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JOURNAL LA MEDIHEALTICO
Published by Newinera Publisher
ISSN : 27211215     EISSN : 27211231     DOI : 10.37899/journallamedihealtico.v6i2.1959
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 476 Documents
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Meta Analysis: Fungal Distribution in the Large Intestine M, Amiroh Tus Sholeha; Rijal, Syamsu; Gunawan, Muh. Irwan
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3214

Abstract

The human colon hosts a diverse microbial ecosystem, including fungi (mycobiome), which, although comprising a small proportion of the microbiota, play a crucial role in maintaining gut homeostasis, metabolism, and immune regulation. Imbalances in fungal communities are associated with gastrointestinal disorders such as inflammatory bowel disease and colorectal cancer. This study employed a systematic literature review with meta-analysis following PRISMA guidelines. Data were collected from major databases (2015–2025) using PICO-based keywords. Eligible studies were analyzed using statistical software to calculate pooled effect sizes, heterogeneity (I²), and significance levels. A random-effects model was applied due to high variability among studies. Five studies were included, revealing that fungi are consistently present across all colon segments, with dominant genera including Candida and Saccharomyces. The pooled effect size (0.125; 95% CI: 0.005–0.248; p < 0.001) confirms a stable fungal presence. However, heterogeneity was very high (I² = 97.85%), influenced by differences in populations, methodologies, and disease conditions. Findings highlight the role of fungi in microbial interactions, inflammation, and potential use as biomarkers in gastrointestinal diseases. Colonic fungi are integral to gut health, though highly variable across individuals. Further standardized and longitudinal research is needed to clarify their clinical significance and therapeutic potential.
Diagnostic Approach to Anorectal Malformations in Neonates Alfaatihah, Syifa Ainayah; Gani, Aziz Beru; Anastasia, Rizka
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3217

Abstract

an incidence of approximately 1 in 5,000 live births. The wide spectrum of abnormalities necessitates accurate classification and early diagnosis during the neonatal period to guide appropriate surgical management and predict long-term continence outcomes. One of the major diagnostic challenges lies in the limitations of conventional invasive techniques and the potential risks associated with radiation exposure. This study aims to identify effective diagnostic approaches for ARM in neonates. This research employs a literature review design with a narrative review approach. The data consist of secondary sources derived from 20 selected studies, including national and international journals as well as textbooks published between 2014 and 2025, accessed through databases such as ClinicalKey and Google Scholar. The analysis focuses on clinical, radiological, prenatal, and systemic factors relevant to establishing an accurate diagnosis. The findings indicate that diagnosis should begin with a thorough perineal physical examination to identify fistulas and signs of obstruction. A high-pressure distal colostogram remains the gold standard for delineating fistula anatomy prior to surgery. In addition, high-resolution transperineal ultrasound and magnetic resonance imaging have emerged as reliable non-invasive modalities for evaluating rectal position and the sphincter muscle complex. Anorectal manometry also plays a significant role in detecting subtle forms of ARM that may be overlooked during routine examinations. A systematic and multidisciplinary diagnostic approach that integrates clinical assessment, screening for associated anomalies, and multimodal imaging is essential to optimize surgical planning and improve patient outcomes.
Factors Influencing the Enhancement of Flexibility and Accountability in Financial Management Services under the BLUD Scheme at Community Health Ukas, Muhammad; Akbar, Izaak Zoelkarnain; Ilmi, Bahrul; Yunani, Ahmad; Erlyani, Neka
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3224

Abstract

Transparent healthcare services has driven Community Health Centers (Puskesmas) to adopt the Financial Management Pattern of Regional Public Service Agencies (PPK-BLUD). This study aims to examine the factors influencing the flexibility and accountability of BLUD-based financial management within Community Health Centers in Kotabaru Regency. The research employs a literature review approach, utilizing content analysis of scholarly articles and relevant regulatory documents published within the last five years. The findings reveal that the effectiveness of BLUD implementation is predominantly shaped by four key determinants: the quality of human resources, regulatory frameworks, infrastructural capacity, and the structure of authority and governance
Analysis of Factors Associated with the Utilization of the Kotabaru Community Health Center in the Era of Primary Care Integration Pura, Satria Tanjung; Arifin, Syamsul; Isa, Mohamad; Istiqomah, Ermina; Silapurna, Endah Labati
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3225

