cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Contagion
Contact Email
contagion@uinsu.ac.id
Phone
-
Journal Mail Official
zataismah@uinsu.ac.id
Editorial Address
-
Location
Kota medan,
Sumatera utara
INDONESIA
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.
Arjuna Subject : -
Articles 518 Documents
 46   47   48   49   50 
Curcumin Reduces Hepatic IL-6 Expression in an L-NAME–Induced Preeclampsia Model in Wistar Rats (Rattus norvegicus) Rizki, Mutiara Putri Nanda; Sururi, Desy Aulina; Rahardjo, Bambang; Nurseta, Tatit
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.v7i3.25825

Abstract

Preeclampsia is a pregnancy complication after 20 weeks of gestation characterized by hypertension, proteinuria, and endothelial dysfunction driven by oxidative stress and inflammation. Elevated interleukin-6 (IL-6) contributes to hepatic injury and increases the risk of HELLP syndrome. Curcumin, the active compound of Curcuma longa, possesses antioxidant and anti-inflammatory effects via inhibition of the NF-κB pathway, potentially suppressing IL-6 expression in hepatic tissue. This study aimed to evaluate the effect of curcumin on hepatic IL-6 expression in an L-NAME–induced preeclampsia model in Wistar rats. A true experimental post-test-only control group design was used with 25 pregnant rats (n = 5/group) divided into a healthy control (K–), a disease model control (K+; L-NAME 125 mg/kg BW), and three curcumin-treated groups receiving 30, 50, and 100 mg/kg BW (P1, P2, P3). IL-6 expression in hepatic tissue was assessed immunohistochemically and quantified using ImageJ software. Data were normally distributed (Shapiro–Wilk p = 0.288) and homogeneous (Levene p = 0.277), allowing one-way ANOVA and Pearson correlation analyses (α = 0.05). Mean ± SD hepatic IL-6 expression (% area) was K– = 5.04 ± 2.32, K+ = 62.97 ± 2.71, P1 = 55.45 ± 2.57, P2 = 28.49 ± 4.08, and P3 = 16.46 ± 2.60 (p < 0.001, η² = 0.94). Post-hoc HSD analysis showed significant reductions in all curcumin-treated groups compared with K+, with the highest dose (P3) showing the greatest reduction and values approaching normal levels. A strong negative correlation (r = –0.962, p < 0.001; 95% CI = [–0.99, –0.86]) indicated a clear dose-related trend between curcumin administration and decreased IL-6 expression. These findings suggest that curcumin attenuates hepatic IL-6 expression in an L-NAME–induced preeclampsia model in a dose-related manner, supporting its potential hepatoprotective and anti-inflammatory roles against preeclampsia-associated oxidative injury. Keywords:  Curcumin, Immunohistochemistry, Liver, L-NAME, Pregnancy
The Effectiveness of the Active Cycle of Breathing Technique and Peppermint Aroma Therapy on Reducing Shortness of Breath in Pulmonary Tuberculosis Patients at Sidikalang Regional General Hospital, Dairi Regency Silaban, Jojor; Hutagalung, Perak Maruli Asi Roha; Sitohang, Tiur Romatua; Naibaho, Risdiana
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.v7i3.25856

