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Window of Health : Jurnal Kesehatan
Published by Universitas Muslim Indonesia
ISSN : -     EISSN : 26145375     DOI : -
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
Window of Health is a media publication of scientific works in the field of health in a broad sense such as public health, nursing, midwifery, medicine, pharmacy, health psychology, nutrition, health technology, health analysis, health information system, medical record, health law, etc.
Arjuna Subject : -
Articles 401 Documents
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Determinants of Digital Eye Strain Among Office Workers: Individual, Device-Related, and Environmental Factors Nabilah Nur Hasanah; Iting Shofwati; Yustinus Denny Ardyanto Wahyudiono
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2861

Abstract

Frequent use of digital devices among office workers contributes to a high risk of Digital Eye Strain (DES), with a reported prevalence of 69.0%, which can adversely affect visual performance, sleep quality, and work productivity. This study aimed to analyze the association between individual, device-related, and environmental factors with DES among office workers using a cross-sectional design involving 66 respondents. Data were analyzed using Chi-square and Mann–Whitney tests. The prevalence of DES was 69.7%, with common symptoms including itchy eyes, eye discomfort, and light sensitivity. Key individual factors significantly associated with DES were unsafe digital device use behavior (OR = 11.25; 95% CI: 1.169–30.280), lack of 20-20-20 rest practice (OR = 10.00; 95% CI: 2.895–30.542), and refractive error (OR = 8.20; 95% CI: 2.287–23.399). Among device-related factors, improper computer screen position (OR = 4.263; 95% CI: 1.323–13.736) was identified as a significant predictor. Environmental factors such as inadequate lighting (OR = 5.455; 95% CI: 1.595–18.657) also showed a strong association with DES. In conclusion, DES among office workers is predominantly influenced by behavioral factors, particularly unsafe digital device use and inadequate eye rest practices, which demonstrated the strongest associations. Preventive strategies should prioritize behavioral interventions, ergonomic improvements, and optimization of workplace environmental conditions.
The Effect of Hypoxic MSC Exosome on IL-10 and SOCS3 Expression Siti Sundari Sundari; Agung Putra; Titiek Sumarawati; Eko Setiawan; Joko Wahyu Wibowo; Hadi Sarosa
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2885

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by insulin resistance and persistent inflammation. Increased expression of Suppressor of Cytokine Signaling 3 (SOCS3) and decreased Interleukin-10 (IL-10) contribute to the progression of inflammation and impaired insulin signaling. Mesenchymal stem cell-derived exosomes under hypoxic conditions (EH-MSCs) have shown potential anti-inflammatory effects and may improve inflammatory responses in T2DM. Objective: This study aimed to determine the effect of hypoxic mesenchymal stem cell exosomes (EH-MSCs) on IL-10 and SOCS3 expression in Wistar rats with type 2 diabetes mellitus. Methods: This was an in vivo experimental study using a randomized post-test only control group design. Twenty-eight Wistar rats were divided into four groups (n=7 each): negative control (K1), positive control (K2), treatment with intravenous injection of EH-MSCs 250 µL (K3), and treatment with intravenous injection of EH-MSCs 500 µL (K4). IL-10 and SOCS3 expression levels were measured using qRT-PCR on day 30. Data were analyzed using One-Way ANOVA followed by Post Hoc LSD test with a significance level of p<0.05. Results: The mean IL-10 expression was highest in K3 (1.99 ± 0.39), followed by K4 (1.47 ± 0.49), K2 (1.37 ± 0.54), and K1 (1.12 ± 0.31), with a statistically significant difference among groups (p = 0.009). Meanwhile, the mean SOCS3 expression was highest in K1 (1.09 ± 0.41) and lowest in K3 (0.56 ± 0.11), with significant differences among groups (p = 0.018). These findings indicate that EH-MSC administration increased IL-10 expression and decreased SOCS3 expression, particularly at the 250 µL dose. Conclusion: Hypoxic mesenchymal stem cell-derived exosomes significantly increased IL-10 expression and decreased SOCS3 expression in T2DM model rats, with the 250 µL dose showing the most effective anti-inflammatory response. EH-MSCs have potential as a therapeutic strategy for reducing inflammation in T2DM.
Relationship Between Family Support and Colorectal Cancer Patients' Motivation for Undergoing Chemotherapy Dedi Irawandi; Setiadi Setiadi; Dwi Priyantini
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2955

