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International Journal of Public Health Excellence (IJPHE)
Published by PT Inovasi Pratama Internasional
ISSN : -     EISSN : 28099826     DOI : https://doi.org/10.55299/ijphe
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
International Journal of Public Health Excellence (IJPHE), ISSN 2809-9826 (online) has a subject area as follows, but is not limited to the following health areas that are reproduction health, medical service, health statistics, health management, oral hygiene, medical bio, civilized environmental health, universal health, nursing, health care provider, health entrepreneur, health research, health innovation, infectious diseases and their treatment, medical insurance, medical neuroscience, occupational health and safety, public health science and midwifery.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 658 Documents
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Analysis of the Effectiveness of Ultrasound Combined with Wall Squat Exercise versus Ultrasound Combined with Instrument-Assisted Soft Tissue Mobilization on Functional Activity in Sub-Acute Knee Osteoarthritis Salwa
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1057

Abstract

Osteoarthritis (OA) is a degenerative joint cartilage disorder that often causes pain and limits functional activity in affected individuals. To evaluate the difference in effectiveness between wall squat exercise and instrument assisted soft tissue mobilization (IASTM) in improving functional activity in patients with sub-acute lutut osteoarthritis.This study used a two-group pre-test and post-test design. The sample was taken from sub-acute lutut osteoarthritis. patients at the Elderly Posyandu within the Trauma Center Health Center in Samarinda, using random assignment techniques. Patients were divided into two groups: the intervention group I received ultrasound therapy (US) and wall squat exercise, while intervention group II received US and IASTM. Each group consisted of 21 patients and received treatment three times a week for four weeks. Functional activity was measured using The Western Ontario and McMaster Universities Arthritis Index (WOMAC). Intervention group I showed a significant decrease in WOMAC scores from 32.33 ± 5.425 to 14.57 ± 3.218 (p < 0.001). Group II also showed a significant decrease, from 35.14 ± 4.453 to 25.43 ± 4.422 (p < 0.01). Group I experienced a greater reduction compared to group II (p = 0.00).The combination of US and wall squat exercise is more effective than the combination of US and IASTM in improving functional activity in patients with sub-acute lutut osteoarthritis.Patients receiving US and wall squat exercise showed a more significant improvement in functional activity. Based on the significant results, it is recommended that further research be conducted over a longer period to assess the long-term effectiveness of the interventions for osteoarthritis sub-acute lutut osteoarthritis
Factors Of Compliance With Medication in Leprosy Clients in Pamekasan District Hijriyah, Mufidatul
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1603

Abstract

As an infectious disease that affects the skin and peripheral nerves and is caused by the bacteria mycobacterium leprae as the causative agent. This leprosy is chronic characterized by the presence of white and reddish spots, as well as thickening of the inflamed nerves and impaired nerve function so that it can cause paralysis of the peripheral nerves. This disease first attacks the nervous system, can attack the skin, mucosa (mouth), upper respiratory tract. This bacteria enters the body through the skin or nose. Signs and symptoms of this disease are skin lesions and peripheral nerves that can cause numbness, deformities and permanent disabilities. Objective: To determine the factors of medication adherence in leprosy patients in the Pamekasan area. Method: The design of this study is a cross-sectional study, namely research to determine the relationship between risk factors and disease. In cross-sectional studies, independent variables or risk factors (effects) are assessed simultaneously at one time. Results. obtained in the bivariate test obtained a significance value of 0.000 <0.05 on family support, knowledge, attitudes, environment, and health workers towards leprosy. Conclusion: There is a relationship between family support, knowledge, attitudes, environmental conditions, health workers, and compliance with taking medication in leprosy clients
Adding Dry Needling to Post-Isometric Relaxation Reduces Pain and Disability in Office Workers with Non-Specific Neck Pain Kurniantara, I Made Buda
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1058

