MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Editor-in-Chief Muhammad Rizky, M.Ed. E-ISSN 2986-7754 Frequency 4 Issues/Year Language English Review Policy Double-Blind Peer Review Platform Open Journal Systems (OJS) Publisher PT. Radja Intercontinental Publishing Journal URL https://medalionjournal.com/index.php/go/index MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation is a peer-reviewed, open access journal which publishes original research articles and review articles in all areas of nursing and midwifery, research and education. The aim of the journal is to contribute to the growing field of nursing practice and provide a platform for researchers, physicians and healthcare professionals. Topics of interest include: Nursing education Community nursing Specialist nursing topics Policies in nursing and healthcare Ethical issues Healthcare systems Healthcare management Pediatrics nursing
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND COMPLIANCE WITH MEDICATION IN PULMONARY TB PATIENTS IN THE WORKING AREA OF THE BOJONEGORO PUBLIC HEALTH CENTER BASED ON LAWRENCE W. GREEN'S THEORY
Pulmonary tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis and requires long-term treatment for six months. Non-compliance with medication is one of the main causes of therapy failure and increases the risk of Multi Drug Resistance (MDR). Family support is an important factor in improving medication compliance in pulmonary TB patients. This study aims to analyze the relationship between family support and medication compliance in pulmonary TB patients in the Bojonegoro Community Health Center working area based on Lawrence W. Green's theory. This study used a quantitative correlational design with a cross-sectional approach. The study sample was 36 pulmonary TB patients who had undergone treatment for six months using a total sampling technique. The independent variable was family support and the dependent variable was medication compliance. Data collection was carried out using a family support questionnaire and a medical card observation sheet. Data analysis used the Chi-Square test with a significance level of α<0.05. The results showed that most respondents received good family support (32 respondents (88.9%) and the majority of respondents were compliant with taking medication (35 respondents (97.3%). The chi-square test yielded a p-value of 0.004 (<0.05), indicating a relationship between family support and medication adherence in pulmonary TB patients. The study concluded that family support significantly correlates with medication adherence in pulmonary TB patients. Emotional support was the most dominant form of support in improving medication adherence in pulmonary TB patients.
Copyright (c) 2026 Avrinda Debora Sinda Mercelin, Evita Muslima Isnanda Putri, Ahmad Maftukhin, Titik Nuryanti, Rahmawati https://creativecommons.org/licenses/by/4.0
THE EFFECT OF HEALTH EDUCATION WITH THE LECTURE METHOD ON PREVENTION OF CKD (CHRONIC KIDNEY DISEASE) IN ADOLESCENTS
Chronic kidney disease (CKD) is a global health problem whose prevalence continues to increase and can cause long-term impacts starting from adolescence. Low knowledge and preventive behavior are among the factors contributing to the increased risk of CKD. This study aims to analyze the effect of health education using the lecture method on CKD prevention in adolescents. The study used a pre-experimental design with a one-group pretest-posttest approach. The study population was all 72 grade X students of SMAN 2 Bojonegoro, with a sample of 61 respondents selected using a purposive sampling technique. The research instrument was a questionnaire on CKD prevention knowledge and behavior. Data analysis was performed using the Wilcoxon Signed Rank Test with a significance level of 5%. The results showed that the proportion of respondents with good knowledge increased from 65.5% to 95.1%, while good preventive behavior increased from 45.9% to 59%. The median knowledge score increased from 6.00 to 10.00 and the median behavior increased from 50.00 to 55.00. The Wilcoxon test showed a p-value of 0.000 (p<0.05). In conclusion, health education using the lecture method significantly increased knowledge and behaviors related to CKD prevention in adolescents. Health education can be an effective promotive and preventive strategy for increasing awareness of kidney health from an early age
Copyright (c) 2026 Ervina Rizki Wulan Suci, Ahmad Maftukhin, Evita Muslima Isnanda Putri, Siti Patonah https://creativecommons.org/licenses/by/4.0
ANALYSIS OF THE AVAILABILITY OF POSYANDU FACILITIES AND INFRASTRUCTURE AND ITS INFLUENCE ON PARTICIPATION OF HEALTH SERVICE TARGETS IN SUKADANA VILLAGE, TERARA DISTRICT, EAST LOMBOK REGENCY, WEST NUSA TENGGARA
Posyandu (Integrated Health Post) is a form of Community-Based Health Effort (UKBM) that plays a crucial role in improving public health. The success of Posyandu activities is greatly influenced by the availability of adequate facilities and infrastructure and the active participation of the community as the target of health services. This study aims to analyze the availability of Posyandu facilities and infrastructure and their influence on the participation of health service targets in Sukadana Village, Terara District, East Lombok Regency. This study used descriptive qualitative methods with data collection techniques through observation, interviews, and documentation. Informants consisted of Posyandu cadre leaders, cadres, and related parties who support the implementation of health services. The results showed that the main Posyandu facilities and infrastructure, such as baby scales, digital scales, and height measuring devices, were available and still suitable for use. However, there were still limitations in supporting facilities such as service tables and chairs. The availability of adequate facilities and infrastructure influenced the smooth running of health services and the level of community participation. The low participation of some targets was influenced by busy factors, health conditions, and limited time and mobility. Therefore, ongoing support from village governments and health workers is needed to improve the quality of facilities, the capacity of cadres, and community participation in integrated health post activities.
Copyright (c) 2026 Leni Lestari, Nurul Humairo, Nurul Humairo, Sherina Fazirawati, Lalu Zahrul Basim https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND MENSTRUAL CYCLE WITH THE INCIDENCE OF DYSMENORHEA IN ADOLESCENT GIRLS IN SOLOK VILLAGE, RUMBIO JAYA DISTRICT IN 2026
Dysmenorrhea is one of the most common complaints experienced during menstruation by women, especially teenagers. This complaint usually occurs in the lower abdomen. Dysmenorrhea occurs because the uterine wall contracts when the hormone prostaglandin increases. The process of shedding the uterine wall is assisted by this hormone, which ultimately causes pain. This problem affects at least 60-85% of adolescent girls, resulting in high school absences. The purpose of this study was to determine the relationship between nutritional status and menstrual cycles with the incidence of dysmenorrhea in adolescent girls in Solok Village, Rumbio Jaya District. The method used in this study was a quantitative method with a cross-sectional approach. The population in this study were all adolescent girls in Solok Village, Rumbio Jaya District. So, a sample of 60 people was taken using a total sampling technique. Data collection was carried out using a questionnaire. The collected data were then processed and analyzed using the SPSS version 20 statistical program and analyzed using chi-square. The results of the study showed that there was a relationship between nutritional status and the incidence of dysmenorrhea in adolescent girls in Solok Village, Rumbio Jaya District, with the chi square test results showing a p-value of 0.000 p<0.05. There was a relationship between the menstrual cycle and the incidence of dysmenorrhea in adolescent girls in Solok Village, Rumbio Jaya District, with the chi square test results showing a p-value of 0.000 p<0.05.
Copyright (c) 2026 Miftahurrahmi, Fitri Handayani https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN MEDICAL AND NON-MEDICAL STAFF INTERPERSONAL COMMUNICATION SKILLS AND OUTPATIENT PATIENT SATISFACTION AT DR. LEOKMONO HADI KUDUS REGIONAL HOSPITAL
This study is motivated by the importance of interpersonal communication between medical and non-medical staff in improving outpatient satisfaction in hospitals. The study aims to analyze the relationship between interpersonal communication skills of medical and non-medical staff and outpatient satisfaction at Dr. Loekmono Hadi Kudus Regional General Hospital. The study used a quantitative approach with an observational analytical design and a cross-sectional design. The study population was all outpatients at Dr. Loekmono Hadi Kudus Regional General Hospital with an average of 243 patient visits per day, while a sample of 152 respondents was determined using the Slovin formula with a purposive sampling technique. The research instrument used a questionnaire on interpersonal communication and patient satisfaction that had been tested for validity and reliability. Data analysis was carried out univariately and bivariately using the chi-square test. The results showed that 86.2% of respondents rated the staff's interpersonal communication skills as good and 89.5% of respondents were satisfied with outpatient services. Statistical tests showed a significant relationship between interpersonal communication skills and patient satisfaction (p = 0.001). The conclusion of this study is that good interpersonal communication contributes to increasing outpatient satisfaction in hospitals
Copyright (c) 2026 Yesy Putri Adelia, Muhammad Purnomo, Zunia Khairunisa, Fitriana Kartikasari https://creativecommons.org/licenses/by/4.0
The Relationship Between Socio-Economical and Pregnancy Spacing with the Incidence of Chronic Energy Deficiency (CED) in Pregnant Women at the Balen Community Health Center
Chronic Energy Deficiency (CED) remains a serious nutritional problem among pregnant women in Indonesia, particularly in the Balen Community Health Center (Puskesmas) area of ​​Bojonegoro Regency. Socioeconomic status and pregnancy spacing are suspected to contribute to the incidence of CED. The purpose of this study was to determine the relationship between socioeconomic status and pregnancy spacing and the incidence of CED in pregnant women. This study used a cross-sectional design with a sample size of 44 pregnant women drawn using simple random sampling. The independent variables were socioeconomic status and pregnancy spacing, while the dependent variable was the incidence of CED as measured by mid-upper arm circumference (MUAC). Data analysis used the Spearman's Rho test with a significance level of <0.05. The study showed that less than half of the pregnant women had low socioeconomic status (19 women (43.2%), and most of the pregnant women had a safe/ideal pregnancy spacing (37 women (84.1%). The results of the analysis using sperm rank showed a significant association between economic status and the incidence of CED (p = 0.000). women, while pregnancy spacing did not show a significant association. Nutrition education interventions and ideal pregnancy planning are needed to prevent CED.
Copyright (c) 2026 Yuli Anggraeni, Siti Patonah, Wiwik Utami, Fidrotin Azizah https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF EDUCATION ON REPRODUCTIVE HEALTH IN IMPROVING KNOWLEDGE AND ATTITUDES TOWARD CHILD MARRIAGE PREVENTION AT THE ADOLESCENT POSYANDU IN TRUCUK
Child marriage remains a significant issue in Indonesia, including in Trucuk District, Bojonegoro Regency. One preventive effort that can be carried out is through reproductive health education at the Adolescent Posyandu. Health education aims to increase knowledge and shape better attitudes in preventing child marriage among adolescents. This study aims to analyze the effectiveness of reproductive health education in increasing knowledge and attitudes toward child marriage prevention at the Adolescent Posyandu in Trucuk. This study uses a quantitative method with a pre-experimental one-group pretest-posttest design. The research sample consists of adolescents actively participating in the Adolescent Posyandu in Trucuk, selected using purposive sampling techniques. Data were collected through questionnaires before and after the reproductive health education intervention. Data analysis was performed using a Wilcoxon Rank to assess changes before and after the education. The study results indicate a significant increase in adolescent knowledge and attitudes after receiving reproductive health education (p-value = 0.000 a <0.05). adolescents who previously had limited understanding of reproductive health and the risk of child marriage showed increased awareness and more positive attitudes after receiving the education. Reproductive health education has proven effective in enhancing knowledge and shaping better attitudes in preventing child marriage at the Adolescent Posyandu in Trucuk. This education program can serve as a recommended strategy for broader implementation to reduce child marriage rates in Indonesia.
Copyright (c) 2026 Alfa Khamdia, Sri Mulyani, Siti Patonah https://creativecommons.org/licenses/by/4.0
THE INFLUENCE OF FAMILY SUPPORTIVE ORGANIZATIONAL CULTURE ON WORK-FAMILY CONFLICT IN WORKING MOTHERS
The increasing participation of women in the workforce has expanded the role of mothers as individuals responsible not only for their families but also for the demands of their jobs. This condition increases the risk of work-family conflict (WFC), a conflict that arises from a misalignment between the demands of work and family life. This conflict has been identified as a critical issue in industrial and organizational psychology because it affects psychological well-being, job satisfaction, organizational commitment, productivity, and employee turnover intentions. One organizational factor believed to be able to reduce work-family conflict is family supportive organizational culture (FSOC), an organizational culture that supports a balance between work and family through policies, values, norms, and support from leaders and colleagues. This conceptual article aims to examine the relationship between family supportive organizational culture and work-family conflict in working mothers through a synthesis of theories and the results of recent empirical research. The study was conducted using a narrative literature review method by examining various scientific articles published in accredited national journals and reputable international journals in the fields of psychology, organizational behavior, and human resource management. The study results show that a family-friendly organizational culture acts as an organizational resource capable of reducing work-family conflict through work flexibility, supervisor support, coworker support, easy access to family-friendly policies, and reduced stigma against employees who carry out family responsibilities. Based on Conservation of Resources Theory , Role Theory , and Spillover Theory , FSOC contributes to creating a balance between work and family roles so as to improve the psychological well-being of working mothers. This article emphasizes that strengthening a family-friendly organizational culture is an important strategy in supporting work-family balance and sustainable organizational performance and serves as a foundation for future empirical research.