Abstract

Globally, colorectal cancer is one of the most highly prevalent cancers according to the World Health Organization, with the majority of patients undergoing chemotherapy. Various studies show that more than 70% of patients experience significant physiological impacts such as fatigue, nausea, and disruption of daily activities, while approximately 30% experience psychological disorders such as anxiety and depression. Furthermore, more than 60% of patients require family support during treatment. This demonstrates that the impact of chemotherapy is multidimensional, encompassing physical, psychological, and social aspects, necessitating a comprehensive care approach that includes family involvement. The purpose of this study was to determine the relationship between family support and motivation of colorectal cancer patients undergoing chemotherapy. The study design used an observational analytic design with a cross-sectional approach. The study population comprised all 55 colorectal cancer patients undergoing chemotherapy in the Rosella 2 Room at Dr. Soetomo Hospital, Surabaya. A sample of 48 people was taken using the Simple Random Sampling technique. Data analysis used the Spearman Rho correlation test. The results showed that of the 48 respondents, 43 had high family support and 42 had strong motivation. Bivariate analysis showed a significant relationship between family support and patient motivation to undergo chemotherapy. The results of the Spearman Rho test showed a rho value of 0.902 and a significance value of P = 0.000 (< 0.05). The active role of nurses in providing education to families and patients is very important in providing information related to chemotherapy. So that it can provide a sense of security, comfort, and trust in nurses. Thus, patients have strong motivation, high life expectancy, and increased family enthusiasm in accompanying the treatment process.
Differences in Nutritional Intake and Upper Arm Circumference (UAC) Between Anemic and Normal Pregnant Women Erlinawati Lubis; Fitri Apriyanti; Elvira Harmia; Nislawaty Nislawaty
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.3021

Abstract

Anemia is an indirect cause of maternal mortality, with a 27.7% prevalence among pregnant women in Indonesia, including rising cases in Riau and Kampar. It increases the risk of hemorrhage, low birth weight, preterm birth, stunting, and maternal and infant mortality, influenced by inadequate nutrition and low mid-upper arm circumference. The purpose of this study was to analyze the differences in nutritional intake and upper arm circumference (UAC) between pregnant women with anemia and pregnant women without anemia. The method in this research is a comparative, observational, analytical study of two unpaired groups with a cross-sectional design. The population consisted of pregnant women with anemia and normal pregnant women in the working area of the Salo Community Health Center, Kampar District, totaling 74 samples (37 per group). The study was conducted in August-September 2025. The data collection tools used were a UAC tape, an SQ-FFQ for nutritional intake, and a digital hemoglobinometer to measure anemia. Bivariate analysis was performed using an independent samples t-test. The results show that pregnant women with anemia had lower nutritional intake scores and smaller mean UAC compared to non-anemic pregnant women. Statistical analysis confirmed significant differences between the two groups in nutritional intake (p = 0.012) and UAC (p = 0.028), with both p-values below the significance level of α 0.05. Pregnant women with anemia have lower nutritional intake and UAC, highlighting the need to improve maternal nutrition and use UAC monitoring for early anemia screening.
Work-Life Balance of Nurses in Supporting Their Children's Survival Efforts Towards Normal Nutritional Status in Makassar Nurbaeti; Tutik Agustini; Andi Surahman Batara; Andi Yuliana
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.3051

Abstract

High workload and dual roles among nurses are associated with reduced Work-Life Balance (WLB), which may negatively affect child survival efforts. Evidence shows that WLB among nurses is generally low to unbalanced, with a prevalence of up to 94.5%, largely influenced by high workloads and excessive working hours (>50 hours/week), and with only a small proportion achieving optimal balance. Therefore, this study aims to examine the relationship between Work Life Balance (WLB) and child survival efforts among nurses (mothers) with children aged 0-12 years, considering work stress, welfare, and family support as key determinants. This study employed an analytical observational design with a cross-sectional approach involving nurses as respondents selected through simple random sampling. Data were collected using structured questionnaires and analyzed using the Spearman correlation test. The results showed that workload was negatively correlated with child Workload Survival Efforts (r = -0.541; p < 0.001) and was the strongest factor associated with reduced WLB. Work stress was negatively associated with WLB (r =-0.365, p = 0.002). In contrast, welfare (r = 0.587; p < 0.001) and family support (r = 0.518; p < 0.001) were positively correlated with child-survival efforts. In conclusion, high workload and work stress reduce WLB, while welfare and family support improve child survival efforts. These findings highlight the importance of institutional strategies, such as workload management, improved welfare policies, and strengthened family support systems, to enhance both nurses’ well-being and child health outcomes.
Analysis of Latrine Conditions, Clean Water Facilities, and Personal Hygiene on Diarrhea Incidence in Children Aged 24–59 Months Seri Asnawati Munthe; Misi Septiani; Jasmen Manurung; Lia Rosa Veronika Sinaga
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.3068

