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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,
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 528 Documents
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Literature Review of Visit to Visit Lipid Variability as a Predictor of Cardiovascular Events Aidina Trini Aulia; Nurhikmawati Nurhikmawati; Akina Maulidhany Tahir; Fadillah Maricar; Purwati Pole Rio
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.2943

Abstract

Cardiovascular disease remains a major global health problem due to its substantial contribution to morbidity and mortality. The World Health Organization reports that cardiovascular disease is the leading cause of death worldwide, accounting for approximately 17.9 million deaths each year. In Indonesia, reports from the Ministry of Health show a persistent increase in cardiovascular disease prevalence. Dyslipidemia, defined as an imbalance in blood lipid levels, is a major modifiable risk factor associated with cardiovascular events, making lipid control a key focus of preventive strategies. Visit to visit lipid variability (VLV) refers to fluctuations in lipid parameters such as total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides across different clinical visits over a certain period. Recent studies indicate that higher variability in lipid levels is independently associated with an increased risk of coronary heart disease, stroke, and cardiovascular mortality. This study adopted a literature review design to examine the role of VLV as a predictor of cardiovascular events. Ten national and international journal articles were selected based on predefined inclusion and exclusion criteria. The reviewed evidence consistently shows that high variability in lipid levels, particularly LDL-C and HDL-C, is linked to a greater risk of myocardial infarction, stroke, acute coronary syndrome, and cardiovascular-related death in various populations, including patients with diabetes mellitus and familial hypercholesterolemia. Conversely, maintaining stable lipid levels over time is associated with a reduced risk of adverse cardiovascular outcomes. These findings highlight the importance of continuous lipid monitoring and long-term lipid stability as essential components in efforts to prevent and control cardiovascular disease.
The Effects of Competency-Based Training, Shift Scheduling, and Resource Availability on Employee Job Performance: the Mediating Role of Work Engagement Amal Prihatono
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.2945

Abstract

This study aims to analyze the effects of competency-based training, shift scheduling, and resource availability on employee job performance at the Traditional Health Center Sehat Harmoni Indonesia, with work engagement serving as a mediating variable. This study employed a quantitative research design with a cross-sectional approach. The population consisted of all employees of the Traditional Health Center Sehat Harmoni Indonesia. The sampling technique used was saturated sampling (census sampling), in which all members of the population were included as respondents. The total sample in this study was 50 employees. Data were collected through a structured questionnaire. The SEM-PLS analysis technique using SmartPLS 3 was applied to evaluate the direct and indirect effects within the proposed model. The findings reveal that competency-based training, shift scheduling, and resource availability significantly improve both work engagement and employee job performance, with resource availability showing the strongest direct effect. Work engagement also positively influences performance and serves as an effective mediator, indicating that these organizational practices enhance job outcomes both directly and indirectly by increasing employee engagement. Overall, well-designed training, effective scheduling, and adequate resources are essential for strengthening employee performance at Sehat Harmoni Indonesia. Future studies are recommended to include additional variables such as work motivation, leadership style, organizational culture, or job satisfaction to gain a broader understanding of factors influencing employee performance. Researchers may also employ longitudinal designs or expand samples across multiple traditional health centers to improve generalizability. Additionally, qualitative or mixed-method approaches could provide deeper insights into how training, shift scheduling, and resource availability shape employee experiences and performance.
Reinforcing Patient Acquisition through Integrated Community Healthcare: Qualitative Analysis Jessica Hermawan; Hilda Yunita Wono
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.2968

Abstract

Healthcare institutions in semi-rural areas face increasing challenges in attracting general patients due to competition and shifting service expectations. Mojowarno Christian Hospital addresses this issue through its Executive Clinic, a premium service unit aimed at improving patient experience and service reach. This study employs a quasi-qualitative case study with a post-positivist lens to analyze the hospital’s marketing management strategy across the seven elements of the service marketing mix. Data were obtained from in-depth interviews and internal documents and analyzed using NVivo-assisted thematic coding. The findings identify three strategic pillars: enhancing service value through premium and personalized care, expanding accessibility via integrated community outreach and multi-channel service pathways, and strengthening visibility through digital communication, referrals, and community engagement. These findings produce an Integrated Community Healthcare Strategy relevant for semi-rural Christian-based hospitals. The study is limited to one site; future research may test the model quantitatively or compare across hospital types.
Relationship between Clinicopathological Characteristics and Survival Rate in Patients Colorectal Cancer FR. Aditya Pradatasari; Pratika Yuhyi Hernanda; Maria Widijanti Sugeng; Inawati Inawati
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.2970