Copyright (c) 2026 Liandra Khairunnisa, Hafiz Nurdiansyah https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF USING MORINGA LEAVES AS AN ANTI-CHLESTROL INGREDIENT IN WOMEN
Moringa leaves are a plant that can be used to prevent and treat cholesterol. The increasing number of cholesterol sufferers must be taken seriously and addressed. Cholesterol sufferers are also found in Blang Weu Baroh Village, where the number of cholesterol sufferers is 126 people, with 30 suffering from hypercholesterolemia. This problem must be addressed. The community is unaware that Moringa leaves can be used as a medicine for hypercholesterolemia, with only 15% knowing the benefits of Moringa leaves. Therefore, researchers need to see the effectiveness of the use of Moringa leaves as an anti-cholesterol agent. The purpose of this study was to determine the effectiveness of the use of Moringa leaves as an anti-cholesterol agent in women in Blang Weu Baroh Village, Blang Mangat District, Lhokseumawe City. This study used a quasi-experimental design, namely conducting pretest and posttest testing, with a sample size of 30 people. The results of the study showed that the results of the paired sample t-test obtained a significance value of 0.000 < 0.05, which means there is effectiveness in using Moringa leaves as an anti-cholesterol agent for women in the Blang Weu Baroh Village area. The community's cholesterol levels decreased by 18.7 mg/dL after being given Moringa leaves, so it can be interpreted that Moringa leaves are quite effective in reducing community cholesterol levels.
Copyright (c) 2026 Rizky Mauliza, Evi Yanti, Riski Dian Ardianti, Fitri Muliani https://creativecommons.org/licenses/by/4.0
THE EFFECT OF FAMILY SUPPORT AND COMPLIANCE IN CONTROL OF LOW-PURINE DIET PATTERNS ON HYPERURICEMIA IN BOJONEGORO BASED ON LAWRENCE GREEN'S THEORY
Hyperuricemia is a condition characterized by elevated uric acid levels in the blood, which can cause joint pain and impaired activity in the elderly. Adherence to a low-purine diet and family support are important factors in preventing hyperuricemia. This study aimed to analyze the effect of family support and adherence to a low-purine diet on hyperuricemia based on Lawrence Green's theory. This study used a quantitative correlational design with a cross-sectional approach. The study sample consisted of 48 elderly people aged ≥ 60 years at the Elderly Posyandu in Tlatah Village, Purwosari District, Bojonegoro Regency, selected using a simple random sampling technique. The independent variables were family support and adherence to a low-purine diet, while the dependent variable was hyperuricemia. Data collection used questionnaires and uric acid examination observation sheets. Data analysis used a logistic regression test with a significance level of α <0.05. The results showed that the family support variable had a significant p value of 0.020 (<0.05), which means there is an effect of family support on hyperuricemia in the elderly. The Exp(B) value of 0.134 indicates that elderly people with good family support have a lower chance of experiencing hyperuricemia. The low-purine diet adherence variable showed a significant p value of 0.002 (<0.05), which means there is an effect of low-purine diet adherence on hyperuricemia in the elderly. The Exp (B) value of 0.061 indicates that elderly people who adhere to a low-purine diet have a lower risk of hyperuricemia. The conclusion of this study is that family support and adherence to a low-purine diet influence the incidence of hyperuricemia in elderly people. Good family support and adherence to a low-purine diet can help reduce the risk of hyperuricemia in elderly people
Copyright (c) 2026 Alfina Lutfiati, Evita Muslima Isnanda Putri, Sri Mulyani, Ahmad Mafthukin, Rahmawati https://creativecommons.org/licenses/by/4.0
FACTORS RELATED TO THE PRESENCE OF AEDES SP. MOSQUITO LARVAE IN THE IMPLEMENTATION OF MOSQUITO NEST ERADICATION IN THE WORKING AREA OF THE KENALI BESAR COMMUNITY HEALTH CENTER IN JAMBI CITY IN 2026
Dengue Hemorrhagic Fever remains a public health problem influenced by preventive behavior and home environmental conditions. This study aims to analyze factors related to the presence of Aedes sp. larvae in the implementation of PSN in the Kenali Besar Community Health Center, Jambi City, in 2026. This study is an observational analytic study with a cross-sectional design. The study population was all heads of families in the Kenali Besar Community Health Center, with a sample of 110 houses selected through simple random sampling. The research instruments were questionnaires, observation sheets, and hygrothermometers, while the data were analyzed using the chi-square test. The results showed a significant relationship between knowledge, attitudes, PSN actions, the role of health workers, and humidity with the presence of Aedes sp. larvae, while temperature was not significantly related. In conclusion, larva control is more related to behavioral factors and home microenvironment, so health education, strengthening jumantik cadres, and consistency of PSN need to be continuously strengthened
Copyright (c) 2026 Muthiah Fauziyyah Syadiq, Oka Lesmana, Andree Aulia Rahmat, Rd. Halim https://creativecommons.org/licenses/by/4.0
STUDI KASUS IMPLEMENTASI TRANFUSI DARAH DAN DOA TERHADAP KELETIHAN PADA PASIEN CKD DI RS PKU GAMPING
Latar Belakang: Chronic Kidney Disease (CKD) merupakan masalah kesehatan global dengan prevalensi yang terus meningkat. Pasien CKD stadium V yang menjalani hemodialisis sering mengalami keletihan akibat anemia yang disebabkan oleh penurunan produksi eritropoietin. Keletihan yang tidak ditangani dapat menurunkan kualitas hidup dan meningkatkan ketergantungan pasien. Tujuan: Penelitian ini bertujuan untuk menggambarkan penerapan asuhan keperawatan paliatif pada pasien CKD stage V dengan masalah keletihan melalui intervensi manajemen energi serta kolaborasi pemberian tranfusi darah PRC dan doa. Metodologi Penelitian: Penelitian ini menggunakan metode deskriptif dengan pendekatan studi kasus pada seorang pasien laki-laki (Tn.S) di RS PKU Muhammadiyah Gamping pada Januari 2026. subjek dipilih melalui purposive sampling dengan kriteria inklusi pasien CKD stage V yang mengalami keletihan. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik dan rekam medis. Asuhan keperawatan diberikan selama 3x8 jam mencakup pengkajian hingga evaluasi berdasarkan standar SDKI, SLKI, dan SIKI. Hasil: Hasil pengkajian awal awal menunjukkan pasien mengeluh mudah letih dengan skor ESAS tired pada skala 5 (sedang) dan kadar hemoglobin 8.9 g/dL. Intervensi yang dilakukan meliputi manajemen energi dan kolaborasi pemberian tranfusi PRC serta folic acid. Setelah dilakukan tindakan keperawatan 3x8 jam, pasien melaporkan rasa lemas berkurang, skor ESAS tired menurun menjadi 2 (ringan), verbalisasi lelah menurun, dan kemampuan aktivitas rutin meningkat. Kesimpulan: :Intervensi manajemen energi yang dikombinasikan dengan kolaborasi farmakologis terbukti efektif menurunkan tingkat keletihan pada pasien. Pemberian tranfusi PRC dan folic acid berperan dalam mengatasi anemia yang menjadi faktor utama penyebab keletihan pada pasien CKD. Pendekatan holistik dan kolaboratif ini mendukung tercapainya tujuan perawatan paliatif, yaitu peningkatan kualitas hidup pasien secara menyelutuh
Copyright (c) 2026 Della Anggraeni, Aini Inayati https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF GUAVA LEAVES ON PROLONGING THE HEALING TIME OF PERINEAL WOUNDS IN POSTPARTUM MOTHERSIN THE WORKING AREA OF BLANG MANGAT COMMUNITY HEALTH CENTER
Perineal wounds are one of the causes of postpartum infections that can slow the recovery process of postpartum mothers if not treated properly. This study aims to analyze the effectiveness of guava leaf decoction on the healing time of perineal wounds in postpartum mothers in the working area of ​​Blang Mangat Community Health Center. The study used a quantitative approach with a quasi-experimental design through a two-group post-test only design. The study population was 68 postpartum mothers on the first day, while the sample was 30 respondents consisting of 15 respondents in the guava leaf group and 15 respondents in the binahong leaf group selected using accidental sampling. The research instruments included REEDA scale observation sheets, food recall, questionnaires, interview guidelines, SOPs, and checklists. Data analysis was carried out univariately and bivariately using the Mann Whitney test. The results showed that the average healing time of perineal wounds in the guava leaf group was 5.47 days and 5.63 days in the binahong leaf group, with a p-value of 0.003. It was concluded that giving boiled guava leaves was more effective than binahong leaves in accelerating the healing of perineal wounds in postpartum mothers, so it has the potential to be an alternative non-pharmacological treatment during the postpartum period.
Copyright (c) 2026 Siska Desta Roza, Nia Afnita Rizana, Siti Lestari, Ridha andria https://creativecommons.org/licenses/by/4.0
THE EFFECT OF MUROTTAL AL-QUR'AN THERAPY ON PAIN IN POST-SECTION CAESAREAN PATIENTS WITH SPINAL ANESTHESIA
Pain in post-caesarean section patients with spinal anesthesia remains a major problem that can hinder maternal recovery, early mobilization, and breastfeeding. This study aims to determine the effect of Quranic recitation therapy on pain in post-caesarean section patients with spinal anesthesia at Banjarnegara Islamic Hospital. This study used a quantitative method with a pre-experimental one-group pretest-posttest design. The study population consisted of all post-caesarean section patients at Banjarnegara Islamic Hospital, with a sample of 40 respondents selected using purposive sampling. The research instruments included a Numerical Rating Scale and a respondent characteristics sheet. Data analysis was performed using a paired sample t-test. The results showed that the average pain level before the intervention was in the moderate pain category, while after the intervention it decreased to the mild pain category. There was a significant effect of Quranic recitation therapy on reducing pain in post-caesarean section patients with spinal anesthesia. In conclusion, Quranic recitation therapy is effective as a non-pharmacological intervention for reducing postoperative pain.
Copyright (c) 2026 Umi Sakdiyah, Wilis Sukmaningtyas, Dwi Novitasari, Daryanto, Awal Tunis Yantoro https://creativecommons.org/licenses/by/4.0
EFFICACY OF CONSUMING DATES (PHOENIX DACTYLIFERA) IN OVERCOMING GESTATIONAL FATIGUE AND ANEMIA IN SECOND TRIMESTER PREGNANT WOMEN: LITERATURE REVIEW
Pregnancy fatigue and anemia are common conditions in pregnant women in the second trimester and can increase the risk of maternal and fetal complications. Dates (Phoenix dactylifera) contain iron, folic acid, vitamin B complex, and natural sugars that have the potential to increase hemoglobin levels and energy metabolism. This study aims to analyze the efficacy of date consumption in overcoming gestational fatigue and anemia in pregnant women in the second trimester. The study used a literature review method by examining scientific articles from 2020–2025 obtained from the PubMed and Google Scholar databases. The study population consisted of articles related to date consumption, gestational fatigue, anemia, and pregnant women, with a sample of 12 articles consisting of 6 national journals and 6 international journals. The research instrument used a literature review sheet and data analysis was carried out descriptively through synthesis of research results. The results showed that consuming 6–7 dates (70–100 grams) per day for at least 14 days can increase hemoglobin levels by 0.965–2.3 g/dL and improve labor parameters related to reduced fatigue. The combination of dates and iron supplements has been shown to be more effective than iron supplements alone. In conclusion, dates are an effective and safe non-pharmacological intervention to help treat anemia and fatigue in pregnant women.
Copyright (c) 2026 Muliatul Jannah, Rifana Azizatul Khairani https://creativecommons.org/licenses/by/4.0
RELATIONSHIP BETWEEN WIDAL TITER WITH C-REACTIVE PROTEIN (CRP) LEVELS AND SEGMENTED NEUTROPHIL PERCENTAGE IN CHILDREN WITH TYPHOID FEVER AT GRAHA MEDIKA MARTAPURA CLINIC, BANJAR DISTRICT
Typhoid fever is an infectious disease that remains a public health problem in Indonesia, particularly among children. Infection with Salmonella typhi can trigger an inflammatory response characterized by elevated C-reactive protein (CRP) levels and changes in the percentage of segmented neutrophils. The Widal test is still widely used to aid in the diagnosis of typhoid fever because it is simple, rapid, and cost-effective. This study aimed to determine the relationship between Widal titers and CRP levels and the percentage of segmented neutrophils in pediatric typhoid fever patients at the Graha Medika Martapura Clinic, Banjar Regency. This study employed an observational analytical method with a cross-sectional design. The data used were secondary data from the medical records of pediatric typhoid fever patients from January 2025 to March 2026. The study sample consisted of 206 patients selected using total sampling. Data analysis was performed using the Spearman rank correlation test. The results showed that the majority of patients had a Widal titer of 1/640 (65.5%), elevated CRP levels (59.7%), and a normal percentage of segmented neutrophils (84.5%). The correlation test results showed no significant association between the Widal titer and CRP levels (r=0.073; p=0.296) or the percentage of segmented neutrophils (r=0.064; p=0.361). It was concluded that the Widal titer is not associated with CRP levels or the percentage of segmented neutrophils in pediatric patients with typhoid fever.
