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INDONESIA
JOURNAL LA MEDIHEALTICO
Published by Newinera Publisher
ISSN : 27211215     EISSN : 27211231     DOI : 10.37899/journallamedihealtico.v6i2.1959
Core Subject : Health,
Journal La Medihealtico is peer reviewed, open access Academic and Research Journal which publishes Original Research Articles, Review Article, Case Report editorial comments etc. in all fields of medical sciences and health sciences including Health Care Delivery, Health Care Research, Epidemiology, Medical Care, Nursing, Nursing Education, Neonatal nurse, Home Health Nursing Community and Homecare, Information Technology in Nursing, Occupational Health and Safety, Midwifery, Health Care Administration, Hospital Science and Management, Innovations in Patient Care, Public Health, Health Psychology, Social Health, Physical health, Quaternary Care, Secondary Care, Veterinary Nursing, Medical Sciences and Pharmaceutical Sciences, Hospital and Clinical Pharmacy, Pathology, Physiotherapy & Rehabilitation, Ergonomics, Food and Nutrition, Veterinary Medicines.
Articles 466 Documents
Comparative Preclinical Evaluation of Nelumbo Nucifera and Related Herbal Extracts in Breast Cancer Models: Molecular Pathways and Effectiveness Fitri, Khairani; Azzubaidi, Marwan Saad; Hassan, Nurul Huda Mat
Journal La Medihealtico Vol. 6 No. 4 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i4.2560

Abstract

This study provides a comparative preclinical evaluation of Nelumbo nucifera (lotus) and related herbal extracts in breast cancer models, focusing on their targeted molecular pathways and effectiveness. The analysis includes both in vitro and in vivo studies involving lotus leaf, seedpod, and related plant extracts from Nymphaea, Moringa, and Taraxacum. The findings demonstrate that N. nucifera leaf alcoholic extract exhibits the most comprehensive anticancer profile, with effects validated in multiple models, including those of ER-negative and radioresistant cells. The lotus seedpod extracts also demonstrated promising activity against resistant tumors by inhibiting DNA repair. Other herbal candidates demonstrated apoptotic or cytotoxic effects but were limited in scope or lacked in vivo confirmation. These results support the further development of lotus-derived compounds as promising multi-pathway therapeutic agents for breast cancer.
Analysis of the Relationship Between Middle-Level Manager's Transformational Leadership Style and the Implementation of Safety Culture with Employee Job Satisfaction: Case Study Aladin, Nurul Maulina; Semiarty, Rima; Marpaung, Yahya
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2593

Abstract

Job satisfaction is basically about what makes someone happy in their job. Factors that affect job satisfaction include cultural factors and organizational factors. leadership style is one that supports the achievement of employee job satisfaction. With an effective leadership style, it will be able to foster a good safety culture and can increase employee job satisfaction. RSUD Prof. H. Muhammad Yamin, SH is one of the hospitals owned by the government of West Sumatra Province located in the city of Pariaman. This study used a mixed-method method with a sequential explanatory approach to 110 employee respondents and research informants determined by simple random sampling and purposive sampling techniques. Data collection was obtained from questionnaires, in-depth interviews, observation, and document review. The data analysis used is Structural Equation Modeling-Partial Least Squares (SEM-PLS). The results showed that there was a significant relationship between leadership style and safety culture, as well as safety culture on job satisfaction with p values of 0.000 and 0.000, respectively. Meanwhile, leadership style is not related to job satisfaction with a p value> 0.05. Leadership style has a relationship with job satisfaction through the mediating variable of safety culture with a p value of 0.000. Other factors that influence employee job satisfaction at Prof. H. Muhammad Yamin Hospital, SH are social factors, environmental factors, and financial factors. There is a relationship between leadership style and employee job satisfaction through the mediation of safety culture.
Acute Lupus Pneumotitis as a Complication of Pregnancy: A Case Report Saputra, I Gede Agus Rio; Putra, I Putu Bagus Darma; Putra, I Wayan Artana
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2556