Abstract

Tuberculosis (TB) has been a health problem in Indonesia and many countries, and it is included in Goal 3 of the  Sustainable Development Goals (SDGs). Breathing pattern disorders caused by TB are a major problem that can lead to complications. This study aims to analyze the effectiveness of Active Cycle Breathing Technique (ACBT) and peppermint aromatherapy on reducing shortness of breath in patients with Pulmonary TB. The study was carried out in the Sidikalang Regional Hospital Polyclinic in patients with pulmonary TB. This study used a quasi-experimental design with a pre-post test. The number of samples in each case and control group was 35 people. Data analysis used the independent T-test at a significance level of 95% (α = 0.05). The results of the independent T-test showed a significance 0,008  (<0.05), which means that ACBT and peppermint aromatherapy are effective in reducing the scale of shortness of breath in Pulmonary TB patients at Sidikalang Regional Hospital. This study reveals that ACBT and peppermint aromatherapy can be integrated into clinical guidelines for the management of patients with respiratory disorders. The findings suggest that ACBT combined with peppermint aromatherapy may serve as an alternative therapy for alleviating shortness of breath. This procedure is relatively easy and inexpensive to perform and can be done independently at home without supervision. Keywords: ACBT, Peppermint aromatherapy, Shortness of breath, Pulmonary TB.
Factors Influencing Health Practices Among Mothers with Children Aged 0–5 Years in the Working Area of Sirait Public Health Center, Nainggolan District, Samosir Regency Dewi R. Bancin; Friska Megawati Sitorus; Sharfina Haslin; Muhammad Syafii
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26603

Abstract

Maternal and child health is an important indicator in assessing the degree of public health. The toddler period (0–5 years) is a critical period that determines the quality of life of children in the future. Samosir Regency still faces various challenges in maternal health practices, especially related to low exclusive breastfeeding coverage and posyandu visits. This study aims to analyze the factors that influence health practices among mothers with toddlers in the working area of the Sirait Community Health Center in Nainggolan District. This study is an analytical survey with a cross-sectional study design. This study was conducted in the working area of the Sirait Community Health Center in Nainggolan District, from August to September 2025. The study population consisted of all mothers with children aged 0-5 years. The study sample consisted of 120 pregnant women, as the sampling technique used was purposive sampling. Data analysis consisted of three stages, namely univariate analysis, bivariate analysis using chi-square, and multivariate analysis using multiple logistic regression with a significance level of 95% (a=0.05). The results showed that the level of mothers knowledge about the concept of health (p=0.001; Exp.B=28.842), mothers perceptions of health and disease (p=0.012; Exp.B=11.184), access to health services (p=0.003; Exp.B=0.409, 95% CI: 1.323-2.445) together influence health practices among mothers with children aged 0-5 years in the working area of the Sirait Community Health Center, Nainggolan District, Samosir Regency. It can be concluded that knowledge, perception, and access to health services play an important role in shaping the health practices of mothers with young children. It is recommended that the Community Health Center and the Health Office improve maternal and child health education, expand access to services, and strengthen communication between health workers and the community to encourage the implementation of innovative health practices at the family level. Keywords: Health Practices, Knowledge, Perception, Access
The Correlation between Self-Care and Quality of Life in Type 2 Diabetes Mellitus Patients at the Sei Rampa Health Center Sri Lestari Ramadhani Nasution; Winda Adelia Lubis; Ermi Girsang; Abednego Karo Sekali
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26529

Abstract

Type 2 diabetes mellitus (T2DM) can substantially reduce patients’ quality of life (QoL). Self-care is expected to lessen this burden, but evidence across key self-care domains in primary care is still limited. This study aims to identify how strong and significant the relationship between these two variables is: self-care and quality of life. A sequential explanatory mixed-methods study was conducted at the Sei Rampah Community Health Center. Quantitatively, 136 T2DM patients completed a survey; Pearson’s correlation tested associations between five self-care domains (diet, physical activity, medication therapy, availability of blood-glucose monitoring equipment, and diabetes knowledge) and QoL. Qualitatively, in-depth interviews with eight patients explored daily self-care experiences; transcripts were coded and thematically analyzed using CAQDAS/NVivo following the Miles and Huberman framework. Ethical approval was granted by Universitas Prima Indonesia.  All self-care domains were significantly associated with better QoL (p < 0.001). Interview data explained the quantitative patterns: diet adherence was constrained by financial limitations, eating habits, and limited healthy menu variety; physical activity was generally light and inconsistent due to fatigue, age, motivation, and family support; medication adherence was relatively high but lapses occurred without reminders; routine glucose monitoring was uncommon because glucometers and strips were costly and health literacy was limited; and stronger diabetes knowledge, often reinforced by family, supported more consistent self-care behaviors. Programs should strengthen feasible diet and activity routines, support adherence with reminders, expand affordable access to glucometers/strips, and intensify education by engaging family support to improve QoL. Keywords: T2DM, Self-Care, Quality of Life, Medication Adherence, Glucose Monitoring, Primary Care.
Effects of Continuing Professional Development on Nurses’ Competence in Chronic Illness Care: A Systematic Review and Meta-Analysis Miming Oxyandi; Aris Citra Wisuda; Faridah Mohd Said; Rhipiduri Rivanica
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.25945