Copyright (c) 2026 Eka Wahyuni, Puspawati, Muhammad Arsyad, Syihab Fayumi https://creativecommons.org/licenses/by/4.0
FACTORS ASSOCIATED WITH MEDICATION ADHERENCE AMONG ISCHEMIC STROKE PATIENTS AT BAKTI TIMAH HOSPITAL, PANGKAL PINANG, IN 2025.
Ischemic stroke is the main cause of death in Indonesia, including in the Bangka Belitung area. The level of medication adherence in ischemic stroke patients is still at a low level, which has an impact on the increased risk of recurrence and death. This study aims to determine factors related to medication adherence in ischemic stroke patients, especially at Bakti Timah Pangkalpinang Hospital. The factors studied included knowledge, attitudes, and family support for patients. This study uses a quantitative method with a cross-sectional design. with a sample of 88 respondents were taken from ischemic stroke patients who underwent outpatient treatment at Bakti Timah Pangkalpinang Hospital. The sampling technique used is purposive sampling. Data collection was carried out using a validated questionnaire, namely MMAS-8 to measure medication adherence, as well as a special instrument to measure variables of knowledge, attitudes, and family support. As well as data analysis using the Chi Square test. The results showed that there was a significant relationship between knowledge (p=0.000), attitude (p=0.000), and family support (p=0.000) and medication adherence in ischemic stroke patients. Knowledge, attitude and family support are the factors that most influence the patient's compliance in undergoing treatment. The results of this study can help in developing more effective intervention strategies to improve the quality of life of ischemic stroke patients. The conclusion that can be drawn from this study is that knowledge, attitudes, and family support have a meaningful relationship with the level of compliance of ischemic stroke patients in taking medication. The suggestion from this study is the need for continuous educational interventions to patients and discharges as well as the increasing role of health workers in providing support and monitoring to ischemic stroke patients.
Copyright (c) 2026 Putri https://creativecommons.org/licenses/by/4.0
ANALYSIS OF PALLIATIVE NURSING CARE FOR POST-OP CRANIOTOMY A/I SPONTANEOUS INTRACEREBRAL HEMORRHAGE (ICH) PATIENTS WITH PAIN MANAGEMENT INTERVENTION IN THE ICU OF ROYAL PRIMA HOSPITAL MEDAN IN 2026
Intracerebral Hemorrhage (ICH) is a critical neurological condition with a high mortality rate that often requires craniotomy and intensive care in the ICU. Post-craniotomy patients generally experience acute pain that can worsen neurological conditions if not optimally managed. This study aims to analyze palliative nursing care in post-op craniotomy patients due to spontaneous intracerebral hemorrhage with pain management interventions in the ICU of Royal Prima Medan Hospital in 2026. The study used a case study method with a nursing process approach. The study population was post-op craniotomy patients with ICH in the ICU, with a sample of one 56-year-old female patient. Data collection was carried out through observation, physical examination, family interviews, and medical record documentation. The pain assessment instrument used the Critical Care Pain Observation Tool (CPOT), while data analysis was conducted descriptively. The results showed a decrease in CPOT pain scores from 7 to 5 after the administration of pharmacological and non-pharmacological pain management interventions. Patients also showed more stable hemodynamic conditions and a reduced response to the ventilator. The conclusion of the study shows that palliative nursing care with a focus on pain management is effective in helping to increase comfort and support the stability of the condition of post-craniotomy patients with ICH in the ICU.
Copyright (c) 2026 Cut Lianda Faradila, Idaman Kristiani Waruwu, Noniatri Ziliwu, Putri Nurul Izzah Andini, Seni Rofil Sandyani Mendrofa, Basri https://creativecommons.org/licenses/by/4.0
OVERVIEW OF BLOOD SUGAR LEVELS WHEN USING THE POINT OF CARE TESTING (POCT) METHOD
Blood glucose level is an important indicator used to assess the body’s metabolic condition and detect the risk of diabetes mellitus. University students are considered vulnerable to unhealthy lifestyle changes, including irregular eating patterns, lack of physical activity, academic stress, and insufficient sleep, which may affect blood glucose regulation. This study aimed to describe random blood glucose levels using the Point-Of-Care Testing (POCT) method among students of the Medical Laboratory Technology Study Program, Class of 2025, at Politeknik Cendrawasih Palu. This research employed a descriptive study with a cross-sectional approach. The sample consisted of 34 students who met the inclusion criteria. Blood glucose examination was performed using a POCT glucometer with capillary blood samples obtained from the fingertip. The results showed that all respondents had random blood glucose levels within the normal range, with values ranging from 89–161 mg/dL and an average level of 110.41 mg/dL. These findings indicate that the respondents generally had good glucose metabolism. The POCT method proved to be practical, rapid, and effective for early blood glucose screening and health monitoring among students.
Copyright (c) 2026 Dewi Herlyana Putri, Ni Komang Eva Dwi Yanti, Ni Luh Yesi Pratami, Wandy Christiawan Lampaga, Agung Surya Rahman, Moh Arif, Saskirana, Fitri Aramadani, Novita Fitri Fajriani, Mujizat https://creativecommons.org/licenses/by/4.0
COMPARISON OF THE EFFECTIVENESS OF ONDANSETRON IN BREAST CANCER PATIENTS AFTER CHEMOTHERAPY FAC (Fluorouracil, Doxorubicin Cyclophosphamide) AND TC (Taxane Cyclophosphamide)
Breast cancer is one of the leading causes of morbidity and mortality in women worldwide. Chemotherapy with the regimens of FAC (Fluorouracil, Doxorubicin, Cyclophosphamide) and TC (Taxane Cyclophosphamide) is often used in the treatment of breast cancer, but side effects such as Chemotherapy-Induced Nausea and Vomiting (CINV) can impact the patient's quality of life. Ondansetron, a 5-HT3 serotonin receptor antagonist, has been widely used as an antiemetic therapy. This study aims to compare the effectiveness of Ondansetron in overcoming CINV in breast cancer patients receiving FAC and TC regimen chemotherapy. The research design used Quasi-Experimental with Two Group Pretest-Posttest, involving 36 patients selected by purposive sampling at Ken Saras Hospital in December 2024 – January 2025. Data were collected using the Rhodes Index of Nausea, Vomiting, and Retching (RINVR) and analyzed by paired-sample t-test and independent-sample t-test. The results showed that Ondansetron effectively lowered the RINVR score significantly in both groups (p = 0.00). However, there was no significant difference in the effectiveness of Ondansetron between the FAC and TC regimens, either before (p = 0.065) or after (p = 0.118) chemotherapy. The conclusions of this study showed that Ondansetron had good effectiveness in reducing CINV in both groups of patients, although there was no significant difference between the regimens.
Copyright (c) 2026 Azka Akhmad Fauzi, Titin Setyowati, Yanuarita Tursinawati, Muslimah https://creativecommons.org/licenses/by/4.0
RELATIONSHIP BETWEEN EFFECTIVENESS AND VARIATIVENESS OF BRONCHIAL ASTHMA MEDICATION WITH CLINICAL IMPROVEMENT OF BRONCHIAL ASTHMA
Background: Bronchial asthma is a chronic inflammatory airway disease that is highly heterogeneous, both in terms of pathophysiology and response to therapy. The availability of various drug classes ranging from inhaled corticosteroids (ICS), bronchodilators, allergen immunotherapy (AIT), to various biologic agents does not necessarily guarantee uniform clinical improvement in every patient due to variability in endotypes, biomarkers, and treatment adherence. Objective: This review aims to analyze the relationship between the effectiveness and variability of various bronchial asthma drug classes with clinical improvement outcomes, including reduced exacerbations, improved lung function, and quality of life. Methods: A narrative literature review was compiled based on three main articles on allergen immunotherapy, targeted biologic therapy, and tezepelumab in severe asthma, supplemented by additional literature searches on therapy adherence and predictive biomarkers. Results and discussion: The effectiveness of conventional pharmacotherapy is strongly influenced by variability in patient adherence, with the average objective adherence to ICS ranging from 22 - 70% of the prescribed dose. Allergen immunotherapy has demonstrated consistent preventive and therapeutic effects in mild-moderate allergic asthma, but its benefits depend on dose, duration, and patient phenotype. Biologic therapy (anti-IgE, anti-IL-5/IL-5Rα, anti-IL-4Rα) significantly reduced exacerbations, particularly in the type 2-high phenotype with eosinophilia, while tezepelumab, a TSLP inhibitor, demonstrated efficacy across phenotypes, including type 2-low, with annual exacerbation reductions of up to 56–71%. This variability in response underscores the need for biomarker-guided approaches and combination therapies to optimize clinical improvement. Conclusion: The effectiveness of bronchial asthma medications is closely linked to the variability of disease endotypes, patient biomarkers, and therapy adherence; optimal clinical improvement is achieved through a personalized approach based on phenotypes and biomarkers, rather than a single, uniform treatment strategy.
Copyright (c) 2026 Natalia Kristina Br Sinaga https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND QUALITY OF LIFE OF PERSONS WITH DISABILITIES IN THE INDONESIAN ASSOCIATION OF PERSONS WITH DISABILITIES (PPDI) BOJONEGORO BRANCH
Background: People with disabilities still face various social, psychological, and health limitations that can affect their quality of life. Family support is an important factor in improving the welfare of people with disabilities. Objective: This study aims to analyze the relationship between family support and the quality of life of people with disabilities in the Indonesian Disability Association (PPDI) Bojonegoro Branch. Method: The study used a quantitative correlational design with a cross-sectional approach. The study population was 125 PPDI community members and a sample of 56 respondents was determined using the Slovin formula with a simple random sampling technique. Data collection used a family support questionnaire and WHOQOL-BREF. Data analysis was carried out univariately and bivariately using the Spearman rho test with a significance level of p ≤ 0.05. Results: A total of 50% of respondents had good family support and 54% had a good quality of life. The results of the Spearman rho test showed a significant relationship between family support and quality of life (p = 0.000) with a very strong positive correlation strength (r = 0.931). Conclusion: The better the family support received by people with disabilities, the better their quality of life in the PPDI Community, Bojonegoro Branch
Copyright (c) 2026 Selvi Umma Nur Aprilia, Evita Muslima Isnanda Putri, Titik Nuryanti, Wiwik Utami https://creativecommons.org/licenses/by/4.0
ISOLATION, CHARACTERIZATION, AND BIOLOGICAL ACTIVITY EVALUATION OF BIOACTIVE COMPOUNDS FROM HERBAL PLANTS AS DRUG CANDIDATES
Research on herbal plants in the field of medicinal chemistry aims to explore the potential of bioactive compounds as drug candidates. Herbal plants are known to contain secondary metabolites such as flavonoids, alkaloids, and phenolic compounds that exhibit various biological activities. This study aims to evaluate the potential of active compounds derived from herbal plants through a medicinal chemistry approach, including isolation, characterization, and biological activity evaluation based on literature studies. The method used in this study was a literature review of relevant scientific journals, including publications from lecturers and other supporting articles. The results indicate that bioactive compounds from herbal plants possess antioxidant, antibacterial, antidiabetic, and anticancer activities. Furthermore, medicinal chemistry approaches such as structural modification and molecular docking have been shown to enhance the effectiveness and selectivity of compounds toward biological targets. In conclusion, herbal plants have great potential as sources of new drug candidates that can be further developed through medicinal chemistry approaches.
Copyright (c) 2026 Saeful Amin, Asri Ainul Qolbiah, Dania Alawiyah, Shaila Juliya Pralita https://creativecommons.org/licenses/by/4.0
BILATERAL PNEUMOTHORAX AS A COMPLICATION OF PULMONARY TUBERCULOSIS: A RARE AND LIFE-THREATENING CASE
Introduction: Bilateral spontaneous pneumothorax secondary to pulmonary tuberculosis is an uncommon but life-threatening complication characterized by the rupture of subpleural TB cavities with simultaneous air accumulation in both pleural spaces. It predominantly occurs in patients with advanced cavitary disease or immunocompromise and carries high morbidity and mortality without prompt recognition and management. Early imaging and combined emergency thoracic intervention with anti-tuberculosis therapy are essential to improving patient outcomes. Case Illustrations: A 46-year-old male presented with two months of progressive dyspnea, productive cough, weight loss, night sweats, and acute chest pain. Chest radiography confirmed bilateral pneumothoraces. Bilateral chest tubes were placed, and sputum GeneXpert detected rifampicin-sensitive Mycobacterium tuberculosis. Anti-tuberculosis therapy (Category I regimen) was initiated concurrently. By day 12, air leaks resolved, chest tubes were removed on day 13, and the patient was discharged in stable condition under outpatient TB follow-up. Discussion: Bilateral TB-related pneumothorax arises from cavitary rupture or bronchopleural fistula formation. Although unilateral pneumothorax is well described in TB, bilateral presentation remains rare. Management requires immediate needle decompression or chest tube insertion, high-flow oxygen, nutritional and analgesic support, and prompt initiation of rifampicin-based anti-tuberculosis therapy to address the underlying infection and facilitate cavity healing. Persistent air leaks may necessitate video-assisted thoracoscopic surgery with chemical or mechanical pleurodesis. Close radiological and microbiological monitoring during treatment minimizes recurrence risk. Conclusion: This case underscores the critical need for rapid diagnosis and integrated medical-surgical management of bilateral pneumothorax in pulmonary tuberculosis. Timely chest drainage combined with effective anti-tuberculosis therapy can lead to full lung re-expansion and favorable outcomes, even in resource-limited settings.
