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International Journal of Advanced Health Science and Technology
Published by Forum Ilmiah Teknologi dan Ilmu Kesehatan
ISSN : 28086422     EISSN : 28086422     DOI : https://doi.org/10.35882/ijahst
Core Subject : Health, Engineering,
Electrical & Electronics Engineering Health Professions Nursing Public Health
International Journal of Advanced Health Science and Technology (IJAHST) publishes peer-reviewed, original research and review articles in an open-access format. Accepted articles span the full extent of the Public Health, Environmental Health, Nursing, Oral and Dental Health, Midwifery, Nutrition, Medical Laboratory Technology, and Biomedical Engineering IJAHST seeks to be the world’s premier open-access outlet for academic research. As such, unlike traditional journals, IJAHST does not limit content due to page budgets or thematic significance. Rather, IJAHST evaluates the scientific and research methods of each article for validity and accepts articles solely on the basis of the research. Likewise, by not restricting papers to a narrow discipline, IJAHST facilitates the discovery of the connections between papers, whether within or between disciplines.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 14 Documents
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Search results for , issue "Vol. 6 No. 2 (2026): April" : 14 Documents clear
Influence of Brand Image and Islamic Values on Patient Loyalty in YARSI Hospital in Jakarta, Indonesia Dede Yunus; Rifqatussa'adah; Yudi Amiarno; Dicky Budiman
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.549

Abstract

Patient loyalty has become a critical challenge for hospitals operating in an increasingly competitive healthcare environment, particularly for faith-based institutions that integrate religious principles into service delivery. Islamic hospitals, such as YARSI Hospital in Jakarta, must not only maintain high service quality but also ensure that Islamic values are meaningfully embedded in patient care. However, empirical evidence examining how brand image and Islamic values interact with patient experience and satisfaction to influence patient loyalty remains limited. This study aims to analyze the direct influence of brand image, Islamic values, patient experience, and patient satisfaction on patient loyalty at YARSI Hospital. A mixed-methods approach with a concurrent triangulation design was employed to obtain comprehensive insights. Quantitative data were collected through structured questionnaires administered to 388 outpatients, measuring perceptions of brand image, Islamic values integration, patient experience, satisfaction, and loyalty. Multiple linear regression analysis was used to assess the relationships among variables. Qualitative data were obtained through in-depth interviews with selected patients to enrich and contextualize the quantitative findings, and thematic analysis was applied. The results demonstrate that all examined variables significantly and positively influence patient loyalty (p < 0.05). Patient satisfaction emerged as the strongest predictor of loyalty (β = 0.440), followed by brand image (β = 0.287), Islamic values (β = 0.238), and patient experience (β = 0.209). Qualitative findings corroborated these results, highlighting that the integration of Islamic values provides spiritual reassurance and strengthens emotional bonds between patients and the hospital. In conclusion, patient loyalty in Islamic healthcare settings is shaped by a combination of service quality, value congruence, and positive patient experiences. Strengthening brand image, consistently integrating Islamic values, and enhancing patient satisfaction are essential strategic priorities for sustaining patient loyalty in faith-based hospitals.
Evaluating the Reliability of Glass Ionomer Cements in Restorative Dentistry for Primary Teeth: A Systematic Review selsebil laajimi; souha Saidi; farah chouchene; yamina elelmi; ahlem Baaziz
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.550

