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Health and Medical Journal
Published by Universitas Baiturrahmah
ISSN : 26852772     EISSN : 2685404X     DOI : https://doi.org/10.33854/heme
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
Health & Medical Journal with registered number pISSN: 2685-2772 and eISSN: 2685-404X is a peer-review journal published by Medical Faculty of Universitas Baiturrahmah. The frequency of publishing is two issues in a year. The topics covered include the fields of Allergy and Immunology, Anesthesiology, Cancer and stem cells, Cardiovascular, Cell and Molecular Biology, Children's Health, Dermato-venereology, Geriatrics, Histopathology, Internal Medicine, Neuro-psychiatric treatment, Ophthalmology, Otorhinolaryngology, Physical medicine and rehabilitation, Physio-pharmacology, Pulmonology, Radiology, Surgery includes orthopedics and urology, Obstetrics and Gynecology, Science of nutrition, Clinical Pathology, Anatomy Pathology, Parasitology, Microbiology, Public Health and Medical Education. Submissions are welcome from other clinically relevant areas. However, the Journal emphasizes publishing high-quality and novel research.
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Articles 200 Documents
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The Effect of Academic Self-efficacy on CBT and SOCA Exam Achievement of Neuropsychiatry Block Febriani, A. Aisyah; Amir, Suliati P.; Zulfahmidah; Rahmah, Marliyanti Nur; Mulyadi, Farah Ekawati
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.1846

Abstract

Introduction: Academic self-efficacy, defined as an individual's belief in their ability to overcome academic challenges, has consistently been linked to improved academic performance. However, its impact on key assessments in medical education, such as the Computer-Based Test (CBT) and the Student Oral Case Analysis (SOCA), remains underexplored. This study examines the influence of academic self-efficacy on knowledge achievement in the CBT and SOCA exams among medical students in the Neuropsychiatry block at the Faculty of Medicine, Muslim University of Indonesia. Objective: This study aims to assess the impact of academic self-efficacy on students’ knowledge achievement in both the CBT and SOCA exams and to provide insight into the role of self-efficacy across different exam formats. Methods: This cross-sectional observational study involved 376 students from the 2022 cohort. Academic self-efficacy was measured using a validated questionnaire, and test scores were analyzed using descriptive statistics. The relationship between self-efficacy and test scores was evaluated using Pearson’s correlation test. Results: The study found a significant positive correlation between academic self-efficacy and SOCA exam scores (r = 0.183, p = 0.000), although the correlation was weak. No significant relationship was found between self-efficacy and CBT scores (r = -0.075, p = 0.148). The majority of students reported high self-efficacy, with the average SOCA score (83.78) significantly higher than the CBT score (60.08). Conclusion: Academic self-efficacy significantly influences performance in interactive, communication-based exams like SOCA but has minimal impact on multiple-choice exams like CBT, which rely on recall or recognition. These findings emphasize the importance of fostering self-efficacy in medical education. Educational institutions should consider interventions such as self-efficacy training, learning strategies, and critical thinking development to enhance students' confidence and academic success.
Comparison of Quality of Life During Hormonal Therapy and Chemotherapy in Breast Cancer Patients at Dr. Moewardi Hospital: A Cross-Sectional Study Marwanto, Pigur Agus; Soewoto, Widyanti
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.1906

Abstract

Introduction: Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer-related death among women worldwide, accounting for 25% of all cancer cases and 15% of cancer-related mortality in women. Adjuvant therapies include chemotherapy, hormonal therapy, targeted therapy, radiation, or combinations thereof. The quality of life (QoL) of breast cancer patients varies depending on type of therapy, patient’s condition, and associated side effects. Evaluating QoL differences between hormonal therapy and chemotherapy is essential to assess treatment outcomes and guide clinical decisions. Methods: This cross-sectional study involved 240 breast cancer survivors treated at the Oncology Department of Dr. Moewardi Hospital. Selected participants using random sampling in two groups:  120 patients each groups undergoing chemotherapy and hormonal therapy. Data were collected through interviews and standardized questionnaires using the EORTC QLQ-C30 instrument. QoL data were categorized, and statistical analysis was performed using chi-square tests to examine associations between treatment type and QoL. Logistic regression was used to assess the strength of relationships between variables. Results: Groups receiving hormonal therapy, 116 (96.7%) reported good QoL, and 4 (3.3%) reported moderate QoL. In the chemotherapy group, 80 (66.7%) reported good QoL, 39 (32.5%) moderate, and 1 (0.8%) poor QoL. A statistically significant difference in QoL was observed between the two groups (p = 0.001). Dyspnoea was the only symptom that showed a significant association with treatment type (r = 0.208; p = 0.020). Across general health status, functional scales, and symptom scales, hormonal therapy was associated with better QoL outcomes than chemotherapy. Conclusion: There is a significant difference in the QoL of breast cancer patients undergoing hormonal therapy compared to chemotherapy. Hormonal therapy was a better overall QoL.
Arteriovenous Fistula Intervention on Snuffbox Area: A Systematic Review Hamisi, Andy A.; Khosama, Yuansun; Tjandra, Djony E.
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2093