Copyright (c) 2026 Amiruddin, Muhammad Rizky Assilmy Lubis https://creativecommons.org/licenses/by/4.0
ASSOCIATION BETWEEN BODY IMAGE AND STRESS LEVELS AMONG ADOLESCENTS: A CROSS-SECTIONAL STUDY AMONG STUDENTS OF MADRASAH ALIYAH NEGERI 1 MEDAN
Approximately 14% of adolescents experience mental health disorders, including stress, while in Indonesia an estimated 9.8% of adolescents experience stress and depression. During adolescence, physical changes, beauty standards, social media exposure, and peer influence may negatively affect body image, increasing psychological distress. This study aimed to analyze the relationship between body image and stress levels among students at Madrasah Aliyah Negeri 1 Medan. A correlational study with a cross-sectional design was conducted among 92 students in grades X and XI selected using consecutive sampling. Body image and stress levels were assessed using the Body Appreciation Scale-2 (BAS-2) and the Perceived Stress Scale-10 (PSS-10), respectively. Data were analyzed using Spearman's rank correlation test. Most respondents were 15 years old (69.6%) and female (52.5%), with the majority reporting moderate body image (51.1%) and moderate stress levels (56.5%). Spearman's rank correlation showed a significant negative association between body image and stress levels (r = −0.634, p < 0.001), indicating that students with more positive body image tended to report lower perceived stress. These findings suggest that promoting positive body image may contribute to reducing stress and supporting mental health among adolescents
Copyright (c) 2026 Cindy Amalia Daulay, Amelia Eka Damayanty https://creativecommons.org/licenses/by/4.0
THE CORRELATION BETWEEN CRYSTALLOID FLUID PRELOADING AND BLOOD PRESSURE IN PATIENTS UNDERGOING CESAREAN SECTION WITH SPINAL ANESTHESIA AT THE CENTRAL SURGICAL INSTALLATION
Spinal anesthesia for cesarean section often causes maternal hypotension in 60-70% of cases, so an effective fluid management strategy is needed. This study aims to analyze the relationship between crystalloid fluid pre-loading and blood pressure changes in patients with spinal anesthesia for cesarean section. A quantitative, analytical, observational study with a cross-sectional design was conducted on 51 patients from a population of 58 at Dr. R. Goeteng Taroenadibrata Purbalingga Regional General Hospital (January-February 2026). Purposive sampling and the Slovin formula were selected. Data were collected through observation sheets and Drager NIBP monitors, and bivariate analysis was carried out using Fisher's Exact Test. The results showed that 76.5% received adequate pre-loading (10-20 ml/kgBW) with a hypotension incidence of 12.8% versus 66.7% in the inadequate group (p=0.001). The findings confirmed a significant relationship between adequate crystalloid pre-loading and blood pressure stability. Pre-loading of 10-20 ml/kgBW is recommended for elective cases to minimize the risk of hypotension.
Copyright (c) 2026 Aurelia Anaya Dwi Pradianita, Nurul Fatwati Fitriana, Marta Tania Gabriel Ching Cing, Tati Hardiyani https://creativecommons.org/licenses/by/4.0
COMPLEMENTARY BREASTFEEDING (MPASI) FEEDING PATTERNS AND HISTORY OF INFECTIOUS DISEASES IN STUNTED AND NON-STUNTED CHILDREN AGED 12-24 MONTHS IN THE GANTING COMMUNITY HEALTH CENTER AREA, GEDANGAN DISTRICT, SIDOARJO REGENCY
Stunting is a condition of growth failure that occurs in toddlers due to chronic malnutrition that occurs in the First 1000 Days of Life (HPK), starting from the formation of the fetus until the child is 24 months old. Factors that influence the incidence of stunting are direct factors (food consumption, history of infectious diseases, breastfeeding practices, food availability) and indirect factors (economic conditions, health services, education level, social and cultural aspects). This study aims to determine the pattern of complementary feeding (MPASI) and history of infectious diseases, as well as differences in the pattern of complementary feeding (MP-ASI) and history of infectious diseases in stunted and non-stunted children in the work area of ​​Ganting Health Center, Gedangan District, Sidoarjo Regency. This study uses a quantitative approach with a 1:1 case control design paired by age and sex. The sample of this study was 60 children, consisting of 30 stunted children as the case group and 30 non-stunted children as the control group taken using a purposive sampling technique. Data collection on complementary feeding (MPASI) patterns was conducted using the Child Feeding Questionnaire (CFQ) and infectious disease history was obtained through interviews using a questionnaire. Data analysis used the McNemar test. The results of this study showed a significant difference in complementary feeding (MPASI) patterns (p = 0.035) and infectious disease history (p = 0.022) in stunted and non-stunted children in the working area of ​​the Ganting Health Center, Gedangan District, Sidoarjo Regency
Copyright (c) 2026 Nabila Aulia Rahmania, Amalia Ruhana https://creativecommons.org/licenses/by/4.0
Family planning coverage at the Sadar Jaya Community Health Center in Siak Kecil Subdistrict, Bengkalis Regency, showed that out of 353 pregnant women, only 1 was an IUD user (IUD contraceptive use remained low compared to other non-MKJP contraceptives). This study aimed to examine the effect of counseling using leaflets on improving postpartum IUD family planning knowledge among third-trimester pregnant women. This was a pre-experimental study. The population comprised of all third-trimester pregnant women in May 2026, totaling 45 individuals; total sampling was used. Data analysis used the t-test. The results showed that prior to the education session, the majority (57.2%) of participants had adequate knowledge of postpartum IUD contraception. After the education session, the majority (66.7%) had good knowledge of postpartum IUD contraception. The effect of education using leaflets on the improvement of postpartum IUD knowledge among third-trimester pregnant women had a p-value of 0.000 < 0.05. The conclusion of this study is that health education using leaflets has an effect on increasing knowledge of postpartum IUD family planning among pregnant women in their third trimester. Therefore, improve their knowledge and understanding, particularly in providing services to pregnant women, regarding postpartum IUD family planning for pregnant women in their third trimester.
Copyright (c) 2026 Vera farida, Lisviarose, Dilgu Mery, Hirza Rahmita https://creativecommons.org/licenses/by/4.0
POTENTIAL OF FARNESOL AS A MAO-A INHIBITOR CANDIDATE FOR THERAPY OF MENTAL HEALTH DISORDERS: AN IN SILICO STUDY
Mental health disorders, particularly depression, remain a global problem with a high prevalence among university students. Conventional therapy using chemical antidepressants is often limited by side effects, delayed onset of action, and limited effectiveness. Farnesol, a sesquiterpene found in essential oils, has been reported to exhibit biological activity in the central nervous system. This study aims to explore the potential of farnesol as a candidate Monoamine Oxidase-A (MAO-A) inhibitor through an in silico approach. Docking studies were performed on 5HT1A, 5HT2A, GABA, and MAO-A receptors using SwissDock, with the ligand prepared from the PubChem database. Binding interactions were visualized using ChimeraX and LigPlot, while toxicity evaluation was analyzed using SwissADME and ADMETlab 2.0. The results showed that farnesol had the best binding energy toward the MAO-A receptor (-8.43 kcal/mol) compared with the control compound phenelzine (-6.62 kcal/mol). Farnesol also showed good blood-brain barrier penetration ability and a low toxicity profile. Therefore, farnesol has the potential to be developed as a natural antidepressant candidate derived from essential oils. Further in vitro and in vivo studies are required to verify these findings.
Copyright (c) 2026 Hafidz Ardan Kaizar, Yennie Agnes Pranata https://creativecommons.org/licenses/by/4.0
THE EFFECT OF BANANAS (MUSA PARADISIACA) ON REDUCING BLOOD PRESSURE IN PREGNANT WOMEN
Hypertension in pregnancy is one of the leading causes of maternal and fetal morbidity and mortality worldwide. This study aims to analyze the effect of banana (Musa paradisiaca) consumption on reducing blood pressure in pregnant women with hypertension. The research method used was a literature review of 20 research articles consisting of quasi-experimental, pre-experimental, and case study designs. The population in this study were pregnant women with hypertension, while the sample consisted of 20 research results that met the inclusion criteria. Instruments used in these studies included a sphygmomanometer and a blood pressure observation sheet. Data analysis was conducted using narrative synthesis of relevant research results. The results showed that most studies reported a significant decrease in systolic and diastolic blood pressure after consuming bananas at a dose of 100–200 grams per day for 5–14 days, with a p value <0.05. Ambon bananas are the most frequently used type and have shown consistent effectiveness as a complementary therapy. The conclusion of this study is that banana consumption has an effect on lowering blood pressure in pregnant women with hypertension and can be used as a complementary non-pharmacological therapy, although there are still limitations in sample size and research design.
Copyright (c) 2026 Lisna Nurfitriana, Siti Mardhatillah Musa https://creativecommons.org/licenses/by/4.0
PHYTOCHEMICAL SCREENING AND GC-MS ANALYSIS OF ETHANOLIC EXTRACT OF Chromolaena odorata LEAVES
Chromolaena odorata leaves are empirically known to act as anti-inflammatory and other pharmacological effects. In this study, ethanol extracts from Chromolaena odorata leaves were analyzed using phytochemical screening and gas chromatography-mass spectrometry (GC-MS) to identify phytochemical constituents. Phytochemical tests showed the presence of flavonoids, alkaloids, tannins, saponins, and phenolics. GC-MS analysis of ethanol extracts from Chromolaena odorata leaves detected the presence of seven phytochemical compounds, namely Ethyl (E)-4-(2-phenylethylamino)but-2-enoate; 2h-pyran 2-(7-heptadecynyloxy) tetrahydro; 3,7,11-Trimethyldodeca-2,6,10-trienyl acetate; Bicyclo(3.1.1)heptane, 2,6,6-trimethyl-,(1alpha,2beta,5alpha)-11,13-Dimethyl-12-tetradecen-1-yl acetate; (2E,7R,11R)-3,7,11,15-tetramethyl-2-hexadecen-1-ol, and 9,12,15-Octadecatrienoic acid. This study identified several constituents that are biologically active compounds through GC-MS. These phytocompounds have potential as herbal medicines due to pharmacological activities such as antioxidant, anti-inflammatory, antimicrobial, antibacterial, and anticancer.
Copyright (c) 2026 Aditya Candra, Tahara Dilla Santi, Ika Waraztuty, Syarifah Nora Andrianty, Andri, Said Aandy Saida https://creativecommons.org/licenses/by/4.0
THE EFFECT OF EDUCATION ON IMPROVING PREGNANT WOMEN'S KNOWLEDGE ABOUT INTEGRATED ANC AT SADAR JAYA PUBLIC HEALTH CENTER, SIAK KECIL DISTRICT, BENGKALIS REGENCY
Maternal health services must meet the minimum frequency of pregnancy check-ups. In 2024, the coverage of ANC visits at the Sadar Jaya Community Health Center, Siak Kecil District, Bengkalis Regency, was 87.2% of the target of 90%. One of the contributing factors was the lack of implementation of an integrated ANC program for pregnant women. This study aims to determine the effect of education on increasing pregnant women's knowledge about integrated ANC. This study was a pre-experimental study. The population was all pregnant women in their first trimester in May 2026, totaling 40 people, with a sample size of 37 people.<a href="https://www.google.com/search?q=Simple+random+sampling&rlz=1C1GCEA_enID1183ID1193&oq=simple+&gs_lcrp=EgZjaHJvbWUqBwgDEAAYgAQyBggAEEUYOTIKCAEQABixAxiABDIKCAIQABixAxiABDIHCAMQABiABDIKCAQQABixAxiABDIKCAUQABixAxiABDIMCAYQABgKGLEDGIAEMgoIBxAuGLEDGIAEMgoICBAAGLEDGIAEMgoICRAAGLEDGIAE0gEJOTQ4OGowajE1qAIIsAIB8QUs_A-vf7CRR_EFLPwPr3-wkUc&sourceid=chrome&ie=UTF-8&ved=2ahUKEwib7YHh-_2RAxV68zgGHTggB_0QgK4QegYIAQgAEAU">simple random sampling. Data analysis using t-test. The results of the study showed that the knowledge of pregnant women before education about integrated ANC was mostly (54.1%) with sufficient knowledge. The knowledge of pregnant women after education about integrated ANC was mostly (62.2%) with good knowledge. The effect of education on increasing the knowledge of pregnant women about integrated ANC with a ρ value of 0.000 < 0.05. Therefore, it is hoped that community health centers will improve knowledge and understanding, especially in providing services to pregnant women about integrated ANC.
