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International Archives of Medical Sciences and Public Health
Published by Yayasan Pena Cendekia Insani
ISSN : 2798561X     EISSN : 27985172     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
International Archives of Medical Sciences and Public Health is a peer-reviewed journal dedicated to disseminating and discussing scientific literature and other health-related research. This journal is intended to serve as a forum for communication between stakeholders in health research, including researchers, educators, students, practitioners from the Health Office, Department of Health, Public Health Service centers, and members of the general public with interest in the subject. The journal is attempting to satisfy the increasing demand for health research. Journal considers submissions on any aspect of the health field across age groups and settings, these include: Capacity in public health systems and workforce Dentistry Environmental health Environmental Science Health Economic and Policy Studies Health law and ethics Health Professions Maternal and child health Medical Science Midwifes Nursing Public health nutrition Public health practice and impact Reproductive health Islamic and health
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 170 Documents
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PUBLIC HEALTH INNOVATIONS FOR ACCELERATING STUNTING REDUCTION: EVIDENCE FROM BANGGAI LAUT, INDONESIA Haeruddin Haeruddin; Reza Aril Akhri; Wardia Hamzah; Nur Azizah A. Radjulaeni
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1383

Abstract

This study analyzed three innovations that successfully reduced stunting prevalence within one year. A qualitative phenomenological approach was used to explore the implementation of these innovations. Informants included health workers, Dukcapil officers, community leaders, and community members involved in the programs. Findings showed that the Dukcapil Menyapa innovation improved data availability, mapping, and continuous monitoring, enabling early and targeted interventions from pregnancy to early childhood. The Kanjoli-an Prima innovation provided specialist visits every seven days, integrated with health education, direct healthcare services, and community assistance. Meanwhile, the Coriander innovation focused on intensive monitoring and support for pregnant women from early pregnancy until childbirth. Overall, an integrated, innovation-based, and cross-sectoral approach supports accelerating stunting reduction. These innovations demonstrate strong public health relevance and scalability potential for implementation in regions with similar socio-demographic conditions, although further mixed-methods studies are needed to assess long-term effectiveness and sustainability
SURGICAL MANAGEMENT OF SUPRASELLAR GERMINOMA: INSIGHTS FROM A CRANIOTOMY CASE Monica Halim; Andrea Valentino; Agustiawan Agustiawan
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1415

Abstract

Intracranial germinoma is a rare midline CNS tumor, most commonly arising in the suprasellar or pineal regions. Suprasellar lesions frequently cause hypothalamic–pituitary dysfunction, resulting in diabetes insipidus, endocrine abnormalities, and visual impairment. We report a 21-year-old man with a two-year history of progressive visual blurring and polyuria polydipsia that culminated in acute loss of consciousness. Imaging revealed a suprasellar mass, and clinical deterioration required intensive care admission. Craniotomy was performed for tumor decompression and histopathological diagnosis, confirming germinoma. Postoperative radiotherapy led to recovery of consciousness after the third session and marked tumor regression to approximately 1 cm, demonstrating the tumor’s high radiosensitivity. Despite favorable oncologic response, residual deficits persisted, including left-sided visual blurring, complete right-eye blindness, severe hypocortisolemia, and low prolactin levels requiring hormone replacement therapy. This case emphasizes the importance of early diagnosis, individualized treatment, and multidisciplinary management to achieve tumor control while addressing long term neurological and endocrine sequelae. Survivorship-focused care integrating endocrinology, rehabilitation, psychosocial support, and adherence monitoring is essential, particularly in resource-limited settings, to improve treatment continuity, reduce complications, and enhance quality of life among young brain tumor survivors.
PRESEPSIN AS A POTENTIAL BIOMARKER OF SEPSIS IN PEDIATRIC PATIENTS UNDERGOING OPEN-HEART SURGERY Julia Fitriany; Mulyadi M Djer; Novie Amelia Chozie; Piprim Basarah Yanuarso; Nina Dwi Putri; Irene Yuniar
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1418

