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INDONESIA
Health and Technology Journal (HTECHJ)
Published by KHD Production
ISSN : 29865662     EISSN : 2985959X     DOI : https://doi.org/10.53713/htechj.v1i1
Core Subject : Health,
Health and Technology Journal (HTECHJ) is peer-reviewed and open access international journal which published by KHD Production, to accommodate researchers and health practitioners publishing their scientific articles. NHSJ accepts original papers, review articles, short communications, case reports and letters to the editor in the fields of nursing, midwifery, public health, pharmacy, medicine, nutrition, and allied health sciences.
Articles 296 Documents
Determinants of Oral Complications Among Diabetes Mellitus Patients at Industri Health Center Puspani, Desak Ketut Mahayati Tri; Wahyuningsih, Atik Setiawan; Astutik, Reni Yuli
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.635

Abstract

Diabetes mellitus (DM) increases patients’ susceptibility to various oral complications, including dental caries, periodontal disease, xerostomia, and oral candidiasis. This study aimed to examine the influence of demographic, clinical, behavioral, and oral health knowledge factors on the occurrence of oral complications among patients with DM, and to assess the potential mediating role of the Oral Hygiene Index-Simplified (OHI-S). An analytical observational study with a cross-sectional design was conducted involving 90 patients with DM selected through purposive sampling. Data analysis included Chi-square tests to assess bivariate associations (X→Y), Ordinary Least Squares (OLS) regression to evaluate the effects of independent variables on OHI-S scores (X→M), multivariate logistic regression to examine the association between OHI-S and oral complications (M→Y), and mediation analysis using OLS regression pathways. Most participants presented with moderate oral complications (54.44%), followed by mild (26.67%) and severe (18.89%) categories. Bivariate analysis revealed significant associations between oral health knowledge (χ² = 43.445; p < 0.001) and type of DM (χ² = 7.282; p = 0.026) with oral complications. OLS regression demonstrated that only oral health knowledge significantly influenced OHI-S scores (β = −0.392; p < 0.001). However, multivariate logistic regression indicated that OHI-S was not a significant predictor of oral complications (β = 0.0139; p = 0.957; OR = 1.014; 95% CI: 0.61–1.68). Furthermore, mediation analysis showed no significant indirect effects (all p > 0.95), indicating that OHI-S did not mediate the relationship between the studied determinants and oral complications. Oral complications among patients with DM in primary healthcare settings are multifactorial. While oral health knowledge and DM type were significant determinants at the bivariate level, OHI-S did not function as a significant predictor or mediator in the multivariate model.
Health Impacts of Climate Change on Farmers in Agricultural Communities Kurniyawan, Enggal Hadi; Afandi, Alfid Tri; Nur, Kholid Rosyidi Muhammad; Kurniawan, Dicky Endrian; Sa Sa Aung; Madiha Mukhtar
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.665

Abstract

Climate change increasingly affects agricultural systems and the health of farmers who depend directly on environmental conditions. This study aimed to systematically review recent evidence on the impacts of climate change on farmers’ health and its implications for agronursing. A systematic review was conducted following the PRISMA 2020 guidelines using three databases: Scopus, PubMed, and ProQuest. Articles published between 2025 and 2026 that met predefined inclusion criteria were selected, and their methodological quality was assessed using the Joanna Briggs Institute critical appraisal tools. The search identified 6,262 records, and 10 studies met the eligibility criteria for final analysis. The findings indicate that climate change affects farmers’ health through multiple pathways, including heat stress, food insecurity, environmental exposure, and psychological distress. Several studies also highlight the importance of knowledge, coping strategies, and community adaptation in improving farmers’ resilience. Climate change poses significant challenges to farmers' health. Agronursing plays an important role in promoting occupational and mental health, and in supporting community-based adaptation strategies to improve the well-being of farming communities.
Global Trends and Research Dynamics of Community-Based Health Literacy Ahmadi Ahmadi; Mei Lestari Ika Widyyati
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.669

Abstract

Community-based health literacy has emerged as a critical determinant of public health outcomes, particularly amid global health crises and the rapid evolution of the digital information landscape. Despite a growing body of literature, the intellectual structure, thematic evolution, and patterns of scientific collaboration in this field remain insufficiently systematized. This study aims to analyze global trends, themes, collaboration patterns, and scientific impact of community-based health literacy research from 2007 to 2026 using a bibliometric approach. This study employs a bibliometric analysis of 173 articles indexed in the Scopus database from 2007 to 2026. Articles were selected through title and abstract screening based on predefined inclusion criteria. Data analysis was conducted using Microsoft Excel for descriptive statistics, VOSviewer for mapping collaboration networks and keyword co-occurrence, and Biblioshiny for assessing publication trends and citation metrics. The findings reveal a marked acceleration in publication output after 2020, with a peak in 2025. Geographically, research production is highly concentrated in China and the United States, both of which also occupy central positions within global collaboration networks. Thematic analysis indicates a predominance of quantitative, survey-based methodologies, with the COVID-19 pandemic acting as a major driver of research activity. Temporal trends demonstrate a gradual shift from crisis-oriented studies toward digital health communication and information dissemination, although methodological approaches remain relatively unchanged. Community-based health literacy research is undergoing rapid expansion and increasing thematic diversification; however, it remains characterized by geographic concentration and limited methodological innovation. Future research should prioritize more inclusive international collaboration and the development of longitudinal and interventional study designs to enhance conceptual maturity and global applicability in this field.
Analysis of Midwife Performance, Family Support, and Health Facilities on Antenatal Care Visits Sulistina Dewiyanti; Yenny Puspitasari; Prima Dewi Kusumawati
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.671