Copyright (c) 2026 Shandra Yunita Nadeak, Wira Ekdeni, Rizka Mardiya, Fajar Sari Tanberika https://creativecommons.org/licenses/by/4.0
COMPOSITE ORAL FILM BASED ON STARCH/POLY(VINYL ALCOHOL)/CHITOSAN CONTAINING Garcinia mangostana PEEL EXTRACT FOR RECURRENT APHTHOUS STOMATITIS
Recurrent aphthous stomatitis affects approximately 5–25% of the global population, and the limited residence time of conventional topical formulations often reduces therapeutic efficacy at oral mucosal lesions. Polymeric films have emerged as promising localized oral drug delivery systems because they prolong mucosal retention and enable sustained release of bioactive compounds. Garcinia mangostana peel, an abundant agricultural by-product, is rich in xanthones, flavonoids, tannins, and phenolic compounds with antibacterial potential, although its application in oral films remains limited. This study aimed to fabricate and characterize a composite oral film based on starch/poly(vinyl alcohol)/chitosan containing Garcinia mangostana peel extract and evaluate its physicochemical properties and antibacterial activity against Streptococcus mutans. Mangosteen peel extract was prepared by maceration using 70% ethanol, cassava starch was isolated by wet extraction, and composite films containing 0%, 1%, and 2% extract were fabricated using the solvent-casting method. Mangosteen peel extraction and cassava starch isolation yielded 10% and 25%, respectively, while phytochemical screening confirmed the presence of flavonoids, saponins, tannins, and phenolic compounds. All formulations produced intact films with uniform thickness (0.260–0.268 mm), neutral pH (6.410–7.393), and folding endurance exceeding 300 cycles. Increasing extract concentration significantly enhanced antibacterial activity (p = 0.009), with inhibition zones increasing from 5.31 ± 0.19 mm (F1) to 6.66 ± 0.38 mm (F2). The 2% extract-loaded formulation exhibited the most balanced physicochemical properties and antibacterial performance, highlighting the potential of starch/poly(vinyl alcohol)/chitosan composite films as naturally derived platforms for localized oral drug delivery in recurrent aphthous stomatitis.
Copyright (c) 2026 Ramadhani Azzahra, Sekar Asri Tresnaningtyas, Muhammad Artha Jabatsudewa Maras, Endah, Meita Mahardianti, Asy Syifa Labibah https://creativecommons.org/licenses/by/4.0
ANALYSIS OF THE EFFECTIVENESS OF THE SIBANGMAN WEBSITE AS AN INFORMATION MEDIA FOR REPORTING STUNTING INFORMATION AT THE BAPPEDA OF JAMBI CITY
This study was motivated by the importance of government websites as media for stunting information and reporting that support cross-sector coordination, data transparency, and the acceleration of stunting reduction programs. The study aimed to analyze the effectiveness of the SIBANGMAN Website as a stunting reporting information medium at the Regional Development Planning Agency of Jambi City based on the human, organization, technology, and fit aspects. This study employed a qualitative approach with a descriptive design. Informants were selected purposively and consisted of one key informant, three main informants, and six supporting informants from related regional agencies. Research instruments included interview guidelines, observation sheets, audio recorders, field notes, and documentation. Data were collected through in-depth interviews, observation, and documentation, while data analysis was conducted using data reduction, data display, and conclusion drawing supported by source triangulation. The findings showed that the SIBANGMAN Website was quite effective in supporting stunting reporting through an integrated system, good information quality, and strong organizational support, although challenges remained in digital literacy, automatic notification features, and system interface design. The study concludes that SIBANGMAN has fulfilled its informative and coordinating functions in stunting reporting, yet further technical development and user capacity strengthening are still required to optimize its sustainability and effectiveness.
Copyright (c) 2026 Rahma Dina Sari, Arnild Augina Mekarisce, Adila Solida, Rumita Ena Sari https://creativecommons.org/licenses/by/4.0
Maternal Nutrition Knowledge and Complementary Feeding Intake in Wasting and Non-Wasting Children Aged 6–24 Months in the Ganting Community Health Center Area, Gedangan, Sidoarjo
Wasting in children aged 6-24 months remains a nutritional problem that requires attention because it can hinder their growth and development. This study aims to analyze differences in maternal nutritional knowledge and complementary feeding intake in wasting and non-wasting children aged 6-24 months in the Ganting Community Health Center, Gedangan, Sidoarjo. The study used an observational analytical quantitative design with a matched case-control approach. The study population was children aged 6–24 months and their mothers. The sample consisted of 66 respondents, namely 33 wasting children and 33 non-wasting children, selected through purposive sampling and individual matching based on age and sex. Data were collected using a maternal nutritional knowledge questionnaire, a single 24-hour dietary recall, and anthropometric measurements. Data analysis was performed univariate analysis and bivariate analysis using the McNemar test and the Odds Ratio (OR) with a 95% confidence level. The results showed a significant difference in maternal nutritional knowledge (p=0.003; OR=5.66) and fulfillment of the Minimum Acceptable Diet (MAD) (p=0.019; OR=3.75) between the wasting and non-wasting groups. This study found, low maternal nutritional knowledge and failure to meet the Minimum Acceptable Diet (MAD) was associated with an increased risk of wasting among children aged 6-24 months
Copyright (c) 2026 Ahkamia Adila Putri, Amalia Ruhana https://creativecommons.org/licenses/by/4.0
The Relationship Between Consumption Patterns, Physical Activity and Sleep Patterns and the Incidence of Obesity in the Jambi Regional Police's National Police Training Center (SPN)
Obesity is a growing health problem among police officers and can reduce physical fitness and work performance. This study aims to analyze the relationship between consumption patterns, physical activity, and sleep patterns with the incidence of obesity among members of the Jambi Regional Police National Police (SPN). This quantitative study used an observational analytical design with a cross-sectional approach. The study population consisted of 109 members, with a sample of 86 respondents selected using simple random sampling. Data were collected using the Food Frequency Questionnaire (FFQ), Global Physical Activity Questionnaire (GPAQ), Pittsburgh Sleep Quality Index (PSQI), and anthropometric measurements. Data analysis was performed using univariate and bivariate methods using the Chi-square test. The results showed a prevalence of obesity of 51.2% and a significant relationship between consumption patterns (p=0.02), physical activity (p<0.001), and sleep patterns (p=0.03) with the incidence of obesity. In conclusion, unhealthy consumption patterns, low physical activity, and disturbed sleep patterns are significantly associated with the incidence of obesity among members of the Jambi Regional Police National Police (SPN).
Copyright (c) 2026 Muhammad Dony Oktari, Silvia Mawarti Perdana, Muhammad Rifqi Azhary, Adelina Fitri, Kasyani https://creativecommons.org/licenses/by/4.0
IMPLEMENTATION OF HOT BATH HYDROTHERAPY AND MOIST WOUND HEALING INNOVATIONS IN NURSING CARE FOR SKIN INTEGRITY DISORDERS IN TYPE 2 DM PATIENTS IN THE ORCHID ROOM OF SUNGAILIAT REGIONAL GENERAL HOSPITAL IN 2026
Background: Type 2 Diabetes Mellitus often causes diabetic ulcers that cause impaired skin integrity and increase the risk of infection, amputation, and decreased quality of life. The combination of Hot Bath Hydrotherapy and Moist Wound Healing is a nursing innovation that has the potential to support wound healing. Objective: To describe the application of Hot Bath Hydrotherapy and Moist Wound Healing innovations in nursing care for type 2 Diabetes Mellitus patients with impaired skin integrity in the Anggrek Ward, Bakti Timah Hospital, Sungailiat in 2026. Method: The study used a descriptive design with a descriptive case study approach. The study subjects were 10 type 2 Diabetes Mellitus patients with diabetic ulcers who met the inclusion criteria. Data were collected using a nursing assessment format, wound development observation sheet, Bates-Jensen Wound Assessment Tool or Pressure Ulcer Scale for Healing, documentation, interviews, observations, and physical examinations. Data analysis was carried out descriptively by comparing the patient's condition before and after the intervention. Results: All patients showed improvement in wound condition in the form of reduced exudate and necrotic tissue, increased granulation tissue, decreased pain, reduced signs of infection, and increased mobility after 3 x 24 hours of intervention. Conclusion: The combination of Hot Bath Hydrotherapy and Moist Wound Healing has the potential to be an evidence-based nursing intervention that supports the healing of diabetic ulcers and improves the quality of nursing care.
Copyright (c) 2026 Mega Artika, Shindi Hapsari https://creativecommons.org/licenses/by/4.0
THE EFFECT OF LIFESTYLE ON THE INCIDENCE OF HYPERTENSION IN CAMPUREJO VILLAGE, BOJONEGORO REGENCY BASED ON LAWRENCE W. GREEN'S THEORY
Hypertension is a non-communicable disease that continues to increase and is influenced by various lifestyle factors such as physical activity, diet, smoking, coffee consumption, and stress levels. This study aims to analyze the influence of lifestyle on the incidence of hypertension in the community of Campurejo Village, Bojonegoro Regency based on the theory of Lawrence W. Green. The study used a quantitative analytical design with a cross-sectional approach. The study population was 2,062 residents aged 30–50 years with a sample of 92 respondents selected using a random sampling technique. Data were collected through a lifestyle questionnaire, the DASS instrument for stress levels, and blood pressure measurements using a digital sphygmomanometer. Data analysis was performed using binary logistic regression. The results showed that diet (p=0.002), smoking habits (p=0.007), and stress levels (p=0.000) significantly influenced the incidence of hypertension, while physical activity (p=0.684) and coffee consumption (p=0.318) did not significantly influence. Unhealthy diet is the most dominant factor that increases the risk of hypertension. The conclusion of this study is that lifestyle has an important role in the incidence of hypertension, especially diet, smoking habits, and stress levels, so that promotive and preventive efforts based on public health behavior are needed.
Copyright (c) 2026 Bintang Junia Ningsih, Sri Mulyani, Siti Patonah, Ahmad Maftukhin, Rahmawati https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF PELVIC FLOOR MUSCLE EXERCISES ON QUALITY OF LIFE IN ELDERLY ELDERLY WITH URINARY INCONTINENCE: LITERATURE REVIEW
Background:Urinary incontinence in the elderly has serious physical, psychological, and social impacts, and reduces quality of life. Pelvic Floor Muscle Exercise (PFME) is recommended as an effective non-pharmacological intervention, but its implementation is still limited. Objective: To evaluate the effectiveness of PFME on quality of life in elderly with urinary incontinence. Methods: A systematic literature review based on PRISMA guidelines of 15 primary articles published between 2014–2024, with inclusion criteria focusing on the elderly, PFME interventions, and quality of life measurements. Results: PFME consistently reduced the frequency of incontinence, increased voiding control, and improved physical and psychological quality of life. In elderly women, PFME reduced the frequency of incontinence by 74% (p > 0.05); in post-prostatectomy men, the combination of PFME with an oscillating rod increased the continence rate from 43% to 74% (p < 0.01). PFME was also effective in older adults with mild cognitive impairment, reducing daily episodes from 3.3 to 1.7 (p < 0.001), as well as increasing self-efficacy and decreasing depression scores (p < 0.01). Online approaches such as “teleGROUP” also showed positive long-term results (73% symptom reduction, p < 0.001). Conclusion: PFME has been shown to be an effective, safe, and adaptive intervention for the management of urinary incontinence in older adults, with a significant impact on quality of life. Educational support, technology, and an individualized approach can enhance its successful implementation.
Copyright (c) 2026 Ni Kadek Diahwinny Indrayani, Ni Putu Geg Mas Widya Candra Pinasthy, Made Juliani, Ni Wayan Dewi Tarini, Made Ririn Sri Wulandari https://creativecommons.org/licenses/by/4.0
ANALYSIS OF FACTORS INFLUENCING THE ACCURRENCE OF DRUG STAGNANT AND STOCKOUTS AT THE MAUK COMMUNITY HEALTH CENTER, TANGERANG REGENCY
Drug logistics is a process intended to achieve a specific goal that is carried out effectively and efficiently in the management of drugs to achieve predetermined objectives. The purpose of this study was to analyze drug management at the Mauk Community Health Center based on the guidelines of Ministry of Health Regulation No. 74 of 2016 and to analyze the factors that influence drug stagnation and stockouts at the Mauk Community Health Center. This study was a non-experimental, descriptive study using a cross-sectional observational method. The results of this study show that drug management at the Mauk Community Health Center UPTD is in accordance with the requirements of the 2016 Minister of Health Regulation No. 74 concerning pharmaceutical service standards at community health centers. However, there are still several obstacles in its implementation. One of the main obstacles is the length of time required for the procurement of drugs and disposable medical supplies. The conclusion of this study shows that stagnation and stockouts at the Mauk Community Health Center UPTD are caused by poor implementation of drug requests, as evidenced by only 22% of drug requests matching drug receipts and 78% of drug receipts not matching drug requests, as well as drug shortages or limitations from the Health Office, resulting in a mismatch between drug requests and drug receipts.
