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All Journal Jurnal Keperawatan Jurnal Kedokteran Brawijaya The Journal of Experimental Life Sciences (JELS) Jurnal Kebijakan Kesehatan Indonesia JAM : Jurnal Aplikasi Manajemen Research Journal of Life Science Indonesian Green Technology Journal Indonesian Journal of Human Nutrition MNJ (Malang Neurology Journal) The Indonesian Biomedical Journal Universa Medicina Majalah Kesehatan FKUB Journal of Nursing Care and Biomolecular Journals of Ners Community Journal of Issues in Midwifery Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Abdidas Jurnal Health Sains Narra J Journal of Community Health and Preventive Medicine (JOCHAPM) Jurnal Ilmu Kedokteran Keluarga Konstruksi: Publikasi Ilmu Teknik, Perencanaan Tata Ruang dan Teknik Sipil Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Media Penelitian dan Pengembangan Kesehatan
Sri Andarini
Departemen Kesehatan Masyarakat Fakultas Kedokteran Universitas Brawijaya Malang
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Electrical & Electronics Engineering Engineering Environmental Science Health Professions Immunology & microbiology Mathematics Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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The Brimedika Model: Unveiling the Mediating Role of Service Quality Between Green Hospital Aspects and Stakeholder Satisfaction Januarso, Widodo; Andarini, Sri; Sukoharsono, Eko Ganis; Rachmansyah, Arief
Indonesian Green Technology Journal Vol. 15 No. 1 (2026): Indonesian Green Technology Journal
Publisher : Graduate School, Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.igtj.2026.015.01.03

Abstract

The rapid growth of Indonesia’s healthcare sector, reflected in the increasing number of hospitals, has also contributed to environmental degradation. The Green Hospital concept is therefore essential to enhance environmental performance in healthcare facilities. However, low awareness of green practices, limited implementation of Green Hospital indicators, and insufficient stakeholder support remain major challenges. Also, the need for this study was due to the intellectual gap relating to the mediation role of service quality to enhance stakeholder satisfaction in a Green Hospital. This study analyzes a service-quality-based Green Hospital model at Brimedika Hospital, Malang, which has demonstrated a strong commitment to environmental initiatives. Using the Slovin formula, 633 respondents were selected from a population of 1,843 individuals. A quantitative approach was applied through questionnaire distribution, and data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results show that environmental, socio-cultural, and economic dimensions significantly influence service quality, which subsequently increases stakeholder satisfaction. Service quality acts as a strong mediator, while the economic aspect also has a direct effect on satisfaction. Strengthening socio-cultural aspects through improved service quality emerges as the most effective strategy for achieving a sustainable Green Hospital model. The study offers novelty by integrating three sustainability dimensions and demonstrating the central role of service quality in enhancing stakeholder satisfaction. The community benefits the most from the model, followed by patients and workers. Strengthened education, community engagement, and eco-friendly facilities are recommended for future development.
CLINICAL PROFILE OF STROKE SEVERITY BASED ON NIHSS, MORTALITY, AND PNEUMONIA INCIDENCE AMONG FEMALE STROKE PATIENTS Arisetijono, Eko; Putri, Adecya Amaryllis Risa; Andarini, Sri; Agustin, Aisyiyah Alviana
MNJ (Malang Neurology Journal) Vol. 12 No. 2 (2026): July
Publisher : PERDOSSI (Perhimpunan Dokter Spesialis Saraf Indonesia Cabang Malang) - Indonesian Neurological Association Branch of Malang cooperated with Neurology Residency Program, Faculty of Medicine Brawijaya University, Malang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.mnj.2026.012.02.07