Abstract

The survival rate in colorectal cancer patients is influenced by factors that contribute to the individual diagnosed with colorectal cancer, including clinicopathological characteristics such as cancer location, histopathology, degree of differentiation, and cancer metastasis. This study aims to analyze the relationship between clinicopathological characteristics of colorectal cancer and the survival rate of colorectal cancer patients at RT Notopuro Sidoarjo Regional Hospital. Research methods used use observational analytic with design Cross-sectional. The results of this study showed that 53.8% of male colorectal cancer patients were aged >60 years, the most common location was in the colon (61.5%) with a good grade type, and no metastases in other organs (65.4%). From the results of the Kaplan Meier curve, it can be seen that there is a tendency that cancer locations in the colon, which are well differentiated, and which do not experience metastasis have a longer survival rate compared to cancer locations outside the colon, which are moderately-poorly differentiated, and which experience metastasis, although the results of the statistical analysis show an insignificant relationship (p-value>0.05).
Analysis of Performance-Related Factors Associated with the Completeness of Electronic Medical Record Entry Among Healthcare Workers Hariansyah Hariansyah; Endah Labati Silapurna; Oski Illiandri; Syamsul Arifin; Ermina Istiqomah
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.2983

Abstract

The performance and satisfaction of healthcare workers are critical determinants of the completeness of Electronic Medical Records (EMR). However, in 2024, Sengayam Regional General Hospital achieved only 50% of the targeted 100% EMR completeness rate, indicating challenges related to staff understanding and a suboptimal quality assurance system. This study aimed to examine factors associated with EMR completion performance among healthcare workers at Sengayam Regional General Hospital. This observational analytical study employed a cross-sectional design. The study population consisted of 165 healthcare workers, of whom 116 were selected as samples using purposive sampling techniques. Data were collected using a structured questionnaire. EMR completion performance served as the dependent variable, while age, education level, knowledge, and domicile were treated as independent variables. Bivariate analysis was conducted using the chi-square test, followed by multivariate analysis using multiple logistic regression. The findings demonstrated significant associations between EMR completion performance and age (p = 0.028), education (p = 0.000), and knowledge (p = 0.002). No significant association was found between domicile and EMR completion performance (p = 0.140). Among all variables examined, knowledge exhibited the strongest association with EMR completion performance (Exp(B) = 15.995). EMR completion performance among healthcare workers was significantly associated with age, education, and knowledge, whereas domicile showed no significant relationship. Knowledge emerged as the most influential factor affecting the completeness of Electronic Medical Record entry.
Hedonic Evaluation and Chemical Characterization of Catfish Pulpety as an Alternative Animal Protein Food for the Prevention of Stunting in Toddlers Aged 1–3 Years Kartika Estiani; Suci Ardila; Dika Nurkistin; Muti’ah Maulaya; Muhammad Muayyad Billah
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.3013

Abstract

Inadequate intake of animal protein during critical periods of growth is a major contributor to stunting, while access to high-quality animal protein sources is often constrained by economic limitations. Catfish (Clarias sp.), as an affordable yet nutrient-dense source of animal protein, offers considerable potential for development into an innovative food product aimed at stunting prevention. This study aimed to develop a catfish-based pulpety product as a safe, nutritious, and acceptable alternative source of animal protein for toddlers to support stunting prevention. A quasi-experimental study employing a Completely Randomized Design (CRD) was conducted with 30 untrained panelists. Three pulpety formulations were prepared using different ratios of chicken meat to catfish meat: Formula I (control), Formula II (1:3), and Formula III (1:1). Hedonic testing was performed to evaluate acceptability across the three formulations, followed by chemical composition analysis of the most preferred formula. The results indicated that Formula III was the most favored, providing 214.78 kcal of energy, 5.92 g of protein, 4.54 g of fat, and 10.05 g of carbohydrates per 100 g. Duncan’s multiple range test revealed a statistically significant difference only in the texture parameter (p = 0.004). Overall, the catfish pulpety demonstrated adequate energy, protein, and fat content for stunting prevention, along with acceptable organoleptic properties, highlighting its potential as a functional food alternative for inclusion in national stunting prevention programs.
Literature Review: The Role of Ajwa Dates (Phoenix Dactylifera L.) as a Natural Phytoestrogen in Reducing Perimenopause Symptoms Fitra Amalia Salsabila; Nasrudin Andi Mappaware; Haeriyanty Haeriyanty
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Perimenopause is a transitional phase before menopause characterized by a decrease in estrogen levels and the appearance of symptoms such as hot flushes, sleep disturbances, and mood changes. One natural alternative to reduce these symptoms is the use of phytoestrogens, which are plant compounds that mimic estrogen hormones. Ajwa dates (Phoenix dactylifera L.) contain flavonoids, phenolics, saponins, and phytoestrogens that have the potential to help balance hormones and reduce perimenopausal symptoms. This study aims to examine the role of Ajwa dates as a natural phytoestrogen in alleviating perimenopausal symptoms. This study employed a literature review design with a narrative approach. Data were obtained from five relevant national and international journals, with inclusion criteria covering studies discussing the role of Ajwa dates as a natural phytoestrogen in reducing perimenopausal symptoms. The data sources were analyzed qualitatively to assess the relationships between variables and the conclusions of the studies. The review results indicate that consumption of Ajwa dates can increase Anti-Mullerian Hormone (AMH) and Follicle Stimulating Hormone (FSH) levels, improve the number of de Graaf follicles, and thicken the endometrium. In vitro studies also show that Ajwa date extracts have significant antioxidant and phytoestrogenic activities. These effects contribute to improved ovarian function and the reduction of clinical symptoms caused by estrogen deficiency in perimenopausal women. Ajwa dates play an important role as a natural phytoestrogen capable of reducing perimenopausal symptoms through mechanisms such as hormonal balance improvement, antioxidant activity, and ovarian function enhancement.
Systematic Review: The Effectiveness of Non-Pharmacological Interventions in the Management of Knee Osteoarthritis Muh Gufron; Andi Dhedie Prasatia Sam; Syarif Hidayatullah
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.3041

