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Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Published by Universitas Islam Negeri Sumatera Utara
ISSN : -     EISSN : 26850389     DOI : 10.30829/contagion
Core Subject : Health,
Health Professions Public Health
Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the discussion is about Public Health, Health and Islam, and Coastal Health. This Journal is published twice, published on June and December.
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Articles 518 Documents
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The Impact of Electronic Medical Records on Hospital Revenue from INA-CBGs Claims Maryati, Warsi; Susanto, Anton
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.24641

Abstract

Incorrect diagnosis and procedure coding are the major factors which lead to substantial reductions of claims in the INA-CBGs system. Studies have indicated reported losses of up to 23% due to this alone. This paper discusses whether Electronic Medical Records, hereafter referred to as EMRs, will mitigate such financial risks through improved documentation and coding quality. The study is a cross-sectional analysis based on 100 INA-CBGs inpatient claim documents, 50 with the use of EMRs and another 50 with the use of manual records, selected by simple random sampling technique. Five key variables have been related using the Chi-square test, multiple logistic regression analysis, and Structural Equation Modeling (SEM). Of all claims analyzed in this study, only 55% had complete medical information; diagnosis codes were accurate in 66% of them while accurate procedure codes accounted for just about 48%. Hospitals where EMRs are used had less revenue reduction at IDR 119,444,050 or -23.47%, compared to hospitals without EMRs which used manual records with a revenue reduction rate standing at IDR 272,422,069 or -47.92%. Of the claims analyzed, 55% had complete medical information, 66% had accurate diagnosis codes, and 48% had accurate procedure codes. Hospitals using EMRs experienced a smaller revenue reduction (IDR 119,444,050 or -23.47%) compared to those using manual records (IDR 272,422,069 or -47.92%). Diagnosis codes at accuracy (b = 3.595; p = 0.001), procedure codes at accuracy (b = 4.461; p < 0.001), documentation at completeness (b = 2.331; p < 0.001) and EMR use (b = 0.425; p < 0.001) were all significant factors with results of claims. EMRs significantly improve coding accuracy and reduce claim deductions, mitigating financial risk. Accelerating EMR adoption is recommended to strengthen hospital claim performance in the national health insurance system. Keyword: Electronic medical record; Diagnosis; Procedure; Hospital revenue; INA-CBGs
Recurrent Pregnancy Loss with Hypertensive Complication, Obesity and Suspected APS: A Case Based Approach to Antenatal Care Challenges Dasopang, Husna Bulkis; Ritonga, Mulyanusa Amarullah; Siddiq, Amillia
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24401

Abstract

Recurrent miscarriage, defined as the loss of two or more consecutive pregnancies, is a multifactorial condition associated with genetic, hormonal, anatomical, autoimmune, and maternal age-related factors. In Indonesia, data remain limited; however, at Dr. Kariadi Semarang Hospital, 18.7% of recurrent miscarriage cases between 2015 and 2017 were reported as idiopathic. We report a case of a 23-year-old woman, G7P0A6, at 33-34 weeks' gestation, presenting with elevated blood pressure and a history of chronic hypertension since 2016 with poor medication adherence. Ultrasonography revealed symmetrical fetal growth restriction (FGR) with an estimated fetal weight of 1500-1800 grams, and an obstetric history notable for six first-trimester miscarriages, suggestive of antiphospholipid syndrome (APS). Physical examination showed a blood pressure of 160/110 mmHg and obesity (BMI 32.9 kg/m²) without other features of severe preeclampsia; fetal monitoring and Doppler studies were normal. The patient was diagnosed with chronic hypertension exacerbated by preeclampsia, symmetrical fetal, suspected APS, recurrent miscarriage, and obesity. Management included conservative hospitalization, administration of magnesium sulfate, corticosteroids, and antihypertensive therapy, with cesarean delivery planned after 34 weeks once fetal lung maturation was achieved. This case highlights the challenges of managing high-risk pregnancies complicated by APS, FGR, and hypertensive disorders, emphasizing the importance of adequate antenatal care, multidisciplinary coordination, and appropriate timing of delivery to optimize maternal and fetal outcomes.Keywords: Antenatal Care, Poor Obstetric, Recurrent Pregnancy Loss, Fetal Growth Restriction; Preganancy Termination.
Successful Appendiceal Ureteral Substitution in a Rare Ureteric Involvement of Rhabdomyosarcoma in a Child - A Case Report Ariyono, Ali; Soerohardjo, Indrawarman; Hendri, Ahmad Zulhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25831

