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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 690 Documents
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The effectiveness of coping innovation interventions, reframing, and sleep hygiene in the adolescent aggregate of MTs Antasari Samarinda Dini Andani Hasanah; Jumratul Amalia; Reza Wira Sanjaya; M. Bachtiar Safrudin
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1952

Abstract

Adolescents are a vulnerable age group that often experience various mental health problems, such as stress, bullying, and sleep pattern disturbances influenced by academic demands, social pressure, and the use of digital technology. These conditions may trigger maladaptive coping, risky health behaviors, and decreased adaptive capacity among adolescents. Preliminary assessment at MTs Antasari Samarinda showed that some adolescents experienced moderate to high levels of stress, were at risk of bullying, and had sleep pattern disturbances with ineffective coping patterns. This study aims to analyze the effectiveness of innovative interventions involving coping strategies, reframing techniques, and sleep hygiene among adolescents at MTs Antasari Samarinda. The method used was a case study with a community nursing care approach that included assessment, diagnosis, planning, implementation, and evaluation. The assessment was conducted using several instruments, namely the Perceived Stress Scale (PSS-10), Bullying and Cyberbullying Scale for Adolescents (BCS-A), Brief-COPE, and Pittsburgh Sleep Quality Index (PSQI), along with interviews and observations. The interventions included training in problem-focused coping and emotion-focused coping, reframing techniques through structured counseling sessions, as well as education and implementation of sleep hygiene practices. The results showed an improvement in adolescents’ ability to manage emotions and solve problems adaptively, a reduction in bullying tendencies and negative thought patterns, and improved sleep quality after the intervention. These findings indicate that innovative coping, reframing, and sleep hygiene interventions are effective in improving adolescents’ mental health and adaptive behaviors, as well as supporting community nursing care practices in the school environment.
Effectiveness of Neem Leaves (Azadirachta indica) on Traumatic Ulcer Healing: A Literature Review Atha Syakirah; Talitha Edra Clayrine Siregar; Sutansyah Rakha Putra; Zalwa Nahrisya Askya; Mulya Duratun Nasha; Hafidhatun Annisa; Muhammad Ryan Triawan; Viona Diansari
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1970

Abstract

Traumatic ulcer is the most common oral mucosal lesion encountered in dental practice, caused by mechanical, thermal, or chemical trauma. This condition causes significant pain and can impair patient quality of life. Neem leaves (Azadirachta indica) have long been used in traditional medicine as anti-inflammatory, antibacterial, and wound-healing agents. This literature review aims to examine scientific evidence on the effectiveness of neem leaves in healing traumatic ulcers through their pharmacological mechanisms. Literature searches were conducted through PubMed, Google Scholar, and Science Direct databases with keywords related to neem leaves, Azadirachta indica, traumatic ulcer, and oral mucosal wound healing. Articles meeting the inclusion criteria were critically reviewed. Active compounds in neem leaves including nimbin, nimbidin, azadirachtin, quercetin, and tannins have been proven to possess anti-inflammatory activity by inhibiting COX-2 and NF-κB pathways, as well as antibacterial activity against oral pathogenic bacteria. These compounds also accelerate fibroblast proliferation and collagen synthesis crucial in wound healing. Neem leaves have significant potential as a therapeutic agent in healing traumatic ulcers based on pharmacological evidence and preclinical studies. However, further randomized controlled clinical trials are needed to strengthen their clinical use
Systematic Literature Review : Potential of Kirinyuh Leaves ( Chromolaena Odorata ) As A Wound Treatment Azka Fariz Hidayat; Miftahul Khaira; Dira Sabrina Putri; Diva Rayana; Cut Nadzifa Thahira; Fathia Maulina; Nazwa Ardila; Diana Setya Ningsih
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1971