Abstract

Antenatal care (ANC) utilization is a key indicator of maternal health outcomes; however, coverage remains suboptimal, with many pregnant women failing to meet recommended visit standards. This study aimed to examine the influence of midwives' performance, family support, and the availability of health facilities on compliance with ANC visits among pregnant women. A quantitative, observational, cross-sectional study was conducted involving 147 pregnant women selected by simple random sampling. Data were obtained from medical records and structured questionnaires and analyzed using univariate, bivariate (chi-square test), and multivariate (logistic regression) techniques. The results demonstrated that midwives' performance was significantly associated with ANC visit completeness (χ² = 228.766; p < 0.001). Similarly, family support (χ²=208.597; p<0.001) and the availability of health facilities (χ²=164.881; p<0.001) were significantly associated with ANC compliance. Multivariate analysis confirmed that these factors were significant predictors of ANC utilization. midwives' performance, family support, and the availability of health facilities all play critical roles in improving compliance with ANC visits. Strengthening healthcare provider performance, enhancing family involvement, and ensuring adequate health service infrastructure are essential strategies to increase ANC coverage and improve maternal health outcomes.
Management of Gingival Curettage in Stage II Grade A Localized Periodontitis Patients Nanda Alfarosus Salsabil; Peni Pujiastuti
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.673

Abstract

Periodontitis is a chronic inflammatory disease affecting the supporting structures of the teeth, primarily caused by pathogenic microorganisms. It is characterized by periodontal pocket formation, bleeding on probing (BOP), and clinical attachment loss. This case report describes the comprehensive management of periodontitis, with a focus on gingival curettage as an adjunctive procedure. A 31-year-old female patient presented with complaints of dental plaque accumulation, bleeding gums during tooth brushing, and tooth mobility. The Oral Hygiene Index-Simplified (OHI-S) score was 4.4, indicating poor oral hygiene. Clinical examination revealed erythematous gingiva with a BOP score of 29.2% and probing depths of 4 mm on the labial surfaces of teeth 12, 32, 31, 41, and 42. Grade II mobility was observed in teeth 32, 31, 41, and 42. Radiographic findings showed horizontal bone loss in the coronal third of tooth 12 and vertical bone resorption in teeth 32, 31, 41, and 42. Initial periodontal therapy included oral hygiene instruction and scaling and root planing. At one-week follow-up, persistent periodontal pockets and mobility were noted; therefore, splinting was performed, followed by gingival curettage one week later. The intervention resulted in a reduction in periodontal pocket depth and improvement in clinical parameters. This case highlights the effectiveness of gingival curettage as an adjunct to non-surgical and supportive periodontal therapy in managing moderate periodontitis.
Prevention and Clinical Management of Periodontal Health in Pregnancy Depi Praharani; Melok Aris Wahyukundari; Neira Najatus Sakinah; Desi Sandra Sari; Peni Pujiastuti; Yuliana Mahdiyah Da'at Arina
Health and Technology Journal (HTechJ) Vol. 4 No. 2 (2026): April 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i2.677

Abstract

Pregnancy induces significant hormonal and immunological changes that increase susceptibility to gingival inflammation and may exacerbate existing periodontal conditions. Emerging evidence also suggests a potential association between periodontal disease and adverse pregnancy outcomes, including preterm birth and low birth weight. This review aims to synthesize current evidence on the pathophysiology of periodontal disease during pregnancy, its potential link to adverse pregnancy outcomes, and approaches to prevention and clinical management. A comprehensive literature search was conducted using PubMed, Scopus, and ScienceDirect for studies published between 2014 and 2025. The search strategy incorporated terms related to pregnancy, periodontal disease, periodontal therapy, and adverse pregnancy outcomes. Eligible studies included systematic reviews, meta-analyses, randomized controlled trials, and high-quality cohort studies published in English. Physiological increases in estrogen and progesterone during pregnancy enhance vascular permeability and modulate immune responses, thereby amplifying gingival inflammation even in the presence of minimal plaque accumulation. Furthermore, the translocation of periodontal pathogens and pro-inflammatory mediators—such as interleukin-1β (IL-1β), tumor necrosis factor-alpha (TNF-α), and prostaglandin E2 (PGE2)—into the systemic circulation and placental tissues provides biological plausibility for adverse pregnancy outcomes. Non-surgical periodontal therapy, particularly scaling and root planing (SRP), has been shown to improve maternal periodontal health and is considered safe, especially during the second trimester. However, its impact on pregnancy outcomes remains inconclusive due to heterogeneity among studies. Preventive strategies, including oral hygiene promotion and routine periodontal care, are consistently supported as effective and essential. Although a definitive causal relationship between periodontal disease and adverse pregnancy outcomes has not been established, maintaining periodontal health during pregnancy represents a safe and evidence-based component of comprehensive prenatal care. Future well-designed studies are needed to determine the optimal timing of interventions and the long-term maternal and fetal benefits.