Abstract

Ureteral Rhabdomyosarcoma (RMS) in children is a rare malignancy that may involve the ureter, leading to obstruction and hydronephrosis. Management requires a combination of oncologic therapy and individualized surgical planning, particularly when tumor resection results in extensive ureteral defects. This case report describes an 8-year-old girl with pelvic embryonal RMS involving the right distal ureter, previously treated with pelvic radiotherapy and VAD (vincristine, actinomycin, and doxorubicin) chemotherapy. Imaging showed tumor compression of the distal ureter with grade III hydronephrosis. Surgical resection necessitated en bloc distal ureterectomy, creating a 10-cm ureteral defect. Due to prior pelvic radiation and concerns regarding bladder fibrosis and metabolic complications from bowel interposition, ureteral substitution using the appendix was performed. Postoperative recovery was uneventful, with stable renal function, normal electrolyte balance, and no urinary leakage. Follow-up imaging at 6 months demonstrated a well-functioning appendiceal conduit and no residual tumor. This case illustrates that appendiceal ureteral substitution can be a safe and effective reconstructive option for long distal ureteral defects in pediatric RMS, particularly when prior radiation limits alternative techniques. Careful surgical technique and close follow-up remain essential to ensure optimal outcomes Keywords: Ureteral Substitution, Ureteral Reconstruction, Appendix, Embryonal Rhabdomyosarcoma
Effectiveness Test of Bay Leaf Ethanol Extract as Antihyperuricemia Invivo S, Hilda; Panjaitan, Rosnike Merly; Hidayah, Nurul
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26098

Abstract

The imbalance between high production and low excretion of uric acid in the body causes hyperuricemia, which can lead to gout. This disease is the second largest after stroke in Indonesia. Conventional therapy is not free from adverse effects. The tendency of society to go back to nature and the government's "Saintifikasi Jamu" program are efforts to explore safer alternative therapies. One of the plants that has the potential as an antihyperuricemia is bay leaves (Syzygium polyanthum Walp.). The purpose of this study is to optimize the use of scientifically based bay leaves as an antihyperuricemia agent. The research method used is experimental with a pre-posttest design . A total of 20 mice were divided into 5 test groups (induction, comparison, bay leaf extract group (EEDS) with doses of 100 mg/kgBW, 200 mg/kgBW, and 400 mg/kgBW. The effectiveness of antihyperuricemia was tested by inducing mice with 1% chicken liver juice and potassium oxonate. Uric acid levels were measured at T1, T7 and T14 days of the study using a Blood Uric Acid Meter. All groups of test extract doses showed effectiveness as agents to lower uric acid levels significantly compared to the induction group (p<0.05). The potential effectiveness of the antihyperuricemia extract showed an effect that was not statistically different from the comparison (allopurinol) (p>0.05) at all measurement points. The conclusion of this study shows that bay leaf ethanol extract has the potential as an antihyperuricemia agent, where a dose of 100 mg/kgBW showed the best effectiveness as an antihyperuricemia Keywords: Bay Leaves, Extract, Chicken Liver, Potassium Oxonate, Uric Acid
Renal Function Improvement Following Bilateral Percutaneous Nephrostomy Tamara, Leonardo Grevi; Brodjonegoro, Sakti Ronggowardhana; Nahdi, Fateh Jamal
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24882

