had high family support and 25 respondents had low support and 30 respondents had good quality of life and 26 respondents had low quality of life. So the results of the Somer's D statistical test obtained a P-Value of 0.019 <0.05. Family support for ODHA patients has a high support category and quality of life in ODHA patients has a good quality of life category. This shows that there is a significant influence between family support on the quality of life of patients undergoing treatment at the Sentani Community Health Center Polyclinic. By increasing public insight, the stigma obtained by ODHA related to their disease can be reduced. So that families who have family members with HIV/AIDS problems can provide attention and support to their family members who are undergoing treatment.

Development of a Weight-Faltering Flyer as a Strategy to Strengthen Stunting Prevention

2025-12-31T14:18:11+07:00

Stunting remains a major public health challenge in Indonesia. Educational interventions through visual media such as flyers show promise in improving understanding of early detection of weight faltering, yet many existing materials are not designed participatorily nor tailored to local contexts. To develop, pilot, and evaluate the effectiveness of a weight-faltering–based flyer in improving mothers’ knowledge on stunting prevention in Sukaharja Village. This study employed a Research and Development (R&D) design with a mixed-methods approach. The stages included: an FGD to identify learning needs, media design by a multidisciplinary team, expert validation, limited field testing, and impact evaluation using a quasi-experimental design with two groups (flyer intervention vs. lecture control), each consisting of 20 mothers. Data were collected through pre-test and post-test assessments as well as in-depth interviews. Data analysis was conducted using a convergent approach integrating quantitative and qualitative findings. The FGD revealed low community understanding of weight faltering. The developed colored A4 flyer included growth charts, stunting risk indicators, complementary feeding guidelines, and encouragement to visit the posyandu. The trial showed that 90% of respondents agreed on the clarity and attractiveness of the media. Impact evaluation demonstrated a significant increase in the knowledge scores of the flyer group (76.0 → 78.5; p = 0.043), while the lecture group showed no significant improvement (73.0 → 73.5; p = 0.480). Follow-up interviews revealed positive shifts in attitudes and behavioral intentions regarding monitoring children’s growth and development.

Analysis of Community-Based Nurses’ Preparedness in Flood Disaster Emergency Response

2025-12-31T14:53:57+07:00

Flood disasters are one of the major threats in Gorontalo Province, with significant impacts on communities and the health service system. Nurses, as frontline health workers, play a strategic role in community-based emergency response, particularly in providing first aid, triage, and health education. This study aims to analyze the preparedness level of community-based nurses in responding to flood disasters in Limboto Barat District, Gorontalo Regency. A descriptive quantitative design with a cross-sectional approach was applied. The sample consisted of all 30 nurses working at Limboto Barat Public Health Center, selected through a total sampling technique. Data were collected using questionnaires and analyzed univariately. The results showed that most respondents were aged 31-40 years (36.7%), female (73.3%), had a bachelor’s degree in nursing (56.7%), and had more than five years of work experience (60%). Nurses’ preparedness was still low in terms of knowledge, with 73.3% categorized as poor. Regarding attitudes, 60% of respondents showed poor preparedness, while skills were mainly in the fair (46.7%) and poor (46.7%) categories. These findings indicate that community-based nurse preparedness is still not optimal, especially in the dimensions of knowledge, attitude, and skills. In conclusion, structured interventions through continuous training, disaster simulations, and cross-sectoral collaboration are required to strengthen nurses’ preparedness capacity in responding to flood disasters.