Abstract

Diarrheal disease remains a critical public health concern in Indonesia, particularly among children under five, where it ranks as a leading cause of morbidity. This study investigates the persistently high diarrhea prevalence among children aged 24–59 months in Paluh Sibaji Village, Pantai Labu District. Indonesia's SKI 2023 reported a national prevalence of 7.4% in under-fives, peaking at 11.5% among the 1–4 age group. Focusing on this coastal community, the study uniquely examines the combined influence of environmental conditions and personal hygiene behaviors. Data were collected from 70 children aged 24–59 months and their mothers, randomly selected from 232 households. The researcher wanted to see if things like the condition of their toilets, access to clean water, and their hygiene practices were linked to whether or not the children had diarrhea. The result showed that over 30% of the children had experienced diarrhea. The analysis revealed strong associations between the condition of toilets, access to clean water, personal hygiene, and the occurrence of diarrhea. While the numbers suggest a strong link, other factors the researcher did not measure or potential biases in how the data were collected could be influencing these results. Personal hygiene seemed to have the strongest connection to diarrhea. In conclusion, the study emphasizes that a combination of sanitation issues and hygiene habits is significantly linked to diarrhea in this coastal community. Future studies that follow children over time could help us better understand the causes of diarrhea and rule out other contributing factors.
The Effect of Red Ginger Decoction And Honey On Blood Pressure Among The Elderly With Hypertension Janno Sinaga; Henny Syapitri; Novita Aryani; Yuyun Kristela Berutu
Window of Health : Jurnal Kesehatan Vol 9 No 2 (April 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.3077

Abstract

Hypertension remains a major public health problem among older adults. In 2025, according to data from the WHO, 1.28 billion people aged 30–79 years will experience an increased risk of cardiovascular morbidity and mortality. Complementary herbal therapy has been increasingly used as a non-pharmacological approach to blood pressure control. To determine the effect of red ginger (Zingiber officinale var. rubrum) and honey decoction combination therapy on blood pressure reduction among elderly patients with hypertension at Tinada Primary Health Center. This study employed a quasi-experimental one-group pretest–posttest design. A total of 32 elderly individuals with hypertension grade 1–2 participated as the sample, selected using purposive sampling from 105 registered hypertensives. Respondents received 250 ml of red ginger decoction (100 g boiled in 500 ml water until 250 ml remained) mixed with 15 ml pure honey once daily for 7 consecutive days. Blood pressure was measured before and after intervention using a calibrated digital sphygmomanometer. Data were analyzed using a paired t-test with a significance level of p<0.05. The mean systolic blood pressure decreased from 180.90 ± 12.51 mmHg to 160.10 ± 12.82 mmHg, while the mean diastolic pressure decreased from 94.50 ± 7.75 mmHg to 86.30 ± 5.56 mmHg. Statistical analysis showed a significant reduction in systolic and diastolic blood pressure (p = 0.000). The combination of red ginger decoction and honey is related to a decline in blood pressure among elderly hypertensive patients and may serve as a complementary therapy in hypertension management.
Appraisal of the Immunization Management in Yogyakarta City, Indonesia: A Case Study Sulistyawati Sulistyawati; Asma Karimah
Window of Health : Jurnal Kesehatan Vol 9 No 3 (July, 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2839