Abstract

Urinary tract blockages caused by urolithiasis, trauma, and tumours that spread to the kidneys, bladder, cervix, uterus, or colon would harm renal function. Percutaneous nephrostomy (PCN) provides an option if immediate decompression is required. It serves as a temporary diversion before more serious treatment, to reduce symptoms and preserve renal function in unilateral. This research is a retrospective cohort study that involved patients with obstructive uropathy for about 128 samples from 2019 to 2022. This study was conducted in 2023. Renal function recovery was evaluated by comparing creatinine levels in each group of obstruction aetiology in two periods, before and after obstruction (3rd and 7th day after decompression). History of haemodialysis procedure and chronic kidney disease were excluded The results showed that there was a significant decrease in creatinine from baseline to day 7 of all samples (p=0.001). In the cancer group, there is a significant mean difference in baseline creatinine level and creatinine level at day 7 after the procedure (p=0.008; p<0.05). There is no significant renal function improvement in the stone group. PCN in patients with obstructive uropathy has a significant effect on improving renal function, especially in patients with cervix cancer. Keyword: Obstructive Uropathy, Percutaneous Nephrostomy, Renal Function Improvement
Determinant Risks of Adolescent Sex Behavior in Terjun Village Bukit, Dhani Syahputra; Rochadi, Kintoko; Keloko, Alam Bakti
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.22211

Abstract

Adolescent sexual behavior is a complex issue that has a major impact on the health and well-being of young people worldwide. In today's internet era, it is shaped by many factors, including peer influence, family support, access to pornography, and reproductive health services. This study set out to examine the variables that influence adolescent sexual behavior. Using a cross-sectional design, researchers surveyed 170 adolescents in Terjun Village, selected through random sampling. Data were analyzed with the chi-square test to identify relationships between variables. The results showed that knowledge (p = 0.006), family support (p = 0.0005), and access to pornographic content (p = 0.0005) were significantly related to adolescent sexual behavior. In contrast, reproductive health services (p = 0.196) and peer influence (p = 0.440) did not show a significant relationship. These findings suggest that to help adolescents live healthier and more responsible sexual lives, efforts should focus on comprehensive sex education, strong family support, reproductive health promotion, and policy advocacy that reinforce these strategies Keywords: Adolescent, Sexual Behavior, Health, Risk
Developing a Social Learning-Based Educational Model to Improve Pregnancy and Baby Care Behavior in Adolescent Mothers Susanti, Dewi; Faisal, Muhammad; Yusefni, Elda; Renidayati, Renidayati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25510

Abstract

Adolescent pregnancy remains a serious public health issue, especially in developing countries. Many young mothers struggle because they lack the knowledge, emotional readiness, and support systems needed to maintain a healthy pregnancy and care for their babies. In Indonesia, these challenges are made worse by limited reproductive health education and the presence of social stigma. Padang, West Sumatra, faces similar concerns, with relatively high rates of adolescent pregnancy. The region's predominantly Muslim population and the Minangkabau culture; known for its strong emphasis on family and community values, play a significant role in shaping adolescent reproductive health behaviors. This study aims to design an educational model based on social learning theory to improve pregnancy and baby care practices among adolescent mothers in West Sumatra. A convergent mixed-methods design was used. Quantitative data came from structured questionnaires completed by 76 pregnant adolescents, while qualitative insights were gathered through interviews and focus group discussions with 11 informants, including adolescent husbands, family caregivers, midwives, and psychologists. The analysis showed that knowledge alone was not enough to encourage positive maternal behavior. Emotional readiness, stress management, family communication, and future planning were all significantly linked to better pregnancy care (p < 0.05). Qualitative findings further highlighted the importance of group-based training, interactive modules, accessible materials, and family involvement in strengthening adolescents' readiness and caregiving skills. The proposed educational model, grounded in social learning principles, offers a culturally sensitive and practical approach to empower adolescent mothers. If applied in community and clinical settings, it has the potential to improve maternal and child health outcomes and reduce the long-term risks associated with adolescent pregnancy Keywords: Adolescent pregnancy, educational model, social learning theory, maternal behavior, baby care
Partial Hydatidiform Mole with Subclinical Hyperthyroidism - A Case Report Mustaqim, R. Fuad; Aditiyono, Aditiyono; Winarno, Gatot N.A.; Suhartomo, Dalri Muhammad
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 2 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i2.24775