Abstract

Knee osteoarthritis is a chronic degenerative disease that often causes pain, joint dysfunction, and reduced quality of life, especially in the elderly. Non-pharmacological therapy is recommended as the primary approach in the management of knee osteoarthritis because it is safe and sustainable. This study aims to examine the effectiveness of various non-pharmacological interventions in the management of knee osteoarthritis through a qualitative systematic review method. Literature searches were conducted in the PubMed, Scopus, SINTA, and Google Scholar databases with a publication range of 2020–2026, using keywords related to knee osteoarthritis and non-pharmacological interventions. The articles included were experimental studies and clinical trials involving knee osteoarthritis patients and reporting clinical outcomes such as pain, joint function, and quality of life. The results of the review showed that non-pharmacological interventions, including physical exercise, patient education, weight management, physiotherapy, and complementary therapies such as Tai Chi and acupuncture, were consistently effective in reducing pain, improving joint function, balance, and quality of life in patients. Therefore, non-pharmacological therapies can be recommended as first-line therapy or long-term supportive therapy in the management of knee osteoarthritis.
Antibiotic Treatment Patterns in Conjunctivitis Patients based on Medical Records Lilis Suryani; Ulfiyatul Afifah; Nur Shani Meida; Yunani Setyandriana
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.3042

Abstract

Conjunctivitis is the most common eye disease. The prevalence of conjunctivitis is influenced by gender, patient age, and season. This study aimed to determine the characteristics and patterns of antibiotic use among patients with conjunctivitis at PKU Gamping Hospital, Yogyakarta. This study design is descriptive. The sample size was 203 people, all outpatients treated at the Eye Clinic of PKU Muhammadiyah Gamping Hospital, Yogyakarta, from 2019 to 2021, who were diagnosed with conjunctivitis by an ophthalmologist. The instruments used in this study included a structured data collection form to record age, gender, education level, employment type, and the antibiotic therapy prescribed to patients, and the Chi-Square analysis to determine demographic variables as risk factors for conjunctivitis. The Ethics Committee has approved this study with approval number 217/EC-KEPK FKIK UMY/VIII/2020. There are more males than women; most people with conjunctivitis are under 20 years old (39.9%), have a high school education (37%), and work indoors (93%). The Chi-Square analysis test showed that age, education level, and type of work are risk factors for the characteristics of conjunctivitis (p<0.05). Meanwhile, gender is not a risk factor for conjunctivitis (p>0.05). The antibiotics most frequently used to treat conjunctivitis patients were Neomycin Sulfate (24.9%), Polymyxin B (21.5%), Ofloxacin (17.1%), Levofloxacin (8.9%), and Chloramphenicol (5.1%), respectively. The study shows that age, educational level, and occupation are risk factors for conjunctivitis in Yogyakarta. Certain age groups, lower education levels, and vulnerable types of work are at higher risk of developing conjunctivitis.
Modeling Public Trust in Acupuncture Therapy: Social Legitimacy, Healing Narratives, and Epistemic Trust with Perceived Therapeutic Credibility as a Mediating Variable Chantika Mahadini
Journal La Medihealtico Vol. 7 No. 1 (2026): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v7i1.3056

Abstract

This study investigates the factors influencing Public Trust in acupuncture therapy, focusing on the roles of Social Legitimacy, Healing Narratives, and Epistemic Trust. Using a quantitative approach with a correlational research design, the study examines the relationships between these independent variables and Public Trust, with Perceived Therapeutic Credibility as a mediating variable. A Structural Equation Modeling (SEM) technique using Partial Least Squares (PLS) was employed to analyze the data. The research was conducted across five acupuncture clinics in Malang City, involving 150 patients with Low Back Pain (LBP). Data was collected using a structured questionnaire and purposive sampling. The study found that Healing Narratives had the most significant impact on Public Trust, supporting previous findings that personal stories and experiences are crucial in legitimizing complementary and alternative medicine. Both Social Legitimacy and Epistemic Trust directly influenced the Perceived Therapeutic Credibility and Public Trust, highlighting the importance of societal acceptance and the credibility of information surrounding acupuncture. Furthermore, Perceived Therapeutic Credibility was confirmed to mediate the relationships between Social Legitimacy, Healing Narratives, and Public Trust. However, the indirect effect of Epistemic Trust on Public Trust through Perceived Therapeutic Credibility was found to be non-significant. The study contributes to the understanding of how Public Trust in acupuncture is shaped, emphasizing the roles of social validation, narrative storytelling, and epistemic credibility. These findings offer practical insights for practitioners and policymakers aiming to enhance acupuncture’s acceptance in mainstream healthcare.

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