Evaluation of Cost-Effectiveness and Patient Satisfaction of Topical, Topical Plus Systemic, and Topical Plus Laser Treatment in Patients with Acne Vulgaris High Level

2025-12-31T15:23:38+07:00

Acne vulgaris is a prevalent dermatological condition that negatively affects quality of life and psychological well-being. Although topical, systemic, and laser therapies are commonly used, comparative evidence on their effectiveness, patient satisfaction, and cost-effectiveness in Southeast Asia remains limited. This prospective cohort study was conducted at Erha Clinic from April 2024 to March 2025. Ninety patients with acne vulgaris were evenly allocated into three treatment groups: topical monotherapy, topical plus systemic therapy, and topical plus laser therapy. Clinical effectiveness was assessed using lesion counts and the Investigator Global Acne (IGA) scale, patient satisfaction using the Visual Analogue Scale (VAS), and cost-effectiveness through total cost and cost per lesion reduction. Measurements were taken at baseline and at weeks 2, 4, 8, and 12. Data were analyzed using IBM SPSS version 22. All treatment modalities significantly reduced acne lesions and improved IGA scores and patient satisfaction. Topical plus laser therapy achieved the fastest and greatest lesion reduction and highest satisfaction but incurred the highest cost. Topical monotherapy demonstrated comparable long-term clinical outcomes with the lowest cost per lesion reduced, indicating superior cost-effectiveness. All treatments were clinically effective; however, topical monotherapy was the most cost-effective option, while topical plus laser offered faster results at higher cost. Treatment selection should balance clinical benefits and economic considerations, particularly in resource-limited Southeast Asian settings.

Effectiveness of Happy Spiritual Intervention in Reducing Hallucination Levels Among Schizophrenia Patients

2025-12-31T16:45:30+07:00

Hallucinations are the main symptom of schizophrenia that negatively affect patients’ social and psychological functioning. Reducing the level of hallucinations is crucial, particularly during the recovery phase when patients require a holistic approach to improve their quality of life. Spiritual-based non-pharmacological interventions represent an alternative therapy with the potential to help decrease hallucination levels. The objective of this study was to determine the effect of the happy spiritual intervention on hallucination levels in patients with schizophrenia at the West Java Provincial Mental Hospital. Methods: This study employed a pre-experimental one-group pretest-posttest design with a quantitative approach. The sample consisted of 30 respondents selected through purposive sampling. The happy spiritual intervention was administered for 6 days, with each session lasting 15 minutes. Hallucination levels were measured using the Psychotic Symptom Rating Scale (PSYRATS). Data were analyzed using the Wilcoxon test with a significance level of 0.05. The findings showed a significant effect, namely a reduction in hallucination levels after the intervention (p = 0.001). Conclusion: The happy spiritual intervention significantly reduced hallucination levels in patients with schizophrenia during the recovery phase. This intervention can be used as a complementary Islamic spiritual-based therapy in psychiatric nursing practice and is recommended for routine implementation in mental health facilities

Analysis of Factors Related to the Use of Iud Contraceptives in the Working Area

2026-01-05T14:31:09+07:00

The growth of the world's population is increasing day by day, the increase in the number of people also has an impact on the maternal mortality rate (AKI), The factor that causes the increase in population is the lack of people in the use of contraception, especially in the use of long-term contraception, one of which is IUD. The purpose of this study is to find out "Factors Related to the Use of IUD Contraceptives in the Working Area of the Andalas Padang Health Center This type of research is analytical with a Cross Sectional design, which will be carried out from June 2024 to January 2025. A sample of 68 PUS people using IUD contraceptives was taken using propotional random sampling. Data collection was conducted using questionnaires and analyzed using Chi Square and Logistic Regression tests. The results of the study found that the level of knowledge was high (69.1%), positive attitude (79.4%), support for husbands who did not support (60.3%), and support for health workers (75.0%). Based on multivariate results, it was found that the most dominant factor related to the use of IUD contraceptives was the husband's support with the highest OR value of 4,398. The conclusion of this study found that there was a relationship between the level of knowledge, attitude, husband support and health worker support. The most dominant factor is the husband's support. It is hoped that there will be cross-sectoral cooperation and education in the role of husbands to increase the use of IUD contraceptives in PUS.

