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INDONESIA
Global Health Management Journal
ISSN : -     EISSN : 25809296     DOI : 10.35898/ghmj
Core Subject : Health, Education,
GLOBAL HEALTH MANAGEMENT JOURNAL (GHMJ) focuses on health field with strong preference (but not limited) on public health in general, maternal and child health, nursing, midwifery, sexual and reproductive health, public health nutrition, environmental health, occupational health and safety, health promotion, health economics in South East Asia and other regions. Applied science in health also becomes one of our priority, especially in the field of health information and technology, innovation in health, and development of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of lives.
Arjuna Subject : -
Articles 282 Documents
Correlation between Self-compassion and Academic Procrastination with Learning Achievement among the Medical Students at Universitas Swadaya Gunung Jati, Cirebon, Indonesia Septiawati, Ayu Dwi; Sulistiyana, Catur Setiya; Primanagara, Risnandya
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741083

Abstract

Background: Learning achievement is primarily measured by GPA. A positive self-concept, nurtured by self-compassion, is essential for achieving academic excellence. Self-compassion helps students cope with stress and boost motivation. On the other hand, procrastination is a common obstacle to academic success. Ineffective time management and organizational skills are hallmarks of procrastination. Aims: To describe the levels of self-compassion and procrastination among medical students and to examine how these factors relate to academic performance. Methods: This study employed a cross-sectional design involving 266 active medical students at UGJ, selected through stratified random sampling. Data was collected using an online questionnaire, including the Self-Compassion Scale and the Academic Procrastination Scale. Univariate and bivariate analyses were conducted, with a Spearman correlation test used to assess the correlation between variables due to the non-normal distribution of self-compassion and academic achievement. Results: The majority of participants exhibited moderate levels of self-compassion (56%). Similarly, the majority (38.7%) demonstrated moderate levels of academic procrastination. In terms of learning achievement, the majority of participants achieved a GPA between 3.01 and 3.50 (32.3%). A significant positive correlation was found between self-compassion and learning achievement (p-value<0.001, r=0.339). Conversely, a significant negative correlation was observed between academic procrastination and learning achievement (p-value<0.001, r=-0.234). Conclusion: This research shows that higher self-compassion is associated with better learning outcomes whereas higher academic procrastination is associated with worse learning outcomes.   Received: 25 September 2024  |  Reviewed: 17 October 2024  |  Revised: 17 November 2024  |  Accepted: 30 November 2024.
The Effectiveness of Cassava Leaf (Manihot esculenta C.) Flavonoid Quercetin as Dengue Virus-1 Antivirus in Vitro Rayasari, Husnaya; Apriyanto, Dadan Ramadhan; Brajawikalpa, Rama Samara; Dewi, Beti Ernawati
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741086

Abstract

Background:  Dengue fever is a mosquito-borne disease that can cause severe symptoms and death, placing high burden on healthcare systems in tropical regions. Currently, there are no antiviral treatments. It has been proven that synthetic quercetin able to improve body performance and reduce the risk of infection as well as inhibit DENV replication. Cassava leaves (Manihot esculenta C.) contain anthocyanins (flavonoids) such as quercetin and it shows potential as antiviral agent as the synthetic as well.    Aims: To describe the levels of self-compassion and procrastination among medical students and to examine how these factors relate to academic performance. Methods: This experimental study used post-test only with control group design consisted of 13 treatment groups and 1 control group. Treatment group were divided into 6 different concentrations for inhibition test (50 µg/mL, 25 µg/mL, 12.5 µg/mL, 6.25 µg/mL, 3.125 µg/mL, 1.5 µg/mL) and 7 different concentrations  for cytotoxicity test (80 µg/mL, 40 µg/mL, 20 µg/mL, 10 µg/mL, 5 µg/mL, 2.5 µg/mL, 1.25 µg/mL). The control group was a negative control treated with 0.2% DMSO. Inhibition was assessed by Focus Forming Unit Assay and cytotoxic was assessed by number of Microtiter Tetrazolium Assay (MTT Assay). The statistical analysis used in this study were the Shapiro-Wilk test for normality test, Kruskal-Wallis test for hypothesis test, and post-hoc test to determine whether the groups studied in this research had significant differences from each other. Results: The CC50 and IC50 values of quercetin of cassava leaf (Manihot esculenta C.) were found to be 3.44 μg/mL and 0.25 μg/mL, respectively, with an SI value of 123. Based on these results, it can be concluded that the flavonoid quercetin of cassava leaf (Manihot esculenta C.) exhibits selective properties in inhibiting the replication of DENV-1. Statistical analysis showed non-normal distribution (P<0.05), hypothesis test was accepted (P<0.05), and no significant differences between concentrations in the post-hoc test. Conclusion: Quercetin of cassava leaf (Manihot esculenta C.) is effective as an antiviral agent against dengue serotype 1 strain New Guinea C in vitro. Received: 25 September 2024  |  Reviewed: 15 October 2024  |  Revised: 30 November 2024  |  Accepted: 15 December 2024.   Dimension Badges:
The Influence of Body Image and Energy Intake on Nutritional Status in Adolescents at SMAN 1 Cirebon City, Indonesia Kurniasih, Farah Gustin; Wahidin, Muhammad Duddy Satrianugraha; Fachrudin, Duddy
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741090

