cover
Contact Name
Hamdiah Ahmar
Contact Email
ahmarjournal@gmail.com
Phone
+6281314119647
Journal Mail Official
ahmarjournal@gmail.com
Editorial Address
Jl. Tamansari Kel. Tatae Kec. Duampanua , Kab. Pinrang, Provinsi Sulawesi Selatan, 91253
Location
Kab. pinrang,
Sulawesi selatan
INDONESIA
Ahmar Metastasis Health Journal (AMHJ)
ISSN : 27976483     EISSN : 27974952     DOI : https://doi.org/10.53770/amhj
Core Subject : Health,
Ahmar Metastasis Health Journal (AMHJ), with registered number ISSN 2797-6483 (Print), 2797-4952 (Online) managed by the AHMAR Foundation, published by Yayasan Ahmad Mansyur Nasirah, which is a scientific forum for publishing articles on research activities in health (midwifery, pharmacy, nursing, public health and nutrition). The journal was first published in June 2021 and subsequently published four times a year, in June, September, December and March. Every article that goes to the editorial staff will be selected through Initial Review processes by the Editorial Board. Then, the articles will be sent to the peer reviewer and will go to the next selection by Double-Blind Preview Process. After that, the articles will be returned to the authors to revised. These processes take three a month for a maximum time. In each manuscript, peer reviewer will be rated from the substantial and technical aspects. The final decision of articles acceptance will be made by Editors according to Reviewers comments.
Articles 152 Documents
The Relationship Between Academic Stress and Menstrual Cycle Disorders in Adolescents Indriani, Vivi; Puspasari, Jehan; Rahmawati, Veronica Yeni
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.564

Abstract

Adolescence is a developmental phase that is highly vulnerable to physiological and psychological changes, including disturbances in the menstrual cycle. Academic stress is suspected to be one of the contributing factors to menstrual irregularities among female students. The purpose of this study was to analyze the relationship between academic stress and menstrual cycle disorders in adolescents. This research employed a quantitative design with a cross-sectional approach and total sampling technique, involving 136 first-year female students. The study was conducted at STIKes RS Husada Jakarta during April–May 2025. Academic stress was measured using the 42-item Depression Anxiety Stress Scale (DASS) with a scoring range of 0–3. The results showed that 93 respondents (68.4%) experienced severe to very severe stress, and 87 respondents (64.0%) had abnormal menstrual cycles. The Chi-Square test yielded a p-value < 0.001, indicating a significant relationship between academic stress and menstrual cycle disorders. These findings emphasize that academic stress has a strong influence on adolescents’ menstrual patterns and should be a priority for educational institutions when strengthening stress management programs and psychosocial support to maintain reproductive health. In conclusion, the higher the level of academic stress, the greater the risk of menstrual cycle disturbances among adolescents.
Oxytocin Massage as a Supportive Technique to Improve Lactation Among Postpartum Women Khaeriyah, Hana Nurul; Sari, Ossie Happina
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.585

Abstract

Breast milk is the optimal source of nutrition for infants, yet low milk production during the early postpartum period often hinders the achievement of exclusive breastfeeding. Oxytocin massage is a simple non-pharmacological technique that may support lactation by enhancing the oxytocin reflex and promoting maternal relaxation. This study aimed to examine the association between oxytocin massage and breast milk production among postpartum mothers in the working area of UPTD Puskesmas Ciawi, Tasikmalaya Regency, in 2024. A quasi-experimental one-group pretest–posttest design was used, involving 20 postpartum mothers selected through total sampling. Breast milk production was assessed using objective expressed milk volume and a validated lactation checklist before and after seven consecutive days of oxytocin massage. Data were analyzed using the paired sample t-test following normality verification. The results showed an increase in the proportion of mothers with adequate milk production from 10% at pretest to 80% at posttest, accompanied by a significant rise in mean production scores (p < 0.001; Cohen’s d = 1.32). While these findings suggest that oxytocin massage may support improvements in breast milk production, the absence of a control group limits causal interpretation. Oxytocin massage may nonetheless be considered a complementary, low-cost intervention in postpartum care, and future studies employing randomized controlled designs are recommended to confirm its effectiveness.
Safety and Efficacy Triple Drug Therapy (IDA) versus Two-drug therapy DA in Lymphatic Filariasis: A Systematic Review octafia, Ita; Sholihin, Riza Mazidu
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.602