Abstract

Sepsis after pediatric open-heart surgery is rare but highly lethal. Diagnosis is challenging because sepsis symptoms often overlap with post operative inflammatory responses. This study assessed presepsin as a biomarker for postoperative sepsis in children with congenital heart disease. In this prospective diagnostic accuracy study at Cipto Mangunkusumo National Central Hospital, Jakarta, 49 children undergoing open-heart surgery were enrolled. Plasma presepsin and procalcitonin (PCT) levels were measured on postoperative day 1 (T1) and day 3 (T3). Diagnostic performance was evaluated using ROC analysis. Presepsin levels were higher in septic than non-septic patients at T1 (415 vs. 141.5 pg/mL) and T3 (624 vs. 75.9 pg/mL), with a significant difference at T3 (p = 0.001). Presepsin was unrelated to surgical complexity but was associated with 7-day mortality (p = 0.013). At T3, presepsin showed better diagnostic accuracy than PCT (AUC 0.945 vs. 0.895). Optimal cutoffs were 404 pg/mL (T1) and 203.5 pg/mL (T3). PCT levels declined over time in septic patients. Presepsin is a promising biomarker for detecting postoperative sepsis in pediatric open-heart surgery patients, demonstrating diagnostic performance comparable to or superior to PCT, particularly on postoperative day 3. Serial monitoring may facilitate earlier identification of septic complications.
FACTORS ASSOCIATED WITH SELF-REPORTED USER ACCEPTANCE AND PERCEIVED USEFULNESS OF SI-TELUR PETIS: A CROSS-SECTIONAL STUDY Mei Rianita Elfrida Sinaga; Indrayanti; Santy Ercelina Nainggolan; Retno Heru Setyorini; Sulistiyani; Ontran Sumantri Riyanto; Endang Khoirunnisa
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1455

Abstract

Non-communicable diseases (NCDs) such as hypertension and diabetes mellitus are major contributors to global mortality. Mobile health (mHealth) applications are increasingly utilized for preventive efforts, yet research often prioritizes usability over actual effectiveness. Si-Telur Petis is a telenursing application developed in Indonesia to support behavioral modification and NCD prevention. This study explores factors influencing the effectiveness of Si-Telur Petis in preventing hypertension and diabetes mellitus. A total of 109 working-age individuals (15–59 years) in Yogyakarta, Indonesia, participated in the study. Effectiveness was assessed using a validated 33-item questionnaire (Cronbach’s alpha = 0.957) based on the Unified Theory of Acceptance and Use of Technology (UTAUT), examining predisposing, enabling, reinforcing, system quality, safety, and satisfaction factors. Results show that employment status, enabling factors, system quality, safety, and satisfaction significantly affect effectiveness, with satisfaction emerging as the strongest predictor (?=0.867, p<0.001). These findings indicate that user satisfaction is the key determinant of Si-Telur Petis effectiveness, emphasizing the importance of user-centered design, reliable system quality, and robust security in mHealth adoption. Despite limitations in sample size and geographic scope, this study offers preliminary evidence supporting the broader implementation of digital nursing interventions.
PURPLE SWEET POTATO EXTRACT ATTENUATES GENTAMICIN-INDUCED HEPATOTOXICITY IN WISTAR RATS Evi Lusiana; Theodorus; Khairunnisa Rizqika Amanda Putri
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1474

Abstract

Purple sweet potato extract (Ipomoea batatas L.) has hepatoprotective potential due to its antioxidant properties. This study evaluated the effect of purple sweet potato extract (PSPE) on gentamicin-induced hepatotoxicity in male Wistar rats. Thirty rats were divided into five groups: negative control, positive control, and PSPE-treated groups receiving 50, 100, and 200 mg/kg body weight (BW). Hepatotoxicity was induced using gentamicin for seven days, followed by extract administration for fourteen days. Caspase-3 expression was analyzed using immunohistochemistry, while fibrosis was assessed using Masson’s Trichrome staining and METAVIR scoring. One-way ANOVA showed significant differences in Caspase-3 expression among groups (p ¡ 0.001). PSPE was associated with reduced Caspase-3 expression and attenuated hepatic fibrosis, with the strongest effect observed at 200 mg/kgBW. Histopathological evaluation showed predominantly METAVIR grade F0 fibrosis at doses of 100 and 200 mg/kgBW. These findings suggest potential hepatoprotective effects of PSPE in this preclinical model of gentamicin-inducedhepatotoxicity.
ANTIBACTERIAL ACTIVITY OF COMBINED ETHANOL EXTRACTS OF CLITORIA TERNATEA FLOWERS AND JATROPHA GOSSYPIFOLIA LEAVES AGAINST ESCHERICHIA COLI Sabariah Sabariah; Sabrina Intan Zoraya; Dinda Ayuni Rusma Putri
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1425