Abstract

Background: Adolescents are among the groups vulnerable to nutritional problems. These issues can arise due to restrictive diets, self-assessment (body image), lifestyle choices, energy intake, physical activity, and knowledge of balanced nutrition. According to the WHO (2018), the prevalence of overnutrition among adolescents aged 15–19 years has risen significantly from 4% to over 18%. The increase was observed in 18% of females and 19% of males. Aims: This research aims to examine the correlation between body image, energy intake, and nutritional status among adolescents at SMAN 1 in Cirebon City. Methods: A quantitative approach with a descriptive research design was employed in this study. The sampling technique used was purposive sampling. Primary data were collected through questionnaires, 24-hour food recall interviews, and measurements of body weight and height. Statistical analyses included univariate and multivariate analysis. Results: The findings indicate that most adolescents had a negative body image (60.1%), good energy intake (44.0%), and normal nutritional status (70.2%). Data analysis using the Ordinal Logistic Regression test revealed that body image significantly affects nutritional status (p < 0.001), and energy intake also significantly affects nutritional status (p < 0.001). Conclusion: This study concluded that body image and energy intake significantly influence the nutritional status of adolescents. Statistical analysis demonstrated that adolescents with a positive body image and good energy intake are more likely to have normal nutritional status. Received: 25 September 2024  |  Reviewed: 16 October 2024  |  Revised: 30 November 2024  |  Accepted: 12 December 2024.
Correlation between Physical Activity and Cardiovascular Endurance of the Employees in Universitas Swadaya Gunung Jati, Cirebon, Indonesia Agestri, Salsabila Carissa Arsyana; Sriwiyati, Kati; Syah, Pangeran Akbar
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741094

Abstract

Background: Cardiovascular endurance refers to a person's ability to perform activities involving the entire body at moderate to high intensity over extended periods. Cardiovascular endurance is influenced by several factors, such as physical activity. Moderate to high-intensity physical activity trains the body to exchange oxygen more efficiently and results in enhancing cardiovascular endurance. Other factors that could contribute in cardiovascular endurance are smoking and Body Mass Index (BMI). Aims: To find the correlation between physical activity, BMI, smoking, and cardiovascular endurance among employees of Universitas Swadaya Gunung Jati, Cirebon, Indonesia. Methods: It was an analytic observational study with a cross-sectional approach that used the GPAQ physical activity questionnaire and cardiovascular endurance data that was obtained through the Harvard Step Test involving 77 educational staff employees at Universitas Swadaya Gunung Jati. The analytical statistics used was Spearman’s correlation test with a significance value of p = <0.05. Results: Most of the Universitas Swadaya Gunung Jati employee’s had moderate level of physical activity (44.2%) and very low cardiovascular endurance (37.7%). The analytical statistic showed a significant correlation between physical activity and cardiovascular endurance with a p-value of 0.034 and a Spearman's r of 0.242. Smoking has significant correlation with cardiovascular endurance with p value of 0.003 and Spearman’s r of 0.338. BMI showed negative and weak correlation with cardiovascular endurance with p value 0.008 and Spearman’s r -0.302. Conclusion: There was a significant correlation between physical activity and cardiovascular endurance among the employees of Universitas Swadaya Gunung Jati, Cirebon, Indonesia.   Received: 25 September 2024  |  Reviewed: 26 October 2024  |  Revised: 17 November 2024  |  Accepted: 30 November 2024.
Overview of COVID-19 Test Results (2021–2022) at the Laboratory of the Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia Febrianti, Fitri Ayu; Khasanah, Uswatun; Weni, Mustika
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741097

