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MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
Published by PT. RADJA INTERCONTINENTAL PUBLISHING
ISSN : -     EISSN : 29867754     DOI : https://doi.org/10.59733/medalion
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation | ISSN (e): 2986-7754 is a peer-reviewed, open access journal which publishes original research articles and review articles in all areas of nursing and midwifery, research and education. The aim of the journal is to contribute to the growing field of nursing practice and provide a platform for researchers, physicians and healthcare professionals. Topics of interest include: Nursing education Community nursing Specialist nursing topics Policies in nursing and healthcare Ethical issues Healthcare systems Healthcare management Pediatrics nursing
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 192 Documents
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THE IMPLEMENTATION OF AI CHATBOTS IN INDONESIAN PUBLIC HOSPITALS: OPPORTUNITIES AND CHALLENGES Evi Yanti; Ainol Mardhiah; Putri Tia Novita; Arista Ardilla; Fitri Hijri Khana
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 2 (2024): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i2.149

Abstract

This study investigates the use of AI chatbots in Indonesian public hospitals to enhance healthcare service. By leveraging Natural Language Processing (NLP) and Human-AI Interaction (HAI) theories, these chatbots streamline administrative tasks, alleviate patient overcrowding, and improve communication between patients and healthcare providers. The objective of this research is to find out how AI chatbots contribute to improving patient care and access to medical services in Indonesian public hospitals. A systematic review of articles published between 2020 and 2024 was conducted using the PRISMA framework, with a focus on the implementation of AI chatbots in Indonesian hospitals. The findings highlight successful applications in hospitals such as RSUD M. Yunus and Muhammadiyah Hospital Palembang, where chatbots effectively manage patient inquiries and reduce the workload of healthcare staff. Furthermore, chatbots have played a critical role during the COVID-19 pandemic by providing timely information to patients. Despite their advantages, challenges such as system integration and privacy concerns persist. This study offers valuable insights and proposes strategies to address these issues, emphasizing the potential of AI chatbots in improving healthcare efficiency and patient outcomes in Indonesian public hospitals.
ACCURACY OF POSTERIORANTERIOR THORACIC PHOTOGRAPHY IN DETERMINING CARDIOMEGALY AND CHAMBER ENLARGEMENT COMPARED TO ECHOCARDIOGRAPHY AT THE HAJI ADAM MALIK CENTRAL GENERAL HOSPITAL MEDAN YEAR 2023 Tri Widi Wibowo; Henny Maisara Sipahutar; Hilfan Ade Putra Lubis
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.150

Abstract

Background: The main modality for identifying cardiac chamber enlargement is echocardiography examination, but due to its limitations, posteroanterior (PA) chest X-ray is often used as an alternative method. Methods: This study is an observational study with a cross-sectional design conducted at Radiology Installation and Polyclinic of Integrated Heart Center of The Haji Adam Malik Central General Hospital in patients who came to cardiac polyclinic or emergency room of Integrated Heart Center of The Haji Adam Malik Central General Hospital and underwent posteroanterior chest X-ray and echocardiography who met the inclusion and exclusion criteria. Data were analyzed descriptively to determine the frequency distribution of each demographic variable and risk factor. In addition, the level of sensitivity, specificity, positive predictive value, negative predictive value, of PA chest X-ray to echocardiography in patients with heart problems was calculated. Results: The sensitivity of PA chest X-ray for LVH examination was 91.8% with a specificity of 84.6% and accuracy of 89%; for RVH examination was 90.9% with a specificity of 68.2% and accuracy of 85%; for LAH examination was 89.2% with a specificity of 74.3% and accuracy of 84%; and for RAH examination was 70.4% with a specificity of 86.3% and accuracy of 82%. Conclusion: PA chest X-ray examination showed good accuracy for identifying cardiomegaly and cardiac chamber enlargement, therefore can be used as an alternative method besides echocardiography examination.
RELATIONSHIP BETWEEN RISK FACTORS AND MODIC CHANGES TYPE ON MAGNETIC RESONANCE IMAGING OF LUMBAR VERTEBRAE IN LOW BACK PAIN PATIENTS AT H. ADAM MALIK HOSPITAL MEDAN Muhammad Rizky Ananda Hasibuan; Henny Maisara Sipahutar; Khairul Putra Surbakti
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.151

