cover
Contact Name
Rico Nur Ilham
Contact Email
radjapublika@gmail.com
Phone
+6281238426727
Journal Mail Official
radjapublika@gmail.com
Editorial Address
Jl. Cempaka Putih, Sp. Tiga Blang Rayeuk, Dsn. Angsana, Kelurahan Hagu Barat Laut, Kec. Banda Sakti, Lhokseumawe, Provinsi Aceh, 24315
Location
Kota lhokseumawe,
Aceh
INDONESIA
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation
ISSN : -     EISSN : 29867754     DOI : https://doi.org/10.59733/medalion
Core Subject : Health,
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
Articles 231 Documents
BREAKTHROUGH IMMUNOMODULATION THERAPY IN IDIOPATHIC PULMONARY FIBROSIS: A NARRATIVE LITERATURE REVIEW Amiruddin; Faridj Maulana Amir
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i4.250

Abstract

Background: Idiopathic pulmonary fibrosis (IPF) is a progressive lung disease with a poor prognosis. Several antifibrotics such as pirfenidone and nintedanib have been shown to slow the decline in lung function but cannot stop the ongoing or existing fibrosis process. Recent evidence suggests that immune dysregulation, including macrophage activation and PD-L1 expression on fibroblasts, plays a key role in the pathogenesis of IPF, thus encouraging the emergence of potential immunomodulation therapies. Methods: This paper attempts to review several English-language literature from 2015–2025 through PubMed, Scopus, and ClinicalTrials.gov. Articles relevant to immunotherapy, immunomodulators, or immune mechanisms in IPF were included, while non-scientific or non-immune-related publications were ignored. Results: A total of 15 primary publications were identified. Immunotherapy approaches such as PD-L1 inhibition, Treg activation, and IL-4/IL-13 blockade have shown antifibrotic and immunoregulatory effects. New agents such as the TNIK inhibitor (ISM001-055), the peptide LTI-03, and CAR-Treg therapy have shown promising early results in translational models and early-phase clinical trials. Conclusion: Immunotherapy has the potential to be a novel approach to IPF management by targeting the immune microenvironment. Further trials are needed to ensure safety and efficacy for long-term treatment.
FACTORS RELATED TO OCCUPATIONAL SAFETY AND HEALTH SYSTEMS AMONG COAL HANDLING WORKERS AT MEULABOH SEAPORT Dedek Kasmiyanda; Marniati; T. Alamsyah; Firman Firdaus Saputra; Zakiyuddin
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i4.254

Abstract

Coal loading and unloading workers at Meulaboh Seaport are at high risk of accidents and health problems due to dust exposure, heavy workloads, and unsafe working conditions. Although the Occupational Safety and Health (OSH) management program has been implemented, its execution remains low. Many workers are not disciplined in using Personal Protective Equipment (PPE), OSH training is not optimal, and supervision is still weak. This study aims to analyze the factors associated with the implementation of OSH management programs among loading and unloading workers at Meulaboh Seaport. The study used a quantitative method with a cross-sectional design and involved 32 respondents. Data analysis was conducted using univariate and bivariate techniques. The results showed a significant relationship between work discipline (p = 0.005), training (p = 0.010), supervision (p = 0.022), and OSH evaluation (p = 0.010) with the implementation of the OSH management program. It is recommended that the management of Meulaboh Seaport, as the company’s policy maker, continuously improve the existing OSH management system to ultimately enhance worker performance, which will bring both financial and non-financial benefits to the seaport. For workers, it is advised to prioritize occupational safety and health by complying with the established OSH management system.
THE RELATIONSHIP BETWEEN FAMILY HYGIENE PRACTICES AMONG FISHING HOUSEHOLDS AND STUNTING AMONG UNDER-FIVE CHILDREN IN PADANG SEURAHET VILLAGE Rupiana; Teungku Nih Farisni; Fakhrurradhi Luthfi; T. Alamsyah; Yulizar
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i4.255