Abstract

The growing resistance of Escherichia coli to antibiotics has increased interest in plant-derived antibacterial agents. This study evaluated the antibacterial activity of combined ethanol extracts of Clitoria ternatea flowers and Jatropha gossypifolia leaves against E. coli. An in vitro experimental study with a post-test-only design was conducted. Extracts were prepared by maceration using 96% ethanol and subjected to phytochemical screening. Antibacterial activity was assessed using the disk diffusion method at concentrations of 20%, 40%, 60%, 80%, and 100%, with ciprofloxacin and dimethyl sulfoxide (DMSO) as controls. Each treatment was tested in four replicates. Phytochemical screening identified alkaloids, flavonoids, tannins, phenolic/hydroquinone compounds, and steroids. The largest inhibition zone was observed at 20% (12.25mm), followed by 40% (10.25 mm), 60% (8.00 mm), and 80% (6.25mm), while no inhibition occurred at 100%. Significant differences were found among groups (p < 0.001). These findings indicate measurable but limited antibacterial activity against E. coli.
OPERATIONAL COST CONTROL STRATEGY AND BPJS CLAIM OPTIMIZATION ON PERCEIVED FINANCIAL PERFORMANCE OF RSAL RAMELAN SURABAYA IN THE ERA OF UNIVERSAL HEALTH COVERAGE Zenna Zhahirah Wibowo; Anak Agung Istri Agung Srila Nataswari; Widya Nurjannah; Musdarmawan; Farida Yuliaty
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1431

Abstract

This study analyzes the simultaneous effect of operational cost control and BPJS claims optimization on the perceived financial performance of RSAL Ramelan Surabaya in the Universal Health Coverage (UHC) era. Facing financial pressures from high operational costs and claim delays, the hospital requires robust financial strategies. Using a quantitative explanatory approach, data were collected from 102 managerial staff via Likert-scale questionnaires and secondary financial reports. Data were analyzed using SPSS version 31, employing descriptive statistics, classical assumption tests, and multiple linear regression. Results indicate that operational cost control and BPJS claim optimization jointly and significantly predict perceived financial performance. The regressionmodel demonstrates strong explanatory power (Adjusted R2 = 0.927). Due to substantial multicollinearity between the independent variables (V IF = 14.731), findings should be interpreted as evidence of a synergistic association rather than independent causal effects. The study highlights the importance of integrating internal cost-efficiency strategies with BPJS revenue-cycle management to support hospital financial sustainability under Universal Health Coverage. Because the dependent variable reflects managerial perceptions rather than objective financial ratios, future studies should incorporate audited financial indicators and advanced statistical techniques such as Structural Equation Modeling (SEM) or Ridge Regression.
SAFETY INSIGHTS: APPLICATION OF THE IDEACM HAZARD ASSESSMENT SHEET INSPIRED BY ‘AVATAR: THE WAY OF WATER’ TO REDUCE OCCUPATIONAL ACCIDENTS AMONG SMALL-SCALE FISHERMEN Dinda Okta Dwiyanti Ridwan Gucci; Muhammad Adi Sukma Nalendra; Azrat Nur Inayat
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1440