Abstract

Systemic lupus erythematosus (SLE) is an autoimmune disease that is chronic in nature and has considerable clinical heterogeneity. Acute Lupus Pneumonitis (ALP) is one of its many presentations. We report the case of a 29-year-old, primigravida patient at 30 weeks of gestation presenting with progressive dyspnoea, phlegmatic cough lasting three weeks and morning fever. On physical examination, there was a stabilized alert patient with normal vital signs. Examination by auscultation of thorax revealed slight subcostal retraction and other rhonchi and wheezing. Cephalic foetal presentation was present in the abdomen and abdominal ultrasound was reported normal. Investigations in the laboratory showed thrombocytopenia, over iron-deficiency anaemia, and systemic inflammatory factors. The presence of demonstrable anti-SSA and anti-SSB antibodies provided support to the diagnosis of pregnancy-related suspicious SLE bronchopneumonia. A restrictive diet was established, which included ceftriaxone once per day, Methylprednisolone between two times per day, Nebulised salbutamol between three times per day, N-Acetyl cysteine between three times per day, hydroquinone once per day, aspartilet once a day, and vitamin D once a day. The patient was discharged four days after therapy after clinical improvement was noted. After two months, she gave birth to clinically healthy infant via caesarean section, due to breech presentation and placenta previa as well as the persistence of SLE with the risk of lupus flare. ALP is a dangerous pulmonary SLE process. Here, the positive anti-SSA and anti-SSB were especially worrying considering that such antibodies are linked to very severe maternal and foetal complications.
Mother’s Compliance in Providing Basic Immunization for Infants Aged 0–12 Months Hemelka, Teresia; Dedi, Blacius; Badi’ah, Atik
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2583

Abstract

Basic immunization is an important health intervention to prevent dangerous infectious diseases in infants. However, the coverage of basic immunization in Sungai Raya Village, Pinoh Utara Sub-District, Melawi Regency, West Kalimantan Province is still low, at only 67.8%, far below the national target of 95%. The low compliance of mothers in providing basic immunization is influenced by various internal and external factors. This study aims to explore mothers’ experiences in complying with basic immunization for infants aged 0–12 months, as well as to identify the supporting and inhibiting factors of such compliance. This research used a qualitative method with a phenomenological approach. Informants were selected using purposive sampling, namely mothers who have infants aged 0–12 months and who reside in Sungai Raya Village. Data were collected through in-depth interviews using an interview guide, and were then analyzed thematically. The study revealed several main themes, namely: Mothers' Perceptions of Disease Risk and Immunization Benefits; Level of Compliance and Mothers' Experience in Immunization; Barriers in Fulfilling Basic Immunization; Supporting Factors for Mother’s Compliance; and the Influence of Social Environment and Information. Compliance with basic immunization is influenced by a complex interaction between internal factors (knowledge, attitude, beliefs) and external factors (family support, access to health services, culture). Community-based interventions are needed to strengthen health education, improve service access, and involve community leaders to overcome cultural barriers.
The Relationship Between Stress Levels and Premenstrual Syndrome Incidents Arsy, Andi Muhammad Fadhyl; Gama, Arlina Wiyata; Sakinah, Andi Irhamnia; Nurdin, Azizah; Alwi, Zulfahmi
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2601