Abstract

The clinical reliability of glass ionomer cements (GICs) in pediatric restorative dentistry remains a critical concern due to variations in material formulations and their performance in primary teeth. Despite continuous advancements, inconsistencies in clinical outcomes and influencing factors necessitate a comprehensive evaluation of current evidence. This systematic review aimed to assess and compare the clinical performance of different types of GICs used in restorations of primary teeth and to identify the factors affecting their success rates. A systematic search was conducted across four electronic databases MEDLINE, Cochrane Central, ScienceDirect, and EBSCOhost covering studies published between 2013 and 2025. The review followed PRISMA guidelines and applied the PICO framework to define eligibility criteria. Only randomized controlled trials involving pediatric patients with vital primary teeth were included. Study quality was assessed using the Modified Jadad Scale, and due to heterogeneity in methodologies, a narrative synthesis approach was adopted. Out of 237 identified records, seven studies met the inclusion criteria. The findings demonstrated that resin-modified glass ionomer cements (RMGICs) and high-viscosity glass ionomer cements (HVGICs) exhibited superior clinical success rates, reaching approximately 94% and 77%, respectively. These materials showed favorable longevity, enhanced marginal integrity, and satisfactory esthetic outcomes. Key factors influencing restoration success included the type of molar restored (p = 0.003) and the affected surface (p < 0.001), while patient-related variables showed no significant association. In conclusion, RMGICs and HVGICs are currently the most reliable restorative materials for primary teeth due to their improved mechanical and bioactive properties. However, restoration success is multifactorial, depending not only on material selection but also on clinical technique and cavity characteristics. Future research should focus on long-term, standardized clinical trials to strengthen evidence-based recommendations.
The Relationship Between Pregnant Women's Knowledge of Oral Health Care and Gingivitis at the Karanggeneng Community Health Centre in Lamongan Regency in 2025 Silviya Anis Sulha; Sunomo Hadi; Ida Chairanna Mahirawatie
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.556

Abstract

Gingivitis is one of the most prevalent oral health problems among pregnant women, primarily triggered by hormonal changes that increase gingival sensitivity to plaque and local irritants. Despite its high occurrence, inadequate knowledge of oral health care among first-trimester pregnant women (K1) remains a significant concern, potentially worsening gingival conditions and overall maternal health. This study aimed to examine the relationship between pregnant women’s knowledge of dental and oral health maintenance and the incidence of gingivitis at the Karanggeneng Community Health Center, Lamongan Regency. This study employed an analytic survey design with a cross-sectional approach. A total of 37 first-trimester pregnant women were selected using purposive sampling. Data were collected through a structured questionnaire assessing knowledge of oral health care and a clinical examination using the Gingival Index to determine gingivitis status. The relationship between variables was analyzed using Spearman’s rho correlation test. The findings revealed that the majority of respondents had a moderate level of knowledge (54.1%) and experienced moderate gingivitis (62.1%). Statistical analysis demonstrated a significant correlation between knowledge of oral health maintenance and gingivitis status (p = 0.020 < 0.05), indicating that lower levels of knowledge are associated with a higher severity of gingivitis. In conclusion, there is a significant relationship between oral health knowledge and gingivitis among first-trimester pregnant women. Improving knowledge through targeted health education is essential to promote better oral hygiene practices and reduce the risk of gingival inflammation during pregnancy. These findings highlight the importance of integrating oral health education into antenatal care services.
THE RELATIONSHIP BETWEEN ELDERLY KNOWLEDGE ABOUT ORAL HEALTH AND PERIODONTITIS AT POSYANDU KEMUNING REJOSOPINGGIR VILLAGE JOMBANG DISTRICT Nur Choiryah; Ida Chairanna Mahirawatie; I.G.A. Kusuma Astuti N.P
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.564