Abstract

The anatomical snuffbox arteriovenous fistula (ASB-AVF) is the most distal upper-extremity configuration for haemodialysis access and fits well with distal-first, vessel-preserving strategies, yet its clinical adoption remains limited despite endorsement as a first-line option in anatomically suitable patients. This systematic review, conducted according to PRISMA guidelines, used PubMed, the Cochrane Library, and Google Scholar to identify English-language human studies on ASB-AVF published between 1 August 2024 and 2 October 2025, using combinations of “snuffbox,” “fistula,” and “distal-radial” as search terms. Eligible studies were assessed for anatomical criteria, patency, complications, and clinical implementation, and interpreted within five conceptual frameworks: distal-first/vascular access preservation, haemodynamic optimisation, hand ischaemia and complication minimisation, patient-centred vascular access care, and access lifecycle theory. Overall, the literature indicates that ASB-AVF can achieve high early and long-term patency rates (around 84.6–>90%) while preserving proximal radial segments, reducing tissue trauma, and minimising complications such as steal syndrome and neo-intimal hyperplasia. Outcomes are strongly influenced by vessel calibre, comorbidities (especially diabetes and peripheral arterial disease), and operator expertise. Barriers to broader use include small, heterogeneous cohorts, technical complexity, dependence on ultrasound-guided access, and surgeon familiarity with conventional wrist or upper-arm AVFs. Standardised training, refined selection tools, and personalised nursing strategies represent key opportunities to optimise results and support ASB-AVF as a feasible first-line option in selected patients.
Karakteristik Kadar Hidrasi dan Pola Kosmetika Perawatan Kulit Wajah yang Digunakan Mahasiswa dan Mahasiswi FK UNTAR Angkatan 2022 Vannesa Pangaribuan, Indah Elvina; Wijayadi, Linda Yulinti
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2113

Abstract

Pendahuluan: Kulit merupakan organ terbesar tubuh manusia yang berfungsi sebagai proteksi. Efektivitas fungsi protektif sangat dipengaruhi oleh kadar hidrasi kulit. Keseimbangan kadar hidrasi mempengaruhi fungsi stratum korneum dalam mengontrol jumlah air yang hilang. Faktor eksogen seperti penggunaan kosmetik perawatan kulit wajah memiliki pengaruh yang penting terhadap hidrasi kulit.  Tujuan penelitian: Untuk menggambarkan pengaruh pemakaian kosmetika perawatan kulit wajah dengan kadar hidrasi kulit pada kalangan mahasiswa dan mahasiswi FK UNTAR angkatan 2022. Metode: Desain penelitian menggunakan studi deskriptif potong lintang dengan 71 subjek penelitian yang dipilih melalui teknik nonrandom sampling. Data diperoleh melalui kuesioner dan pengukuran hidrasi wajah menggunakan skin moisture analyzer pada area dahi, pipi kanan dan pipi kiri. Hasil: Hasil menunjukkan hidrasi kulit pada area dahi didominasi kategori sangat kering 28 orang (36,6%), pada area pipi kanan didominasi kategori kulit kering 25 orang (35,2%), dan pada pipi kiri didominasi oleh kulit sangat kering 26 orang (36,6). Penggunaan kosmetika perawatan wajah didominasi oleh kosmetik pembersih wajah berupa sabun cuci muka (90%) dengan 77,5% menggunakan produk perawatan secara rutin rutin. Kesimpulan: Hasil penelitian ini mengindikasikan bahwa rutinitas pemakaian kosmetika perawatan wajah belum mampu mengoptimalkan hidrasi kulit.
Pengaruh Edukasi Terhadap Pengetahuan Nelayan tentang Pertolongan Pertama Gawat Darurat (PPGD) pada Korban Tenggelam Astilia; Sari, Yance Komela; Saputra, Nopan; Sari, Dewi Kartika
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2115