Evaluation of the Rationality of Antibiotic Use in Pneumonia Patients Using the Gyssens Method

2026-01-05T14:50:41+07:00

Pneumonia is one of the leading causes of morbidity and mortality worldwide. The irrational use of antibiotics in pneumonia management can reduce therapeutic effectiveness and increase the risk of antimicrobial resistance. This study aimed to evaluate the rationality of antibiotic use in pneumonia patients at Hospital X using the Gyssens method. This research employed a descriptive observational design with a retrospective approach, utilizing medical record data of adult inpatients diagnosed with pneumonia during the period of January–December 2024. A total of 86 patient records meeting the inclusion criteria were analyzed. Evaluation was conducted using the Gyssens method by comparing the appropriateness of therapy with the Guidelines for the Management of Adult Pneumonia issued by the Indonesian Ministry of Health (Regulation No. 28 of 2021) and the Infectious Diseases Society of America/American Thoracic Society (IDSA/ATS, 2023) guidelines. The results showed that the most frequently used antibiotics were Ceftriaxone (34.88%), Azithromycin (32.56%), and Levofloxacin (32.56%). The most common duration of therapy was five days (53.9%). Based on the Gyssens categories, rational antibiotic use (category 0) was found in 57 cases (66.28%), while the remaining cases were categorized as I (6.98%), IIa (11.63%), IIIa (9.30%), and IIIb (5.81%). These findings indicate that most antibiotic use at Hospital X was rational; however, continuous monitoring and periodic evaluation through the Antimicrobial Resistance Control Program (PPRA) are still necessary to optimize therapeutic effectiveness and prevent antibiotic resistance.

Exploration of the Benefits of Kusam as a Complementary Effort in Reducing the Intensity of Menstrual Pain in Adolescent Girls

2026-01-07T10:07:23+07:00

Many adolescent girls suffer from menstrual pain (dysmenorrhea), which can interfere with daily functioning, academic performance, and overall quality of life. While pharmacological treatments are commonly used, complementary therapies using natural ingredients such as turmeric and tamarind (known locally as kusam) have gained attention due to their safety and fewer side effects . The aim of this study was to assess how dullness can function as a supportive therapy to reduce the level of menstrual pain experienced by female adolescents at SMA Negeri 1 Batu Engau. A quantitative method was applied in this study, with a quasi-experimental design and pretest–posttest with a control group. Fifty eligible participants were divided into two groups: the intervention group received kusam (a turmeric and tamarind herbal drink) for three consecutive days at the beginning of menstruation, while the control group received no intervention. Pain intensity was measured using a Visual Analogue Scale (VAS), and the Wilcoxon test and the Mann–Whitney U test were applied to analyze the data. This study revealed a significant reduction in menstrual pain levels among the intervention group compared to the control group. The Wilcoxon test showed that the intervention group experienced significant improvement after consuming kusam (p < 0.05). Similarly, the Mann–Whitney U test showed a significant difference between the groups at post-test, with the intervention group achieving a higher mean score. Turmeric has been shown to be effective as a complementary treatment for reducing menstrual pain. intensity in adolescent girls.

Vitamin E Supplementation and Its Impact on Pulmonary Tuberculosis Treatment Outcomes: A Systematic Review

2026-01-05T16:51:13+07:00

Pulmonary tuberculosis remains a global health problem, and antioxidant deficiencies such as vitamin E contribute to increased oxidative stress in patients. The aim of this study was to assess the effect of vitamin E supplementation on the effectiveness of pulmonary tuberculosis treatment through a systematic review based on PRISMA 2020 guidelines. This systematic review included clinical and observational studies investigating the relationship between vitamin E and pulmonary tuberculosis. Literature searches were conducted in PubMed and Google Scholar (2008–2021) using the keywords “Vitamin E,” “Tuberculosis,” and “Lung.” Methodological quality was assessed using the JBI Checklist and Cochrane RoB2. The process was carried out at the Faculty of Medicine, Muslim University of Indonesia, Makassar, from March to August 2024. Secondary data from published studies were used; therefore, ethical approval was not required. Six studies met the inclusion criteria, consisting of two randomized controlled trials, two in vitro studies, one case–control study, and one cross-sectional study. The synthesis results showed that vitamin E supplementation consistently reduced oxidative stress, as indicated by a significant decrease in malondialdehyde (MDA) levels and an increase in enzyme activity. In addition, vitamin E improved inflammatory status through reduced C-reactive protein (CRP) levels and increased serum leptin, as well as enhanced cellular immune responses through elevated IL-2 and IFN-γ levels. Overall, vitamin E supplementation contributed to improved treatment effectiveness and quality of life in patients with pulmonary tuberculosis.Vitamin E supplementation has potential as an adjuvant therapy that enhances the effectiveness of pulmonary tuberculosis treatment through antioxidant and immunomodulatory mechanisms.

