Journal La Medihealtico

Physical Activity and Television Watching Duration in Relation to Blood Pressure of School-Aged Children

Ayu Nur Hidayah — 2026-01-29

Hypertension in children is a serious threat due to a sedentary modern lifestyle. Low physical activity and high screen time are strongly suspected to be risk factors for increased blood pressure. Objective: To analyze the relationship between physical activity levels and television viewing/lying down duration with blood pressure in school-aged children in Mluweh Village. Methods: This observational study involved 105 students (6-17 years old) selected by total sampling. Blood pressure was classified based on the 2017 AAP Clinical Practice Guideline standards. Physical activity and television viewing/lying down duration were measured using a modified GPAQ questionnaire. Data were analyzed using the Chi-Square test (α = 0.05). Results: The majority of respondents had light physical activity (64.7%) and high television viewing/lying down duration (94.3%). Statistical analysis showed no significant relationship between physical activity levels and blood pressure (p = 0.814). However, a statistically significant relationship was found between television viewing/lying down duration and blood pressure (p = 0.027). Conclusion: High television viewing/lying down time exceeding 2 hours per day is a strong predictor of increased blood pressure in children. Limiting screen time from an early age is necessary to minimize the risk of long-term cardiovascular disorders.

Digital Transformation in Non-Communicable Disease Management in Pregnant Women: The Effectiveness of Telemedicine on Patient Therapy Compliance

Santy Irene Putri — 2026-01-30

Non-Communicable Diseases (NCDs) in pregnant women, such as gestational diabetes and hypertension, increase the risk of maternal and perinatal complications. Low adherence to therapy is the main challenge in managing NCDs. Telemedicine has the potential to improve compliance through service access and remote monitoring. This study aims to analyze the factors that affect therapy adherence in pregnant women with NCDs, especially the frequency of telemedicine use, perception of convenience, and trust in services. This study uses a cross-sectional design with a quantitative approach. A total of 185 pregnant women with NCDs in Malang were selected as respondents through purposive sampling. Data were collected using an online questionnaire and analyzed using logistic regression to determine factors influencing therapy adherence. The results of the multivariate analysis showed that the frequency of telemedicine use, the perception of ease of use, and the level of trust in services were factors that significantly affected therapy adherence in pregnant women with non-communicable diseases. Respondents who used telemedicine ≥2 times per month had a higher chance of therapy adherence (AOR = 3.21; 95% CI: 1.33–7.76; p = 0.009). Perceived ease of use also increases the likelihood of compliance (AOR = 2.97; 95% CI: 1.28–6.90; p = 0.011). In addition, high levels of trust in telemedicine services were associated with increased therapeutic adherence (AOR = 2.56; 95% CI: 1.15–5.71; p = 0.022). Telemedicine plays an important role in improving pregnant women's therapeutic adherence to NCDs through increased access, ease of use, and trust in services.

Risk Management Analysis of Public Health Facilities as an Effort to Improve Service Units at Community Health Center X

Rizki Khairani Hasibuan — 2026-01-30

Risk management is an essential component in maintaining service quality and patient safety within primary healthcare facilities. This study aims to analyze the implementation of risk management at Puskesmas X Jakarta in 2025, referring to Jakarta Provincial Regulation No. 122 of 2020. The methods used include a literature review, field observations, and questionnaires administered to 76 respondents. The findings indicate that Puskesmas X identified 91 risks, all of which remain within the categories of the 82 risk indicators established by the Ministry of Health, demonstrating a comprehensive identification process. Six risks were designated as priority due to their potential impact on service quality and patient safety. Mitigation efforts, such as relocating the TB room, reorganizing maternity care areas, and conducting patient safety training, were shown to reduce risk levels. The questionnaire results revealed high visitor satisfaction, while the management of medical and liquid waste complied with existing standards. Overall, the implementation of risk management was found to be effective, although further improvements in facility layout, human resources, and risk-based budgeting are needed to support continuous service quality enhancement.