Abstract

Background: Stroke is a leading cause of mortality and long-term disability worldwide, with women exhibiting distinct clinical characteristics and generally poorer outcomes than men. Female-specific risk factors, older age at onset, and greater stroke severity contribute to unfavorable prognoses. As a tertiary referral center in East Java, Dr. Saiful Anwar General Hospital treats a large number of female stroke patients, yet comprehensive clinical data remain limited. Objective: To describe the clinical profile of female stroke patients, focusing on stroke severity based on NIHSS scores, mortality, and pneumonia incidence. Methods: This retrospective descriptive study included 202 female stroke patients admitted between January and December 2024. Data were extracted from electronic medical records. Results: Most patients were aged 45–64 years (46.5%) or ≥65 years (44.6%), and the majority were housewives (80.2%). Thrombotic stroke predominated (55.4%) over intracerebral hemorrhage (44.6%). Hypertension was the most prevalent vascular risk factor (96.0%), followed by diabetes mellitus (42.1%), dyslipidemia (35.1%) and heart disease (32.2%). Stroke severity was predominantly moderate to very severe, with 91.1% of patients presenting with NIHSS scores ≥5. Pneumonia was the most frequent complication (51.5%). Overall mortality reached 45.0%. Conclusion: Female stroke patients demonstrated a high burden of vascular risk factors, severe neurological impairment, frequent complications, and mortality far exceeding global averages. These findings highlight the urgent need for strengthened prevention strategies, improved acute stroke care, early complication management, and targeted interventions for this vulnerable population.
A 61-year-old man with Lichen Simplex Chronicus, Rosacea, CVA Sequelae, Stage II Hypertension, Class II Obesity, and Psychological Stress with risk factors of Unhealthy Diet and Damp Environment Maharani, Aliyya; Kuntadi Syamsul Hidayat, Mohammad; Andarini, Sri
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/1gcf2e31

Abstract

Introduction: Neurodermatitis and rosacea are chronic dermatological conditions often triggered bypsychological and environmental factors. In patients with comorbid hypertension, obesity, and historyof stroke, management requires a holistic approach. Methods: A case report of a 61-year-old malewith complaints of itching on the left ankle and facial erythematous patches. Data were obtainedthrough history taking, physical and supporting examinations, as well as psychosocial and familyassessments. Results: The diagnoses established were neurodermatitis, rosacea, stage II hypertension,and CVA sequelae. The patient also presented with moderate anxiety based on the GAD-7 score.Comprehensive management included pharmacological therapy (topical hydrocortisone,antihypertensives, antiplatelet), non-pharmacological interventions (DASH diet, stress management,range-of-motion exercises), and family involvement to support adherence. After initial interventions,skin lesions improved and the patient reported better emotional control. Discussion: Family medicineprovides comprehensive care by integrating biomedical, psychological, social, and environmentalaspects. Family support plays a key role in improving treatment adherence and patient quality of life.Conclusion: This case emphasizes the importance of a multidimensional approach in family medicinefor patients with multiple chronic conditions.
Comprehensive Family Medicine Approach in a 38-Year-Old Woman with Low Back Pain, Osteoarthritis, and Stage 1 Hypertension : A Case Report Mutiara, Ellya; Andarini, Sri
Jurnal Ilmu Kedokteran Keluarga Vol. 5 No. 1 (2026): July 2026
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/xnttej53