Abstract

Stunting remains a major public health problem in Indonesia, particularly in coastal areas where family sanitation and hygiene conditions are inadequate. Padang Seuraheut Village, Johan Pahlawan Subdistrict, West Aceh, is a coastal area predominantly inhabited by fishing families with limited environmental sanitation, restricted access to clean water, and suboptimal hygiene practices. This study aimed to analyze the relationship between family hygiene practices and the incidence of stunting among under-five children in the village. This study employed a quantitative approach with a cross-sectional design and was conducted from August to December 2025. The study population comprised all children aged 12–59 months totaling 1,442, with a sample of 94 children selected using simple random sampling. Data on family hygiene practices were collected through mothers as respondents using questionnaires and observation checklists. Data were analyzed using the Chi-Square test. The results showed that all hygiene and sanitation variables were significantly associated with the incidence of stunting (p < 0.05). Poor handwashing practices with soap were strongly associated with stunting (100%), as were inadequate latrine conditions (75.0%), unhygienic food storage and preparation (76.6%), and improper waste and wastewater disposal (73.1%). These findings indicate that family hygiene practices and environmental sanitation play a substantial role in increasing the risk of stunting among under-five children. Improvements in sanitation facilities, family hygiene education, and community-based interventions in coastal areas should be prioritized as strategic measures for stunting prevention.
DETERMINANTS OF HOME ENVIRONMENTAL HEALTH RELATED TO PULMONARY TUBERCULOSIS SCORE IN THE WORKING AREA OF UPTD JOHAN PAHLAWAN PUBLIC HEALTH CENTER Cut Fidha Balkis; Mardi Fadillah; Ernawati; T.M Rafsanjani
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i4.256

Abstract

This study aims to analyze the relationship between determinants of home environmental health, including ventilation, lighting, residential density, temperature and humidity, and home sanitation with the incidence of Pulmonary Tuberculosis in the working area of the Johan Pahlawan Community Health Center (UPTD). The research method uses a quantitative approach with a correlational design. The study population is households that have family members with pulmonary TB based on the Puskesmas medical records, with a sample of 50 respondents determined using a purposive sampling technique . Data were collected through questionnaires and home observations, then analyzed using descriptive statistical tests, validity and reliability tests, classical assumption tests, and multiple linear regression analysis with the help of SPSS software version 26. The results of the study indicate that residential density has a positive and significant effect on the incidence of pulmonary TB, while home sanitation has a negative and significant effect on the incidence of pulmonary TB. Meanwhile, ventilation, lighting, and temperature and humidity do not show a statistically significant relationship with the incidence of pulmonary TB. The conclusion of this study confirms that residential density and home sanitation are the main determinants of the incidence of pulmonary TB, so that prevention efforts based on improving the home environment are needed to reduce the risk of pulmonary TB transmission in the community.
THE EFFECTIVENESS OF COMMUNICATION, INFORMATION, AND EDUCATION ON PARENTAL KNOWLEDGE OF PEDIATRIC RESPIRATORY INFECTION PATIENTS AT JOHAN PAHLAWAN HEALTH CENTER Ayu Mardhana Lisa
MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Vol. 6 No. 4 (2025): December
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v6i4.257

Abstract

Acute Upper Respiratory Infections (ARI) are among the leading infectious diseases contributing significantly to global morbidity and mortality, particularly among children under five years of age. Each year, an estimated four million deaths of children under five are attributed to ARI. Successful management of ARI can be improved when caregivers possess adequate knowledge about the disease and the correct use of medications. One approach to strengthening the role of caregivers is through the provision of Communication, Information, and Education (CIE). This study aimed to evaluate the effectiveness of CIE in improving the knowledge of caregivers of pediatric ARI patients at the Johan Pahlawan Community Health Center, West Aceh Regency. This study employed a quantitative approach with a pre-experimental design. The total sample consisted of 33 respondents, including parents or caregivers of pediatric ARI patients who visited the Johan Pahlawan Community Health Center. Data analysis was conducted using univariate analysis to describe the distribution of respondents’ knowledge levels and bivariate analysis using the Paired Sample t-test to assess the effectiveness of the CIE intervention. The results showed a p-value of 0.000 (p < 0.05), indicating a significant difference in knowledge levels before and after the CIE intervention. Therefore, it can be concluded that the provision of CIE is significantly effective in improving the knowledge of caregivers of pediatric ARI patients at the Johan Pahlawan Community Health Center, West Aceh Regency. Consequently, CIE should be implemented regularly and continuously as part of health promotion efforts to prevent and reduce the incidence of ARI among children.
THE RELATIONSHIP BETWEEN PERSONAL HYGIENE AND THE INCIDENCE OF PITYRASIS VERSICOLOR Fadila Putri, Maulina
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v7i1.270

