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Health and Technology Journal (HTECHJ)
Published by KHD Production
ISSN : 29865662     EISSN : 2985959X     DOI : https://doi.org/10.53713/htechj.v1i1
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public 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.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 607 Documents
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Health Impacts of Climate Change on Farmers in Agricultural Communities Enggal Hadi Kurniyawan; Alfid Tri Afandi; Kholid Rosyidi Muhammad Nur; Dicky Endrian Kurniawan; 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.
Enhancing Healthcare Service Quality through Integrated Islamic Excellence Training: A Digital and Non-Digital Communication Approach Pipit Wiliyanarti; Nanang Riono Wahyudi; Wison Pramu Asmiko; Herlin Ferliana
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.668

Abstract

Healthcare service quality relies heavily on effective communication and empathetic behavior alongside fundamental clinical competence. Islamic hospitals encounter unique challenges in integrating spiritual values into both face-to-face and digital patient interactions. This study aimed to enhance service excellence through an Integrated Islamic Service Excellence training program that addresses both digital and non-digital communication. Researchers utilized an adult learning framework with a pre-test and post-test evaluative design involving thirty frontline hospital personnel. The comprehensive intervention incorporated interactive lectures, simulation-based mentoring, and structured role-playing exercises. Training content seamlessly integrated standard 6S principles, core Islamic ethics, and Javanese local wisdom encapsulated by the Responsive, Respected, Treat, Spirit, and Embrace concepts. Quantitative evaluations revealed substantial improvements in participants' knowledge and professional attitudes following the intensive educational program. Mean post-test scores showed significant increases in service communication, patient empathy, and ethical conduct across both virtual and physical interactions. Observational data from practical simulations confirmed enhanced consistency in applying standardized service protocols during direct patient care. Participants demonstrated a marked ability to translate theoretical concepts into actionable workplace behaviors. The integrated training model effectively elevates healthcare personnel's competencies and fosters a deeply patient-centered service culture. This innovative framework offers a sustainable, replicable strategy for optimizing service quality across diverse Islamic and secular healthcare facilities globally.
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
Publisher : KHD Production

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
Publisher : KHD Production

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.
Biomechanical and Ergonomic Evaluation of Joint Position in Assistive Chopsticks During a Food-Pulling Task Kodai Kitagawa; Yuzuki Kudo; Tadateru Kurosawa
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.687

Abstract

Assistive chopsticks equipped with joint mechanisms effectively support individuals with limited hand function by facilitating grasping and food serving. However, their biomechanical impact on food-pulling, a fundamental preparatory eating action requiring sustained force and control, remains unclear. This study investigated the effects of joint position in assistive chopsticks on food-pulling performance and physical load. Ten healthy young males performed a standardized food-pulling task using their non-dominant hand to simulate reduced manual dexterity. Participants evaluated three chopstick conditions: conventional (unjointed), handle-joint, and top-joint. During the task, a simulated food item was pulled toward the participant while maximum pulling force, flexor digitorum superficialis muscle activity (via surface electromyography), and subjective comfort (via a visual analog scale) were quantitatively measured. Statistical analysis revealed no significant differences among the three conditions for maximum food-pulling force, normalized muscle activity, or subjective comfort. These findings indicate that variations in joint position do not adversely affect food-pulling performance or increase neuromuscular load. Although the participant sample was restricted to healthy young males, this study provides critical preliminary evidence that assistive chopsticks can be structurally optimized for specific grasping or serving tasks without compromising fundamental food manipulation. Ultimately, these results offer valuable design flexibility for the future development of ergonomic, task-specific assistive eating devices.
Leveraging Local Agricultural Commodities for Early Stunting Prevention: A Quasi-Experimental Trial of a Corn and Mung Bean Supplementary Flour in Rural Toddlers Ayu Dewi Nastiti Nastiti; R.A. Helda Puspitasari; Dwining Handayani; Esa Rosyida Umam; Nurul Fahmi Rizka Laily
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting in rural agricultural areas is exacerbated by inadequate nutrient intake and limited access to commercial supplements. This study evaluated the effectiveness of a locally formulated modified Modisco flour, comprising corn and mung beans, on body weight gain among toddlers at risk of stunting. A quasi-experimental pretest–posttest control-group design was employed, involving 36 at-risk toddlers in Pasuruan Regency, Indonesia, who were purposively allocated to intervention (n=18) and control (n=18) groups. The intervention group received daily modified Modisco flour supplementation for four weeks alongside standard nutritional care, whereas the control group received standard care only. Anthropometric data were analyzed using paired and independent t-tests. Following the four-week intervention, the intervention group exhibited a significant mean weight increase of 1.10 kg (from 9.10 ± 0.85 kg to 10.20 ± 0.92 kg; p = 0.001). The control group showed a marginal increase of 0.30 kg (from 9.20 ± 0.88 kg to 9.50 ± 0.90 kg; p = 0.041). The mean weight gain was significantly greater in the intervention group compared to the control group (p = 0.003). Supplementation with corn- and mung bean-based modified Modisco flour significantly enhances short-term weight gain in toddlers at risk of stunting. These findings underscore the viability of leveraging locally available agricultural commodities as a sustainable, community-based strategy for early stunting prevention in resource-constrained settings.
Environmental and Behavioral Determinants of Leptospirosis in an Endemic Tropical Region: A Case-Control Study in Indonesia Prihayati; Ari Widodo; Ismarina; Titin Nasiatin; Istiana
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.721