Psychosocial Interventions and Social Support for Maternal Mental Health and the Prevention of Postpartum Depression: A Literature Review

2026-01-08T14:33:40+07:00

Postpartum depression is a significant public health issue that adversely affects maternal well-being and infant development. Psychological, hormonal, and social changes during pregnancy and the postpartum period increase women’s vulnerability to depressive symptoms, particularly when psychosocial support is inadequate. This study aimed to systematically review the evidence on psychosocial interventions for the prevention and reduction of postpartum depression among pregnant women in the third trimester and women in the postpartum period. A systematic literature review was conducted following the PRISMA guidelines. Articles were retrieved from Scopus, PubMed, and Garuda databases, limited to publications between 2020 and 2025. Ten studies met the inclusion criteria, encompassing randomized controlled trials, quasi-experimental studies, systematic reviews, meta-analyses, and qualitative meta-syntheses. The reviewed studies examined various psychosocial approaches, including digital and app-based interventions, psychoeducation and psychological self-help programs, as well as social and family support–based interventions. Overall, the findings indicate that psychosocial interventions are effective in reducing postpartum depressive symptoms and improving secondary mental health outcomes such as anxiety, stress, emotional well-being, and self-efficacy. Social support from partners, family members, and supportive healthcare environments emerged as a key protective factor that enhances intervention effectiveness. Digital interventions showed moderate but significant effects and offer advantages in accessibility and scalability. In conclusion, preventing postpartum depression requires a multidimensional and culturally sensitive approach that integrates psychosocial interventions with strengthened social support systems to promote sustainable maternal mental health outcomes.

Exploring the Benefits of Kusir as a Complementary Effort to Alleviate Fluor Albus in Adolescent Girls

2026-01-06T10:18:09+07:00

Fluor albus or vaginal discharge is a common reproductive health problem among adolescent girls. When abnormal, it can interfere with daily activities, cause discomfort, and potentially lead to more serious health issues if left untreated. Despite this, many adolescents are reluctant to report symptoms to parents or health professionals because the issue is considered sensitive. This situation highlights the need for safe, acceptable, and effective complementary therapies to manage fluor albus in adolescents. This study aimed to examine the effectiveness of the traditional herbal medicine KUSIR, made from turmeric and betel leaf, in reducing the severity of fluor albus among adolescent girls.The study employed a quantitative approach using a quasi-experimental pretest posttest control group design. A total of 64 adolescent girls participated and were divided into an intervention group receiving KUSIR herbal treatment and a control group without intervention. Data were analyzed using the Wilcoxon test to examine changes before and after treatment and the Mann Whitney U test to compare outcomes between groups.The findings showed a clear reduction in the severity of fluor albus in the intervention group compared to the control group. Mann Whitney U analysis indicated a significant difference in posttest scores, with a higher mean rank in the intervention group than in the control group. The Wilcoxon test confirmed that all participants in the intervention group experienced a decrease in symptoms. KUSIR herbal treatment is effective as a complementary therapy for reducing fluor albus severity in adolescent girls. Turmeric and betel leaf offer a natural, affordable, and acceptable alternative for adolescent reproductive health care.