Literature Review of Visit to Visit Lipid Variability as a Predictor of Cardiovascular Events

Aidina Trini Aulia — 2026-02-03

Cardiovascular disease remains a major global health problem due to its substantial contribution to morbidity and mortality. The World Health Organization reports that cardiovascular disease is the leading cause of death worldwide, accounting for approximately 17.9 million deaths each year. In Indonesia, reports from the Ministry of Health show a persistent increase in cardiovascular disease prevalence. Dyslipidemia, defined as an imbalance in blood lipid levels, is a major modifiable risk factor associated with cardiovascular events, making lipid control a key focus of preventive strategies. Visit to visit lipid variability (VLV) refers to fluctuations in lipid parameters such as total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides across different clinical visits over a certain period. Recent studies indicate that higher variability in lipid levels is independently associated with an increased risk of coronary heart disease, stroke, and cardiovascular mortality. This study adopted a literature review design to examine the role of VLV as a predictor of cardiovascular events. Ten national and international journal articles were selected based on predefined inclusion and exclusion criteria. The reviewed evidence consistently shows that high variability in lipid levels, particularly LDL-C and HDL-C, is linked to a greater risk of myocardial infarction, stroke, acute coronary syndrome, and cardiovascular-related death in various populations, including patients with diabetes mellitus and familial hypercholesterolemia. Conversely, maintaining stable lipid levels over time is associated with a reduced risk of adverse cardiovascular outcomes. These findings highlight the importance of continuous lipid monitoring and long-term lipid stability as essential components in efforts to prevent and control cardiovascular disease.

The Effect of the Rebozo Technique on the Length of the First Stage in Vaginal Labor

Putri Habibah — 2026-02-04

The first stage of labor is often associated with prolonged duration, pain, and maternal discomfort, which may increase the risk of obstetric interventions. Non-pharmacological approaches are increasingly promoted to support physiological labor. The Rebozo technique, a traditional method originating from Latin America, has gained attention for its potential to improve labor progress by enhancing pelvic mobility and fetal positioning. This study aimed to systematically review the effect of the Rebozo technique on the duration of the first stage of vaginal labor. A systematic literature review was conducted following PRISMA guidelines. Articles were retrieved from ProQuest, PubMed, SpringerLink, and ScienceDirect databases using the keywords “Rebozo technique,” “vaginal delivery,” and “first stage of labor.” Inclusion criteria were based on the PICOS framework, focusing on primigravida women undergoing vaginal delivery. Only quantitative studies and randomized controlled trials published between 2020 and 2025 were included. Methodological quality was assessed using the Center for Evidence-Based Medicine (CEBM) critical appraisal tool. Five high-quality studies from four countries met the inclusion criteria. The findings consistently demonstrated that the Rebozo technique was associated with a shorter duration of the first stage of labor, improved cervical dilation, enhanced fetal head rotation, and increased maternal comfort. The Rebozo technique is a safe and effective non-pharmacological intervention that supports labor progression and maternal well-being. Its integration into midwifery practice may optimize the management of the first stage of vaginal labor.

Relationship between Clinicopathological Characteristics and Survival Rate in Patients Colorectal Cancer

FR. Aditya Pradatasari — 2026-02-05

The survival rate in colorectal cancer patients is influenced by factors that contribute to the individual diagnosed with colorectal cancer, including clinicopathological characteristics such as cancer location, histopathology, degree of differentiation, and cancer metastasis. This study aims to analyze the relationship between clinicopathological characteristics of colorectal cancer and the survival rate of colorectal cancer patients at RT Notopuro Sidoarjo Regional Hospital. Research methods used use observational analytic with design Cross-sectional. The results of this study showed that 53.8% of male colorectal cancer patients were aged >60 years, the most common location was in the colon (61.5%) with a good grade type, and no metastases in other organs (65.4%). From the results of the Kaplan Meier curve, it can be seen that there is a tendency that cancer locations in the colon, which are well differentiated, and which do not experience metastasis have a longer survival rate compared to cancer locations outside the colon, which are moderately-poorly differentiated, and which experience metastasis, although the results of the statistical analysis show an insignificant relationship (p-value>0.05).