Abstract

Work accidents among fishermen remain a critical occupational safety challenge in Indonesia, driven by inadequate implementation of health and safety culture in maritime environments. This research applies the IDEACM (Identification, Design, Evaluate, Adaptation and Control of Macroergonomics) hazard assessment sheet, a structured instrument grounded in macroergonomic principles, to systematically evaluate occupational hazards among small-scale fishermen in Batam. The IDEACM framework was inspired by occupational safety practices depicted in the film ’Avatar: The Way of Water,’ analyzed through Roland Barthes’ semiotics and Fogg Behavior Model. Data were collected through field observations, a 20-item questionnaire (n=10), Focus Group Discussions (FGD), and semiotic film analysis, validated via SPSS (Cronbach Alpha = 0.890). IDEACM assessment quantified hazard scores across five macroergonomic elements (Human, Organization, Technology, Environment, Employment), yielding 18 sub-criteria with priority rankings. The top four hazards were: Skill deficiency in Human element (Score: 4.448, Rank 1); Machine hazards in Technology (Score: 1.00, Rank 2); Equipment risks (Score: 0.79, Rank 3); and absence of K3 Policy in Organization (Score: 0.73, Rank 4). Based on IDEACM findings, three hierarchy controls were designed: Engineering Controls (engine noise enclosures, distress siren systems); Administrative Controls (SOPs, K3 policies, structured shift schedules); and Personal Protective Equipment (PPE). Elimination and substitution were found infeasible under current conditions. The IDEACM framework proved effective as a replicable, structured tool for maritime occupational safety assessment.
LONGITUDINAL DECLINE OF ANTI-S-RBD IGG ANTIBODY LEVELS AMONG LECTURERS AND EDUCATIONAL STAFF FIVE MONTHS AFTER CORONAVAC VACCINATION IN INDONESIA Nurmila Sari; Yona Mimanda; Muniroh; Dinnisa Haura Zhafira Hidayat; Tri Nurjannah
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1452

Abstract

Humoral immunity induced by the CoronaVac vaccine may decline overtime. This study assessed changes in anti-spike receptor-binding domain (S-RBD) immunoglobulin G (IgG) antibody levels at 1 month and 5 months after completion of the two-dose CoronaVac regimen. A prospective observational cohort study was conducted among 54 participants, with 28 completing paired antibody measurements. Serum anti-S-RBD IgG concentrations were measured using a chemiluminescence microparticle immunoassay (CMIA), and differences between time points were analyzed using the Wilcoxon signed-rank test. A significant decline in antibody levels was observed, with the median concentration decreasing from 521.1 AU/mL (range: 71.2–2109.4) at 1 month to 57.8 AU/mL (range: 49.0–512.4) at 5 months, representing an approximately 89% reduction (p < 0.001). The Hodges Lehmann estimated median difference was -426.125 AU/mL (95% CI: -633.550 to -260.500). These findings indicate waning humoral immunity within five months after the second CoronaVac dose and support consideration of booster vaccination strategies.
DETERMINANTS OF MENTAL HEALTH PSYCHOEDUCATION IMPLEMENTATION AMONG PRIMARY HEALTHCARE WORKERS IN REMBANG REGENCY, INDONESIA: CROSS-SECTIONAL STUDY Taufiq Akbar; Bagoes Widjanarko; Ayun Sriatmi
International Archives of Medical Sciences and Public Health Vol. 7 No. 1 (2026): International Archives of Medical Sciences and Public Health
Publisher : Pena Cendekia Insani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53806/iamsph.v7i1.1459

Abstract

Mental health remains a growing public health challenge, while psychoeducation services at the primary care level are not yet optimally implemented. This study analyzed factors associated with the implementation of mental health psychoeducation services among healthcare workers in Public Health Centers in Rembang Regency, Indonesia, using a multilevel analytical approach. A cross-sectional study was conducted among 233 healthcare workers selected from 359 eligible participants using stratified random and total sampling. Data were collected using validated questionnaires and analyzed using chi-square tests, logistic regression, and multilevel mixed-effects analysis. The results showed that 60.1% of psychoeducation services were not achieved. In the final multilevel model, profession (OR = 4.464; 95% CI : 1.882–10.584), knowledge (OR = 3.367; 95% CI : 1.465–7.738), and attitude (OR = 3.368; 95% CI : 1.458–7.782) were significantly associated with service implementation, while leadership was significant at the organizational level (OR = 4.418; 95% CI : 1.754–11.126). The model showed meaningful clustering across Public Health Centers (ICC = 22.28%). In conclusion, the implementation of mental health psychoeducation services is influenced by both individual and organizational factors, with leadership representing the most important organizational determinant. Strengthening leadership and improving workforce capacity may enhance these services in primary healthcare.

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