Abstract

Lymphatic filariasis (elephantiasis) is a parasitic disease caused by Wuchereria bancrofti, Brugia malayi, and Brugia timori, and is transmitted through the bite of infected mosquitoes. This disease is classified as a neglected tropical disease and has been targeted for global elimination through mass drug administration strategies. This systematic review aimed to evaluate the safety and effectiveness of a single-dose triple-drug therapy consisting of ivermectin, diethylcarbamazine, and albendazole (IDA) compared with the two-drug regimen of diethylcarbamazine and albendazole (DA) based on randomized clinical trials. A literature search was conducted in PubMed using the keyword “elephantiasis,” yielding eleven relevant studies published within the last five years. The results indicated that moderate adverse events occurred more frequently with IDA therapy, although most were mild in nature, while serious adverse events were more commonly reported with DA therapy. No significant differences were observed in filarial antigen levels between the groups. IDA therapy was well tolerated and considered as safe as DA, while demonstrating greater effectiveness in clearing microfilariae. With high coverage of mass drug administration, widespread use of IDA has the potential to accelerate the elimination of lymphatic filariasis.
The Relationship between the Level of Knowledge about Cervical Cancer and Motivation for HPV Vaccination among Women of Reproductive Age Rinawati, Siti Mardiastuti; Soraya, Soraya; Ariwati, Valentina Dili; Augusaskiani, Mutiara Alif; Nufus, Hayatun
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.671

Abstract

Cervical cancer is the second leading cause of death among women in Indonesia, with approximately 99% of cases caused by Human Papillomavirus (HPV) infection. Although HPV vaccination is effective in preventing this disease, its acceptance rate in the community remains relatively low. This study aimed to analyze the relationship between the level of knowledge about cervical cancer and motivation to undergo HPV vaccination among women of reproductive age at Prostasia Clinic. This study employed an analytical survey design with a cross-sectional approach. The sample consisted of 85 women of reproductive age at Prostasia Clinic, selected using purposive sampling techniques. Data were collected through validated questionnaires and analyzed using the Chi-Square statistical test. The results showed that the majority of respondents had a good level of knowledge (54.1%) and high motivation for HPV vaccination (61.2%). Bivariate analysis indicated a statistically significant relationship between knowledge level and motivation for HPV vaccination, with a p-value of 0.009 (p < 0.05). Adequate knowledge regarding the risks and prevention of cervical cancer was found to be a strong motivating factor for women to undergo vaccination. These findings highlight the urgency of continuous health education to increase HPV vaccination coverage in order to achieve the 2030 cervical cancer elimination target.
A 60 Year Old Man with Severe Corneal Ulcer of The Left Eye: A Case Report Zufara, Iffa Maulida; Ariany, Dessira Rizka Tri
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.679

Abstract

Corneal ulcer is an ophthalmological emergency characterized by corneal epithelial defects with stromal involvement, which can be caused by both infective and non-infective etiologies. This condition can lead to severe complications such as corneal scarring, perforation, endophthalmitis, and even permanent blindness if not treated promptly. The purpose of this study was to identify and manage a 60-year-old man with a severe corneal ulcer in the left eye. This study used a case report method that describes a patient with a clinical diagnosis of corneal ulcer based on anamnesis findings, physical examination, supporting examinations, and the treatment given. The results showed that the management that can be done is by administering rapid and appropriate therapy according to the culture and results of the sensitivity test of the causative microorganism. Prognosis depends on the severity and speed of therapy administration, the type of causative microorganism, and the presence or absence of complications that arise. Case report of a 60-year-old man came with complaints of left eye pain for 20 days, accompanied by redness, photophobia, epiphora, and blurred vision. The initial history was irritation after exposure to "frog urine" and washing the eye with betel leaf water. Examination revealed an epithelial-stromal defect with infiltrate and hypopyon in the left eye, and a diagnosis of a severe corneal ulcer was made. The patient received systemic antibiotics (IV ceftriaxone), antifungals (Itraconazole), and intensive topical therapy (Levofloxacin, Protagenta, Tropicamide, Fukrycin). This case demonstrates that minor trauma or environmental exposure can trigger severe corneal ulcers, especially if therapy is delayed or inadequate. The combination of systemic antibiotics, aggressive topical therapy, and antifungals is an approach consistent with current management guidelines.
The Effect of Animated Health Education Videos on Knowledge of Premarital Sexual Health: A Quasi Experimental Study Nengsih, Novida; Simanjuntak, Masrina Naomi Wulantari; Listautin, Listautin
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.684