Analysis of Performance-Related Factors Associated with the Completeness of Electronic Medical Record Entry Among Healthcare Workers

Hariansyah Hariansyah — 2026-02-06

The performance and satisfaction of healthcare workers are critical determinants of the completeness of Electronic Medical Records (EMR). However, in 2024, Sengayam Regional General Hospital achieved only 50% of the targeted 100% EMR completeness rate, indicating challenges related to staff understanding and a suboptimal quality assurance system. This study aimed to examine factors associated with EMR completion performance among healthcare workers at Sengayam Regional General Hospital. This observational analytical study employed a cross-sectional design. The study population consisted of 165 healthcare workers, of whom 116 were selected as samples using purposive sampling techniques. Data were collected using a structured questionnaire. EMR completion performance served as the dependent variable, while age, education level, knowledge, and domicile were treated as independent variables. Bivariate analysis was conducted using the chi-square test, followed by multivariate analysis using multiple logistic regression. The findings demonstrated significant associations between EMR completion performance and age (p = 0.028), education (p = 0.000), and knowledge (p = 0.002). No significant association was found between domicile and EMR completion performance (p = 0.140). Among all variables examined, knowledge exhibited the strongest association with EMR completion performance (Exp(B) = 15.995). EMR completion performance among healthcare workers was significantly associated with age, education, and knowledge, whereas domicile showed no significant relationship. Knowledge emerged as the most influential factor affecting the completeness of Electronic Medical Record entry.

Hedonic Evaluation and Chemical Characterization of Catfish Pulpety as an Alternative Animal Protein Food for the Prevention of Stunting in Toddlers Aged 1–3 Years

Kartika Estiani — 2026-02-06

Inadequate intake of animal protein during critical periods of growth is a major contributor to stunting, while access to high-quality animal protein sources is often constrained by economic limitations. Catfish (Clarias sp.), as an affordable yet nutrient-dense source of animal protein, offers considerable potential for development into an innovative food product aimed at stunting prevention. This study aimed to develop a catfish-based pulpety product as a safe, nutritious, and acceptable alternative source of animal protein for toddlers to support stunting prevention. A quasi-experimental study employing a Completely Randomized Design (CRD) was conducted with 30 untrained panelists. Three pulpety formulations were prepared using different ratios of chicken meat to catfish meat: Formula I (control), Formula II (1:3), and Formula III (1:1). Hedonic testing was performed to evaluate acceptability across the three formulations, followed by chemical composition analysis of the most preferred formula. The results indicated that Formula III was the most favored, providing 214.78 kcal of energy, 5.92 g of protein, 4.54 g of fat, and 10.05 g of carbohydrates per 100 g. Duncan’s multiple range test revealed a statistically significant difference only in the texture parameter (p = 0.004). Overall, the catfish pulpety demonstrated adequate energy, protein, and fat content for stunting prevention, along with acceptable organoleptic properties, highlighting its potential as a functional food alternative for inclusion in national stunting prevention programs.

Systematic Review: The Effectiveness of Non-Pharmacological Interventions in the Management of Knee Osteoarthritis

Muh Gufron — 2026-02-06

Knee osteoarthritis is a chronic degenerative disease that often causes pain, joint dysfunction, and reduced quality of life, especially in the elderly. Non-pharmacological therapy is recommended as the primary approach in the management of knee osteoarthritis because it is safe and sustainable. This study aims to examine the effectiveness of various non-pharmacological interventions in the management of knee osteoarthritis through a qualitative systematic review method. Literature searches were conducted in the PubMed, Scopus, SINTA, and Google Scholar databases with a publication range of 2020–2026, using keywords related to knee osteoarthritis and non-pharmacological interventions. The articles included were experimental studies and clinical trials involving knee osteoarthritis patients and reporting clinical outcomes such as pain, joint function, and quality of life. The results of the review showed that non-pharmacological interventions, including physical exercise, patient education, weight management, physiotherapy, and complementary therapies such as Tai Chi and acupuncture, were consistently effective in reducing pain, improving joint function, balance, and quality of life in patients. Therefore, non-pharmacological therapies can be recommended as first-line therapy or long-term supportive therapy in the management of knee osteoarthritis.