Abstract

Chronic illnesses, including diabetes mellitus, hypertension, cardiovascular disease, and cancer, represent major global health challenges requiring sustained nursing competence. Continuing Professional Development (CPD) is promoted to enhance nurses’ knowledge, skills, and professional attitudes; however, its effectiveness in chronic illness care remains inconsistent. This meta-analysis evaluated the impact of CPD on nursing competence in managing chronic illnesses. A systematic search of PubMed, Scopus, CINAHL, and Web of Science was conducted for studies published between January 2019 and January 2025. Eligible studies included randomized controlled trials, quasi-experimental, and cohort designs reporting competence-related outcomes following CPD interventions. Data were synthesized using a random-effects model, and heterogeneity was assessed using the I² statistic. Eleven studies involving 1,362 nurses from Asia, Europe, and the Americas met the inclusion criteria. CPD showed a significant positive effect on nursing competence in chronic illness care (Hedges’ g = 0.47; 95% CI: 0.31–0.63; p < 0.001). E-learning and blended learning approaches were more effective than traditional face-to-face methods, and programs lasting more than six months produced greater improvements. Moderate heterogeneity was observed (I² = 48%), with no evidence of publication bias. The findings indicate that CPD moderately improves nursing competence, particularly when delivered through technology-enhanced and sustained educational strategies. Variations in intervention duration and learning modality may explain differences in effect sizes across studies. CPD is an effective strategy to strengthen nursing competence in chronic illness care, especially when implemented through blended or e-learning formats and extended program duration Keywords: Continuing Professional Development, Nursing, Competence, Chronic Illness Care, Meta-Analysis
The Association Between Preeclampsia and Low Birth Weight in Hospitals in Medan: A Case-Control Study Aidil Akbar; Muhammad Solih Nasution; Alltop Amri Ya Habib
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26771

Abstract

Preeclampsia is a medical condition that causes increased blood pressure occurring during pregnancy, which significantly contributes to poor prenatal outcomes, such as low birth weight (LBW). In Indonesia, especially in North Sumatra, the prevalence of preeclampsia remains significant; however, data concerning its correlation with low birth weight in hospital environments is still scarce. This research was intended to ascertain the correlation between preeclampsia and the incidence of low birth weight among mothers delivering in hospitals in Medan City. A hospital-based case–control study utilized secondary data from medical records at H. Adam Malik Hospital and Dr. Pirngadi Hospital, Medan, from January 2022 to June 2024. A total of 180 postpartum women participated, comprising 90 cases (women who gave birth to babies with low birth weight) and 90 controls (women who gave birth to babies with normal birth weight). We used multivariable logistic regression and chi-square testing to find adjusted odds ratios (ORs) with 95% confidence intervals (CIs). A strong link existed between low birth weight and preeclampsia. Mothers with preeclampsia exhibited a significantly elevated probability of delivering low birth weight infants in comparison to those without preeclampsia (adjusted OR = 6.21; 95% CI: 3.10–12.30; p < 0.001). Advanced maternal age (>35 years) and preterm gestational age (<37 weeks) were independently correlated with low birth weight (LBW), whereas parity exhibited no significant correlation. Preeclampsia is significantly correlated with the incidence of low birth weight in mothers delivering in hospitals in Medan City. To improve maternal and child health and lower the risk of bad outcomes for newborns, it is important to improve early detection and comprehensive antenatal management of preeclampsia. Keywords: Preeclampsia, Low Birth Weight, Maternal Age, Gestational Age, Case-Control Study.
A Systematic Review of the Kano Model's Utility in Classifying Healthcare Service Attributes and Driving Patient Satisfaction Gita Febri Irianti; Sutopo Patria Jati; Cahya Tri Purnami
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26442