Copyright (c) 2026 Jaka Supriyanta, Endang Sunariyanti, Lukman Hadi Permana https://creativecommons.org/licenses/by/4.0
FACTORS INFLUENCING THE OCCURRENCE OF ISPA IN TODDLER IN THE WORK AREA OF THE KAMPALA COMMUNITY HEALTH CENTER UPTD, SINJAI REGENCY IN 2026
ISPA is a respiratory disorder caused by infectious pathogens such as bacteria, viruses, rickettsia, fungi, and parasites that can be transmitted through droplets of fluids. ARI is one of the diseases that contributes to the highest morbidity and mortality rates in toddlers. The purpose of this study was to determine what factors influence the incidence of ISPA in toddlers in the Kampala Community Health Center work area of ​​Sinjai Regency in 2025 based on cigarette smoke exposure and immunization status. This research method uses an observational analytical quantitative research method with a cross-sectional study approach. The sample in this study were all mothers who had children aged 12-59 months who experienced ISPA as many as 31 respondents. Data collection was carried out using a questionnaire. The collected data was processed and analyzed using the SPSS program and analyzed using the Chi-square test. The results of the study were that there was a significant relationship between exposure to cigarette smoke and the incidence of ISPA in toddlers (p-value = 0.00 OR 12.667) and there was a relationship between immunization status and the incidence of ISPA in toddlers with a total value (p-value = 0.045, OR 9.600) in the Work Area of ​​the Kampala Health Center UPTD, Sinjai Regency in 2025. The high incidence of ARI was influenced by several factors such as exposure to cigarette smoke and immunization status in toddlers.
Copyright (c) 2026 Alfiah, Kamrianti Ramli https://creativecommons.org/licenses/by/4.0
Comparison of Lipstick Preparation Formulations of Red Dragon Fruit Extract (Hylocereus polyrhizus) and Aloe vera Extract (Aloe vera L.) as a Lip Colorant and Moisturizer with Lipstick Preparations Without Extracts
Lipstick is a type of cosmetic widely used to beautify the appearance of the lips. Excessive use of artificial colors can cause irritation, so safer natural ingredients are needed. Red dragon fruit peel (Hylocereus polyrhizus) contains natural dyes betacyanin which has the potential as a natural dye and antioxidant, while Aloe vera acts as a natural moisturizer. This study aims to explore the potential of red dragon fruit peel extract and Aloe vera in making lipstick and assess its physical quality and antioxidant activity. The research methodology includes dragon fruit peel extraction using maceration techniques and Aloe vera extraction using infundation methods, which are then formulated into lipstick with cera alba, carnauba wax, cetyl alcohol, and vaseline album as the base ingredients. Product evaluation includes organoleptic tests, pH, homogeneity, spreadability, hardness, irritation, melting point, weight uniformity, cyclic stability testing, and antioxidant activity using the DPPH method. The results showed that the lipstick formula using the extract produced a bright red color, a pH of 5, was stable at extreme temperatures, non-irritating, and had an antioxidant activity of 1.13 mgQE/g. It is hoped that this research can provide an alternative for the development of natural-based cosmetics that are safe, environmentally friendly, and provide antioxidant and moisturizing benefits to the lips.
Copyright (c) 2026 Athaya Wijdan Pascadiksa, Fitra Kamila Rahma, Elvina Widyasari Amarylis, Verna Wimala Salsabila, Dzikrina Adibah Salma https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN SELF-ESTEEM AND PUBLIC SPEAKING ANXIETY AMONG STUDENTS OF RAJEKWESI HEALTH COLLEGE, BOJONEGORO
Public speaking anxiety is a common psychological problem experienced by students and can be influenced by an individual's level of self-esteem. This study aims to analyze the relationship between self-esteem and public speaking anxiety among students at Rajekwesi Health College, Bojonegoro. The study used a quantitative approach with a correlational design and cross-sectional method. The study population was 461 students with a sample of 70 respondents selected using quota sampling techniques. The research instruments used were the Rosenberg Self-Esteem Scale (RSES) and the Hamilton Anxiety Rating Scale (HARS). Data analysis was performed using the Spearman Rho test with a significance level of 5%. The results showed that students with high self-esteem tended to have lower levels of public speaking anxiety. Statistical tests showed a significant relationship between self-esteem and public speaking anxiety in students. The conclusion of this study is that self-esteem plays an important role in influencing the level of public speaking anxiety, so that increasing self-esteem can help improve students' communication skills.
Copyright (c) 2026 M. Nashihul Hikam, Evita Muslima Isnanda Putri, Agus Ari Afandi, Rahmawati https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS AND THE ADMINISTRATIVE EFFICIENCY OF SARKIES 'AISYIYAH KUDUS HOSPITAL
The digital transformation of healthcare services has encouraged hospitals to implement Electronic Medical Records (EMR) as an effort to improve administrative efficiency and service quality. This study aims to analyze the relationship between the implementation of Electronic Medical Records (EMR) and administrative efficiency at Sarkies 'Aisyiyah Hospital in Kudus. The study used a quantitative method with a correlational analytical design and a cross-sectional approach. The study population consisted of 155 administrative staff and medical record officers, all of whom were sampled using a total sampling technique. Data were collected using a Likert scale questionnaire that has been declared valid and reliable, then analyzed using univariate analysis and the Spearman Rank correlation test with the help of SPSS. The results showed that the implementation of Electronic Medical Records was in the high category (89.7%) and administrative efficiency was in the efficient category (98.1%). Bivariate analysis showed a significant relationship between the implementation of Electronic Medical Records and hospital administrative efficiency (p < 0.001; r = 0.514). This study concluded that increasing the implementation of Electronic Medical Records is associated with increased hospital administrative efficiency. Optimizing system integration, strengthening technological infrastructure, and improving human resource competencies are needed to support the success of the digital transformation of healthcare services.
Copyright (c) 2026 Ria Febrianti, Muhammad Purnomo, Fitriana Kartikasari, Zunia Khairunnisa https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF DEEP BREATHING RELAXATION ON DEPRESSION AND QUALITY OF LIFE FOR ELDERLY HYPERTENSION
Hypertension is disease chronic many​ experienced by the elderly age and can cause various problem physique and psychological , including depression and decline quality live . One of the intervention non-pharmacological methods that are easy , safe , and can be done in a way independent is technique deep breathing relaxation . Research This aim For analyze effectiveness deep breathing relaxation to level depression and quality living in the elderly hypertension . Research use design quasi-experimental with approachone-group pretest-posttest . Population study totaling 43 elderly people hypertension in Paya Punteut Village , Muara Dua District , Lhokseumawe City, with sample A total of 30 respondents were selected through technique purposive sampling . The instrument used is Geriatric Depression Scale (GDS) and World Health Organization Quality of Life-BREF (WHOQOL-BREF). Data analysis was performed using the Paired Sample t-test . The results of the study show that score depression experience decline from 4.90 to 3.27, while score quality life increase from 78.70 to 82.80 after intervention given . Statistical tests showed a significant difference before and after the intervention (p<0.001). Thus, deep breathing relaxation techniques are effective in reducing depression and improving quality of life in elderly hypertensive patients.
Copyright (c) 2026 Yunita Sari, Eka Sutrisna, Husna Maulida, Tarisa https://creativecommons.org/licenses/by/4.0
ANTIOXIDANT CREAM FORMULATION OF PORANG TUBER ETHANOL EXTRACT AS AN ANTI-AGING AGENT
Irreversible skin aging begins in early adulthood due to intrinsic factors such as genetics and cellular metabolism and extrinsic factors such as ultraviolet exposure, smoking, pollution, and lifestyle, which trigger reactive oxygen species (ROS) and collagen damage, leading to wrinkles and reduced skin elasticity. This study aimed to formulate an optimal anti-aging cream from ethanol extract of porang tubers (Amorphophallus muelleri Blume) using variations in the HLB value of Span 60-Tween 80 emulsifiers. This quantitative experimental study used three cream formulas (F1: HLB 4.95; F2: HLB 5.7; F3: HLB 6.8) prepared from 3 kg of porang tubers obtained from Sirapit, Langkat. Evaluations included organoleptic properties, homogeneity, pH, viscosity, spreadability, adhesiveness, cycling-test stability, irritation, preference, and antioxidant activity using the DPPH method. The results showed that F2 was the optimal formula, with medium viscosity, spreadability of 6.2 cm², pH 5.8, stability for six cycles, and an IC₅₀ value of approximately 114 μg/mL, indicating moderate antioxidant activity. Formula F2 therefore has potential as a topical antioxidant preparation for preventing premature skin aging based on locally sourced tropical material.
Copyright (c) 2026 Ain Naia, Roy Indrianto Bangar, Hariyadi Dharmawan Syahputra https://creativecommons.org/licenses/by/4.0
DESCRIPTION OF THE LEVEL OF KNOWLEDGE AND BEHAVIOR OF DIABETES MELLITUS PREVENTION IN STUDENTS OF THE D-IV MEDICAL LABORATORY TECHNOLOGY STUDY PROGRAM, CLASS OF 2025.
Diabetes Mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin production or function. This study aimed to describe the level of knowledge about Diabetes Mellitus among students of the D-IV Medical Laboratory Technology Study Program, class of 2025. This descriptive study used a cross-sectional approach involving 34 respondents through questionnaire distribution. The results showed that 52.9% of respondents had good knowledge, 35.3% had sufficient knowledge, and 11.8% had poor knowledge. Students still showed limited understanding regarding diabetes complications and normal blood glucose levels. Overall, students demonstrated a fairly good level of knowledge about Diabetes Mellitus.
ANTIBACTERIAL ACTIVITY OF BEET EXTRACT ( BETA VULGARIS L. ) AGAINST GRAM-POSITIVE BACTERIA: SYSTEMATIC LITERATURE REVIEW
Increasing antibiotic resistance in Gram-positive bacteria is driving the development of alternative antibacterial agents based on natural ingredients. Beetroot ( Beta vulgaris L. ) is known to contain betalain and phenol that have antibacterial potential. This study aims to analyze the antibacterial activity of Beet extract against Gram-positive bacteria and evaluate the effect of concentrations, solvents, and testing methods based on the literature during the period 2016–2026. Systematic Literature Review was conducted using the PRISMA protocol through literature searches on Publish or Perish, Google Scholar, ScienceDirect, and DOAJ databases. A total of 20 articles that met the inclusion criteria were analyzed based on the value of the inhibition zone diameter (ZI) and the Minimum Inhibitory Concentration (MIC). Beet extract showed antibacterial activity against various Gram-positive bacteria, one of which was Staphylococcus aureus with an inhibition zone range of <5–25 mm and a MIC of 0.012–32 mg/mL. Ethanol is the most widely used solvent, while the agar well diffusion method tends to produce a larger inhibition zone than disc diffusion. Beet tuber extract has the potential to be developed as a natural antibacterial source against various Gram-positive bacteria.
Copyright (c) 2026 Sagita Ananda, Reynatha Pangisibidang, Dita Wahyuningtias https://creativecommons.org/licenses/by/4.0
EFFECTIVENESS OF GIVING DRAGON FRUIT JUICE AND MUNG BEAN PURPOSE ON HEMOGLOBIN LEVELS OF PREGNANT WOMEN IN THE 3RD TEMPO IN THE WORKING AREA OF SADABUAN PUBLIC HEALTH CENTER
Anemia in third-trimester pregnant women remains a health problem that increases the risk of maternal and perinatal complications, necessitating alternative interventions based on local food. This study aims to analyze the effectiveness of dragon fruit juice and mung bean porridge on hemoglobin levels in third-trimester pregnant women. The study used a quasi-experimental design with a two-group pretest-posttest. The population consisted of 30 third-trimester pregnant women at the Sadabuan Community Health Center, with a sample of 30 respondents selected using consecutive sampling. Data were collected using observation sheets and a digital hemoglobin meter, then analyzed univariately and bivariately using paired sample t-tests. The results showed that both interventions significantly increased hemoglobin levels (p = 0.000), with a higher increase in the mung bean porridge group than in the dragon fruit juice group. It was concluded that mung bean porridge is more effective as a companion to iron supplementation to increase hemoglobin levels in third-trimester pregnant women
Copyright (c) 2026 Hoirunnisa Tanjung, Litri Artiani, Mutia Sari Lubis, Izmi fadhillah Nasution, Ulfah Hidayah Almadany, Sriyanti Siregar, Tina Marito Harahap https://creativecommons.org/licenses/by/4.0
THE EFFECT OF MINDFULNESS THERAPY ON ENVIRONMENTAL ADAPTATION ANXIETY IN NEW FEMALE STUDENTS AT THE DARUL HIKMAH BALEN ISLAMIC BOARDING SCHOOL, BOJONEGORO BASED ON ROY'S ADAPTATION THEORY
New female students at Islamic boarding schools often experience environmental adaptation anxiety due to significant changes in their social environment and lifestyle. This condition can affect their emotional balance, learning process, and adjustment abilities. Mindfulness therapy is known as a non-pharmacological intervention that can improve emotional regulation and reduce anxiety. This study aims to analyze the effect of mindfulness therapy on environmental adaptation anxiety in new female students at Darul Hikmah Balen Islamic Boarding School in Bojonegoro based on Roy's Adaptation Theory. The study used a quantitative pre-experimental design with a one-group pretest-posttest approach. The study population consisted of 23 new female students, with a sample of 20 respondents selected using purposive sampling. Data collection used a mindfulness therapy module and the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data analysis was performed univariately and bivariately using the Friedman test in SPSS 20.0. The results showed that before the intervention, 85% of respondents experienced severe anxiety. After four sessions of mindfulness therapy for two weeks, all respondents (100%) experienced mild anxiety. The statistical test results showed a p-value of 0.000 (<0.05), indicating a significant effect of mindfulness therapy on environmental adaptation anxiety. The conclusion of this study is that mindfulness therapy is effective in reducing environmental adaptation anxiety in new female students at Islamic boarding schools.