Room Layout and Design Predispose Patient Safety

Husna Yetti — 2026-02-06

Patient Safety Incidents (IKP) can impact the quality of hospital services. Both globally and nationally, patient safety incidents remain a significant concern. At Prof. HB Saanin Mental Hospital in Padang, the number of patient safety incidents increased from 2022 to 2023. Patient safety incidents should be zero, or there should be no accidents, based on the Decree of the Minister of Health of the Republic of Indonesia number 129/Menkes/II/2008 concerning Minimum Hospital Service Standards. Objective: Analyze the influence of room layout and design on patient safety incidents at Prof. HB Saanin Mental Hospital, Padang. Method: This study used a mixed-methods cross-sectional study of 25 officers involved in patient safety incidents. Bivariate analysis using the Chi-square test was employed to assess the relationship between room layout and design and patient safety incidents, which was further explored through qualitative interviews. Results: The most common type of patient safety incident at Prof. HB Saanin Mental Hospital is unwanted events, accounting for 64% of total incidents and 52% of incidents with high impact. Inappropriate room design was identified in 52% of cases, and inappropriate furniture layout was identified in 84%. Conclusion: Equipment layout and room design influence the occurrence of patient safety incidents in the Prof. HB Saanin Mental Hospital, Padang. Redesigning rooms is a key factor in reducing patient safety incidents at this hospital.

Computational and Experimental Evaluation of Alkaloid Compounds from Papaver somniferum as Dual COX-2 and TNF-α Inhibitors

Poyizar Poyizar — 2026-02-06

This study aimed to evaluate the computational and experimental potential of alkaloid compounds isolated from Papaver somniferum as dual inhibitors of cyclooxygenase-2 (COX-2) and tumor necrosis factor-alpha (TNF-α) in an in vitro inflammatory model. The alkaloid fraction was purified from dried capsules/latex of Papaver somniferum and subsequently tested using lipopolysaccharide (LPS)-stimulated RAW 264.7 macrophage cells. Anti-inflammatory activity was assessed by measuring reductions in prostaglandin E₂ (PGE₂) production as an indicator of COX-2 inhibition and TNF-α levels in the cell culture supernatant. Preliminary safety evaluation was conducted using an MTT cytotoxicity assay on non-tumor cells, along with analysis of COX-2 and TNF-α gene expression using RT-qPCR. The alkaloid fraction exhibited concentration-dependent inhibitory effects on both PGE₂ and TNF-α production, with IC₅₀ values observed within the intermediate concentration range. In contrast, the CC₅₀ value in non-tumor cells was substantially higher, resulting in a favorable selectivity index that suggests a relatively wide therapeutic window. Furthermore, treatment with non-toxic concentrations of the alkaloid fraction led to a significant downregulation of COX-2 and TNF-α mRNA expression, supporting the hypothesis that its anti-inflammatory mechanism involves modulation of pro-inflammatory transcriptional pathways. Overall, the alkaloid fraction derived from Papaver somniferum demonstrates promising potential as a multitarget anti-inflammatory agent and warrants further investigation as a source of lead compounds or phytopharmaceutical candidates for the treatment of chronic inflammatory diseases.

Analysis of Risk Factors for Mean Arterial Pressure and Body Mass Index on the Incidence of Preeclampsia

Nur Purnama Sari — 2026-02-06

Preeclampsia is a major cause of maternal and perinatal morbidity and mortality worldwide, including in Indonesia. Early screening during pregnancy allows for early identification and optimal patient monitoring. This study aimed to analyze the relationship between Mean Arterial Pressure (MAP) and Body Mass Index (BMI) with the incidence of Preeclampsia, and to determine the most dominant factor in the working area of Pakjo Community Health Center (Puskesmas) Palembang. This study used a Case-Control design. The sample consisted of 62 pregnant women, divided into 31 Preeclampsia cases and 31 Non-Preeclampsia controls, derived from medical record data for the 2023–2024 period. Data analysis utilized the Chi-Square test for bivariate analysis and Binary Logistic Regression for multivariate analysis. Bivariate Analysis: A statistically significant relationship was found between Positive MAP (p < 0.001, OR = 6.597) and Overweight/Obese BMI (p < 0.001, OR = 8.381) with the incidence of Preeclampsia. Multivariate Analysis: After controlling for MAP, only High BMI proved to be a significant independent predictor (p = 0.030). Pregnant women with High BMI had a 4 times greater chance of experiencing Preeclampsia (OR = 4.848; 95% CI: 1.165–20.182). The MAP variable became non-significant in the multivariate model (p = 0.234). High BMI (Obesity/Overweight) is the most dominant risk factor and a strong independent predictor for the incidence of Preeclampsia. It is recommended that Pakjo Community Health Center prioritize intervention programs focused on weight management and nutrition counseling starting from the pre-pregnancy and early pregnancy periods as a primary effort to prevent Preeclampsia.