Abstract

Background: COVID-19 (Coronavirus Disease-19) is a respiratory infection caused by the SARS-CoV-2 virus. In 2020, the World Health Organization (WHO) declared COVID-19 a global pandemic due to the rapid rise in cases and mortality rates worldwide. The pandemic has impacted millions of people and continues to pose a significant global public health threat. Accurate diagnosis of the disease depends on laboratory testing, with RT-PCR widely recognized as the gold standard for confirming COVID-19. Aims: To describe an overview of COVID-19 test results at Laboratory Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia, from 2021-2022. Methods: This study used a descriptive observational method. The sample was collected in July 2024 using a total sampling technique. The sample includes all 135,713 patients who had COVID-19 tests at Laboratory Faculty of Medicine Swadaya Gunung Jati Univesity between 2021 and 2022. Data were collected from medical records of COVID-19 test. The variables of this study include gender, age, and COVID-19 test results. A statistical analysis was used to determine frequency distribution. Results: The results of the study showed that among the sample who tested for COVID-19, the majority are male (50.9%) and early adolescent age group (23.9%). RT-PCR test findings were positive in 16.3% of patients and negative in 83.7% of patients. Among PCR positive cases, the majority are female (17.4%), with seniors age groups >65 years accounting for 39.0%. Conclusion: Most of the tested samples are males and early adolescent age groups, with more negative PCR results than positive ones. Among positive cases, the highest number was found in females and seniors age group. It is recommended that females and seniors age groups keep protected during COVID-19 outbreaks. Received: 25 September 2024  |  Reviewed: 22 October 2024  |  Revised: 30 November 2024  |  Accepted: 11 December 2024.
Glycated Hemoglobin Level and Body Mass Index Correlation with Peripheral Artery Disease in Patients with Type 2 Diabetes Mellitus at Waled Hospital, Cirebon, Indonesia Auliya, Tania; Amaliyah, Nihayatul; Herdwiyanti, Menik
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741106

Abstract

Background: Peripheral Artery Disease (PAD) is a condition that reduces blood flow to the lower extremities and is primarily caused by atherosclerosis.  PAD is one of the complications of Diabetes Mellitus (DM). Diabetics have an 11.6 times more likely to develop PAD than those without diabetes. Glycated haemoglobin (HbA1c) levels >7% are at a higher risk of chronic complications. Obesity and overweight also raise the risk of developing PAD disease. However, research on the correlation between Body Mass Index (BMI) and PAD remains unclear and controversial. Aims: To analyze the correlation between HbA1c levels and BMI with the incidence of Peripheral Artery Disease in patients with type 2 Diabetes Mellitus at Waled Hospital.  Methods: This is an analytical observational study with a cross-sectional design. Data was collected on patients diagnosed with type 2 Diabetes Mellitus at the Internal Medicine Clinic at Waled Hospital in June - July 2024. A total sample of 77 was obtained using consecutive sampling. The inclusion criteria were type 2 DM, aged 19-60 years, and medical record data equipped with the HbA1c levels for at least the last 3 months prior to data collection. The exclusion criteria were patients with a history of diabetic ulcers, amputation and limb disability, Acute Coronary Syndrome, stroke, kidney failure, recurrent anaemia, and blood transfusions in the last 3 months. Primary data was gathered through an ABI examination, while secondary data was obtained from medical records. The data was analysed using the Spearman correlation test. Results: Patients had poor HbA1c control (51.9%), moderate HbA1c control (29.9%) and good HbA1c control (18.2%), with the majority of patients had normal BMI (39%) followed by obese I (22.1%), overweight and obese II (16.9%). Our study showed that the distribution of PAD levels was severe (0%), moderate (3.9%), mild (44.2%), normal (46.8%), and arteriosclerotic (5.2%). The correlation test showed p-0.789 (p> 0.05) for HbA1c levels with PAD and p- 0.653 (p>0.05) for BMI with PAD. Conclusion: There was no association between glycated hemoglobin or Body Mass Index values and the incidence of PAD in patients with type 2 Diabetes Mellitus at Waled Hospital, Cirebon, Indonesia. Received: 25 September 2024  |  Reviewed: 21 October 2024  |  Revised: 30 November 2024  |  Accepted: 11 December 2024.
Genetic Polymorphism of Interferon-Gamma +874T/A as a Risk Factor for Pulmonary Tuberculosis in Cirebon, Indonesia Kiteswara, Allain Umadela Deuxawalu; Sari, Ariestya Indah Permata; Pratamawati, Tiar Masykuroh
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741107