Abstract

Objective: AnalyzeThe relationship between risk factors and modic change type on MRI of the lumbar vertebrae in low back pain patients at the H. Adam Malik General Hospital, Medan. Method: Cross sectional research that connectsmodic change type with risk factors and patient characteristics based on lumbar MRI examination in 120 patients diagnosed withLow back pain in 2023 that meet the inclusion and exclusion criteria. Modic Change Type is assessed based on the changes in Magnetic Resonance Imaging signals proposed by modic et al. Results: Of the 120 patients, there were more female subjects (64.2%) than male subjects (35.8%) with an average age of 58.96 years (the youngest was 40 years old and the oldest was 82 years old). Most subjects showed modic change (93.3%) with the most common type being type II (81.3%) and the most common location being L5 and L4. Most subjects also had disc herniation (72.5%) and disc degeneration (84.2%). This study did not find any relationship between modic change and gender (p=0.455), age (p=0.663), work history (p=0.671), disc herniation (p=0.213) and disc degeneration (p=1.000) in low back pain patients. From this study, there was no relationship between modic change type and gender (p=0.868), age (p=0.285), work history (p=0.130), disc herniation (p=0.510) and disc degeneration (p=0.435) in low back pain patients. From this study, there was no relationship between modic change location (L1, L2, L3, L4, L5, S1) and modic change type in low back pain patients with p>0.05. Conclusion: There is no significant relationshipbetween Risk Factors for Modic Changes Type in Magnetic Resonance Imaging of the Lumbar Vertebra in Low Back Pain Patients at H. Adam Malik General Hospital, Medan.
SILENT STROKE, LOUD SYMPTOMS : ISOLATED APHASIA IN HYPERTENSIVE EMERGENCY-INDUCED TRANSIENT ISCHEMIC ATTACK Nona Suci Rahayu; Putri Irmayani; Ari Bandana Tasrif
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.157

Abstract

Aphasia is a neurological dysfunction that arises due to disturbances in the brain regions responsible for language processing. These areas are predominantly localized within the frontal cortex and the temporoparietal regions, which regulate both motor and sensory speech functions. Disruptions in these areas may result from ischemic conditions affecting the brain. Isolated cases of aphasia without other accompanying neurological deficits are rarely reported. This article presents a case study of a 66-year-old female patient with a history of chronic hypertension who presented to the emergency unit with a sudden onset of speech difficulties without any other neurological impairments. Initial examination revealed significantly elevated blood pressure at 220/110 mmHg, accompanied by severe headache. A diagnosis of Transient Ischemic Attack (TIA) was supported by clinical findings that resolved within 24 hours and imaging from a non-contrast head CT scan, which showed normal brain parenchyma. The primary focus of initial management was the restoration of cerebral blood flow through the administration of neuroprotective agents and antiplatelet therapy, aiming to optimize cerebral perfusion and achieve clinical recovery of aphasia. This case analysis highlights the importance of prompt and appropriate management in hypertensive emergencies, emphasizing the detection of clinical signs of TIA or complete stroke, even in localized neurological deficits without additional accompanying symptoms.
THE RELATIONSHIP BETWEEN AGE, EDUCATION, AND KNOWLEDGE LEVEL ON THE NUTRITIONAL STATUS OF PREGNANT WOMEN AT THE JOHAN PAHLAWAN PUSKESMAS WEST ACEH REGENCY Nurdanal Maulida; Safrida; M.Irfan Febriansyah; Suci Eka Putri
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.154