Abstract

Health constitutes a fundamental investment in both human well-being and economic development. Strengthening the primary healthcare system through the Primary Care Integration (PCI) program has therefore emerged as a national priority aimed at delivering comprehensive, accessible, and affordable services. This study seeks to examine the factors associated with the utilization of the Kotabaru Community Health Center (Puskesmas) in the PCI era, with particular emphasis on the relationships among access to healthcare services, health status, and educational attainment in shaping community health-seeking behavior. Employing a literature review approach based on scientific publications from the past five years, the findings indicate that access to healthcare services in the PCI era extends beyond mere geographical proximity, encompassing affordability, administrative simplicity, and the integration of electronic medical records. These dimensions collectively influence the frequency of community visits. Subjective health status emerges as the most dominant determinant, as the PCI system has effectively shifted service utilization patterns from reactive, curative practices toward continuous, life-cycle-based health risk monitoring. Educational level functions as a critical predisposing factor, shaping health literacy and the cognitive capacity of individuals to navigate the newly implemented cluster-based service system. The utilization of the Kotabaru Community Health Center within the PCI framework is therefore significantly shaped by the interplay between accessibility, risk-based health awareness, and the level of community health literacy in making informed medical decisions.
Analysis of Factors Associated with Patient Satisfaction in the Outpatient Unit Sibarani, Besty; Sanyoto, Didik Dwi; Ilmi, Bahrul; Silapurna, Endah Labati; Noor, Zairin
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3227

Abstract

The patient satisfaction level at the Outpatient Unit of the Sengayam Regional General Hospital (RSUD) in the second quarter of 2025 was recorded at 84.23, which means it is still below the minimum service standard of ≥95%. This study aims to analyze factors associated with patient satisfaction through a literature review using a qualitative descriptive approach on scientific articles published between 2015 and 2025. The analysis results indicate that the reliability dimension is the most critical factor as it is directly related to the consistency of staff in accurately following standard operating procedures. In addition to clinical aspects, cost factors such as tariff transparency and physical facilities including the comfort of waiting areas and cleanliness were found to be significant in shaping patients’ perceived value. This satisfaction dynamic is not static but continues to evolve alongside patients’ demographic characteristics and the ease of accessing digital information, which makes the public’s expectations regarding healthcare services increasingly critical and personalized. In conclusion, effective coordination across the SERVQUAL dimensions, particularly regarding reliability and tangible evidence, serves as the primary strategy for Sengayam General Hospital to enhance service quality and achieve the established satisfaction standards.
The Relationship Between Nutritional Status and Nutritional Intake Towards Intelligence Level (IQ) Arif, Kamilah Ramadhani; Rijal, Syamsu; Karim, Marzelina; Safitri, Asrini; Darma, Sidrah
Journal La Medihealtico Vol. 7 No. 2 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i2.3228

Abstract

Nutritional status plays an important role in children's growth and development, including cognitive development and intelligence. School-aged children are a vulnerable group to nutritional problems that may affect learning ability. An observational analytic study with a cross-sectional design was conducted among 36 students aged 11–12 years. Nutritional status was assessed using Body Mass Index-for-Age (BMI-for-age) based on CDC standards, nutrient intake was measured using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), and intelligence was measured using the Wechsler Intelligence Scale for Children (WISC). Data analysis was performed using univariate, bivariate (One Way ANOVA), and multivariate (linear regression) analyses. Most respondents had normal nutritional status and average IQ scores. There was no significant relationship between nutritional status and IQ (p = 0.095). Multivariate analysis also showed no significant effect of nutritional status and nutrient intake on IQ (p = 0.797; R² = 0.072). Nutritional status and nutrient intake were not significantly associated with intelligence levels among school-aged children in this study.

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