Copyright (c) 2026 Syani Laily Anggrina, Evita Muslima Isnanda Putri, Agus Ari Afandi, Sri Mulyani https://creativecommons.org/licenses/by/4.0
ANTIBACTERIAL ACTIVITY TEST OF 70% ETHANOL EXTRACT GINGER (Zingiber officinale) AGAINST Streptococcus mutans and Escherichia coli BACTERIA
Ginger (Zingiber officinale) is a herbal plant containing bioactive compounds such as flavonoids, alkaloids, saponins, tannins, and terpenoids that have the potential as natural antibacterials. This study aims to determine the antibacterial activity of 70% ethanol extract of ginger against Streptococcus mutans and Escherichia coli bacteria. The study used a laboratory experimental method with a descriptive quantitative approach. The study population was ginger plants that have the potential to be used as natural antibacterials, while the sample was fresh ginger rhizomes obtained by purposive sampling technique. Extraction was carried out using the accelerated maceration method with 70% ethanol solvent. Antibacterial activity testing was carried out using the disc diffusion method at concentrations of 1%, 3%, 5%, and 10%. The research instruments included a rotary evaporator, incubator, autoclave, micropipette, and caliper. Data were analyzed descriptively using Microsoft Excel. The results showed that ginger extract was able to inhibit the growth of Escherichia coli and Streptococcus mutans bacteria with the highest activity at a concentration of 10%. The conclusion of this study is that 70% ethanol extract of ginger has the potential as a natural antibacterial against Gram-positive and Gram-negative bacteria
Copyright (c) 2026 Desi Fitriani Astuti, Kartika Sari https://creativecommons.org/licenses/by/4.0
Ethical Considerations and Informed Consent in Anesthesiology
In anesthesiology, ethical principles such as autonomy, beneficence, non-malfeasance, and justice are critical. This paper investigates these ethical considerations, emphasizing the process of obtaining informed consent. It addresses the unique challenges in anesthesiology, including the effects of anesthesia on patient cognition, the complexity of information, and the urgency often associated with anesthesia in emergency settings. The paper explores the implications of these challenges on obtaining valid consent and offers strategies to improve informed consent practices. These strategies include enhancing communication, providing pre-operative education, and ensuring thorough documentation. By adhering to these practices, anesthesiologists can better respect patient autonomy, mitigate risks, and uphold ethical standards in their practice. The goal is to ensure that patients are fully informed and able to participate meaningfully in decisions about their anesthesia care, even in complex and time-sensitive situations.
Copyright (c) 2026 Sofi Showkat Saleem, Dr.Qumail Hussain, Shuja Abass https://creativecommons.org/licenses/by/4.0
THE EFFECT OF GIVING MUNG BEAN EXTRACT ON BREAST MILK PRODUCTION IN POST-PART MOTHERS IN DEPOK CITY, WEST JAVA
Introduction: Breast milk is the best source of nutrition for infants; However, suboptimal breast milk production during the postpartum period remains one of the barriers to successful exclusive breastfeeding. Mung bean (Vigna radiata), as a local food rich in protein, vitamins, and minerals, has the potential to be used as a non-pharmacological intervention to support increased breast milk production. This study aimed to analyze the effect of consuming 250 ml mung bean extract on breast milk production among postpartum mothers. Methods: This study used a quasi-experimental design with a pretest-posttest approach. The sample consisted of 36 postpartum mothers who received 250 ml of mung bean extract once daily for 7 days. Data were collected using a breast milk production observation checklist and analyzed using the paired t-test. Results: Before the intervention, most respondents had low breast milk production (18 respondents; 50.00%), followed by moderate production (11 respondents; 30.55%) and good production (7 respondents; 19.45%). After the intervention, breast milk production improved, with 21 respondents (58.33%) categorized as good, 8 respondents (22.22%) as moderate, and 7 respondents (19.45%) as low. The paired t-test showed a significant difference in breast milk production before and after mung bean extract administration (p-value = 0.001; p < 0.05). Conclusion: Consumption of 250 ml mung bean extract significantly increased breast milk production among postpartum mothers. Mung bean extract can be considered an effective, safe, and affordable local food-based non-pharmacological intervention to support exclusive breastfeeding success.
Copyright (c) 2026 Silfia Nuzulus Sa’idah, Lusy Pratiwi, Desy Qomarasari, Daris Yolanda Sari, Ruci’ah https://creativecommons.org/licenses/by/4.0
Potential of Phytochemical Compounds from Natural Products as Anticancer Agents: A Systematic Literature Review
Cancer is one of the leading causes of death worldwide, necessitating the development of more effective and safe anticancer therapies. Phytochemical compounds from natural sources hold great potential due to their diverse biological activities. This study aims to assess the potential of phytochemical compounds as anticancer agents through a systematic literature review of fifteen scientific articles selected based on specific inclusion criteria and analyzed qualitatively. The results indicate that compounds such as flavonoids including quercetin, polyphenols, alkaloids, and terpenoids have anticancer activity through inhibition of cell proliferation, induction of apoptosis, and inhibition of angiogenesis and metastasis, mediated by molecular pathways such as p53, nuclear factor kappa B, and caspases. In addition, approaches such as nanoformulation and combination therapy can improve the efficacy and bioavailability of the compounds. These findings indicate that phytochemical compounds have the potential to be safer and more effective anticancer agents, and require further research for clinical development
Copyright (c) 2026 Saeful Amin, Azka Najhan, Aldy Arifin Ilham, Annisa Septiani https://creativecommons.org/licenses/by/4.0
THE RELATIONSHIP BETWEEN GADGET USE AND SOCIAL DEVELOPMENT EMOTIONAL BEHAVIOR OF SCHOOL-AGE CHILDREN AT SDN 3 MINDAHAN
The increasing use of gadgets among school-aged children raises concerns about their social-emotional development, particularly regarding their ability to interact socially, manage emotions, and behave prosocially. This study aims to analyze the relationship between gadget use and the social-emotional development of school-aged children at SDN 3 Mindahan, Batealit District, Jepara Regency. This study used a quantitative approach with a cross-sectional design. Sampling was conducted using a total sampling technique, so that the entire population of 119 students was used as the research sample. Data collection was carried out using a gadget use questionnaire and the Strengths and Difficulties Questionnaire (SDQ). Data analysis included univariate and bivariate analysis using the Spearman's Rho test. The results showed that 48% of respondents had low gadget use, 43% had moderate use, and 9% had high use. Most children had normal social-emotional development (90%). There was a significant relationship between gadget use and social-emotional development on the difficulty scale (p=0.000; r=0.559) with a positive direction and moderate strength. Furthermore, there was a significant negative correlation between gadget use and social-emotional development on the strength scale (p=0.010; r=-0.256). The study concluded that higher gadget use led to higher levels of social-emotional difficulties and lower prosocial behavior in school-aged children.
Copyright (c) 2026 Ahsanu Nadya Zidni Ilma, Indanah, Anny Rosiana Masithoh https://creativecommons.org/licenses/by/4.0
NON-COMMUNICABLE DISEASES (NCDs) CHOLESTEROL THROUGH POINT OF CARE TESTING (POCT) IN LABUAN BAJO VILLAGE, BANAWA DISTRICT, DONGGALA REGENCY
Hypercholesterolemia is a pathological condition characterized by excessive accumulation of cholesterol in the blood that can trigger serious cardiovascular complications, including coronary heart disease and stroke. This study aims to describe the distribution of total cholesterol levels and the level of community knowledge regarding non-communicable diseases (NCDs) in Labuan Bajo Village through the Point of Care Testing (POCT) method. A descriptive survey method with a qualitative approach was employed, involving 17 respondents from RT 01 and RT 02, Labuan Bajo Village, Banawa District, Donggala Regency, on January 15, 2026. Capillary blood samples were examined using the NESCO Multicheck N-01 device. Results revealed that 41.2% of respondents had high cholesterol levels (≥240 mg/dL), 23.5% were at borderline high (200-239 mg/dL), and 35.3% had normal levels (<200 mg/dL). Furthermore, 82.3% of respondents demonstrated low to very low knowledge about hypercholesterolemia. Key contributing factors include advanced age, high-fat dietary habits of coastal communities, and limited access to health information. POCT proved effective and efficient as a community-based early detection instrument for non-communicable diseases.
Copyright (c) 2026 Tiara Agustina, Siti Nurhaliza Hinelo, Vadyan Raehandy Thufeil, Nursabita Chaerani, Yescika Tricia Torae, Yuyun Dinda Sauru, Zahwa Radilva, Nurfadila, Shinta Nugraini, Kholid Mu'tasim, Revalina Febriani A. Hasan, Salsabila https://creativecommons.org/licenses/by/4.0
IMPLEMENTATION OF CUCUMBER JUICE COMPLEMENTARY THERAPY IN NURSING CARE FOR HYPERTENSION PATIENTS TO LOWER BLOOD PRESSURE AT BAKTI TIMAH HOSPITAL PANGKALPINANG IN 2026
Hypertension is a non-communicable disease that is the main cause of various cardiovascular complications, so it requires comprehensive management, including through complementary therapy. This study aims to analyze the application of cucumber juice complementary therapy in nursing care for hypertensive patients to help lower blood pressure at Bakti Timah Hospital, Pangkalpinang. The study used a descriptive method with a case study approach. The study population consisted of 10 hypertensive patients undergoing treatment in the Marwah Room, using a total sampling technique, then 1–2 patients were selected who met the inclusion criteria as case study subjects. The research instruments included a nursing assessment format, observation sheets, evaluation sheets, nursing care documentation, medical records, and supporting examination results. Data were collected through interviews, observations, physical examinations, and documentation studies, then analyzed descriptively by comparing conditions before and after the intervention. The results showed a decrease in systolic and diastolic blood pressure, a reduction in headache complaints, and an increase in patient knowledge regarding hypertension management after administration of cucumber juice as a complementary therapy. It was concluded that cucumber juice complementary therapy has the potential to be a safe, easy-to-implement non-pharmacological nursing intervention that supports blood pressure control in hypertensive patients
Copyright (c) 2026 Aulia Roza, Shindi Hapsari https://creativecommons.org/licenses/by/4.0
EVALUATION OF THE IMPLEMENTATION OF THE ISPA CONTROL PROGRAM IN THE MANAGEMENT OF TODDLER PNEUMONIA AT THE PUTRI AYU PUBLIC HEALTH CENTER IN JAMBI CITY
Acute respiratory infections including pneumonia remain a major cause of morbidity and mortality in children under five and case detection in primary care is often low despite the availability of guidelines; Putri Ayu Community Health Center recorded 53 cases of pneumonia in children under five in 2025 with a detection coverage of 26.49% of the target of 90%, so an implementation evaluation is needed. Objective: To evaluate the implementation of the ARI Control Program in the management of pneumonia in children under five using a logic model (input → activity → output). Method: Descriptive qualitative case study at Putri Ayu Community Health Center (Dec 2024–Apr 2026) with snowball sampling (n=9 informants: manager, clinician, pharmacist, emergency department, nutritionist, and caregiver); data collection through in-depth interviews, participant observation, and document review; thematic analysis using NVivo 12 and the Miles-Huberman framework with triangulation. Results: Input was partially adequate but training was uneven and there was a shortage of nurses during peak periods; some drugs, injection preparations, forms, and ARI sound timers were unavailable or damaged; Funding is relatively sufficient but early year disbursement is hampered; SOPs exist but require cluster adjustments; program activities are inconsistent (dominant passive findings, uneven breath counts, variable antibiotic duration, pre-referral is not yet uniform, use of KIA Handbooks is lacking, monitoring does not comply with guidelines); output is low (26.49%). Conclusion: Implementation is partially in accordance with the 2018 FKTP guidelines but is not yet consistent; it is recommended to strengthen active surveillance and reporting networks, standardize clinical references, uniform training for supporting units, improve logistics and critical equipment, and improve communication and monitoring to improve case detection and management compliance
Copyright (c) 2026 Regina Cahyani, Arnild Augina Mekarisce, Adila Solida, Rumita Ena Sari https://creativecommons.org/licenses/by/4.0
FORMULATION AND ACTIVITY TESTING OF AN ANTI-ACNE MICELLAR WATER FORMULATION CONTAINING BINAHONG LEAF EXTRACT (ANREDERA CORDIFOLIA TEN) AGAINST PROPIONIBACTERIUM ACNES
Acne (Acne vulgaris) is a chronic inflammation of the pilosebaceous glands caused by the bacteria Propionibacterium acnes and is a common skin problem, especially in adolescents with a prevalence of up to 85%. Binahong leaves (Anredera cordifolia) are known to contain secondary metabolites such as flavonoids, saponins, tannins, and alkaloids that have antibacterial potential. This study aims to formulate micellar water preparations from binahong leaf ethanol extract as an anti-acne facial cleanser and to evaluate its physical, chemical characteristics and antibacterial activity against Propionibacterium acnes bacteria. This study used a laboratory experimental method. Binahong leaf extract was obtained through a maceration method using 70% ethanol with a yield of 16.4%. Micellar water preparations were formulated in three variations of extract concentrations, namely 1%, 3% and 5%. Evaluation of the preparations included organoleptic tests, homogeneity, pH, viscosity, cleaning power, stability using the cycling test method and antibacterial activity testing using the disc diffusion method with clindamycin as a positive control. The results of the study showed that binahong leaf extract positively contained flavonoids, saponins, tannins, and alkaloids. All micellar water preparation formulas had good physical and chemical characteristics, were homogeneous, stable during testing, and had a pH that matched the physiological pH of facial skin. The results of the antibacterial activity test showed that preparations F1, F2 and F3 had antibacterial activity in the strong category with an average inhibition zone diameter of 11.35 ± 1.11 mm; 11.97 ± 2.40 mm; and 12.92 ± 0.56 mm. Based on the results of the study, the formula with a 5% extract concentration showed the best antibacterial activity against Propionibacterium acnes.