Abstract

Patient satisfaction is a key indicator of hospital service quality, closely linked to patient loyalty, clinical outcomes, and the reputation of health institutions. However, identifying specific attributes that determine patient satisfaction and dissatisfaction remains a challenge amid the ever-evolving dynamics of healthcare services. The Kano Model offers a useful framework by categorizing service attributes according to their impact on patient satisfaction.  This study presents a systematic literature review of the model’s application in hospitals, conducted using the PRISMA protocol. Searches across PubMed, Scopus, and ProQuest for publications from 2019 to 2024 yielded 17 eligible international journal articles, which were analyzed narratively to identify patterns, methods, and findings.   Results consistently revealed a hierarchy of patient needs: clinical competence, safety, and accurate information emerged as Must-be attributes, whose absence leads to strong dissatisfaction.  Communication quality, responsiveness, and service efficiency were typically One-dimensional attributes, with satisfaction rising proportionally to performance.  Digital innovations such as telehealth and personalized services often appeared as Attractive attributes, delighting patients when present but not causing dissatisfaction when absent. . Attribute classification proved dynamic, shaped by clinical context and patient demographics. Furthermore, integrating the Kano Model with frameworks such as SERVQUAL and the Balanced Scorecard enhances strategic prioritization. Several studies also demonstrated that Kano-based interventions can improve both clinical and psychological patient outcomes. Keywords: Patient Satisfaction, Hospital, Kano Model, Service Quality.
Decision Making Behavior in Seeking Help and Utilizing Health Services in Maternal Death Cases in Berau Regency: Application of Andersen's Behavior Model and Pass Model Sudiastiningsih, Heni; Ramdan, Iwan Muhammad; Nurrahmawati, Annisa; Rohmah, Nur; Jasmawati, Jasmawati; Virawati, Dini Indo; Wati, Ratna; Arifin, Muhammad
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.v7i3.26127

Abstract

One of the causes of the high maternal mortality rate is the delay in seeking help. Delays in seeking help will have an impact on further delays, namely delays in utilizing health facilities which result in delays in receiving appropriate and adequate services. This study is a qualitative research with a phenomenological approach by collecting data through in-depth interviews with families of cases of maternal death in Berau with the aim of exploring the family's experience in the process of seeking health help by utilizing health services for pregnant women. The results showed that social support was related to family demographics with treatment practices still found based on local tribal customs. Perceived severity and vulnerability motivated families to seek health care. Trust in the ability of health workers also plays a role in the utilization of health facilities. This study provides information for families of pregnant women, communities and policy makers in designing more effective health programs, especially increasing knowledge related to maternal health. Improving the professionalism and competence of health workers as an attraction for the community to choose health services as the first choice when they need help Keyword: Maternal mortality;health seeking behavior ;health care utilization
Cardiovascular Disease Risk Factors Among Mining Workers at PT. Manggala Alam Lestari Jansen Fernando; Oktavia Dewi; Mitra Mitra; Jasrida Yuita; Agus Alamsyah; Musfardi Rustam
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.26746