Abstract

A wound is damage to body tissue that can occur due to cuts, impacts, heat, infection, or chemicals. Wounds that are not properly treated can cause infection, inflammation, bleeding, and disruption of new tissue formation. One plant that has been widely studied is the kirinyuh leaf (Chromolaena odorata). This study used the Systematic Literature Review (SLR) method. Articles were searched through Google Scholar, PubMed, ScienceDirect, Semantic Scholar, Garuda, and Crossref for the period 2017-2025. The article selection process used the PRISMA flow through the stages of identification, screening, eligibility, and inclusion. The initial search results obtained 186 articles. After removing duplicate articles, screening titles and abstracts, and full-text examination, 41 final articles were obtained that met the analysis requirements. The articles analyzed consisted of laboratory experimental studies, in vivo, in vitro, literature reviews, systematic reviews, phytochemical analysis, and GC-MS or UPLC-MS analysis. The results showed that flavonoids were the compounds most frequently found in kirinyuh leaves and were most associated with accelerated wound healing. Kirinyuh leaves have been shown to accelerate wound closure, increase collagen formation, increase angiogenesis, repair fibroblasts, and inhibit the growth of bacteria such as Staphylococcus aureus, Escherichia coli, Salmonella typhi, MRSA, and ESBL. Burn wound research shows that N-hexane extract of kirinyuh leaves at a concentration of 30% provides a healing rate of 79% on the 21st day. Another study showed that a serum combination of kirinyuh essential oil and curcumin provides healing of diabetic wounds by 68.068%. The most commonly used dosage forms are gels, ointments, creams, serums, sprays, essential oils, and topical extracts.
Analysis of Community Knowledge, Attitudes, and Experiences toward Preparedness for Initial Emergency Response in Karya Murni Village, Paguyaman District, Boalemo Regency Ibrahim Suleman; Dewi Suryaningsi Hiola
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1978

Abstract

Emergency conditions can occur suddenly in the community and require prompt and appropriate initial management before victims receive assistance from health professionals. Community preparedness is influenced by knowledge, attitudes, and experience in dealing with emergency conditions. This study aimed to analyze the relationship between community knowledge, attitudes, and experience and preparedness for initial emergency response in Karya Murni Village, Paguyaman District, Boalemo Regency. This study used a quantitative method with a correlational analytic design and a cross-sectional approach. The sample consisted of 50 respondents selected using purposive sampling. Data were collected using a questionnaire and analyzed through univariate and bivariate analyses using the Chi-square test. The results showed that most respondents had moderate knowledge (40.0%), positive attitudes (62.0%), no experience in dealing with emergencies (56.0%), and were categorized as prepared (56.0%). The statistical test results showed that knowledge, attitudes, and experience were associated with community preparedness for initial emergency response. The most dominant factor associated with preparedness was attitude. This study concludes that community preparedness for initial emergency response is associated with knowledge, attitudes, and experience. Therefore, health education, first-aid training, Basic Life Support simulations, and community empowerment are needed to improve community readiness to provide an initial response in emergency conditions.
Exploring Pregnant Women's Experiences with RNN-Based Chatbot for Reproductive Health Education at Primary Health Centers: A Qualitative Phenomenological Study Rahmat Rizki Siregar; Azhari Umar Siregar; Seri Astuti Hasibuan; Nurkholidah Nurkholidah; Desi Meliana Gultom; Evi Erianty Hasibuan
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1194

Abstract

Background: Inadequate reproductive health knowledge among pregnant women contributes to high maternal morbidity in Indonesia. Digital health promotion, particularly through recurrent neural network (RNN)-based chatbots, offers accessible and personalized health education. However, qualitative evidence on how such chatbots shape knowledge and experience remains scarce. Objective: This study aimed to explore pregnant women's experiences in acquiring reproductive health knowledge through RNN-based chatbot health promotion media at primary health centers, focusing on the depth and meaning of perceived knowledge change. Methods: A qualitative study with an interpretive phenomenological approach was conducted involving 24 pregnant women from two Puskesmas in Padangsidimpuan, Indonesia. Participants used the "Bunda Cerdas" chatbot based on LSTM architecture for two weeks. Data were collected through semi-structured in-depth interviews and analyzed using Braun and Clarke's thematic analysis. Trustworthiness was ensured through triangulation and member checking. Results: Six main themes emerged: (1) integrated thematic understanding, (2) convenient access to trusted information, (3) engaging and human-like interaction, (4) empowerment in health decision-making, (5) transformative knowledge retention, and (6) technical-social barriers. Participants reported a shift from fragmented to comprehensive knowledge, particularly in recognizing danger signs, nutritional needs, and birth preparedness. The conversational memory and contextual replies of the RNN chatbot fostered a sense of reliable companionship. Conclusion: RNN-based chatbot media substantively enriched pregnant women's reproductive health knowledge through personalized, dialogic learning. Its integration into primary care services can complement standard antenatal education, addressing knowledge gaps while respecting local cultural context. Further mixed-methods research is recommended to quantify outcomes and ensure sustainable implementation.
Challenges and Opportunities for Innovation in Implementing Electronic Medical Record (EMR) at Indonesia First-level Army Health Facilities Anna Triwijayati; Dea Amelia Aditya Winata; Seno Aji Wahyono
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1902