Abstract

Periodontitis remains a major cause of tooth loss among the elderly, significantly affecting masticatory function, aesthetics, and overall quality of life. Despite its high prevalence, limited awareness and misconceptions about oral health among older adults may contribute to delayed prevention and treatment. Therefore, this study aimed to analyze the relationship between elderly knowledge of oral health and the incidence of periodontitis at the Kemuning Integrated Health Post, Rejosopinggir Village, Jombang Regency. This research employed an analytic observational design with a cross-sectional approach. A total of 32 elderly participants aged ≥60 years were selected using random sampling. Data were collected through a structured questionnaire to assess oral health knowledge and clinical examination using the Russell Periodontal Index to determine periodontal status. Statistical analysis was performed using the chi-square test with a significance level of 0.05. The findings revealed that the majority of respondents had poor knowledge of oral health (78.1%), and most participants exhibited severe periodontal conditions, with an average Russell Periodontal Index score of 3.55. However, the chi-square test indicated no statistically significant relationship between oral health knowledge and the occurrence of periodontitis (p = 0.396 > 0.05). These results suggest that knowledge alone is insufficient to influence periodontal health outcomes. In conclusion, although poor oral health knowledge is prevalent among the elderly, it does not significantly correlate with the incidence of periodontitis in this population. Other factors, such as behavioral habits, access to healthcare services, systemic conditions, and socioeconomic status, may play a more dominant role. Comprehensive and practical oral health interventions are therefore recommended to improve periodontal health among the elderly.
Analysis of Lungs Maturity Induction (LMI) in Preterm Labor on Neonatal Asphyxia Status at dr. Sayidiman Regional General Hospital, Magetan
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.574

Abstract

Neonatal asphyxia remains a major contributor to neonatal morbidity and mortality, particularly among preterm infants whose lungs are physiologically immature and lack adequate surfactant production. At Dr. Sayidiman Regional General Hospital, Magetan, neonatal mortality due to asphyxia remains considerably high, indicating the need for effective preventive interventions. Lungs Maturity Induction (LMI) is widely recommended for pregnant women at risk of preterm delivery to accelerate fetal lung development; however, evidence regarding its effectiveness in reducing neonatal asphyxia in local clinical settings is still limited. This study aimed to analyze differences in neonatal asphyxia status among preterm births between mothers who received LMI and those who did not. This research employed an analytical survey with a cross-sectional design. Secondary data were obtained from the Delivery Register Book at Dr. Sayidiman Regional General Hospital, Magetan, covering the period from January 2024 to February 2025. The study population comprised 121 preterm deliveries, from which 93 samples were selected using proportional random sampling. Of these, 44 mothers received LMI and 49 did not. Neonatal asphyxia status served as the dependent variable, while LMI administration was the independent variable. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. The results showed that 79.5% of preterm infants whose mothers received LMI did not experience neonatal asphyxia, whereas 75.5% of preterm infants without LMI experienced asphyxia. Statistical analysis demonstrated a significant difference in neonatal asphyxia status between the two groups (χ² = 26.090; p < 0.001). In conclusion, LMI is significantly associated with a lower incidence of neonatal asphyxia in preterm deliveries. The routine administration of LMI to pregnant women at risk of preterm birth is strongly recommended to improve neonatal outcomes and reduce neonatal mortality.
Correlation Between Parental Knowledge of Oral Health and Dental Caries Incidence Among Preschool Children at Ar-Rahman Foundation Jombang
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.575

Abstract

Dental caries remains one of the most prevalent oral health problems among preschool children and continues to pose a significant public health concern, particularly in developing countries. Inadequate parental knowledge of oral and dental health is often considered a contributing factor to the high incidence of early childhood caries. This study aimed to examine the relationship between parental knowledge of oral health and the incidence of dental caries among preschool children attending PAUD and Kindergarten under the Ar-Rahman Foundation in Jombang, Indonesia. A quantitative cross-sectional design was employed involving 39 parents and their preschool-aged children selected using total sampling. Parental knowledge was assessed using a structured questionnaire, while dental caries status in children was evaluated using the def-t (decayed, extracted, and filled teeth) index. Data were analyzed using the Chi-square test with a significance level of α = 0.05. The results indicated that the majority of parents (51.3%) had low levels of oral health knowledge, while only 10.3% demonstrated good knowledge. Dental caries prevalence among preschool children was relatively high, with higher def-t scores more frequently observed among children whose parents had lower knowledge levels. However, statistical analysis revealed no significant association between parental knowledge and the incidence of dental caries (p = 0.286). Despite the absence of a statistically significant relationship, descriptive findings suggested a tendency toward poorer oral health outcomes among children of parents with limited knowledge. In conclusion, parental knowledge alone was not significantly associated with dental caries incidence among preschool children in this study. These findings suggest that dental caries is influenced by multiple factors beyond knowledge, including behavioral practices, dietary patterns, and access to dental care. Comprehensive oral health promotion programs that integrate parental education with practical behavioral interventions are therefore essential to improve early childhood oral health outcomes.
The Use of TikTok Media on the Knowledge of Dental and Oral Hygiene among Students of SMAN 1 Porong Nur Fauziyah; Imam Sarwo Edi; Siti Fitria Ulfah; Silvia Prasetyowati
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.576