Abstract

Leptospirosis remains an escalating public health challenge in tropical endemic regions, necessitating a deeper understanding of its localized transmission dynamics. This study aimed to identify the specific individual and environmental risk factors significantly associated with leptospirosis incidence in Serang Regency, Indonesia. A quantitative case-control study was conducted involving 62 respondents, comprising 31 confirmed cases and 31 matched controls. Data were analyzed using bivariate Chi-square tests and multivariate logistic regression to determine significant associations and calculate precise odds ratios (OR) with 95% confidence intervals. Multivariate analysis revealed that the non-use of personal protective equipment (PPE) was the most dominant risk factor (p=0.026; OR=10.435), followed by poor handwashing habits (p=0.017; OR=4.444), inadequate house gutter conditions (p=0.032; OR=3.906), the presence of rat footprints (p=0.040; OR=3.385), and residing in flood-prone areas (p=0.040; OR=3.385). Conversely, the conditions of household clean water facilities and trash bins demonstrated no statistically significant association with disease incidence in this cohort. A synergistic interplay of micro-environmental hazards and modifiable behavioral deficits drives leptospirosis transmission in this region. Public health interventions must urgently prioritize targeted PPE distribution, rigorous peri-domestic rodent control, and community-level hygiene education to mitigate future outbreak risks effectively.
Development and Validation of Token Pedia: A Gamified Digital Mental Health Application for Adolescents in Islamic Boarding Schools Nadila Kusuma Wardani; Ahmad Guntur Alfianto; Wira Daramatasia
Health and Technology Journal (HTechJ) Vol. 4 No. 3 (2026): June 2026
Publisher : KHD Production

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53713/htechj.v4i3.722

Abstract

Adolescent mental health issues in Islamic boarding schools are escalating due to academic pressures, strict regulations, and pervasive stigmas. Conventional interventions remain insufficient, underscoring the need for accessible digital strategies. This study developed and evaluated "Token Pedia," a smartphone application integrating token economy psychotherapy, screening tools, psychoeducational modules, and gamification tailored for boarding school environments. A quantitative cross-sectional design was employed at an Islamic boarding school in Malang, Indonesia. Purposive sampling recruited 85 students aged 13–18 years. Participants completed a validated 20-item readability questionnaire assessing presentation, graphics, and integration. Content validity was analyzed using Aiken's V based on expert evaluations. User characteristics and readability metrics were evaluated using descriptive statistics and the Somers' D, Mann–Whitney, and Chi-square tests, with a significance level of p < 0.05. The application demonstrated exceptional readability among respondents. Linear regression analysis revealed no significant correlations between socio-demographic factors, including age, gender, length of stay, and psychiatric history, and application readability scores, indicating universal accessibility. Content validation utilizing Aiken’s V yielded high scores across all items, ranging from 0.826 to 0.915. These results classified the application as highly valid and culturally aligned with the target demographic. Token Pedia represents a valid, comprehensible, and culturally adaptive digital innovation. The application effectively enhances mental health literacy, mitigates social stigma, and fosters autonomous self-care and professional help-seeking behaviors among adolescents in religious educational settings.

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