Abstract

This study aims to explore the challenges, efficiency, and innovation opportunities with the implementation of Electronic Medical Records (EMR) at Indonesia first-level army health facilities specifically Air Defense Artillery Center Clinic (Pusdikarhanud). This research adopted a qualitative approach using a case study method through semi-structured interviews with nine informants, consisting of seven clinic staff and two patients. In addition, participatory observation allowed the researcher to comprehend the subjective meanings behind individual actions and social interactions in the context of EMR usage. The findings indicate that the EMR implementation at the Pusdikarhanud Clinic faced several challenges related to technology infrastructure, staff training, data security and privacy, as well as integration with other systems. However, EMR implementation also brings efficiencies in coordination and collaboration among service units, clinic operations, and the enhancement of healthcare service quality. Furthermore, various innovation opportunities are identified, such as improving technology infrastructure, developing additional features in EMR, and integrating with other healthcare service systems. Theoretical implications of this study are the importance of systems-based approaches in health management and the potential of EMR as a tool to enhance efficiency and healthcare service quality. The practical implications include recommendations for the Pusdikarhanud Clinic to improve technology infrastructure, staff training, data security, and system integration, as well as policy recommendations for the government in standardizing EMR implementation, providing financial support, and developing technology infrastructure. Therefore, this study provides valuable insights for healthcare practitioners, policymakers, and researchers in understanding the challenges and opportunities of EMR implementation in health management transformation.
The Role of Active Compounds in Green Betel Leaf (Piper betle L.)as Antibacterial Agents in the Prevention of Dental Caries: A Literature Review Mutia Soraya; Dinda Khairunasiah Firza; Melanie Amelia Kartika; Sayyidatul Muna; Tsaania Zulkasri; Dhea khairunnisa; Octa Dhea Indraswari; Subhaini
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1967

Abstract

Dental caries remains one of the most prevalent oral health problems and is primarily associated with cariogenic bacteria, particularly Streptococcus mutans. Although chlorhexidine is considered the gold standard antibacterial agent, its potential side effects have encouraged the exploration of safer natural alternatives. This literature review aimed to analyze the role of active compounds in green betel leaf (Piper betle L.) as antibacterial agents in the prevention of dental caries. Literature was collected from electronic databases including Google Scholar, PubMed, ScienceDirect, Elsevier, and NCBI, with seven selected studies meeting the inclusion criteria. The findings showed that green betel leaf contains several bioactive compounds, including phenols, flavonoids, eugenol, hydroxychavicol, and allylpyrocatechol, which exhibit antibacterial activity through inhibition of bacterial growth, disruption of cell membranes, suppression of biofilm formation, and interference with bacterial cell wall synthesis. Green betel leaf also demonstrated effectiveness against other oral pathogens associated with caries. Although its antibacterial efficacy remains lower than chlorhexidine, green betel leaf shows strong potential as a natural and biocompatible alternative for dental caries prevention
The Effect of Pelvic Rocking with a Birth Ball on the Progress of Labor During the Active Phase of the First Stage of Labor Nining Sulistyowati; Ani Mulyandari
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1976