Abstract

Oral and dental hygiene remains a significant public health concern among adolescents, largely due to inadequate knowledge and limited exposure to effective health education. Preliminary findings at SMAN 1 Porong indicated that 50% of students exhibited poor plaque indices, reflecting insufficient awareness of proper oral hygiene practices. This study aimed to evaluate the effectiveness of TikTok-based educational media in improving students’ knowledge of oral and dental hygiene. A quasi-experimental design with a one-group pretest–posttest approach was employed. A total of 52 tenth-grade students were selected using simple random sampling. Data were collected through a structured questionnaire distributed via Google Forms before and after the intervention. The educational intervention consisted of delivering oral health content through TikTok media. Data analysis was conducted using the Wilcoxon Signed-Rank Test to assess differences in knowledge scores before and after the intervention. The results demonstrated a substantial improvement in students’ knowledge following the intervention. Prior to education, 96% of respondents were categorized as having low knowledge, whereas after the intervention, 88% achieved a good knowledge level. Statistical analysis revealed a significant difference between pretest and posttest scores (p = 0.000; p < 0.05), indicating the effectiveness of TikTok as an educational medium. In conclusion, TikTok-based health education significantly enhances adolescents’ knowledge of oral and dental hygiene. The findings suggest that integrating social media platforms into health promotion strategies can serve as an innovative and engaging approach to improve health literacy among students. Future research is recommended to explore the long-term impact of such interventions and to compare the effectiveness of different digital media platforms.
A Rare Case Report of Impacted Primary First Molar below the First Premolar Mouna Ben Salem; Abir Mannai; Yamina Elelmi; Fatma Masmoudi; Ahlem Baaziz
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.577

Abstract

Tooth impaction represents a disturbance in the normal eruption process, predominantly affecting permanent dentition, while its occurrence in primary teeth remains exceedingly rare. Such anomalies may lead to complications including delayed eruption of permanent successors, malocclusion, and potential damage to adjacent anatomical structures. However, limited evidence exists regarding the optimal management of impacted primary molars, particularly in atypical cases where the primary tooth is located inferior to its permanent successor. This study aims to report and evaluate the clinical management of a rare case involving an impacted mandibular first primary molar positioned beneath its succedaneous premolar, with emphasis on the outcomes of a conservative treatment approach. A 7-year-old male patient presenting with dental malposition underwent comprehensive clinical and radiographic examination, including panoramic radiography and computed tomography. Due to the close proximity of the impacted tooth to the mandibular canal and mental foramen, a non-invasive strategy consisting of periodic monitoring, space maintenance, and interceptive orthodontic treatment was implemented. Longitudinal follow-up over a five-year period demonstrated delayed but progressive development of the permanent premolar. Clinical and radiographic findings revealed initiation of eruption in 2024, followed by complete eruption in 2025 without surgical intervention or associated complications. These findings indicate that, despite initial developmental delay, spontaneous eruption remained achievable under careful supervision. In conclusion, conservative management with regular follow-up may represent a safe and effective alternative to surgical intervention in selected cases of impacted primary molars, particularly when anatomical risks are significant. This approach supports preservation of surrounding structures while allowing natural eruption processes, highlighting the importance of individualized, risk-based treatment planning in pediatric dentistry.
The Effectiveness of Self-Care Enhancement Based Intervention Among Type 2 Diabetes Mellitus: A Systematic Review Yusron Amin; Haswita Haswita
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.583