Abstract

Non-specific neck pain in office workers has increased due to changes in work habits after the pandemic. Manual therapy approaches such as Post-Isometric Relaxation (PIR) and Dry Needling (DN) are promising but lack sufficient research support. This study aims to evaluate the effects of PIR combined with DN, as well as compare DN with PIR alone. This experimental study employed a randomized two-group pre-test-post-test design. The intervention group (IG) received DN in addition to PIR, while the control group (CG) received only PIR. Each group comprised 16 participants. The study was conducted over two weeks, with three PIR sessions and two DN sessions per week. Measurements using the Numerical Pain Rating Scale (NPRS) and the Neck Disability Index (NDI) were taken two weeks post-study and at a one-month follow-up. Results showed both groups experienced reductions in NPRS and NDI disability scores at the second-week evaluation with p <0.001. However, there were no significant differences in NPRS and NDI scores at the one-month follow-up (NDI p=0.620 and 0.319; NPRS p=0.705 and 0.206). The intervention group showed better results at the second-week evaluation with NPRS p=0.005 and NDI p <0.001, but not at the one-month follow-up with NPRS p=0.984 and NDI p=0.280. Thus, adding DN to PIR is more effective in reducing pain and disability in non-specific neck pain among office workers.
The Effect Of The Combination Of Woolwich Massage And Selected Prayers Using Roll-On Saum Oil On Self-Efficacy And The Breastfeeding Process Of Primiparous Ningsih, Dewi Andariya; , Liana Devi Oktavia; Kartika
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1420

Abstract

Constraints in breastfeeding are one of the reasons mothers can provide breast milk maximum. Doubt is generally experienced by mothers new to giving birth and breastfeeding for the first time. If the problem is not handled well, it will add to the amount of number failures in exclusive breastfeeding, which has an impact on the bad No, not only on the mother but also on the father and baby. Research This knowledge influence combination of Woolwich massage combined with prayer choice use roll-on Saum Oil connected with efficacy self and breastfeeding process. Research methods use quasi-experiments with use design. Two tests only designed. Variable X consists of massage, Wolwich, and prayer choice, as well as efficacy self, and variable Y, namely the breastfeeding process, using the Kolmogorov-Smirnov normality test with the Monte Carlo approach with control and intervention groups. Research results This shows that the number is 0.000 (<0.05), so there is influence in a way that is simultaneous or together between frequency massage, Wolwich, and self-efficacy towards the breastfeeding process. So that intervention massage, Wolwich, and prayer choice very much affect the breastfeeding process. The hope is to support positive, comprehensive, and related parties still done as much as possible. Possible for exclusive breastfeeding continuity.
Effectiveness of Combination Flexi-Bar Shoulder Exercise to the Kinesiotaping Application on Increasing Upper Extremity Proprioceptive Ability and Shooting Accuracy in Archery Athletes at Gandawa Archery Club Dinihari, Embun; Indira Vidiari Juhanna; Syahmirza Indra Lesmana
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1511

Abstract

Kinesiotaping is passive stabilisator, so it is necessary to have a combination of one intervention such as adding Flexi-bar Shoulder Exercise (FSE) as an active proprioceptor stimulator to optimize joint stability and optimalize shooting accuracy for archery. The research method used was a quasi experiment pre and post-test group control with 22 archery athlete, divided into a control group that only received kinesiotaping, and a intervention group that received kinesiotaping and FSE 3 times a week for 4 weeks. Subjects were assessed for proprioceptive ability using the joint position sense test (JPS) of abduction and flexion and shooting accuracy. Based on the difference test pre and post the control group, there were significant differences in flexion JPS (p=0.00), abduction JPS (p=0.00), and shooting accuracy (p=0.03), for the treatment group, there were significant differences in flexion JPS (p=0.00), abduction JPS (p=0.00), and shooting accuracy (p=0.03). Based on the comparison test between the control and treatment groups, there were no significant differences proprioceptive abilities in flexion (p=0.151) and abduction (p=0.00) as well as in shooting accuracy (p=0.163). Combination of FSE with kinesiotaping, can improve proprioceptive abilities and shooting accuracy but did not provide a different effect than the Kinesiotaping group
Differences in Effect of High-Intensity Interval Training and Moderate-Intensity Continuous Training on Cardiorespiratory Fitness and Waist-to-Hip Ratio in Overweight Adolescents in Denpasar Djuliana, Salsabila Fernanda; Luh Putu Ratna Sundari; Nur Basuki; I Putu Adiartha Griadhi; I Dewa Ayu Inten Dwi Primayanti; Indira Vidiari Juhanna
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1515