Abstract

In 2022, Complete Basic Immunization (CBI) coverage in Yogyakarta City exceeded the provincial target of 95%; however, one health center reported coverage below the city target of 93%, indicating potential challenges in immunization program management. This study aims to evaluate immunization management in Yogyakarta City by assessing input, process, and output components of program implementation. Method: This study employed a qualitative case study approach. Informants were selected using snowball sampling until data saturation was achieved, resulting in six participants from two health centers representing different levels of immunization coverage. Data were collected through in-depth interviews and direct observations, transcribed verbatim, and analyzed using content analysis. Result: Two major themes emerged from the findings. First, human resource capacity was identified as a key challenge, particularly limited compliance with immunization training requirements and insufficient workforce readiness to support service delivery. Second, weaknesses in monitoring practices were observed, as immunization coverage monitoring was implemented less frequently than required by regulations. Despite these operational barriers, both health centers achieved the city's immunization coverage target in 2023. Conclusion: High immunization coverage in Yogyakarta City reflects strong program performance; however, sustaining and improving coverage requires strengthening workforce competency and ensuring routine monitoring implementation. These findings suggest that maintaining immunization outcomes in urban settings depends not only on coverage achievement but also on continuous health system capacity development and program oversight.
Bioactive Composition and Antioxidant Characteristics of Calophyllum inophyllum Seed Flour: Potential Relevance for Functional Food Development Azizul Berlyansah; Andreanyta Meliala; Paramita Narwidina; Wira Mondana; Beatrice Cynthia Walter
Window of Health : Jurnal Kesehatan Vol 9 No 3 (July, 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.3083

Abstract

Metabolic diseases such as obesity, type 2 diabetes mellitus, and dyslipidemia are health challenges, with over one billion people affected by obesity and 589 million adults living with diabetes. This study evaluated the antioxidant activity, anthocyanin content, amino acid profile, proximate composition, and fatty acid (FFA) profile of Calophyllum inophyllum seed flour as a functional food ingredient. Seeds were collected from the Batam Botanical Garden, Indonesia, and processed by freeze-drying. Antioxidant activity was determined using the DPPH assay (IC₅₀), anthocyanin content was measured spectrophotometrically, and proximate composition, amino acid profile, and FFA composition were analyzed using standardized methods, including GC-FID. All analyses were performed in triplicate (n = 3), and results were expressed as mean ± standard deviation. The flour was predominantly composed of lipids (65.26 ± 0.13%), followed by carbohydrates (21.92 ± 0.10%) and proteins (8.39 ± 0.02%), with low moisture content (2.64 ± 0.03%). The DPPH assay yielded an IC₅₀ value of 13,362.04 ± 1.70 mg/L, indicating limited free radical scavenging activity, while anthocyanins were not detected. The amino acid profile was characterized by high glutamic acid content and the presence of essential amino acids, including leucine, valine, and lysine. The fatty acid profile was dominated by unsaturated fatty acids, particularly oleic and linoleic acids. These findings indicate that Calophyllum inophyllum seed flour contains nutritionally relevant amino acids and unsaturated fatty acids, supporting its potential relevance for functional food development. Further studies are required to characterize additional bioactive compounds and evaluate their biological activities in vivo.
Implementation of Patient Safety Culture at Hospital X, Semarang City Muhammad Iqbal; Firmansyah Kholiq Pradana P.H; Vilda Ana Veria Setyawati; Lutfiyah Rizqulloh
Window of Health : Jurnal Kesehatan Vol 9 No 3 (July, 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.2757

Abstract

Patient safety incidents remain a persistent challenge in hospital settings, yet evidence on the cultural factors driving them in type C hospitals in Indonesia remains limited. Hospital X in Semarang City recorded 23 patient safety incidents from January to September 2023 (KTD: 2, KTC: 9, KNC: 12), with label dispensing errors, wrong medication, and wrong dosage as the leading causes. Despite the establishment of a Hospital Patient Safety Team (KPRS), no systematic assessment of patient safety culture had previously been conducted, leaving a critical gap in understanding the organizational factors underlying these incidents. This study aimed to determine factors influencing patient safety culture as perceived by nurses at Hospital X. A quantitative cross-sectional design was employed, with 82 inpatient nurses selected via simple random sampling. Data were collected using a validated AHRQ-based questionnaire and analyzed using Chi-square and Fisher's Exact tests. The average positive response to patient safety culture was 81.5%. The highest-scoring dimensions were cooperation within the unit (90.2%), open communication (84.1%), and staffing (84.1%), while cooperation between units (74.4%) and error feedback (76.8%) scored lowest. All 12 dimensions showed significant associations with patient safety culture (p < 0.05). The strongest associations were found in open communication (p = 0.001; OR = 18.9), error feedback (p = 0.001; OR = 27.5), staffing (p = 0.001; OR = 17.1), and patient transition (p = 0.001; OR = 15.2). These findings indicate that inter-unit coordination and structured error feedback are the most critical intervention targets. Hospital management should prioritize implementing a non-punitive incident reporting system, standardized SBAR-based handover protocols, and integrating patient safety competencies into regular clinical supervision to meaningfully reduce preventable incidents.

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