Abstract

Pendahuluan : Tenggelam  adalah  kondisi  gawat darurat yang  dapat menyebabkan kecacatan bahkan kematian  kurang  dari  24  jam setelah kejadian. Pengetahuan tentang pertolongan pertama gawat darurat (PPGD) pada korban tenggelam sangat penting diketahui oleh nelayan untuk meningkatkan keselamatan, mencegah kecacatan dan menurunkan angka kematian. Tujuan: Untuk mengetahui pengaruh edukasi kesehatan terhadap pengetahuan nelayan tentang Pertolongan Pertama Gawat Darurat (PPGD) pada korban tenggelam di Pantai Salido Pesisir Selatan Metode : Penelitian ini menggunakan metode quasi eksperimen dengan desain  one group pre test-post test. Populasi penelitian ini seluruh nelayan di Pantai Salido dengan jumlah sampel 37 responden menggunakan teknik total sampling. Instrumen yang digunakan adalah kuesioner terdiri atas 20 pertanyaan untuk mengukur tingkat pengetahuan dengan menggunakan skala likert. Analisa data yang digunakan adalah uji Wilcoxon. Hasil: penelitian ini menunjukkan bahwa lebih dari separuh nelayan memiliki pengetahuan kurang 56,8% dan sesudah diberikan edukasi memiliki pengetahuan baik 59,5%. Berdasarkan hasil uji statistik diketahui nilai p 0,000 < 0,05 yang berarti ada pengaruh edukasi  terhadap pengetahuan nelayan tentang pertolongan pertama gawat darurat (PPGD) pada korban tenggelam di Pantai Salido Pesisir Selatan. Kesimpulan: edukasi tentang pertolongan pertama tenggelam dapat menambah pengetahuan nelayan sebagai upaya penyelamatan nyawa dengan cepat dan tepat.
Identifikasi Korban Balita Banjir Bandang: Sebuah Laporan Kasus Cornelia, Cesella; Bari, Muhammad Alif; Rahmania, Siti Zahra; Rahmadani, Trisa Suci; Windasari, Noverika
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2140

Abstract

Banjir bandang merupakan bencana alam yang termasuk bencana terbuka dan umumnya menimbulkan kesulitan dalam proses identifikasi korban, khususnya pada korban anak. Kondisi jenazah yang terendam, mengalami pembusukan, serta keterbatasan data ante-mortem menjadi tantangan utama sehingga diperlukan pendekatan identifikasi yang sistematis dan ilmiah sesuai pedoman Disaster Victim Identification (DVI) INTERPOL tahun 2023. Laporan kasus ini melaporkan salah satu kasus korban anak perempuan tanpa identitas yang ditemukan meninggal dunia pascabencana banjir bandang di Sumatera Barat. Korban ditemukan pada hari ketiga pascabencana. Korban ditemukan dalam kondisi terendam lumpur dan telah mengalami perubahan postmortem. Pemeriksaan forensik dilakukan meliputi pemeriksaan luar, penilaian antropometri, dan odontologi forensik. Proses identifikasi dilakukan dengan mengkombinasikan metode identifikasi primer dan sekunder. Pendekatan multimodal sangat diperlukan pada korban anak dengan data ante-mortem terbatas untuk memperoleh hasil identifikasi yang akurat, sah, dan dapat dipertanggungjawabkan secara etis dan hukum.
Comparative Environmental Sustainability of Reusable SUNS Proque Versus Level 3 PPE in COVID-19 Isolation Wards Bani, Dony Marthen; Ismail, Darmawan; Suwardi; Surya Adhnyana, Ida Bagus Budhi; Wibisono; Marwanto, Pigur Agus
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2144

