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Triwiyanto
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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 284 Documents
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Downtime Analysis of Ultrasound Maintenance Using Failure Mode and Effects Analysis (FMEA) as a Risk‑Management Strategy in Radiology Services at YARSI Hospital, 2025 Muhammad Umar Aziz; Melanie Husna; Sri Wuryanti; Dicky Budiman; Hendrana Tjahjadi
International Journal of Advanced Health Science and Technology Vol. 5 No. 5 (2025): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i5.545

Abstract

The radiology department of YARSI Hospital experienced considerable ultrasonografi equipment downtime in 2025, disrupting diagnostic continuity and decreasing patient satisfaction. This study aimed to identify the principal causes of USG downtime and to formulate risk‑mitigation strategies using Failure Mode and Effect Analysis (FMEA). A descriptive, case‑study design was adopted; data were gathered over a twelve‑month period through field observations, semi‑structured interviews with ten technicians and biomedical engineers, and review of maintenance logs containing 312 recorded incidents. The collected information was processed within the FMEA framework identifying failure modes, assigning severity, occurrence, and detection scores, and calculating the Risk Priority Number (RPN) for each mode. The analysis revealed three critical failure modes: (1) Preventive maintenance  of the spare‑parts availability, (2) technician readiness, and (3) inter‑departmental communication. The spare‑parts‑availability mode obtained the highest RPN (RPN = 100), indicating it as the primary risk factor. Guided by the RPN ranking, a bundle of preventive‑maintenance actions was prioritized and scheduled before any equipment failure occurs: (i) proactive inventory management of critical spare parts, (ii) continuous competency‑building programs and certification for technicians, and (iii) implementation of a structured internal communication platform for coordinated repair activities. Modeling the projected impact of these interventions suggests a potential reduction of USG downtime by up to 40 % within the first six months, thereby improving equipment availability and overall radiology service quality. The study concludes that FMEA is an effective risk‑management tool for pinpointing critical failure factors and directing preventive‑maintenance measures, ultimately strengthening the reliability and safety of ultrasound services at YARSI Hospital.
Analyzing Ethical Practices of Digital Marketing in YARSI Islamic Hospital Nastain Mohammad Dunda; Edi Prasetyo; Enrico Adhitya Rinaldi; Dicky Budiman; Wahyu Sulistiadi
International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i6.546

Abstract

The rapid growth of digital technology has transformed healthcare marketing in Indonesia, creating both opportunities and ethical challenges for Islamic hospitals that must uphold Sharia principles. Despite the existence of Sharia certification frameworks, the operationalization of ethical digital marketing in these institutions often remains normative, lacking detailed guidelines and systematic oversight. This study aimed to analyze the ethical implementation of digital marketing at YARSI Sharia Hospital by examining its regulatory framework, implementation process, and compliance mechanisms. A qualitative descriptive–exploratory case study design was applied, involving purposive sampling of key stakeholders including hospital management, the Sharia Ethics Committee, marketing personnel, and patients. Data were collected through semi-structured interviews, direct observation, and document analysis, followed by thematic analysis using Braun and Clarke’s framework and a complementary SWOT assessment. The findings revealed that while YARSI Sharia Hospital possesses formal Sharia certification and governance under a Supervisory Board (DPS), its digital marketing practices are constrained by insufficient human resources, limited Sharia-based training, and the absence of structured audit procedures. Approximately 65% of reviewed content adhered to Sharia ethical principles, while 35% required modification or revision. Nevertheless, the hospital benefits from leadership commitment and a supportive external environment favoring Sharia-compliant healthcare. In conclusion, although YARSI Sharia Hospital demonstrates strategic readiness for ethical and Sharia-based digital marketing, improvements are needed in capacity building, the establishment of platform-specific ethical regulations, and the institutionalization of periodic compliance audits to ensure sustainable ethical performance and competitive advantage in Islamic healthcare services.
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.
Improving Oral Health Knowledge Among Pregnant Women Using TikTok at the Jogoloyo Community Health Center in Jombang Juanita Matkhurotin
International Journal of Advanced Health Science and Technology Vol. 5 No. 6 (2025): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v5i6.565

Abstract

Oral and dental health play a crucial role in maintaining overall well-being, particularly during pregnancy, when hormonal changes increase susceptibility to oral problems such as gingivitis and caries. However, awareness and knowledge of oral hygiene among pregnant women remain low, leading to a higher risk of oral diseases. Traditional health education methods often fail to attract sustained attention, highlighting the need for innovative, accessible approaches. This study aimed to evaluate the effectiveness of TikTok-based audiovisual education in improving oral health knowledge among pregnant women at the Jogoloyo Community Health Center in Jombang, Indonesia. A quasi-experimental study with a one-group pretest–posttest design was conducted on 58 pregnant women selected through purposive sampling. The intervention consisted of short TikTok videos (1–3 minutes) covering key topics such as oral hygiene maintenance, brushing time, and appropriate dental visits. Knowledge levels were measured using a validated questionnaire administered before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of α = 0.05. The results demonstrated a significant improvement in oral health knowledge after the TikTok-based intervention. The mean pretest score was 36.59 ± 2.997, which increased to 66.24 ± 2.861 in the posttest, with a p-value of 0.001, indicating a statistically significant difference. Participants also showed notable progress in specific knowledge domains, including brushing time and dental check-up awareness. In conclusion, the study confirms that TikTok can serve as an effective and engaging platform for oral health promotion among pregnant women. Integrating social media–based audiovisual education into maternal health programs may enhance health literacy, accessibility, and engagement, offering a scalable alternative to conventional health education strategies in primary care settings.
Implications of Tuberculosis Prevention Smart Book in Elementary School Age Children on Parenting Social Support Approach Indriatie indriatie; Aida Novitasari; Anita Joeliantina
International Journal of Advanced Health Science and Technology Vol. 6 No. 3 (2026): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i3.571

Abstract

Tuberculosis (TB) remains a major public health challenge in Indonesia, particularly affecting vulnerable populations such as elementary school-aged children whose immune systems are not fully developed. Despite ongoing national efforts to mitigate the spread of TB, the incidence among children remains notably high, necessitating innovative prevention strategies. This study aims to evaluate the impact of a specifically designed Tuberculosis Prevention Smart Book on enhancing parental social support approaches towards childhood TB prevention. Employing a quantitative quasi-experimental design with a two-group pretest-posttest format, the research sampled 200 parents of children attending elementary schools in Surabaya. Data were collected through structured questionnaires measuring informational, instrumental, emotional, and reward dimensions of social support. Findings indicate a statistically significant improvement in all dimensions of parental support following the intervention, with p-values below 0.05 for informational, instrumental, and emotional support categories. Notably, the use of the Smart Book facilitated heightened parental awareness, increased proactive caregiving behaviors such as early symptom detection and maintaining hygienic environments, and strengthened emotional engagement with children. However, changes in the reward support dimension were not statistically significant. The study concludes that integrating educational Smart Books into health promotion initiatives markedly enhances parental involvement and social support mechanisms critical for childhood TB prevention. This approach offers a promising avenue for community-based TB control programs, emphasizing the pivotal role of parents in safeguarding child health and curbing TB transmission within educational settings
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.

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