Strategy to Improve Understanding of Prospective Brides Through Empowering Health Cadres (Smart Katin)

Fidyawati Aprianti A. Hiola — 2026-02-06

Planning Agency (BKKBN), approximately 1.7 million couples marry each year, and more than 40% of them lack a basic understanding of premarital health, such as nutrition, reproductive health, mental health, and family planning. Conventional one-way education methods are often ineffective, necessitating a community-based approach. The Health Cadre Intervention is offered as an alternative strategy that leverages the cadre's social proximity to the prospective bride and groom to increase understanding. This study used a pre-experimental design with a pretest- posttest model without a control group. The sample consisted of 30 respondents, the majority of whom were aged 20–35 (93.3%), female (86.7%), and had secondary education (63.3%). A knowledge questionnaire was administered before and after the intervention. The data were analyzed using the Wilcoxon test to assess differences in understanding scores. The results showed an increase in the average score from 90.17 (SD = 7.87) in the pretest to 96.70 (SD = 5.24) in the posttest . The Wilcoxon test yielded a Z-value of -4.29 with p < 0.001, indicating a significant difference. Eighty percent of respondents experienced an increase in their scores, 20% remained in the good category, and none experienced a decrease. The KATIN CERDAS intervention has proven effective in improving prospective brides and grooms' understanding of reproductive health. This cadre-based strategy can be integrated into premarital counseling programs in primary care to support the formation of healthy families and prevent reproductive health problems early on.

Implementation of Community Diagnosis in Suppressing New TB Cases in Village X

Gita Manerlin Kasihita Simatupang — 2026-02-06

The purpose of this study was to increase public knowledge in Kiarapayung Village, within the Pakuhaji Community Health Center (Puskesmas) working area regarding pulmonary TB and its prevention. Community diagnosis in the Pakuhaji Community Health Center working area used the Blum Paradigm, with data from mini-surveys, interviews, and observations. Problem priorities were determined through USG (Urgency, Seriousness, Growth), non-scoring Delphi, and Fishbone and Five Whys analysis for root causes. Interventions included pulmonary TB education, coughing/sneezing etiquette practices, and proper handwashing. Monitoring was conducted using the PDCA cycle, while evaluation used a systems approach. Based on the Blum Paradigm, lifestyle factors play a role in the high number of TB cases. The intervention results showed that 24 participants (60%) obtained a post-test score of ≥70 points, and there was an increase in the average pre-test and post-test scores of 46.6%. One random participant was able to demonstrate coughing etiquette and proper handwashing.

Reinforcing Patient Acquisition through Integrated Community Healthcare: Qualitative Analysis

Jessica Hermawan — 2026-02-06

Healthcare institutions in semi-rural areas face increasing challenges in attracting general patients due to competition and shifting service expectations. Mojowarno Christian Hospital addresses this issue through its Executive Clinic, a premium service unit aimed at improving patient experience and service reach. This study employs a quasi-qualitative case study with a post-positivist lens to analyze the hospital’s marketing management strategy across the seven elements of the service marketing mix. Data were obtained from in-depth interviews and internal documents and analyzed using NVivo-assisted thematic coding. The findings identify three strategic pillars: enhancing service value through premium and personalized care, expanding accessibility via integrated community outreach and multi-channel service pathways, and strengthening visibility through digital communication, referrals, and community engagement. These findings produce an Integrated Community Healthcare Strategy relevant for semi-rural Christian-based hospitals. The study is limited to one site; future research may test the model quantitatively or compare across hospital types.