Abstract

Pityriasis versicolor is a superficial fungal infection caused by Malassezia and is commonly found in tropical regions with high temperatures and humidity. Personal hygiene is known to be a factor that plays a role in the occurrence of this disease. This study aims to analyze the relationship between personal hygiene and the incidence of pityriasis versicolor based on the results of various studies that have been conducted. The method used is a literature review by examining scientific articles from various databases such as ProQuest, ScienceDirect, Scopus, PubMed, Cochrane Library, EBSCOhost, ClinicalKey, and Sage Publications. The results of the study showed that all analyzed studies stated a significant relationship between personal hygiene and the incidence of pityriasis versicolor. Individuals with poor personal hygiene have a higher risk of developing pityriasis versicolor compared to individuals who maintain good personal hygiene. Factors such as poor skin hygiene, increased moisture, sebum production, wearing inappropriate clothing, and an unhygienic environment play a role in increasing the growth of Malassezia . Thus, personal hygiene is a modifiable risk factor in the prevention of pityriasis versicolor. Efforts to improve clean and healthy living behavior are very important to reduce the incidence of this disease, especially in high-risk populations.
ANALYSIS OF PALLIATIVE NURSING CARE FOR POST-OP CRANIOTOMY A/I SPONTANEOUS INTRACEREBRAL HEMORRHAGE (ICH) PATIENTS WITH PAIN MANAGEMENT INTERVENTION IN THE ICU OF ROYAL PRIMA HOSPITAL MEDAN IN 2026 Cut Lianda Faradila; Idaman Kristiani Waruwu; Noniatri Ziliwu; Putri Nurul Izzah Andini; Seni Rofil Sandyani Mendrofa; Basri
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 2 (2026): June
Publisher : PT. Radja Intercontinental Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59733/medalion.v7i2.290

Abstract

Intracerebral Hemorrhage (ICH) is a critical neurological condition with a high mortality rate that often requires craniotomy and intensive care in the ICU. Post-craniotomy patients generally experience acute pain that can worsen neurological conditions if not optimally managed. This study aims to analyze palliative nursing care in post-op craniotomy patients due to spontaneous intracerebral hemorrhage with pain management interventions in the ICU of Royal Prima Medan Hospital in 2026. The study used a case study method with a nursing process approach. The study population was post-op craniotomy patients with ICH in the ICU, with a sample of one 56-year-old female patient. Data collection was carried out through observation, physical examination, family interviews, and medical record documentation. The pain assessment instrument used the Critical Care Pain Observation Tool (CPOT), while data analysis was conducted descriptively. The results showed a decrease in CPOT pain scores from 7 to 5 after the administration of pharmacological and non-pharmacological pain management interventions. Patients also showed more stable hemodynamic conditions and a reduced response to the ventilator. The conclusion of the study shows that palliative nursing care with a focus on pain management is effective in helping to increase comfort and support the stability of the condition of post-craniotomy patients with ICH in the ICU.
THE RELATIONSHIP OF HEALTH CONTENT ON TIKTOK ON HEALTHY LIVING BEHAVIORS AMONG YOUNG PEOPLE IN BIREUEN CITY Eka Lestari Sitepu; Anggi Pramono; Hernia Novianti
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