The Effect of Green Spinach Leaf Consumption on Hemoglobin Level Changes in Pregnant Women with Anemia

2026-01-13T09:42:15+07:00

Anemia has detrimental intergenerational consequences, including adverse pregnancy and birth outcomes, increased risks of mortality and morbidity, and impaired cognitive and motor development in children. These consequences, based on maternal status, indicate that anemia remains a major public health concern. This study aimed to analyze the effect of green spinach leaf vegetable consumption on changes in hemoglobin levels among pregnant women with anemia. A quasi-experimental study with a pretest-posttest group design was employed. The intervention involved administering 200 grams of green spinach vegetable daily for 7 days while temporarily discontinuing iron (Fe) tablet supplementation during the study period. The sampling technique used purposive sampling, involving 10 pregnant women diagnosed with anemia. The dependent variable was anemia, and the independent variable was the consumption of green spinach vegetables. Data were analyzed using the Shapiro-Wilk test and paired t-test to assess differences in hemoglobin levels before and after the intervention and to determine the effect of green spinach consumption on hemoglobin level changes in anemic pregnant women. The findings showed that the mean hemoglobin level before the intervention was 9.91 g/dL with a standard deviation of 0.612, which increased to a mean of 11.70 g/dL with a standard deviation of 0.878 after the intervention. The p-value was 0.000, which is less than 0.05, indicating a statistically significant increase in hemoglobin levels following the consumption of green spinach.

The Sound Horeg Phenomenon: Health Impacts of Infrasound Exposure: A Literature Review

2026-01-06T14:11:29+07:00

The sound horeg phenomenon represents a cultural practice involving the use of high-power audio systems during social events in various regions of Indonesia, particularly East Java. While it serves as an important medium of entertainment, cultural expression, and local economic activity, exposure to excessive noise dominated by low-frequency noise (LFN) and infrasound raises public health concerns. This literature review aims to evaluate current scientific evidence regarding the biological, neurophysiological, psychological, and social impacts of infrasound exposure on humans. A comprehensive search was conducted in PubMed, Scopus, ScienceDirect, Google Scholar, and ProQuest for articles published between 2015 and 2025. The results show that moderate-intensity infrasound (≤90 dB) causes sleep disturbances, increased stress, and subtle neurological adaptations that can alter long-term cognitive function. Extreme exposure, such as to high-intensity sound (≥120 dB), carries a high risk of causing Noise-Induced Hearing Loss (NIHL), decreased memory function, and social isolation due to communication disorders. In addition to biological effects, psychological factors such as the nocebo effect play a role in the emergence of health complaints due to negative perceptions of loud noise. Therefore, a balance between preserving cultural values and protecting health needs to be achieved through sound intensity regulation, public education, and adaptive acoustic architectural design

The Role of Micronutrients in Gastrointestinal Function and Protection in Stroke Patients: Literature Review

2026-01-07T10:42:23+07:00

Stroke is a serious health problem. Micronutrients are nutrients that the body needs in small amounts, such as vitamins and minerals. Neurological deficits due to acute stroke can cause malnutrition during hospital treatment. To determine the role of micronutrients in gastrointestinal function and protection in stroke patients. A systematic-narrative literature review following the PRISMA 2020 guidelines. Data sources included SINTA, Scopus, ClinicalKey, as well as proceedings and dissertations published between 2020 and 2025. Articles were assessed based on methodological quality and relevance to the management of stroke patients in Indonesia. A thematic analysis was conducted to synthesize the latest evidence. Several studies showed that micronutrients such as vitamins A, C, D, E, B9 (folate), B12, zinc, magnesium, and selenium play an important role in maintaining intestinal mucosal integrity, reducing oxidative stress and inflammation, and supporting intestinal microbiota balance in stroke patients. Adequate micronutrient intake helps prevent gastrointestinal complications and accelerates post-stroke motor and cognitive recovery. Micronutrient optimization is important for maintaining gastrointestinal function in stroke patients, supporting recovery, preventing complications, and improving quality of life.