Abstract

Background: Tuberculosis (TB) is one of the leading causes of death globally, caused by Mycobacterium tuberculosis. With 10% of all cases worldwide in 2022, Indonesia is the second-largest contributor of tuberculosis cases. IFN-γ gene polymorphism is one of the factors that have been studied extensively for its association with TB. Aims:  To analyze IFN-γ +874T/A gene polymorphism as a risk factor for pulmonary tuberculosis in Cirebon. Methods: Observational analysis with case control design was used in this study. Thirty-two tuberculosis patients as cases and 32 healthy controls at RSUD Waled were collected and performed DNA extraction to evaluate the polymorphism by using Amplification-refractory mutation system–polymerase chain reaction (ARMS–PCR). Statistical comparison was performed by using Pearson Chi-square and Kruskal Wallis test. Mann-Whitney U test was done for post hoc test. Odds ratio was calculated to see the risk of the assessed variables, including genotype, allele frequency, and the presence of polymorphism. Results:  In the case group, the frequency of TT genotype was 3 (9.4%), TA genotype was 26 (81.3%), AA genotype was 3 (9.4%). In the control group, the frequency of TT genotype was 12 (37.5%), TA genotype was 17 (53.1%), AA genotype was 3 (9.4%). A significant difference (p=0.034) was found among 3 genotype groups. Post hoc test revealed that TT and TA was the pair with significant difference (p=0.007). In addition, TA polymorphism was significantly associated (p=0.004) with tuberculosis (OR=6.614; CI95% = 1.660-26.349). Conclusion: IFN-γ +874 TA gene polymorphism is associated with pulmonary tuberculosis in the population of Cirebon, West Java, Indonesia.   Received: 25 September 2024  |  Reviewed: 23 October 2024  |  Revised: 10 November 2024  |  Accepted: 30 November 2024
The Association between Family Knowledge and Response with Pre-hospital Delay among Stroke Patients: A Study from Rural Area of Cirebon, Indonesia Ivanka, Muhammad Nabil Prawira; Pratiwi, Witri; Kusnandang, Agus
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741111

Abstract

Background: Stroke is a non-communicable disease whose prevalence continues to increase in both young and old age groups. Stroke patients require immediate treatment at the hospital to prevent disability and death. Delayed treatment may result in a worse prognosis. Aims: To analyze the relationship between family knowledge and response with pre-hospital delay in stroke patients in Cirebon Regency, Indonesia. Methods: This cross-sectional study was conducted at Waled General Hospital, Cirebon Regency, Indonesia. The sampling technique used was consecutive sampling of patients hospitalized with stroke diagnosis from May 2024 to July 2024. Patients with recurrent stroke were excluded. Data were collected from medical records and questionnaires administered to the patient's families. The Indonesian version of Stroke Recognition Questionnaire (SQR) was used to explore family knowledge, while family responses were explored using the Stroke Action Test (STAT). Results: There were 61 stroke patients recruited in this study. Majority of the sample were delivered to hospital late (78.7%). Most of the patients’ families had poor knowledge (47.5%) and inadequate attitudes (85.2%). In the bivariate analysis, there was a strong correlation between family knowledge of stroke symptoms and pre-hospital delay (p=<0.001; r=0.746). Inadequate family response was associated with pre-hospital delay [p= 0.002; PR 2.596 (95%CI 1.024-6.581)]. Conclusion: There is a positive correlation between family knowledge and response with pre-hospital delay in stroke patients in Cirebon Regency, Indonesia.   Received: 26 September 2024  |  Reviewed: 19 October 2024  |  Revised: 24 November 2024  |  Accepted: 30 November 2024.
Correlation between Methicillin-Resistant Staphylococcus aureus Infection with Length of Stay and Mortality at Gunung Jati Regional Hospital, Cirebon, Indonesia: A Case Control Study with Total Sampling Azmi, Ranidaa' Diyaa'; Indrakusuma, Mohammad Erwin; Dewangga, Taufan Herwindo
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741116