Abstract

This study aimed to analyze the risk factors associated with cardiovascular disease (CVD) among mining workers at PT Manggala Alam Lestari, Musi Banyuasin, South Sumatra, Indonesia. A retrospective case-control study was conducted using secondary data from routine Medical Check-Up (MCU) records collected between 2022 and 2024. A total of 400 workers were included, comprising 80 CVD cases and 320 controls selected using a 1:4 frequency matching strategy by age group (≤45 and >45 years) and gender. Data analysis involved univariate summaries, bivariate chi-square tests, and multivariate multiple logistic regression to obtain adjusted odds ratios (aOR) and 95% confidence intervals while controlling for potential confounders, including age, gender, and work shift. Five significant modifiable risk factors were identified: obesity, diabetes mellitus, hypertension, dyslipidemia, and smoking. Obesity showed the strongest association with CVD (aOR ≈ 9.4), followed by diabetes mellitus (aOR ≈ 8.4), hypertension (aOR ≈ 7.6), dyslipidemia (aOR ≈ 5.2), and smoking (aOR ≈ 4.0). The final logistic regression model demonstrated good performance, with a Nagelkerke R² value of 0.645, indicating that 64.5% of the variation in CVD status could be explained by these five factors, and acceptable model fit on diagnostic testing. In conclusion, obesity and other metabolic and behavioral factors are strongly associated with CVD among mining workers at this site. Targeted occupational health interventions focusing on weight management, early detection and control of metabolic disorders, and comprehensive smoking cessation programs are essential to reduce the burden of CVD in the mining industry Keywords: Cardiovascular Disease, Mining Industry, Metabolic Risk Factors, Obesity, Occupational Health
Implementation of the International Patient Safety Goals in Efforts to Reduce the Risk of Patient Falls in Hospitals: A Behavioral Perspective Indriyani Indriyani; Zahroh Shaluhiyah; Daru Lestantyo
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27069

Abstract

According to the World Health Organization (WHO), approximately 134 million adverse events occur annually in hospitals in low- and middle-income countries, contributing to an estimated 2.6 million deaths. Patient falls remain one of the most frequent preventable safety incidents in hospital settings. This study aimed to analyze behavioral and organizational factors influencing nurses in implementing the International Patient Safety Goals (IPSG), particularly in fall risk prevention. A quantitative cross-sectional design was employed. The study population consisted of 1,125 nurses at Hospital X, and 290 nurses were selected as the research sample using proportionate stratified random sampling based on the Lemeshow formula. Data were analyzed using Chi-square and multiple logistic regression tests. The results showed significant associations (p < 0.05) between knowledge, attitude, facilities and infrastructure, regulations, coworker support, leadership support, and IPSG implementation. A total of 63.8% of nurses demonstrated good IPSG implementation. Multivariate analysis identified facilities and infrastructure as the most dominant factor (p = 0.0001; OR = 4.562; 95% CI = 2.289–9.094), indicating that adequate facilities increased the likelihood of proper IPSG implementation by 4.562 times compared to inadequate facilities. In conclusion, strengthening structural readiness particularly ensuring adequate safety facilities is essential to improve IPSG implementation in fall risk prevention. However, the cross-sectional design limits causal interpretation, and self-reported data may not fully reflect actual clinical practice Keywords: International Patient Safety Goals Implementation, Fall Risk, Nurse Behaviour

Page 48 of 52 | Total Record : 518

 46   47   48   49   50 

Filter by Year

2019 2026


Reset
Filter By Issues
All Issue Vol 8, No 1 (2026): CONTAGION Vol 7, No 3 (2025): CONTAGION Vol 7, No 2 (2025): CONTAGION Vol 7, No 1 (2025): CONTAGION Vol 6, No 2 (2024): CONTAGION Vol 6, No 1 (2024): CONTAGION Vol 5, No 4 (2023): CONTAGION Vol 5, No 3 (2023): CONTAGION Vol 5, No 2 (2023): CONTAGION Vol 5, No 1 (2023): CONTAGION Vol 4, No 2 (2022): CONTAGION Vol 4, No 1 (2022): CONTAGION Vol 3, No 2 (2021): CONTAGION Vol 3, No 1 (2021): CONTAGION Vol 2, No 2 (2020): CONTAGION Vol 2, No 1 (2020): CONTAGION Vol 1, No 01 (2019): VOL 01 NO 01 Vol 1, No 2 (2019): Vol 01 No 02 More Issue