Abstract

Overweight has become a serious public health issue, as proven by the increasing morbidity and mortality rates in this population. Therefore, physical exercise interventions such as high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) are needed as training programs that can improve cardiorespiratory fitness (CRF) and reduce cardiometabolic risk. The aim of this study is to determine the differences in the effects of HIIT and MICT on CRF and the waist-to-hip ratio (WHR). This study used the randomized control group pretest-posttest design research method. The research sample included of 20 adolescents divided into two groups. Group 1 received the HIIT intervention, and Group 2 received the MICT intervention. CRF was assessed using the 20-meter shuttle run test (20m-SRT) also WHR. The mean test on CRF show that in group 1 (p<0.05) and group 2 (p<0.05) there are significant differences pre and post-test training. The Mann-Whitney U-test results show significant difference (p<0.05). Meanwhile, the WHR mean test results show that in group 1 (p<0.05) and group 2 (p<0.05) also has significant differences pre and post-test training. The Independent sample t-test results show no significant difference (p>0.05). This study concluded that HIIT is more effective than MICT in improving cardiorespiratory fitness. Thus, HIIT is as effective as MICT in reducing the waist-to-hip ratio of overweight adolescents.
Ice Bath more effective than Proprioceptive Neuromuscular Facilitation on Blood Lactate Reduction and Heart Rate Recovery in Rock Climbing Athletes in Denpasar Darma, I Wayan Eka Wirahadi; Susy Purnawati; I Putu Gde Surya Adhitya
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1520

Abstract

Sport is a structured and planned physical activity aimed at improving fitness and overall health. One rapidly growing discipline is rock climbing, particularly in the speed category. This high-intensity anaerobic activity often causes muscle fatigue, elevated blood lactate, and increased recovery heart rate. Excessive lactate accumulation disrupts recovery and may impair performance, making effective recovery methods essential. Two commonly used techniques are Proprioceptive Neuromuscular Facilitation (PNF) stretching and cold water immersion, or ice bath. This study compared the effectiveness of PNF stretching and ice bath in reducing blood lactate and recovery heart rate among rock climbing athletes in Denpasar City. A quasi-experimental pre-test–post-test design was conducted on three groups: PNF stretching (n=6), ice bath (n=6), and control (n=6). Interventions were performed twice weekly for two weeks. Blood lactate levels were measured with the Lactate Scout, while recovery heart rate was recorded manually at one and five minutes post-exercise. Results indicated that both PNF stretching and ice bath significantly reduced blood lactate (p<0.05) compared to control, but the ice bath produced greater and more consistent reductions. For recovery heart rate, no significant differences were found between groups (p>0.05). However, the ice bath group displayed a more favorable downward trend, suggesting potential clinical relevance. PNF stretching did not significantly affect heart rate recovery compared to ice bath or control but still demonstrated positive recovery effects. In conclusion, the ice bath method proved more effective than PNF stretching in reducing blood lactate, making it a recommended recovery strategy for speed climbing athletes. PNF stretching remains valuable for flexibility and muscular relaxation and may be best applied alongside other recovery methods. Future studies should investigate long-term outcomes, varied immersion protocols, and larger athlete populations to enhance generalizability
Accuracy of A Deep Learning Model in Retinal Imaging Analysis for The Early Detection of Diabetic Retinopathy in A Southeast Asian Population: A Diagnostic Validation Study Deivita, Yan; Bahmid Hasbullah; Aby Riestanti; Lita Umiputriani Gai; Nicholas Renaldo
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 1 (2025): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i1.1625