Abstract

Background: In 2017, WHO identified Methicillin-Resistant Staphylococcus aureus (MRSA) as a high-priority pathogen due to its antimicrobial resistance. MRSA prevalence has been rising since the 1960s, reaching 20% globally and over 80% in some countries. This increasing prevalence of MRSA is accompanied by higher morbidity, more challenging management with difficult treatment, and prolonged length of stay, and consequently increased mortality risk. Aims: To determine the relationship between MRSA infection with length of stay and mortality at Gunung Jati Regional Hospital, Cirebon, Indonesia. Methods: A case-control study was performed in 46 cases and 92 controls. This study used total sampling including 138 samples, selected population of MRSA patients between 2021-2023 at Gunung Jati Regional Hospital, Cirebon. Data was taken from medical record and WHONET data. Results: The Mann-Whitney test results showed a significant correlation between MRSA infection and the length of stay compared to MSSA infection (p=0.003). Furthermore, the Chi-Square test revealed a significant correlation between MRSA infection and mortality (p=0.019; OR, 2.448; 95% CI, 1.151 – 5.205). Conclusion: Methicillin-Resistant Staphylococcus aureus infection is associated with a longer length of stay and higher mortality compared to Methicillin-Sensitive Staphylococcus aureus infection. Received: 25 September 2024  |  Reviewed: 21 October 2024  |  Revised: 30 November 2024  |  Accepted: 15 December 2024.
Correlations between Parity and Marriage Age with Incidence of Cervical Cancer at Gunung Jati Hospital, Cirebon, Indonesia Oktaviani, Maya; Permata, Yukke Nilla; Sutrisno, Wildan Arismunandar
GHMJ (Global Health Management Journal) Vol. 7 No. 3s (2024)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-741133

Abstract

Background: Cervical cancer is one of the leading causes of death among women in Indonesia, and factors such as parity and age at marriage are believed to play a significant role in increasing the risk of developing this disease. Aims: Examine the relationship among parity and age at marriage with the incidence of cancer of cervix by describing the age distribution, parity, age at marriage, and histopathological features of cancer of cervix patients at Gunung Jati Hospital in Cirebon, Indonesia. Methods: This study utilized an analytical observational approach with a cross-sectional design. It analyzed secondary data, specifically the medical records of cancer of cervix patients at Gunung Jati Hospital in Cirebon from 2022 to 2023. A total of 47 patients were selected through total sampling. The Spearman correlation test was employed for statistical analysis to determine the correlation between the variables. Results: The majority of cervical cancer patients were multiparous (70.2%), had a marriage age of < 20 years, and exhibited histological findings of Squamous Cell Carcinoma Keratinizing (48.9%). No correlation was found among parity and the occurrence of cancer of cervix (p = 0.450; p > 0.05). However, a significant association was observed among age at marriage and cancer of the cervix occurrence (p = 0.010; p < 0.05). Conclusion: The results of the study are expected to provide insight into the importance of reproductive factors in the prevention of cervical cancer, as well as recommendations for more effective reproductive health policies.   Received: 02 October 2024  |  Reviewed: 15 October 2024  |  Revised: 09 November 2024  |  Accepted: 30 November 2024.