Abstract

Background: According to the World Health Organization (WHO), chronic energy deficit is associated with 40% of maternal mortality in underdeveloped nations. An assessment of pregnant women's nutritional health may be done through several methods, including the Upper Arm Circumference (UAC) test. If the UAC measurement comes out less than 23.5 cm, it indicates that pregnant women's nutritional status is inadequate. Pregnant women's nutritional health might be positively or negatively impacted by their mothers' knowledge of meal selection. Babies born to mothers who do not get enough nourishment may be born with a host of issues. Objective: to learn how the nutritional status of pregnant women at the Johan Pahlawan Puskesmas is affected by factors including age, education, and knowledge level. Methods: This type of research is an analytic survey with a cross-sectional approach. Data collection techniques are quantitative research. This research was conducted on 48 samples and was carried out from June 26 to July 4, 2024, on pregnant women at the Johan Pahlawan Puskesmas. The measuring instruments used were questionnaires and UAC test. The data analysis method used Spearman's rank correlation coefficient for the statistical test. Research Results: there is a relationship between age, education, and knowledge level to the nutritional status of pregnant women at Puskesmas Johan Pahlawan with a P-value age 0.014 < α ( 0.05), education with P-value 0.047 < α (0,05), knowledge with P-value 0.003 < α ( 0.05), respectively. Conclusion: there is a relationship between knowledge, age, education, and nutritional status in pregnant women in the work area of the Johan Pahlawan Puskesmas, West Aceh. Suggestion: It is expected that health services will provide health promotion activities for pregnant women in the work area of the Puskesmas and need to monitor the nutritional status of pregnant women every month, and it is necessary to identify other variables related to the nutritional status of pregnant women.
EFFECT OF ADDITIONAL SODIUM TRIPOLYPHOSPHATE (STPP) CONCENTRATION ON PRODUCT PHYSICAL AND SENSORY CHARACTERISTICS WET NOODLES FROM LUMI-LUMI FISH (Harpodon numerous) FORTIFIED WITH RED BEET EXTRACT Baida Lisma; Safrida; Sufyan Anwar; Sri Wahyuni Muhsin
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.152

Abstract

Commercial noodles are generally made from wheat flour and eggs without adding fish, fruit, and vegetable extracts. Adding fish and red beet extract can increase the nutritional content and antioxidants in the resulting noodle product. Adding Sodium Tripolyphosphate (STPP) can improve the desired noodle texture, namely chewy and elastic. This study aims to identify the effect of the concentration of STPP addition on the physical characteristics and sensory acceptability of Lumi-lumi wet noodles fortified with red beet extract. The study used a single factorial Completely Randomized Design (RAL) with four different STTP concentration treatments (F1: 0%, F2: 0.50%, F3: 0.75%, F4: 1% STPP) with a ratio of wheat flour, Lumi-lumi fish, and red beet extract, namely 80%: 20%: 8%. The observations were physical quality tests, including rehydration, cooking time, cooking loss, and elasticity of noodle. 60 untrained panelists carried out sensory tests. There was a significant effect (P <0.05) of the addition of STPP concentration on the physical quality of noodles. Treatment F1 showed the best rehydration noodle and cooking time, 80.93% and 2.98 minutes, respectively. The best cooking loss and elasticity were obtained in F4, which were 19.93% and 27.08 mm. Sensory results significantly affected color and taste parameters (P<0.05). Aroma and texture had no significant effect (P>0.05). The highest color acceptance was obtained in F3, followed by F2, respectively 3.97 (like) and 3.80 (like). The best taste parameter was received in F2, 3.83 (like). The highest aroma was obtained in F3, followed by F2, respectively, 3.80 (like) and 3.75 (like). The highest texture assessment was in F4, followed by F3 and F2, respectively, namely, 3.55 (slightly chewy), 3.53 (slightly chewy), and 3.40 (slightly chewy). Based on the research results, to produce Lumi-lumi wet noodles with the desired physical and sensory acceptability, an STPP concentration of 0.50% is recommended.
THE RELATIONSHIP BETWEEN THE LEVEL OF MATERNAL KNOWLEDGE ABOUT MP-ASI AND THE NUTRITIONAL STATUS OF BADUTA AT THE AGE OF 6-24 MONTHS IN THE WORKING AREA OF THE PADANG PANYANG HEALTH CENTRE, KUALA PESISIR DISTRICT, NAGAN RAYA REGENCY IN 2024. Nabila Oktaviani; Nasrianti Syam; Suci Eka Putri; Sri Wahyuni Muhsin
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 5 No. 4 (2024): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v5i4.153