Literature Review: The Role of Ajwa Dates (Phoenix Dactylifera L.) as a Natural Phytoestrogen in Reducing Perimenopause Symptoms

Fitra Amalia Salsabila — 2026-02-06

Perimenopause is a transitional phase before menopause characterized by a decrease in estrogen levels and the appearance of symptoms such as hot flushes, sleep disturbances, and mood changes. One natural alternative to reduce these symptoms is the use of phytoestrogens, which are plant compounds that mimic estrogen hormones. Ajwa dates (Phoenix dactylifera L.) contain flavonoids, phenolics, saponins, and phytoestrogens that have the potential to help balance hormones and reduce perimenopausal symptoms. This study aims to examine the role of Ajwa dates as a natural phytoestrogen in alleviating perimenopausal symptoms. This study employed a literature review design with a narrative approach. Data were obtained from five relevant national and international journals, with inclusion criteria covering studies discussing the role of Ajwa dates as a natural phytoestrogen in reducing perimenopausal symptoms. The data sources were analyzed qualitatively to assess the relationships between variables and the conclusions of the studies. The review results indicate that consumption of Ajwa dates can increase Anti-Mullerian Hormone (AMH) and Follicle Stimulating Hormone (FSH) levels, improve the number of de Graaf follicles, and thicken the endometrium. In vitro studies also show that Ajwa date extracts have significant antioxidant and phytoestrogenic activities. These effects contribute to improved ovarian function and the reduction of clinical symptoms caused by estrogen deficiency in perimenopausal women. Ajwa dates play an important role as a natural phytoestrogen capable of reducing perimenopausal symptoms through mechanisms such as hormonal balance improvement, antioxidant activity, and ovarian function enhancement.

Strategies to Enhance Inpatients’ Revisit Intention through the Blue Ocean Strategy and Customer Satisfaction Index

A. Dwi Hermin Alfian — 2026-02-06

Patients’ revisit intention represents a crucial indicator of hospital service sustainability and is strongly influenced by service quality and patient satisfaction. Amid increasingly intense competition among healthcare providers, hospitals are required to develop innovative strategies that emphasize value creation and patient experience. The Blue Ocean Strategy approach, combined with patient satisfaction measurement using the Customer Satisfaction Index (CSI), offers a strategic alternative for enhancing hospital competitiveness. This study aimed to analyze the relationship between the implementation of the Blue Ocean Strategy and the Customer Satisfaction Index with patient satisfaction, as well as their association with inpatient revisit intention at Permata Hati Mother and Child Hospital, Makassar City. This study employed an analytic quantitative design with a cross-sectional approach. A total of 190 hospitalized patients were selected as respondents using purposive sampling techniques. Data were analyzed descriptively and bivariately using Pearson correlation and Chi-square tests. The results indicated that the majority of respondents were aged 30–39 years, female, and users of the National Health Insurance (BPJS Kesehatan) scheme. Bivariate analysis revealed a significant relationship between the implementation of the Blue Ocean Strategy and inpatient satisfaction (p < 0.05), as well as a significant association between the Customer Satisfaction Index and patient satisfaction (p < 0.05). Furthermore, patient satisfaction was found to be significantly associated with inpatient revisit intention at Permata Hati Mother and Child Hospital, Makassar City (p < 0.05). In conclusion, the implementation of innovative service strategies and higher levels of patient satisfaction are significantly associated with inpatients’ revisit intention.

Literature Review: A Comparative Analysis of Postoperative Urinary Tract Infection Risk between Long-Term and Short-Term Catheterization

Nurfaisah Fadilah — 2026-02-09

The insertion of a urinary catheter is a routine procedure in various surgical interventions to keep the bladder empty; however, prolonged catheterization is known to increase the risk of urinary tract infection (UTI) through biofilm formation, bacterial colonization, and enhanced antimicrobial resistance. This study aims to compare postoperative UTI risk between short-term and long-term catheterization to determine the safest optimal duration. The research method uses a narrative literature review of nationally and internationally indexed journals published between 2015 and 2025, using keywords related to CAUTI, short-term catheterization, long-term catheterization, and catheter duration. Analysis of 25 cohort studies showed that long-term catheter use (>7 days) results in a significantly higher incidence of CAUTI (26.7% vs 7.1%) with a relative risk of 3.84, with infection onset rising sharply from day 3 and reaching a plateau after day 14, as well as a predominance of multidrug-resistant pathogens such as Pseudomonas aeruginosa and Enterococcus faecalis. The pathogenesis involves mature biofilm formation by days 7–10, increased expression of resistance genes, and enhanced horizontal gene transfer. These findings confirm that catheter duration is the strongest independent risk factor for CAUTI, and strategies such as early catheter removal, nurse-driven removal protocols, antimicrobial-coated catheters, and closed drainage systems have been shown to reduce CAUTI incidence by 40–60%. In conclusion, short-term catheterization is significantly safer than long-term use, and implementing protocols to reduce catheter duration is the most effective measure in preventing postoperative CAUTI.