Abstract

Adolescence is a formative stage marked by emotional instability and biological changes, creating a complex intersection between psychological and physiological development. In this context, premenstrual syndrome (PMS) is not merely hormonal but also a psychosomatic response to psychosocial stressors. This study examined the relationship between perceived stress and PMS among 256 female students from Madrasah Aliyah Negeri in Makassar, Indonesia. Using a quantitative cross-sectional design, data were collected with the Perceived Stress Scale (PSS-10) and the Shortened Premenstrual Assessment Form (SPAF). Statistical analysis using Chi-square and binary logistic regression revealed a strong association between PMS and stress (p = 0.000). The prevalence of PMS increased markedly with stress intensity, ranging from 6.7% among mildly stressed to 95.9% among severely stressed respondents. Stress emerged as a key predictor (AOR = 30.20 for moderate stress; AOR = 330.80 for severe stress), while adequate sleep and regular physical activity acted as protective factors. These findings suggest that adolescent stress manifests as embodied experiences influenced by educational and sociocultural expectations. In academically demanding and morally prescriptive environments, emotional distress often translates into somatic expressions. Thus, PMS may function as a covert form of communication an embodied narrative of unspoken emotional struggles. Effective management should therefore integrate stress reduction, menstrual health literacy, and emotional awareness, not only improving reproductive health but also validating adolescents’ psychosocial realities.
Initial Emergency Management of Trauma: A Literature Review Ahmad, St. Lutfiah; Swarga, Tirta; Irna, Ade
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2614

Abstract

Trauma continues to be one of the leading causes of mortality and disability worldwide, including in Indonesia, with the most critical period occurring within the golden hour. Elevated mortality rates are often linked to delayed medical response, the absence of standardized treatment protocols, and limited healthcare resources. Objective: This review aims to assess the effectiveness of internationally recognized, protocol-driven interventions that have been adapted to the Indonesian context in enhancing trauma care outcomes. A systematic-narrative literature review was conducted in accordance with the PRISMA 2020 guidelines. Sources included SINTA, Scopus, ClinicalKey, as well as conference proceedings and dissertations published between 2023 and 2024. Each study was evaluated for methodological rigor, strength of evidence, and applicability to emergency care settings in Indonesia. Thematic analysis was applied to synthesize the findings. Adaptations of ATLS protocols, interdisciplinary simulation-based training, and the implementation of digital technologies for triage and prehospital communication demonstrated the potential to reduce trauma-related mortality by up to 30%. Furthermore, the early administration of tranexamic acid (TXA), application of tourniquets, and whole blood transfusion proved highly effective in managing severe trauma cases. The integration of international trauma care protocols with locally contextualized innovations and digital health technologies holds significant promise for improving the quality and effectiveness of trauma management in Indonesia.
Compliance of Scaffolder Workers in Using Full Body Harness through Rewards and Punishment as Intervening Variable Nurjannnah, Siti; Erwandi, Dadan
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2625

Abstract

The electronics manufacturing industry demands high levels of precision and accuracy, putting workers at risk of mental workload, which can impact work effectiveness and health. This study aims to analyze the level of mental workload among technicians in the electronics assembly maintenance division and identify the dominant factors influencing it. The study used a quantitative approach using the NASA-TLX instrument on 25 technicians, along with data uniformity and adequacy analysis to ensure the validity of the results. The results showed that technicians experienced high mental workload, with the highest score being 85.60 and the lowest being 68.50. The three main dimensions that contributed most were Mental Demand (average 312), Effort (278), and Physical Demand (250). The uniformity test yielded a BKA score of 90.12 and a BKB score of 66.30, indicating that the data met uniformity and adequacy requirements. These findings have practical implications for company management in designing ergonomic strategies and work policies to reduce mental workload. Recommendations include rotating technicians to reduce concentrated cognitive load, restructuring work hours and rest periods to optimize physical recovery, and scheduling maintenance shifts to reduce perceived performance pressure. This research contributes to scientific research by providing empirical evidence on mental workload in the electronics manufacturing industry and offering applicable work management strategies to improve technician well-being and productivity.
Retrospective Cohort Study: Predictors of Viral Load Suppression Time Among People Living with HIV Rizky, Irma Tiara; Najmah, Najmah; Liberty, Iche Andriany
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2637