Abstract

Background: The COVID-19 pandemic led to an unprecedented surge in the use of disposable personal protective equipment (PPE), contributing to a substantial increase in medical waste and environmental pollution. While Level 3 disposable PPE is widely used to protect healthcare workers, its environmental sustainability remains a growing concern. Reusable PPE systems, such as the Surgeons of Universitas Sebelas Maret Protective Equipment (SUNS Proque), have been developed as alternatives to mitigate environmental impacts while maintaining adequate protection. Objective: This study aimed to compare the environmental sustainability of reusable SUNS Proque PPE and conventional Level 3 disposable PPE used in COVID-19 isolation wards. Methods: An observational analytical cross-sectional study was conducted at Dr Moewardi Hospital in Indonesia. A total of 56 healthcare workers (physicians, nurses, and sanitation staff) who had experience using both PPE types participated. Environmental sustainability was assessed using a validated 10-item Likert-scale questionnaire covering recyclability, reusability, waste volume, material characteristics, waste segregation, and circular economy principles. Statistical analyses included Chi-square tests, independent t-tests, and Eta correlation analysis. Results: SUNS Proque PPE demonstrated significantly higher overall environmental sustainability compared with Level 3 PPE (p < 0.001). Significant differences were observed in recyclability (p = 0.025), design for reuse (p = 0.002), waste volume reduction (p = 0.017; Eta = 0.772), and waste segregation (p = 0.013). Waste volume emerged as the strongest determinant differentiating the two PPE systems. Other indicators, including material toxicity and non-incineration processing, showed no statistically significant differences. Conclusion: Reusable SUNS Proque PPE offers superior environmental sustainability compared with conventional disposable Level 3 PPE, particularly through substantial waste reduction. Integrating reusable PPE into hospital infection control strategies may support environmentally sustainable healthcare systems without compromising occupational safety.
Karakteristik Pasien Morbus Hansen di Rumah Sakit Ibnu Sina Makassar dan Puskesmas Jejaring Tahun 2022-2024 Al Ansar, Nur Maeymanah; Waspodo, Nurelly Noro; Pramono, Sigit Dwi; Vitayani , Sri Vitayani; Abdi, Dian Amelia
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2251

Abstract

Latar Belakang: Morbus Hansen (kusta) merupakan penyakit infeksi kronis yang disebabkan oleh Mycobacterium leprae dan masih menjadi masalah kesehatan masyarakat di Indonesia, dengan Indonesia menempati peringkat ketiga dunia dalam jumlah kasus baru. Pemahaman mengenai karakteristik pasien kusta menjadi fondasi penting untuk memperkuat strategi pengendalian dan meningkatkan mutu layanan kesehatan. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran karakteristik pasien Morbus Hansen di Rumah Sakit Ibnu Sina Makassar dan puskesmas jejaringnya periode 2022-2024 berdasarkan usia, jenis kelamin, pekerjaan, riwayat pendidikan, gejala awal, hasil pemeriksaan BTA, klasifikasi penyakit, jenis pengobatan, dan kepatuhan pengobatan. Metode: Penelitian ini merupakan studi deskriptif dengan pendekatan cross-sectional menggunakan data sekunder dari rekam medis pasien Morbus Hansen periode 2022-2024. Teknik pengambilan sampel menggunakan multistage sampling (tahap 1: pemilihan lokasi penelitian; tahap 2: total sampling seluruh rekam medis yang memenuhi kriteria inklusi). Seluruh data rekam medis pasien dengan diagnosis definitif dan data lengkap diikutsertakan dalam penelitian. Data dianalisis secara univariat dengan menyajikan distribusi frekuensi dan persentase. Hasil: Dari 73 pasien, sebagian besar mendapatkan pelayanan di puskesmas (90,4%) dengan proporsi tertinggi di Puskesmas Tamalate (19,2%). Pasien didominasi usia dewasa 18-59 tahun (71,2%), laki-laki (64,4%), pekerja buruh (24,7%), dan pendidikan SMA (30,1%). Gejala awal terbanyak adalah kelainan kulit disertai mati rasa (75,3%), dengan hasil BTA positif (72,6%) dan klasifikasi tipe Multibasiler (72,6%). Pengobatan MDT MB diberikan kepada 72,6% pasien, dan 67,1% pasien patuh menjalani pengobatan. Kesimpulan: Karakteristik pasien Morbus Hansen di lokasi penelitian didominasi usia produktif, laki-laki, pekerja buruh, dengan gejala klasik bercak mati rasa, serta tingginya proporsi tipe MB dan BTA positif yang mengindikasikan masih terjadinya keterlambatan diagnosis. Masih ditemukan sepertiga pasien (32,9%) dengan ketidakpatuhan pengobatan yang memerlukan intervensi program.
Demographic Characteristics and Treatment Patterns of Tinea Corporis at a Tertiary Referral Hospital in Surakarta, Indonesia Kusumasari, Nila; Mulianto , Nurrachmat; Laili, Utiya Nur; Marifah, Firdausul; Yasmin, Aulia; Noviani, Laura
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2252