Association Between Body Mass Index, Visceral Fat, and the Risk of Metabolic Syndrome Among Obese Adolescents in Indonesia

2026-01-07T11:42:45+07:00

This study examined the association between Body Mass Index (BMI) and visceral fat with the risk of Metabolic Syndrome (MetS) among obese adolescents in Surabaya and Sidoarjo, Indonesia. The research addressed the increasing burden of cardiometabolic disorders in adolescents, focusing on the importance of early screening for central adiposity. A cross- sectional design was employed involving 72 obese adolescents from junior and senior high schools. BMI was measured using standard anthropometry, while visceral fat was assessed through Waist Circumference (WC)and Bioelectrical Impedance Analysis (BIA). MetS was identified based on established clinical criteria. The findings revealed that both BMI and visceral fat were significantly associated with MetS, with BIA-derived visceral fat demonstrating the strongest predictive value. Adolescents with high visceral fat exhibited substantially higher risks of dyslipidemia, hypertension, and overall metabolic abnormalities. These results highlight the limitations of BMI as a standalone indicator and reinforce the need for integrating visceral fat assessment in school-based screening programs. Early identification and targeted interventions are essential to mitigate the progression of MetS during adolescence.

Ureteric Injury During Hysterectomy: A Case Report

2026-01-07T15:39:25+07:00

Ureteral trauma is an uncommon but serious iatrogenic complication of hysterectomy, with risk influenced by surgical indication, patient factors, and intraoperative conditions. A 50-year-old woman presented with oliguria six days after hysterectomy for uterine myoma. She had abdominal distension and mild tenderness, with laboratory findings showing impaired renal function. Ultrasonography revealed bilateral hydroureteronephrosis and intraperitoneal ascites. Emergency exploratory laparotomy identified approximately 1.5 liters of intraperitoneal urine, bilateral ureteral dilatation, and bilateral distal ureteral ligation with urine leakage. Surgical management included intraperitoneal drainage, bilateral ureteroneocystostomy, ureteral stenting, peritoneal lavage, and bladder drainage. Eight days later, the patient developed abdominal wound dehiscence and underwent bilateral ureterocutaneostomy in collaboration with a urology surgeon. At follow-up, the patient showed gradual improvement and was able to resume daily activities under regular outpatient monitoring. Management of ureteral trauma depends on the timing of diagnosis, extent of injury, and associated complications. Early recognition and appropriate surgical intervention are essential to preserve renal function and reduce morbidity. Bilateral ureteral ligation is a rare but severe complication of hysterectomy, often presenting with postoperative anuria or oliguria and requiring urgent urological management. Careful intraoperative identification of the ureters and close monitoring of urine output are critical to prevent and promptly detect ureteral injury.

Analysis of Health Service Utilization in Post-Screening Dental and Oral Examination Follow-Up for Elementary School Children

2026-01-07T23:05:57+07:00

The utilization of health services after dental and oral health screening among elementary school children is an issue that requires serious attention, particularly in relation to efforts for the early prevention and control of dental diseases. This study aimed to analyze the factors influencing the utilization of health services for follow-up examinations after dental and oral health screening among elementary school children in Karo District. The study employed an analytic survey with a cross-sectional design. The sample size was determined using the Isaac and Michael table, resulting in 232 mothers whose children were diagnosed with dental caries, selected through multistage sampling. Data were collected using a validated and reliable questionnaire and analyzed with multiple logistic regression. The findings showed that the utilization of health services for follow-up examinations after dental and oral health screening among elementary school children in Karo District was 13.4%, far below the target (100%). The analysis indicated that predisposing, enabling, and need factors had a significant influence on the utilization of health services for follow-up examinations after screening, with a p-value < 0.005 and Exp (β) of 1.086. These factors were shown to significantly affect health service utilization. Efforts are needed to improve oral health education, empower families, and optimize the role of community health centers and schools in supporting the utilization of health services after screening.