Abstract

Acquired Immunodeficiency Syndrome (AIDS) represents the advanced stage of HIV infection and remains a major global public health challenge. Viral load testing is the main predictor of disease progression and a key indicator of antiretroviral (ARV) therapy success. In South Sumatra Province, viral load testing coverage in 2024 reached only 49%, below the national target of 75% and the global target of 95%, hindering progress toward the Ending AIDS 2030 goal. This study aimed to estimate the time to viral load suppression and identify its predictors among people living with HIV (PLHIV), complementing previous studies in areas with lower HIV prevalence. Using a retrospective cohort design and secondary data from the HIV AIDS and STI Information System Application version 2.1 (SIHA 2.1), the study analyzed 1,002 respondents through descriptive statistics and Cox regression survival analysis (Stata 15). Among the participants, 85.63% achieved viral load suppression, while 14.37% did not. Factors significantly associated with viral load suppression time included age (p = 0.016; HR 1.18; 95% CI 1.03–1.35), occupational status (p < 0.001; HR 1.63; 95% CI 1.34–1.99), ARV adherence (p = 0.007; HR 1.22; 95% CI 1.05–1.42), tuberculosis (TB) co-infection (p = 0.003; HR 1.31; 95% CI 1.09–1.57), and loss to follow-up history (p = 0.003; HR 1.41; 95% CI 1.12–1.75), after adjustment for sex and clinical stage. These findings underscore that age, employment, treatment adherence, TB co-infection, and LTFU history are key determinants of viral load suppression, emphasizing the need to strengthen treatment adherence programs to achieve the 95-95-95 targets and End AIDS 2030.
Analysis of Musculoskeletal Disorders (MSDs) Complaints Among Shoe Production Workers and Posture Improvement Using the Posture Evaluation Index (PEI) Pramesthi, Yanita Vidya; Tranggono, Tranggono; Sari, Rizqi Novita
Journal La Medihealtico Vol. 6 No. 3 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i3.2256

Abstract

This study aims to analyze Musculoskeletal Disorders (MSDs) complaints in shoe production workers at PT XYZ and evaluate work postures using the Posture Evaluation Index (PEI) approach. The methods used include data collection through direct observation, distribution of Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), and posture assessment using OWAS, RULA, and REBA methods. The results showed that complaints most often occurred in the upper back, neck, and right shoulder, which were mostly caused by non-ergonomic work postures. The PEI assessment showed that the work section with the highest risk was the packing section, with a score of 2.7 indicating the need for immediate improvement. After improving the work posture according to ergonomic principles, the PEI score decreased to 1.6, indicating increased comfort and decreased risk of injury. This study emphasizes the importance of periodic ergonomic evaluations to improve work comfort and productivity.
Case Report: Femoral Neck Fracture in the Elderly Bachtiar, Aisya Nanda; Syahril, Erlin; Amba, Erick Gamaliel
Journal La Medihealtico Vol. 6 No. 5 (2025): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v6i5.2623

Abstract

A fracture, commonly referred to as a broken bone, is a complete or partial disruption of bone continuity, which may involve the articular cartilage and epiphyseal cartilage. In the elderly population, fractures most often result from a combination of falls and decreased bone density. This case report discusses a 62-year-old male patient who presented to Cendrawasih Community Health Center with complaints of right hip pain for two days. The pain worsened with right leg movement and subsided with rest. The onset of pain occurred after the patient fell while walking at home, landing directly on his right hip. For the past decade, the patient had been dependent on a walking aid following a right-sided stroke. After the fall, he was unable to stand or walk due to severe pain. Owing to persistent pain, he was subsequently referred to the emergency department of Ibnu Sina Hospital for further management. The patient’s medical history revealed hypertension controlled with routine medication, diabetes mellitus treated with metformin three times daily at a dosage of 500 mg, and a history of SNH, for which he had been regularly consuming Aspilet 80 mg daily for the past ten years. A femoral neck fracture refers to a break occurring at the neck of the femur, just below the femoral head and within the hip joint capsule. It is among the most common types of hip fractures in older adults, typically caused by falls. Arthroplasty, either hemiarthroplasty or total hip replacement, is regarded as the treatment of choice for most elderly patients with displaced femoral neck fractures.

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