Copyright (c) 2026 Sintia Nurmala, Kartika Sari https://creativecommons.org/licenses/by/4.0
IN SILICO STUDY OF PHYSALIS ANGULATA COMPOUNDS AS POTENTIAL THERAPEUTICS FOR ECZEMATIC SKIN DISEASES
Eczema, a broad term encompassing a number of chronic inflammatory skin disorders, is typically characterized by symptoms such as redness (erythema), itching (pruritus), dryness, thickening of the skin due to repeated scratching (lichenification), and the possible appearance of fluid (exudation) or small blisters (vesicles). IL-4 and IL-13 activate the JAK-STAT pathway through the IL-4Rα and IL-13Rα1 receptors, which promotes STAT6 activation and the inflammatory response in atopic dermatitis, thus providing the basis for the use of upadacitinib as a selective JAK1 inhibitor that is effective in alleviating the symptoms of the disease. The aim of this study was to explore potential therapeutic pathways, with particular attention to compounds present in Physalis angulata , including the withanolide group such as withangulain B, physagulin C, and withanolide, which is one of 41 groups of compounds that have been identified in Physalis angulata . In addition, this study also evaluated the control drug upadacitinib, which is designed to target the IL-4Rα and IL-13Rα1 receptors, which play a key role in the type 2 (Th2) immune response. The study utilized several computational techniques, including data mining, biological activity analysis, ADMET (Absorption, Distribution, Metabolism, Excretion, and Toxicity) profiling, molecular mapping, and in silico studies. The results showed that the binding energies of the ligands (Physagulin C and Withangulatin B) with the IL-4Rα receptor were -12.6 kcal/mol and -12.7 kcal/mol, respectively. Similarly, Withanolide and Withagulatin B were identified as the top candidate compounds for the IL-13Rα1 receptor, with binding energies of -11.5 and -11.5 kcal/mol, respectively. The interactions above are the most beneficial for the development of eczematic disease therapy. The overall results of this study demonstrate great potential, indicating that the withanolide compounds, physagulin c, and withangulatin B derived from Physalis angulata offer an alternative pathway in targeting immune cells (Th2) through JAK-STAT activation and STAT6 translocation to the nucleus. Therefore, this study opens up opportunities for the development of innovative therapies in the treatment of eczematic diseases.
Copyright (c) 2026 Yan Martin Witantra https://creativecommons.org/licenses/by/4.0
ANALYSIS OF COMPLETENESS OF CHILDBIRTH DOCUMENTATION IN THE TPMB IBI WORK AREA MADIUN REGENCY
Childbirth documentation is an essential component of midwifery services, functioning as legal evidence, a means of communication among health workers, the basis for clinical decision-making. Incomplete documentation is still frequently found in independent midwifery practices. This study aimed to analyze the completeness of childbirth documentation in the TPMB IBI work area Madiun Regency. The method used a quantitative descriptive. The population and sample consisted of 34 independent midwifery practices registered under IBI Madiun Regency, selected using total sampling. Research instruments included questionnaires and checklists. The results showed that most respondents were aged ≥36 years (82.4%), had a D4/S1 education level (94.1%), had established their TPMB for ≥10 years (61.8%), had good knowledge (85.3%), 50% had attended training. Analysis of the completeness level of delivery documentation based on staff capability (58.8%), material support (79.4%), method usage (70.6%), financial availability (76.5%). The completeness level of childbirth documentation was still relatively low, with only 55.9% categorized as complete. TPMB needs continuous practice, standard materials, financial support, implementation procedures, digitization of patient records to improve the quality of childbirth documentation.
Copyright (c) 2026 Salsabila Reinsa Novy Nur Fitria, Eltigeka Devi Apriliani https://creativecommons.org/licenses/by/4.0
ANALYSIS OF OXYTOCIN MASSAGE AND BREAST CARE ON SMOOTH BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS
Breast milk is the most comprehensive biological nutrition for infants, yet the coverage of exclusive breastfeeding in postpartum mothers has not yet reached global targets. Delays in breast milk production, maternal stress, and lack of lactation support are factors that influence breastfeeding success. This study aims to analyze the effectiveness of oxytocin massage and breast care on smooth breast milk production in postpartum mothers. The study used a qualitative research method with a systematic literature review approach. The study population was scientific articles discussing oxytocin massage, breast care, and breast milk production in postpartum mothers in 2020–2025. The study sample consisted of 20 articles selected purposively based on inclusion and exclusion criteria. The research instruments included an article search sheet, inclusion and exclusion criteria, and a data extraction matrix. Data analysis was conducted using content analysis and narrative synthesis. The results showed that oxytocin massage and breast care significantly increased breast milk production, facilitated milk letdown, reduced maternal stress, and improved breastfeeding comfort. The combination of the two interventions provided more optimal results than either intervention alone. The conclusion of this study is that oxytocin massage and breast care are non-pharmacological interventions that are effective, safe, and easy to implement to support the success of exclusive breastfeeding in postpartum mothers
Copyright (c) 2026 Nadia Fitri, Siti Mardhatillah Musa, Atnesia Ajeng https://creativecommons.org/licenses/by/4.0
MATERNAL KNOWLEDGE OF COMPLEMENTARY FEEDING, COMPLEMENTARY FEEDING INTAKE, AND HISTORY OF EARLY COMPLEMENTARY FEEDING INTAKE AMONG STUNTED AND NON-STUNTED CHILDREN AGED 12–24 MONTHS IN THE GANTING COMMUNITY HEALTH CENTER AREA, GEDANGAN DISTRICT, SIDOARJO
Stunting remains a major nutritional problem in children under two years old (toddlers), and one factor suspected to play a role is the practice of providing complementary feeding intake to breast milk (MPASI). This study aims to analyze differences in maternal knowledge regarding MPASI, MPASI intake, and history of early MPASI provision in stunted and non-stunted children aged 12–23 months in the Ganting Community Health Center Working Area, Gedangan District, Sidoarjo Regency. The study used an observational analytical design with a matched case-control approach. The study population was toddlers aged 12–23 months and their mothers. The sample consisted of 60 mother-child pairs selected by purposive sampling: 30 stunted children as the case group and 30 non-stunted children as the control group, matched by age and gender. Data were collected using a MPASI knowledge questionnaire, interviews regarding the history of early MPASI provision, the 24-hour dietary recall method, and anthropometric measurements. Data analysis was performed using the McNemar test and Odds Ratio (OR) calculation. The results showed a significant difference in maternal knowledge regarding complementary feeding (p<0.001) and history of early complementary feeding (p=0.022), while complementary feeding intake based on the Minimum Acceptable Diet indicator did not show a significant difference (p=0.332). It was concluded that low maternal knowledge and a history of early complementary feeding were factors that differentiated the stunted and non-stunted groups, while complementary feeding intake did not show a significant difference
Copyright (c) 2026 Zaqia Saila Safani, Amalia Ruhana https://creativecommons.org/licenses/by/4.0
RELATIONSHIP OF THE ETHMOIDAL INFUNDIBULUM, UNCINATE PROCESS, AND NASAL SEPTUM DEVIATION WITH CHRONIC MAXILLARY RHINOSINUSITIS ON PARANASAL SINUS CT SCAN IN MEDAN
Background: Chronic rhinosinusitis (CRS) is a common sinonasal inflammatory disease, with global prevalence ~10,9% (European Position Paper on Rhinosinusitis and Nasal Polyps 2021). CRS pathogenesis is associated with impaired osteomeatal complex (OMC) drainage, influenced by anatomical variations, e.g. ethmoidal infundibulum (EI) length and width, uncinate process (UP) type, and nasal septal deviation (NSD) degree. This study aims to evaluate the relationship between anatomical variations of the OMC (EI, UP, and NSD) and the occurrence of maxillary CRS based on paranasal sinus (PNS) CT. Method: cross-sectional design involved 100 maxillary sinuses from patients who underwent PNS CT at Prof. Dr. Chairuddin Panusunan Lubis Hospital. Statistical analysis was performed using Chi-square and Eta correlation tests. Result: Mean EI length in CRS (5.9 ± 2.7 mm) was shorter than in non-CRS (7.8 ± 2.6 mm, p<0.001), while EI width was greater (2.8 ± 1.1 mm vs. 2.3 ± 0.5 mm, p<0.05). UP type A was most frequent in CRS (47%, p<0.001). NSD ≥10° was more common in CRS (31%) than in non-CRS (13%, p<0.05). Conclusion: Anatomical variations of OMC play an important role in predisposition to maxillary CRS. Most patients showed Keros type 2 and Gera type 2, indicating a moderate risk of complications during functional endoscopic sinus surgery. Comprehensive evaluation using PNS CT is essential for safe and effective surgical planning.
Copyright (c) 2026 Fingga Prahasti Nasution, M.Rizky Fachri, Elvita Rahmi Daulay, Ferryan Sofyan https://creativecommons.org/licenses/by/4.0
IMPLEMENTATION OF THE PROGRAM OF ADDITIONAL FEEDING FOR STUNTING TODDLER IN PENGODUA VILLAGE, EAST ROTE DISTRICT, ROTE NDAO DISTRICT
Stunting remains a nutritional problem that requires addressing through various interventions, one of which is the Supplementary Feeding Program (PMT). The success of the program is determined not only by the provision of supplementary food, but also by the quality of program implementation at each stage. This study aims to analyze the implementation of the Supplementary Feeding Program (PMT) for stunted toddlers in Pengodua Village, East Rote District, Rote Ndao Regency. The study used a qualitative approach with descriptive methods. The research informants numbered 16 people consisting of village officials, village midwives, integrated health post (Posyandu) cadres, mothers of toddlers, and pregnant women selected using a purposive sampling technique. Data were obtained through in-depth interviews, observation, and documentation, then analyzed using an interactive model that includes data reduction, data presentation, and drawing conclusions. The results showed that the implementation of the PMT Program has been carried out through four main aspects: processing supplementary food based on local foods, providing supplementary food to target toddlers, nutrition counseling to parents of toddlers, and recording program implementation. Food processing has taken into account the use of local foods and hygiene principles, while PMT distribution is carried out according to a predetermined schedule. Nutrition counseling has provided additional knowledge to some parents, but its implementation remains limited, resulting in uneven coverage of all targets. Program records have been maintained for monitoring, although several administrative challenges and limited community participation remain. Overall, the implementation of the PMT Program in Pengodua Village has been quite successful, but improvements are needed in terms of target distribution, the intensity of counseling, and strengthening coordination between implementers to optimally achieve the goals of improving toddler nutritional status and preventing stunting.
Copyright (c) 2026 Elsi Angelia Likan, Jacob Wadu, Adriana R. Fallo, Yani H. Seran https://creativecommons.org/licenses/by/4.0