Analysis of Indonesian Social Security Administrator Policy Implementation in Improving Service Quality

2026-01-08T14:02:42+07:00

This study analyzes the implementation of the National Health Insurance (JKN) policy administered by the Badan Penyelenggara Jaminan Sosial in enhancing service quality at Royal Prima Marelan General Hospital. The primary issues identified include insufficient dissemination of policy guidelines to medical personnel and patients, complex administrative procedures, and limited service facilities available to JKN participants. Using a descriptive-analytic approach, the research applies the SERVQUAL (Service Quality) model and the Expectancy–Disconfirmation Theory (EDT) to evaluate the gap between patient expectations and perceived service quality. Data were obtained through observations, interviews, and questionnaires involving medical staff, administrative officers, and JKN patient participants. The findings reveal that the Tangibles and Reliability dimensions are relatively satisfactory; however, Responsiveness and Empathy remain low due to limited human resources and heavy workloads. The implementation of JKN policies by the Badan Penyelenggara Jaminan Sosial has not been fully optimized, primarily due to inadequate training, the absence of integrated digital information systems, and limited managerial support for systematic service quality monitoring and evaluation. Based on the EDT assessment, a notable mismatch exists between patient expectations and actual service experiences, resulting in dissatisfaction. Integrating the JKN policy framework with SERVQUAL and EDT highlights the need to strengthen policy dissemination, enhance human resource capacity, and reform management systems through digitalization and a human-centered approach to ensure equitable, efficient, and sustainable health services at Royal Prima Marelan General Hospital.

Midwifery Philosophy in Islam and Its Implications for Midwifery Practice: A Scoping Review

2026-01-09T14:42:41+07:00

Modern midwifery practice is increasingly shaped by medical technology and evidence-based approaches, which may at times create ethical and cultural tensions when applied in Muslim contexts. Islamic midwifery philosophy offers a value-based framework that integrates spiritual, moral, and ethical principles with clinical care. This study aimed to explore how the philosophy of midwifery in Islam provides guidance and solutions to challenges encountered in contemporary midwifery practice. A scoping review design was employed following the PRISMA-ScR guidelines. Literature searches were conducted across multiple electronic databases, including PubMed, Google Scholar, Scopus, JSTOR, ScienceDirect, and university libraries. Studies published between 2019 and 2025 that addressed Islamic values, ethics, or philosophy in relation to modern midwifery practice were included. Of 1,013 records identified, six studies met the final inclusion criteria and were analyzed thematically. The findings indicate that Islamic midwifery philosophy supports woman-centered, culturally sensitive, and holistic care, emphasizing respect for dignity, informed decision-making, ethical use of medical technology, and attention to emotional and spiritual well-being. Islamic values were found to enhance communication, trust, and patient engagement without opposing evidence-based practice. This review concludes that Islamic midwifery philosophy complements modern midwifery by providing ethical and practical guidance that strengthens culturally responsive, safe, and patient-centered maternity care in contemporary healthcare settings

Comparison of Validity, Reliability, and Accuracy of the Indonesian Version Ocular Surface Disease Index Questionnaire with Dry Eye Questionnaire-5 in Enforcement Dry Eye Disease Diagnosis

2026-01-11T16:06:39+07:00

The Ocular Surface Disease Index (OSDI) questionnaire and Dry Eye Questionnare-5 (DEQ-5) are widely used to evaluate subjective symptoms of dry eye disease (DED) as a primary diagnostic criterion. This study aims to compare the validity, reliability, and accuracy of the Indonesian version of OSDI and DEQ-5 questionnaires. Hospital-based cross-sectional study. A total of 100 participants were enrolled in the study. The Indonesian version of the OSDI and DEQ-5 questionnaires were analyzed to evaluate the validity and reliability of both questionnaires. Then, the accuracy of both questionnaires was compared with the diagnostic test and the receiver operating characteristic curve (AUC) analysis. All the question items on both questionnaires are valid and reliable. The validity test using Pearson’s product-moment correlation coefficient, the value exceeds 0.23 (P<0.01) and the reliability test using Cronbach’s alpha coefficient test showed good and excellent internal consistency for OSDI and DEQ-5 (Cronbach’s alpha of OSDI 0.78 and DEQ-5 0.81). The accuracy of both questionnaires was good and there was no significant difference with AUC OSDI=0.78 and AUC DEQ-5=0.79. The Indonesian version of OSDI and DEQ-5 questionnaires met the validity and reliability requirements so that they were declared valid and reliable as effective instruments for DED assessment in the Indonesian population.