Abstract

Prolonged labor can lead to increased morbidity and mortality rates in both mothers and infants. Therefore, measures must be taken to prevent prolonged labor, one of which is the use of the nonpharmacological “Pelvic Rocking” technique with a birth ball, which can facilitate labor progress and accelerate the process. This study aims to analyze the effects of pelvic rocking using a birth ball on labor progression during the active phase of the first stage of labor. The method applied in this study is a quasi-experimental design with a posttest-only control group. The study population consisted of all mothers in labor at the TPMB in Tanjungpinang City, with a sample size of 34 mothers in the active phase of the first stage of labor, divided into two groups (intervention and control). Consecutive sampling was used, while data analysis was performed using the Mann-Whitney U test. The findings of this study indicate that the pelvic rocking method using a birth ball did not have a significant effect on the progress of labor during the active phase of the first stage of labor, with a p-value of 0.086 (>0.05). Based on these results, it can be concluded that the pelvic rocking method using a birth ball can serve as an effective strategy to accelerate the labor process, provided that supporting factors are taken into account.
Analysis of the Relationship between Hemodynamic Status, Age, and Body Mass Index on Postural Balance in Patients with a History of Chronic Disease Ni Luh Ayu Putu Indah Yulantari; I Ketut Arya Yoga Krismantara; Aryaning Dwi Antyesti; I Gusti Putu Martha Kusuma
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.1990

Abstract

Background: Postural balance is a crucial motor component in maintaining functional stability. A decline in postural control performance significantly increases the risk of falls, particularly among populations with chronic comorbidities and degenerative conditions.Objective: This study aims to analyze the functional health profile and examine the correlation between hemodynamic status, age, and Body Mass Index (BMI) toward postural balance performance in patients with a history of chronic diseases.Methods: This quantitative study used a cross-sectional design utilizing secondary data from a community health screening initiative (n = 13). Parameters evaluated included demographic characteristics (age and sex), hemodynamic status (systolic/diastolic blood pressure and heart rate), anthropometry (BMI), and functional postural balance score (P. Balance). Data were analyzed using descriptive statistics and Pearson correlation coefficients (r) via Python programming. Results: The majority of respondents were female (92.3%) with a mean age of 53.15 \pm 13.02 years old. The average functional balance score of the subjects was 2.23 \pm 0.60. Correlation analysis revealed that Systolic Blood Pressure (SBP) demonstrated the strongest moderate negative correlation with functional balance performance (r = -0.45). Conversely, age (r = -0.16) and BMI (r = 0.11) exhibited weak correlations with the subjects' postural stability.Conclusion: Hemodynamic status, particularly systolic blood pressure, carries a more substantial functional relationship with postural control stability compared to age and anthropometric factors among populations with chronic comorbidities. Future community health interventions are recommended to prioritize hypertension management combined with targeted balance strategy training.
Airway Obstruction: A Comprehensive Literature Review on Etiology, Pathophysiology, and Clinical Management Diska Aprisa Lestari; Rika Yolanda Putri; Baiq Rizqika; Muhammad Sultan
International Journal of Public Health Excellence (IJPHE) Vol. 6 No. 1 (2026): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v6i1.2000

Abstract

Airway obstruction represents a critical medical condition characterized by narrowing or complete blockage of the respiratory passages, leading to impaired ventilation and potentially life-threatening complications. This comprehensive literature review examines the multifaceted aspects of airway obstruction, encompassing its definition, classification, epidemiology, pathophysiology, clinical manifestations, diagnostic approaches, and management strategies. Airway obstruction can be categorized based on duration (acute vs. chronic), anatomical location (upper vs. lower respiratory tract), and severity (partial vs. complete obstruction). The global burden of this condition is substantial, with chronic obstructive pulmonary disease (COPD) affecting approximately 391.9 million individuals worldwide, asthma impacting 262 million people, and acute lower respiratory infections contributing significantly to morbidity and mortality, particularly in pediatric populations. The pathophysiology involves complex interactions between anatomical factors, inflammatory responses, smooth muscle dysfunction, and structural remodeling. Clinical presentation varies according to obstruction location and severity, ranging from wheezing and stridor to respiratory failure and cardiac arrest. Diagnostic evaluation requires systematic physical examination, careful history taking, and appropriate imaging modalities including radiography, CT scanning, MRI, and bronchoscopy. Management strategies encompass both pharmacological interventions (bronchodilators, corticosteroids, epinephrine, antibiotics) and non-pharmacological approaches (chest physiotherapy, breathing exercises, positional therapy). Early recognition and prompt intervention remain paramount in preventing fatal complications. This review synthesizes current evidence to provide a comprehensive understanding of airway obstruction, emphasizing the importance of timely diagnosis and individualized management approaches

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