The Effects of Competency-Based Training, Shift Scheduling, and Resource Availability on Employee Job Performance: the Mediating Role of Work Engagement

Amal Prihatono — 2026-02-09

This study aims to analyze the effects of competency-based training, shift scheduling, and resource availability on employee job performance at the Traditional Health Center Sehat Harmoni Indonesia, with work engagement serving as a mediating variable. This study employed a quantitative research design with a cross-sectional approach. The population consisted of all employees of the Traditional Health Center Sehat Harmoni Indonesia. The sampling technique used was saturated sampling (census sampling), in which all members of the population were included as respondents. The total sample in this study was 50 employees. Data were collected through a structured questionnaire. The SEM-PLS analysis technique using SmartPLS 3 was applied to evaluate the direct and indirect effects within the proposed model. The findings reveal that competency-based training, shift scheduling, and resource availability significantly improve both work engagement and employee job performance, with resource availability showing the strongest direct effect. Work engagement also positively influences performance and serves as an effective mediator, indicating that these organizational practices enhance job outcomes both directly and indirectly by increasing employee engagement. Overall, well-designed training, effective scheduling, and adequate resources are essential for strengthening employee performance at Sehat Harmoni Indonesia. Future studies are recommended to include additional variables such as work motivation, leadership style, organizational culture, or job satisfaction to gain a broader understanding of factors influencing employee performance. Researchers may also employ longitudinal designs or expand samples across multiple traditional health centers to improve generalizability. Additionally, qualitative or mixed-method approaches could provide deeper insights into how training, shift scheduling, and resource availability shape employee experiences and performance.

Antibiotic Treatment Patterns in Conjunctivitis Patients based on Medical Records

Lilis Suryani — 2026-02-09

Conjunctivitis is the most common eye disease. The prevalence of conjunctivitis is influenced by gender, patient age, and season. This study aimed to determine the characteristics and patterns of antibiotic use among patients with conjunctivitis at PKU Gamping Hospital, Yogyakarta. This study design is descriptive. The sample size was 203 people, all outpatients treated at the Eye Clinic of PKU Muhammadiyah Gamping Hospital, Yogyakarta, from 2019 to 2021, who were diagnosed with conjunctivitis by an ophthalmologist. The instruments used in this study included a structured data collection form to record age, gender, education level, employment type, and the antibiotic therapy prescribed to patients, and the Chi-Square analysis to determine demographic variables as risk factors for conjunctivitis. The Ethics Committee has approved this study with approval number 217/EC-KEPK FKIK UMY/VIII/2020. There are more males than women; most people with conjunctivitis are under 20 years old (39.9%), have a high school education (37%), and work indoors (93%). The Chi-Square analysis test showed that age, education level, and type of work are risk factors for the characteristics of conjunctivitis (p<0.05). Meanwhile, gender is not a risk factor for conjunctivitis (p>0.05). The antibiotics most frequently used to treat conjunctivitis patients were Neomycin Sulfate (24.9%), Polymyxin B (21.5%), Ofloxacin (17.1%), Levofloxacin (8.9%), and Chloramphenicol (5.1%), respectively. The study shows that age, educational level, and occupation are risk factors for conjunctivitis in Yogyakarta. Certain age groups, lower education levels, and vulnerable types of work are at higher risk of developing conjunctivitis.