Abstract

Poor glycemic control and the high prevalence of complications among individuals with type 2 diabetes mellitus (T2DM) remain major public health challenges and are strongly associated with inadequate self-care behaviors. Despite the growing implementation of self-care–based interventions, evidence regarding their effectiveness on glycemic outcomes and self-care activities remains inconsistent. This systematic review aimed to evaluate the effectiveness of self-care enhancement–based interventions in improving glycemic control and self-care behaviors among adults with T2DM. A systematic search was conducted across four electronic databases PubMed, ScienceDirect, ProQuest, and Google Scholar using relevant keywords related to self-care, intervention, and T2DM. Studies published between 2019 and 2024, written in English, available in full text, and employing randomized controlled trial or quasi-experimental designs were included. Article selection followed the PRISMA framework, and methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Eight eligible studies were included in the final synthesis. The findings demonstrated heterogeneous outcomes across interventions. Most studies (n = 5) reported significant reductions in HbA1c levels accompanied by improvements in self-care activities, including diet management, blood glucose monitoring, and self-efficacy. One study showed a significant reduction in HbA1c without corresponding improvements in self-care behavior, while two studies reported improvements in self-care activities without significant changes in HbA1c. Interventions that incorporated structured, personalized education and ongoing monitoring, supported by family or community involvement, consistently yielded more favorable outcomes. In conclusion, self-care enhancement–based interventions are generally effective in improving glycemic control and self-care behaviors among individuals with T2DM, particularly when delivered through a structured, person-centered approach integrated with social support systems. These findings highlight the importance of comprehensive and context-sensitive intervention designs in diabetes self-management programs.
Phenomenological Study on Workflow Efficiency and Response Time in Emergency Obstetric and Neonatal Care Pratiwi Madya Putri Raden Roro; Guswan Wiwaha; Sri Wuryanti; Nurul Huda; Mia Mariani; Edy Prasetyo; Dicky Budiman
International Journal of Advanced Health Science and Technology Vol. 6 No. 2 (2026): April
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i2.586

Abstract

Indonesia continues to face a high maternal mortality ratio, with delays in emergency obstetric care at referral hospitals remaining a critical contributor, despite the implementation of Comprehensive Emergency Obstetric and Neonatal Care (PONEK) services. These delays are frequently associated with inefficiencies in workflow and response time, particularly during post-triage management. This study aimed to explore healthcare workers’ lived experiences and to identify organizational, procedural, and systemic factors influencing workflow efficiency and response time in PONEK services at Y Hospital, Jakarta, a teaching hospital, referral center, and certified Syariah-based institution. A qualitative descriptive phenomenological design was employed, involving 15 purposively selected participants consisting of obstetricians, emergency physicians, midwives, nurses, administrative staff, and hospital managers directly engaged in PONEK services. Data were collected through in-depth interviews, non-participant observations, focus group discussions, and document review, and were analyzed using thematic analysis supported by content and SWOT analyses to ensure analytical rigor and triangulation. The findings revealed that while triage response time consistently met international standards of less than five minutes, significant delays occurred in subsequent stages of care due to fragmented inter-unit coordination, reliance on informal communication, inconsistent implementation of Standard Operating Procedures, and suboptimal utilization of the Hospital Management Information System (SIMRS). Additional barriers included incomplete referral documentation and the presence of non-emergency cases within the PONEK pathway, which disrupted prioritization and prolonged patient length of stay. In conclusion, workflow inefficiencies in PONEK services at Y Hospital are primarily driven by coordination gaps, human resource limitations, and insufficient digital integration rather than infrastructural shortcomings. Strengthening cross-unit collaboration, improving referral accuracy, enhancing staff capacity through continuous training, and optimizing digital systems are essential strategies to improve response time, service quality, and maternal emergency outcomes, thereby supporting hospital performance and contributing to the achievement of Sustainable Development Goal 3.1 on maternal mortality reduction.

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