Abstract

Partial hydatidiform mole is a rare gestational trophoblastic disease marked by triploid karyotype, fetal abnormalities, and growth disorders, sometimes accompanied by subclinical hyperthyroidism. Diagnosis relies on β-hCG testing, ultrasound, and immunohistochemistry. Management, especially regarding chemotherapy, remains debated due to fertility concerns. This case report presents a rare instance of partial hydatidiform mole with subclinical hyperthyroidism, emphasizing key diagnostic and therapeutic considerations. A case report 22-year-old primigravida at 16 weeks presented with abortion imminens, placentomegaly, anemia, and massive bleeding. Evaluation confirmed a partial mole with subclinical hyperthyroidism. She was stabilized for hemorrhagic shock and IUFD, then underwent molar evacuation and caesarean hysterectomy. Although chemotherapy was initially planned, β-hCG levels normalized within 4 months without it, and follow-up showed no malignant transformation or recurrence. Low-risk partial hydatidiform mole can regress without chemotherapy, but comorbidities like subclinical hyperthyroidism require attention. At least 6 months of β-hCG monitoring is essential to confirm resolution and detect complications. Keyword: Chemotherapy, Hyperthyroid Subclinical, Partial Hydatidiform Mole.
Quality of Life Among Informal Sector Workers in Relation to Working Hours, Income, and Social Support Nuraini, Nuraini
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.26272

Abstract

The quality of life of informal sector workers is related to their work-life balance, job satisfaction, and health problems. Prevention of work accidents, occupational diseases, and welfare improvement are regulated in the occupational health and safety management system. The purpose of analyzing their quality of life. A cross-sectional design was conducted for this research, from May to August 2025 on online platform drivers. Accidental techniques and establishing inclusion criteria were used to determine the research sample. The instrument used was a questionnaire that had met validity and reliability standards. Multivariate regression was used for data analysis. The results of the study found that their quality of life was related to income, social support, and working hours, stated at a p value <0.001. Of the three variables related to quality of life, working hours/week showed a negative relationship with a B value of -0.231, while the other two variables were positive. The higher the number of hours worked by online platform workers per week, the lower their quality of life. In contrast to income, the t value = 5.576 and p = 0.000 means that income is correlated 5 times with quality of life. High income means their quality of life is 5 times better. Social support was proven to be significantly related to quality of life with a p value of 0.000 and t value of 12.038. Positive social support was associated with 12 times better quality of life for workers Keywords: ISO 45001, Long Working Hours, Platform work, Quality of Life, Total worker health
The Effect of Spiritual Care on Anxiety Level in Fracture Patients Yazid, Budiana; Sidabutar, Rina Rahmadani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25651

Abstract

Fractures are the most common physical injuries caused by accidents. The results Riskesdes (2018) show that in Indonesia, there are cases of fractures caused by traffic accidents, falls and sharp or blunt object trauma. Of the 45,987 falls that resulted in fractures, 1,775 people (3.8%) experienced fractures, of the 20,829 traffic accident cases that resulted in fractures. In every province in Indonesia, the most common fracture surgery in the extremities is in Bali with 3,065 cases, DKI Jakarta with 2,781 cases, while in North Sumatra there are 2,576 cases (Mongan & Solikhah, 2023). This study aims to see the effect of spiritual care on anxiety level in fracture patients at Sundari Hospital. This type of research is quasi-experimental with a pre test and post test design with control group. This research was carried out at Sundari Hospital from 11 April to 20 Mei 2025. The study population included 37 patients of fractures. The sampling technique is non-probability sampling. The number of samples in this study was 15 people for the control group and 15 people for the treatment group. The results of the study showed that there was a difference in the average anxiety level of fracture patients who were given spiritual care intervention compared to the group of patients who were not given intervention with p value = 0.000; 95% CI < alpha = 0.05 Keywords: Spiritual care, Anxiety level, Fracture

Page 44 of 52 | Total Record : 518

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