Abstract

Background: Diabetic retinopathy (DR) represents a leading cause of preventable blindness in Southeast Asia, where diabetes prevalence continues rising dramatically. Deep learning models show promising diagnostic accuracy for DR detection, yet validation in Southeast Asian populations remains limited. Objective: To evaluate the accuracy and clinical applicability of a deep learning model for early DR detection through comprehensive qualitative analysis in Indonesian healthcare settings. Methods: A mixed-methods diagnostic validation study was conducted across three Indonesian provinces from January 2023 to December 2024. The study employed a convolutional neural network-based deep learning model trained on 15,000 retinal images for DR classification. Qualitative data collection included semi-structured interviews with 30 ophthalmologists, 20 primary care physicians, 15 healthcare administrators, and 40 patients. Thematic analysis explored stakeholder perspectives on diagnostic accuracy, implementation barriers, and clinical integration potential. Results: The deep learning model demonstrated 89.3% accuracy (95% CI: 86.7-92.1%), 91.7% sensitivity, and 87.1% specificity for detecting referable DR. Qualitative analysis revealed high stakeholder acceptance (87.5% patient trust, 90.0% physician interest) despite implementation concerns. Key themes included diagnostic accuracy validation needs, workflow integration challenges, infrastructure requirements, and cost-effectiveness potential. Primary barriers included image quality standardization, internet connectivity limitations, and regulatory approval processes. Conclusion: Deep learning models demonstrate promising diagnostic performance for DR screening in Southeast Asian populations, with strong stakeholder support for implementation. However, successful deployment requires addressing infrastructure limitations, regulatory frameworks, and clinician training needs. These findings support the potential for AI-enhanced DR screening to improve early detection outcomes in resource-constrained healthcare systems across Southeast Asia.
The Relationship between Physical Conditions of the House and the Incidence of Tuberculosis Siregar, Rahmah Juliani; Yusuf, Susi Febriani; Fernaldy, Devrich
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.2

Abstract

Tuberculosis is an infectious disease caused by the bacteria cobacterium tuberculosis which mostly attacks the lungs. To find out the relationship between the physical condition of the house and the incidence of Tuberculosis in the community in Sorimanaon Village, Angkola Muaratais District. This type of research is a quantitative analytic observational study. Positive people with a total sample of 51 people. The sampling technique is by observation, direct measurement of the physical condition of the house, interviews, and other supporting data such as recording situation reports. The results of bivariate analysis on clean water facilities have a relationship with the incidence of tuberculosis, p value = 0.017, ventilation with p value = 0.016, house floor with p value = 0.002, residential density p = 0.001. There is a significant relationship between the variables of the physical condition of the house with the incidence of Tuberculosis Chi-Square test below 0.5%. Suggestions for this research is the need for counseling about the requirements of a healthy home and clean and healthy living behavior in tuberculosis patients, especially Pintu Padang Health Center, the patient's family to conduct an early examination of Tuberculosis so that the incidence of Tuberculosis can be minimized.
The Effect of Simplicia Leaves of Papaya (Carica Papaya L) on Adequacy of Breast Milk in Babies Aged 6 Months Batubara, Novita Sari; Rangkuti, Nur Aliyah; Siregar, Rya Anastasya; Suryani, Elvi; Siregar, Ratna Dewi; Harahap, Maryam Latifah
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 1 (2022): Agustus 2021-January 2022 (First Release)
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i1.3

Abstract

Adequacy of breast milk is the condition of the baby or mother showing several signs that indicate satisfaction in the production or consumption of breast milk. Infants aged 6 months, can be judged to have adequate breastfeeding, one of which is marked by the baby drinking breast milk every 2-3 hours or in 24 hours at least getting breast milk 8 times in the first 2-3 weeks. Papaya leaf simplicia can be one way to increase the rate of secretion and milk production and a strategy to overcome the failure of exclusive breastfeeding caused by low milk production. Based on this background, the researchers conducted a study on the effect of papaya leaf simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 6 months. This type of research is a quasi-experiment with a one-group pretest-posttest design. The results showed that there was an effect of Papaya Leaf Simplicia (Carica Papaya L.) on the adequacy of breast milk in infants aged 6 months (sig=0,000<α=0,05). This shows that consuming Papaya Leaf Simplicia (Carica Papaya L.) is proven to be effective in increasing the adequacy of breast milk.

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