Abstract

Adolescence is a developmental period characterized by increased vulnerability to risky behaviors, including premarital sexual behavior. Inadequate sexual health knowledge among adolescents may lead to unintended pregnancies, increased maternal health risks such as anemia and pregnancy-related bleeding, and adverse psychological consequences, all of which can negatively affect adolescents’ future well-being. Therefore, effective sexual health education is essential to improve adolescents’ knowledge and prevent risky sexual behavior. This study aimed to examine the effect of health education delivered through animated videos on adolescents’ knowledge of premarital sexual health. This study employed a quasi-experimental one-group pretest–posttest design. The research was conducted at a vocational high school in Jambi City in June 2025. A total of 117 students were selected using purposive sampling. Adolescents’ knowledge of premarital sexual health was measured before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test. The results shows that the mean knowledge score increased from 7.43 before the intervention to 9.14 after the intervention. The minimum score increased from 4 to 5, while the maximum score increased from 10 to 11. Statistical analysis showed a significant improvement in knowledge after the health education intervention using animated videos (p = 0.000, p < 0.05). In conclusion, health education using animated video media significantly improves adolescents’ knowledge of premarital sexual health. Animated videos can be considered an effective educational tool for adolescent sexual health promotion.
Relationship Between Knowledge of Vaginal Discharge and Preventive Behaviors Among Adolescent Girls Adriati, Febri; Yuliasari, Alfiyana; Sari, Nirma Lidia
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.685

Abstract

One of the common health problems experienced by adolescent girls is vaginal discharge (leukorrhea). Approximately 60–75% of women worldwide have experienced vaginal discharge, and the prevalence among adolescents in Indonesia remains relatively high. This study aimed to examine the relationship between knowledge of vaginal discharge and preventive behaviors among adolescent girls. This study employed an analytical observational design with a cross-sectional approach. The study population consisted of all ninth-grade female students at SMP Negeri 6 Bandar Lampung, totaling 31 students. A total sampling technique was applied, in which the entire population was included as the study sample. Data were collected using a structured questionnaire. The collected data were analyzed using univariate analysis to describe the characteristics of the variables and bivariate analysis to determine the association between knowledge level and preventive behavior using the Chi-square (χ²) test, with a significance level of α = 0.05. The inclusion criteria were ninth-grade female students at SMP Negeri 6 Bandar Lampung who were willing to participate and present during data collection. The exclusion criteria included students who did not complete the questionnaire fully or were absent at the time of the study. The results showed a significant association between the level of knowledge about vaginal discharge and preventive attitudes among adolescent girls, with a p-value of 0.002. Adolescents with low knowledge levels demonstrated suboptimal preventive attitudes, accounting for 22.6%. These findings indicate that knowledge plays a crucial role in shaping preventive attitudes toward vaginal discharge among adolescent girls at SMP Negeri 6 Bandar Lampung. Based on these results, efforts to improve reproductive health knowledge among adolescent girls through continuous and structured health education are strongly recommended. Schools are expected to play an active role in providing reproductive health education through classroom learning activities, health counseling, and school health programs (UKS) in collaboration with healthcare professionals.
Corticosteroids as “God Drugs”: Between Therapeutic Efficacy and Side Effects Oktorra, Elsya Jaisi; Permana, Dicka Trie; Amanda, Revana Putri; Fitriyani, Fitriyani; Puspita, Reva Sri; Nurcholisa, ⁠Siti; Putri, Rd. Natasya Aurellia; Ridwan, Heri
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.713