Abstract

Low back pain, osteoarthritis, and hypertension are common chronic conditions that frequentlycoexist and significantly reduce patients’ quality of life, particularly among women whose dailyactivities involve repetitive, ergonomically unfavorable tasks and poor lifestyle habits, compoundedby genetic predisposition. We report the case of a 38-year-old woman who presented with persistentlow back pain and knee joint pain for two weeks, which worsened in the last five days, in addition tohaving been diagnosed with hypertension two months earlier; physical examination revealed lumbarparaspinal tenderness, bilateral knee crepitus, and blood pressure of 144/90 mmHg, while laboratoryevaluation showed normal uric acid levels, and further assessment identified multiple risk factorsincluding overweight status, poor ergonomic posture during household chores, high sodium andcarbohydrate intake, and maternal history of hypertension. A holistic diagnosis was establishedconsisting of low back pain (M54.4), osteoarthritis of the knee (M17), and essential hypertensionstage 1 (I10), and management combined pharmacological therapy with diclofenac,glucosamine-chondroitin, and amlodipine alongside non-pharmacological interventions such asergonomic correction, structured exercise, dietary modification with the DASH diet, and familyinvolvement in reducing workload and supporting lifestyle changes. This case illustrates theimportance of comprehensive family medicine approaches that integrate biomedical, behavioral,social, and genetic aspects to improve patient outcomes and prevent complications.
Co-Authors A.A. Ketut Agung Cahyawan W Afni, Anissa Cindy Nurul Agustin, Aisyiyah Alviana Anak Agung Gede Anom Aswin Annisa Rizky Maulidiana Aprilia, Nisa Arief Rachmansyah Aska, Andra Agnez Al Asmika Asmika Asti Melani Astari Bobby Christian, Samuel Catur Saptaning Wilujeng Dasa Novita, Khuznita Dewi Kartikawati Ningsih, Dewi Kartikawati Dewi Rachmawati Diadjeng Setya Wardani Dian Handayani Diana Lyrawati Dini Rachma Erawati Djanggan Sargowo Djanggan Sargowo Dwi Yogyo Suswinarto Dwi Yogyo Suswinarto, Dwi Yogyo Dyatmiko, Hendrian Edi Widjajanto Eko Arisetijono Eko Ganis Sukoharsono Eko Nofiyanto Erry Nur Rahmawati Fadhilah, Anita Fakhrizah Wildani , Safira Farida, Ery fatimah Fatimah Ferdina, Cucun Setya Frinny Sembiring Hanggara, Dian Sukma Hanifarizani, Rahma Dian Hastuti, Novianti Tri Herwendanasari, Deltania Hevy Purwaningtyas, Nuretha Hidayat Sujuti Hinisa, Fariha Nuzulul Holipah, Holipah I Made Subhawa Harsa I Wayan Agung Indrawan Iftinan, Yasmin Inggita Kusumastuty Intan, Dara Ismail, Dina Dewi Sartika Lestari Januarso, Widodo Joys Karman Nike Palupi Kartikasari, Dhian Karyono Mintaroem Kuntadi Syamsul Hidayat, Mohammad Kuntadi, Muhammad Kuswantoro Rusca Putra Leny Budhi Harti Lestaluhu, Viqy Lestari, Retno Lilik Zuhriyah M. Halim Natsir M. Nooryanto Maharani, Aliyya Maleachi, Reginald Mira Mutiyani Mirnawati A Misbahuddin Azzuhri Moch Sasmito Djati Mulyatim Koeswo Mulyatim Koeswo Mutiara, Ellya Nanik Setijowati Natasia, Nazvia Nazvia Natasia Nelwan, Ester Jeini Nia Novita Wirawan, Nia Novita Nina Handayani Nindy Sabrina Nur Pratiwi Hartono, Nur Pratiwi Nur, Mangsur M Nurinnisa, Zarifa Praja, Dewangga Wahyu Pratiwi, Suryanti Dwi Pudji Lestari Putri, Adecya Amaryllis Risa Putri, Dianita Setya Pradita Putri, Frilya Rachma Qomariyatus Sholihah Retty Ratnawati Retty Ratnawati Ridhoyanti Hidayah, Ridhoyanti Ririn Puji Rahayu Rismaina Putri Sasiarini, Laksmi Sasongko, Ardi Septi Dewi Rachmawati, Septi Dewi Seskoati Prayitnaningsih Shanti, Karina Muthia Simanjuntak, Roganda Siti Umi Ernawati, Siti Umi Suryana, Bagus Putu Putra Susanti, Fitria Dewi Tita Hariyanti Tri Anjaswarni Ulya, Zuhrotun Viera Wardhani Viera Wardhani Wahida Azis Wening Prastowo Widya Rahmawati Windarwati, Heni D. Wiradinata, Harsono Wuri, Kinanthi Yudhantara, Dearisa Surya