Abstract

Latar Belakang: Tinea corporis merupakan infeksi jamur superfisial yang umum disebabkan oleh dermatophytes yang menginfeksi kulit. Prevalensi tinea corporis tinggi di negara tropis seperti Indonesia. Namun, data epidemiologi lokal masih terbatas. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan karakteristik klinis dan demografis pasien dengan tinea corporis yang berobat ke Poliklinik Dermatologi dan Venereologi di Rumah Sakit Umum Dr. Moewardi, Surakarta, antara Januari 2020 dan Desember 2024. Metode: Penelitian ini merupakan studi analitik retrospektif yang memanfaatkan data sekunder dari rekam medis pasien tinea corporis yang berobat di Poliklinik Rawat Jalan Dermatologi dan Venereologi RSUD Dr. Moewardi selama periode penelitian. Hasil: Penelitian ini melibatkan 167 pasien dengan diagnosis tinea corporis. Mayoritas pasien berjenis kelamin perempuan (57,5%) dan berada pada kelompok usia dewasa (64,7%). Sebagian besar pasien memiliki tingkat pendidikan menengah (55,7%) serta pekerjaan sebagai ibu rumah tangga (18%) dan karyawan sektor swasta (18%). Berdasarkan Body Mass Index (BMI), 50,3% pasien memiliki berat badan normal. Sebanyak 24,5% termasuk overweight dan 12,6% obesitas. Komorbiditas ditemukan pada 59,9% pasien. Terapi yang paling sering diresepkan meliputi antijamur topikal (87,4%). Terapi adjuvan diberikan pada 83,8% pasien. Antijamur sistemik diberikan pada 58,7% pasien. Kesimpulan: Sebagian besar pasien tinea corporis di Poliklinik Dermatologi dan Venereologi RSUD Dr. Moewardi merupakan perempuan dewasa dengan status gizi normal dan tingkat pendidikan menengah. Tatalaksana yang paling sering digunakan adalah antijamur topikal. Terapi tambahan diberikan pada pasien dengan komorbiditas. Antijamur sistemik digunakan pada proporsi pasien yang bermakna dengan temuan komorbiditas.
Pengaruh Pemberian Vitamin D terhadap Kadar Kreatinin Darah pada Tikus dengan Diabetes Melitus Tipe 2 Prajadina, Inkha; Dhuha, Alief; Sari, Widia; Hansah, Rendri Bayu; Adelin, Prima
Health and Medical Journal Vol. 8 No. 2 (2026): HEME May 2026
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33854/heme.v8i2.2277

Abstract

Latar Belakang : Diabetes melitus tipe 2 adalah kondisi hiperglikemia, dan resistensi insulin, sehingga dapat menyebabkan kerusakan fungsi ginjal. Indikator kerusakan fungsi ginjal adalah peningkatan kreatinin dalam darah.Vitamin D memiliki reseptor pada pankreas dan ginjal. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh kadar vitamin D terhadap kadar kreatinin darah pada tikus dengan DM tipe 2. Metode: Jenis penelitian ini adalah Experimental In Vivo, dengan rancangan posttest control group design. Penelitian menggunakan 25 ekor tikus putih jantan (Rattus norvegicus) dibagi menjadi 5 kelompok perlakuan yaitu, kelompok A (kontrol), kelompok B (pakan standar + vitamin D 415 IU/hari), kelompok C (DM tanpa vitamin D), kelompok D (DM + vitamin D 415 IU/hari), serta kelompok E (DM + vitamin D 1.100 IU/hari). Data dianalisis menggunakan SPSS. Hasil: Hasil penelitian menunjukkan terdapat perbedaan secara signifikan kadar vitamin D (p=<0,05) yaitu antara kelompok E (DM + vitamin D 1.100 IU) dibandingkan kelompok A (kontrol) (p=0,003). Pada kadar kreatinin didapatkan perbedaan secara signifikan (p=<0,05) pada kelompok B (tidak DM+vitamin D 415 IU) dibandingkan kelompok C (DM tanpa vitamin D) (p=0,007). Tidak terdapat korelasi secara signifikan antara kadar vitamin D terhadap kadar kreatinin darah (p=0,798). Kesimpulan: Terdapat pengaruh pemberian vitamin D terhadap kadar kreatinin. Tidak ada korelasi antara kadar vitamin D terhadap kadar kreatinin.

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