Differences in Anti-Müllerian Hormone Levels Before and After Platelet-Rich Plasma–Based Ovarian Rejuvenation in Patients with Premature Ovarian Insufficiency

Aprillia Tamitha Hoata — 2026-02-10

Premature Ovarian Insufficiency (POI) is defined as a decline in ovarian function before the age of 40, with an estimated prevalence of approximately 3.7%, particularly higher in countries with low to medium Human Development Index (HDI). POI can negatively affect both physical and psychological health in women. Anti-Müllerian Hormone (AMH) is widely recognized as a biomarker to assess ovarian reserve. Recently, Platelet-Rich Plasma (PRP) therapy has been investigated as a novel approach to enhance AMH levels and rejuvenate ovarian function in POI patients. To evaluate the effect of PRP-based ovarian rejuvenation therapy on AMH levels in women with POI. This retrospective observational analytic study involved 33 women diagnosed with POI who underwent PRP ovarian rejuvenation therapy at Bali Royal Hospital between 2022 and 2024. Total sampling was employed, and secondary data were obtained from patient medical records. Data were analyzed using univariate and bivariate methods, specifically paired-sample t-tests. The study included 33 women with a mean age of 35.62 ± 5.68 years. The mean baseline AMH level was 0.53 ± 0.34 ng/mL, which increased to 0.66 ± 0.46 ng/mL three months after PRP therapy. Statistical analysis demonstrated a significant increase in AMH levels following PRP treatment (p ≤ 0.05). A statistically significant difference in AMH levels was observed before and three months after PRP-based ovarian rejuvenation therapy in women with POI treated at Bali Royal Hospital during the 2022–2024 period. These findings indicate that PRP may represent a promising adjunctive therapy for improving ovarian reserve in patients with POI.

The Influence of Leadership and Compensation on Work Motivation and its Impact on Nurse Performance

Agus Wahyudianto — 2026-02-10

This study aims to analyze the influence of Leadership and Compensation on Work Motivation and its impact on Nurse Performance at RSUD Aji Muhammad Parikesit Tenggarong. In the context of healthcare services, the role of effective leadership and a fair compensation system are crucial factors in enhancing both the motivation and performance of nursing staff. This research employs a quantitative method with purposive sampling technique, involving 213 nurses working at RSUD Aji Muhammad Parikesit Tenggarong. Data were collected through structured questionnaires and analyzed using path analysis. The results of the study indicate that Leadership has a positive and significant influence on Work Motivation and Nurse Performance, both directly and indirectly through Work Motivation. Compensation also shows a positive effect on Work Motivation and Performance, with the indirect effect through Work Motivation being greater than the direct effect. Furthermore, Work Motivation has a significant influence on improving Nurse Performance. These findings provide practical implications for hospital management, particularly in developing more effective leadership programs and improving the compensation system to enhance nurse motivation and performance.

Modeling Public Trust in Acupuncture Therapy: Social Legitimacy, Healing Narratives, and Epistemic Trust with Perceived Therapeutic Credibility as a Mediating Variable

Chantika Mahadini — 2026-02-10

This study investigates the factors influencing Public Trust in acupuncture therapy, focusing on the roles of Social Legitimacy, Healing Narratives, and Epistemic Trust. Using a quantitative approach with a correlational research design, the study examines the relationships between these independent variables and Public Trust, with Perceived Therapeutic Credibility as a mediating variable. A Structural Equation Modeling (SEM) technique using Partial Least Squares (PLS) was employed to analyze the data. The research was conducted across five acupuncture clinics in Malang City, involving 150 patients with Low Back Pain (LBP). Data was collected using a structured questionnaire and purposive sampling. The study found that Healing Narratives had the most significant impact on Public Trust, supporting previous findings that personal stories and experiences are crucial in legitimizing complementary and alternative medicine. Both Social Legitimacy and Epistemic Trust directly influenced the Perceived Therapeutic Credibility and Public Trust, highlighting the importance of societal acceptance and the credibility of information surrounding acupuncture. Furthermore, Perceived Therapeutic Credibility was confirmed to mediate the relationships between Social Legitimacy, Healing Narratives, and Public Trust. However, the indirect effect of Epistemic Trust on Public Trust through Perceived Therapeutic Credibility was found to be non-significant. The study contributes to the understanding of how Public Trust in acupuncture is shaped, emphasizing the roles of social validation, narrative storytelling, and epistemic credibility. These findings offer practical insights for practitioners and policymakers aiming to enhance acupuncture’s acceptance in mainstream healthcare.