Demographic Characteristics and Cardiometabolic Risk Profiles of Ischemic Stroke Patients

2026-01-12T10:11:59+07:00

Ischemic stroke remains a leading cause of morbidity and mortality globally and in Indonesia, with multifactorial risk factors involving vascular, metabolic, and lipid disorders. Understanding patient characteristics at the regional healthcare level is essential to support targeted clinical interventions. Bangli Regional General Hospital, as a referral hospital in Bali, has not yet systematically published data on ischemic stroke patient profiles, making this study important for local clinical planning. This retrospective descriptive observational study analyzed medical records of 160 ischemic stroke patients treated at Bangli Regional General Hospital throughout 2024. Variables included age, gender, hypertension, type 2 diabetes mellitus, history of heart disease, onset of arrival to the emergency department (<4.5 hours), and laboratory parameters comprising total cholesterol, LDL, HDL, triglycerides, and uric acid levels. Data were analyzed descriptively using frequencies, percentages, means, and standard deviations. Most patients were male (64.4%), with the largest proportion aged 60–75 years (38.75%), followed by middle-aged patients (32.5%). Hypertension was present in 67.5% of patients, type 2 diabetes mellitus in 15.6%, and a history of heart disease in 34.4%. Only 18.1% of patients arrived at the emergency department within 4.5 hours of symptom onset. Mean lipid values were 178.62 mg/dL for total cholesterol, 116.69 mg/dL for LDL, 45.31 mg/dL for HDL, and 123.35 mg/dL for triglycerides. Hyperuricemia was identified in 28.16% of men and 24.56% of women. Overall, ischemic stroke patients at Bangli Regional Hospital were predominantly elderly men with a high prevalence of hypertension and cardiometabolic abnormalities, reflecting national epidemiological patterns.

Cupping Therapy for Anemia in Women: A Scoping Review

2026-01-12T10:30:53+07:00

Anemia remains a major public health problem among women of reproductive age worldwide, particularly in developing countries such as Indonesia. Limitations of conventional anemia management, including adherence issues and side effects of iron supplementation, have encouraged interest in complementary therapies such as wet cupping therapy (WCT). This study aimed to systematically map existing empirical evidence on the effects of wet cupping therapy on hemoglobin levels and hematological parameters in women through a scoping review approach. The review was conducted following the PRISMA-ScR guidelines. Literature searches were performed across multiple databases, including PubMed, Scopus, Google Scholar, and institutional repositories, resulting in 312 identified records. After screening and eligibility assessment, six studies published between 2016 and 2023 were included. The selected studies employed diverse designs, including experimental clinical trials, quasi-experimental, pre–post, cross-sectional, prospective cohort, and retrospective observational studies, with sample sizes ranging from 17 to 364 female participants. Across all studies, wet cupping therapy was associated with either maintenance or improvement of hemoglobin levels, as well as favorable changes in iron, total iron-binding capacity, and other biochemical parameters. No evidence indicated that WCT caused anemia when administered appropriately. Overall, the findings suggest that wet cupping therapy may serve as a safe and potentially beneficial complementary intervention for improving hematological status in women. However, further research using randomized controlled trials and standardized intervention protocols is required to establish its clinical effectiveness and inform evidence-based practice.

Zinc Supplementation for Non-alcoholic Fatty Liver Disease: Literature Review

2026-01-13T10:45:51+07:00

Non-Alcoholic Fatty Liver Disease (NAFLD) is closely associated with several metabolic factors, including dyslipidemia, insulin resistance, obesity, oxidative stress, and elevated inflammatory markers. NAFLD is also one of the most common liver diseases, in which zinc deficiency plays a key role in its pathogenesis. Zinc supplementation has been evaluated as a potential adjunctive therapy to improve clinical outcomes in patients with NAFLD. This literature review aims to discuss the possible role of zinc supplementation as an adjuvant therapy in patients with NAFLD, based on current research findings, and to contribute to the existing scientific literature.