Abstract

Corticosteroids are potent anti-inflammatory and immunosuppressive agents widely used in clinical practice due to their rapid therapeutic effects. Despite their proven efficacy, prolonged and inappropriate use is associated with a wide range of adverse effects affecting multiple organ systems. This systematic review aimed to evaluate the therapeutic benefits of corticosteroids and to summarize their reported side effects based on literature published between 2015 and 2025. A systematic search was conducted using Google Scholar, PubMed, and ScienceDirect with the keywords “corticosteroids,” “benefits,” and “side effects.” Eligible studies were full-text, open-access articles published in English or Indonesian. Eight articles met the inclusion criteria and were analyzed descriptively. The findings indicate that corticosteroids are effective in managing inflammatory conditions such as asthma, autoimmune diseases, atopic dermatitis, nephrotic syndrome, and postoperative inflammation. However, long-term use is associated with metabolic and endocrine disturbances (hyperglycemia and Cushing’s syndrome), musculoskeletal complications (osteoporosis and osteonecrosis), dermatological effects (skin atrophy and irritation), ocular disorders (increased intraocular pressure and glaucoma), and cardiovascular effects. Systemic corticosteroids pose the highest risk of adverse effects, while topical and ocular formulations predominantly cause local reactions but may still lead to serious complications with prolonged use. Children and older adults are particularly vulnerable. In conclusion, corticosteroids remain essential in clinical therapy, but their use must be rational, closely monitored, and supported by patient education to minimize long-term risks.
The Assessment of Nutritional Status of Pregnant Women, Age, Occupation and Risk Factors for Pregnancy Due Wariyaka, Melinda Rosita; Wea, Maria Fatima Saga
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.716

Abstract

The nutritional status of pregnant women is a crucial factor that impacts the health of both the mother and fetus during pregnancy, childbirth, and the postpartum period. This study aims to describe and analyze the relationships between the nutritional status of pregnant women, pregnancy risk groups, and the demographic characteristics of pregnant women in Kupang City. The design of this study was descriptive-analytic with a quantitative approach. Data were collected from most health centers in Kupang City in March 2024 through pre-pregnancy body mass index (BMI) measurements, pregnancy risk scores based on the Poedji Rochjati Score Card (PRSC), and demographic data of pregnant women. Chi-Square and Fisher's Exact Test were used to analyze the relationship between variables. Of the 140 respondents, the majority of pregnant women had normal nutritional status (79%), were at reproductive age (69%), and belonged to the low pregnancy risk group (74%). The analysis results showed a significant relationship between the nutritional status of pregnant women and age and pregnancy risk group (p<0.05), but no significant relationship between nutritional status and employment status or education level. In conclusion, good nutritional status before pregnancy correlates with lower reproductive age and pregnancy risk, so it is important for promotive and preventive efforts to focus on improving nutrition from adolescence and before pregnancy.
Knowledge and Acceptance of HPV Vaccination among Early Adolescents in Secondary Schools Yuliasari, Alfiyana; Adriati, Febri
Ahmar Metastasis Health Journal Vol. 5 No. 4 (2026): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i4.732

Abstract

Human Papillomavirus (HPV) infection remains the leading cause of cervical cancer and continues to pose a public health problem in Indonesia. While previous studies have widely examined HPV-related knowledge and vaccines acceptance, evidence focusing on early adolescents within school-based vaccination settings remain limited. This study aims to analyze the relationship between the level of knowledge and acceptance of the HPV vaccine among third-grade junior high school students, a key target group for national immunization programs. A cross-sectional quantitative design was conducted among 48 students selected through total sampling. Data were collected using a structured questionnaire that measured respondent characteristics, knowledge levels about HPV, and acceptance of the HPV vaccine. Data analysis was performed univariately and bivariately using Fisher's Exact test with a significance level of 0.05. Most respondents were aged 14 years (60.4%), had high knowledge about HPV (72.9%), and showed positive acceptance of the HPV vaccine (64.6%). Bivariate analysis showed that students with high knowledge were 1.14 times more likely to accept the HPV vaccine positively than students with poor to moderate knowledge. However, this relationship was not statistically significant (p = 0.731; PR = 1.14; 95% CI: 0.67–1.94). There was no significant relationship between students' level of knowledge about HPV and their acceptance of the HPV vaccine. The study highlights the need for multidimensional intervention strategies involving parental engagement, school support, and health worker communication.