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

Abstract

The development of information technology is changing the information consumption patterns of the younger generation, withTikTok becoming the most popular short video platform in Indonesia, with 194.37 million users by 2025. Health content on TikTokhas the potential to influence healthy lifestyles post-COVID-19. The purpose of this study was to measure the relationship betweenhealth content on TikTok and healthy lifestyles among young people in Bireuen City. The research methodology used a cross-sectional study of 70 young people in Bireuen City. Chi-square analysis with a p-value <0.05 was used to determine the influence or significance of variables. The data analysis used SPSS 27.0. The results showed that the majority of respondents were female (58.6%),with 64.3% aged 21-25 years old, and 71.4% of respondents spent daily time using TikTok. Bivariate analysis found a significant relationship between gender and healthy lifestyle behaviors (p-value = 0.11), and a significant relationship between duration and healthy lifestyle behaviors (p-value = 0.003). TikTok content effectively increases health awareness through the FYP algorithm, especially among older adults and for longer durations. TikTok health content has a positive influence on healthy lifestyle behaviors, depending on digital literacy and content quality. Therefore, evidence-based educational strategies are needed to minimize risks.
ANALYSIS OF WORKLOAD AND NEEDS FOR HEALTH PERSONNEL IN PEUSANGAN SIBLAH KRUENG PUBLIC HEALTH CENTER, A REMOTE AREA OF BIREUEN DISTRICT USING THE WISN METHOD Machfud Azhari; Aris Winandar
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

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

Abstract

Peusangan Siblah Krueng Community Health Center is a community health center located in a remote area of Bireuen Regency, Aceh Province, with limited accessibility and a wide coverage area. This study aims to analyze the workload and calculate the need for health workers based on the Workload Indicator of Staffing Need (WISN) method. This study is a quantitative descriptive study with work sampling observations and in-depth interviews. The subjects were all health workers on duty (n=13). Available working time was calculated at 1,883 hours/year. The analysis results indicate a shortage of personnel in the positions of dentist (1 person), nurse (2 people), nutritionist (1 person), and pharmacist/TTK (1 person). The lowest WISN ratio was found in the nursing profession (0.54), indicating a significant workload exceeding the capacity of available personnel. The community health center needs to apply for additional personnel through the Nusantara Sehat mechanism and coordinate with the Bireuen Regency Health Office to meet the personnel standards according to Minister of Health Regulation Number 43 of 2019.
THE RELATIONSHIP BETWEEN PARENTING STYLES AND THE SOCIAL SKILLS OF PRESCHOOL CHILDREN AT RA AN-NUR, PESANGAN SIBLAH KRUENG DISTRICT, BIREUEN REGENCY Rika Mursyida; Fitri Hijri Khana; Siska Desta Roza
MEDALION Journal: Medical Research, Nursing, Health and Midwife Participation Vol. 7 No. 1 (2026): March
Publisher : PT. Radja Intercontinental Publishing

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

Abstract

Parenting patterns are everything that parents do to shape the behavior of their children, including all warnings and rules, teaching and planning, examples of affection as well as praise and punishment. Social skills are the ability of individuals to communicate effectively with others both verbally and non-verbally according to the situation and condition Which There is on moment That,Where skills is learned behavior. This study is a quantitative correlation study using a Cross Sectional design . to determine the relationship between parenting patterns and the social skills of preschool-aged children at RA-An-Nur, Peusangan Siblah Kreung District, Bireuen Regency. The number of respondents in this study was 64 people. This research was conducted at RA An-Nur Peusangan Siblah Krueng, Bireuen Regency. Data collection was carried out in July 2021. Variable measurement used univariate and bivariate analysis with the chi-square test . The results of this study indicate that out of 19 children with authoritarian parenting styles, 9 children (47.4%) have capable social skills. Of the 35 children with democratic parenting styles, 28 children (80.0%) have capable social skills. Of the 10 children with permissive parenting styles, 6 children (60.0%) have capable social skills with a ???? -value of 0.044.