Abstract

A 6-month-old baby requires complementary feeding (MP-ASI) to meet nutritional needs and support growth and development. The mother's knowledge of proper MP-ASI provision influences the baby's nutritional status, including types, composition, and feeding methods. The nutrition received will directly affect the baby's growth. This study aims to analyze the relationship between maternal knowledge of MP-ASI and the nutritional status of babies aged 6-24 months in the working area of Padang Panyang Health Center, Kuala Pesisir District, Nagan Raya Regency. This quantitative study uses an analytical observational method with a cross-sectional design and Purposive Sampling technique. Ninety-three mothers with children aged 6-24 months were selected as samples. Data was collected using a questionnaire to assess maternal knowledge and anthropometric measurements to evaluate nutritional status. The data were analyzed using the Chi-Square test, showing a significant result (p=0.006, p<0.05). The results showed that 55.9% of mothers had sufficient knowledge, 34.4% had poor knowledge, and 9.7% had good knowledge. Additionally, 80.6% of babies had normal nutritional status, while 19.4% had abnormal nutritional status, indicating a strong relationship between maternal knowledge and the nutritional status of babies. Mothers with a better understanding of MP-ASI provision tend to have children with better nutritional status.
ANALYSIS OF THE EFFECT OF PROTEIN SNACKS ON THE NUTRITIONAL STATUS OF ELEMENTARY SCHOOL STUDENTS IN WEST ACEH IN THE GENIUS PROGRAM IN 2023 Agustiarni; Itza Mulyani; Wardah Iskandar; Rinawati
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 1 (2025): March
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i1.161

Abstract

Student nutritional status is a crucial indicator of health and development, particularly regarding adequate nutrition. One effective intervention to enhance nutritional status is providing high-protein snacks. Indonesia's Genius Program aims to improve child nutrition through targeted interventions in select schools nationwide, including 17 schools in Aceh. Quantitative study analyzed the impact of high-protein snacks on student nutritional status in West Aceh elementary schools using secondary data from the 2023 Genius Program. Employing a quantitative design and Wilcoxon statistical analysis, 339 students were categorized into three nutritional status groups based on BMI-for-age z-scores: undernutrition, good nutrition, and overnutrition. Results showed that 14-day high-protein snack provision significantly improved student nutritional status, increasing good nutrition proportions and reducing undernutrition cases. The Genius Program in West Aceh elementary schools (2023) effectively enhanced student nutritional status by reducing undernutrition and increasing good nutrition proportions. Recommendations include extending program duration and expanding sample sizes for future research generalization.
RELATIONSHIP AND IMPACT OF SLEEP PATTERNS ON MENTAL, PHYSICAL HEALTH, RISK OF CHRONIC DISEASES Mayshila Mahmud; Atha Thazkira Nasution; Suhaila Nabila; Hafiza Isra; Darin Keysa Imtiyaz
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 1 (2025): March
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i1.164

Abstract

Healthy sleep patterns are an important component in maintaining physical, mental, and emotional health. Poor sleep patterns, such as insufficient sleep duration or irregular sleep, have been shown to have significant impacts on various aspects of health, including mental health, blood pressure, risk of chronic disease, and physical balance. This study used a literature study method to analyze various studies covering populations of adolescents, young adults, college students, and the elderly. The results of the analysis showed that poor sleep patterns in adolescents are associated with an increased risk of anxiety and depression. In college students, irregular sleep patterns affect gastrointestinal health and academic performance. Local research shows that lack of sleep contributes to increased blood pressure, while poor sleep patterns in the elderly population increase the risk of falls and fractures. In addition, research using wearable devices revealed that irregular sleep patterns increase the risk of obesity, hypertension, and mental health disorders.
MAINTAINING A HEALTHY LIFESTYLE AND AVOIDING DIABETES FROM AN EARLY AGE Adinda Rizkiah Nasution; Gishella Audia Sinaga; Jihan Fairuz; Hazel Raffif; Alfaridho Gandung Kurniwansyah
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 1 (2025): March
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i1.165

Abstract

This study aims to evaluate the risk factors for diabetes and identify preventive measures through a healthy lifestyle. Using epidemiological methods based on data from national surveys and literature studies, it was found that the prevalence of diabetes in Indonesia increased from 10.9% in 2018 to 11.7% in 2023. The results showed that poor diet, lack of physical activity, and obesity were the main factors. Implementation of a healthy diet, regular exercise, and regular health checks are recommended as preventive measures. These findings highlight the importance of public health education to reduce the prevalence of diabetes.

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