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Medical and Health Journal
Published by Universitas Jenderal Soedirman
ISSN : -     EISSN : 28073541     DOI : https://doi.org/10.20884/1.mhj.2023.2.2.8053
Core Subject : Health,
Medicine & Pharmacology
Medical and Health Journal (EISSN. 2807-3541) is containing various articles/ manuscripts in the forms of research article, systematic reviews, case reports in the field of medicine focusing on basic medicine, clinical medicine, biomedical sciences, medical biotechnology, and public health. This journal is published by Universitas Jenderal Soedirman, Purwokerto, Indonesia.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 124 Documents
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The Relationship of Knowledge of Prepuberty Adolescent Girls and Readiness for Menarche Svetlanikova, Svetlanikova; Mohamad, Rini Wahyuni; Hafid, Ridha
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14878

Abstract

Menarche is the first menstruation which usually occurs between the ages of ten and sixteen years or at the beginning of adolescence in the middle of puberty before entering the reproductive period. The aim of this research was to determine the relationship between prepubertal adolescent girls' knowledge and readiness to face menarche at SDN 7 Tabongo, Gorontalo Regency. The research method uses quantitative research using an analytical research design with a crosssectional approach. The population in this study were all prepubertal teenage girls in grades IV, V, and VI at SDN 7 Tabongo, Gorontalo Regency who had not experienced menstruation. Sampling in this research used a total sampling technique. The number of samples used was 41 samples. The results of the research using the chi-square test obtained a p-value of 0.000 (<0.05), meaning that there is a relationship between knowledge and readiness for menarche in young women at SDN 7 Tabongo, Gorontalo Regency. Where good knowledge can certainly increase readiness in facing menarche. It is hoped that this research can provide input for nurse practitioners in providing education about readiness for menarche.
Mothers’ Knowledge on Motor Development Stimulation in Toddlers at Puskesmas Kota Utara Djafar, Oktaviani; Mohamad, Rini Wahyuni; Rahma, Sitti
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14885

Abstract

Toddler age is considered part of the golden age, a crucial period for achieving optimal intellectual growth and development. During this stage, the rate of physical growth begins to slow, while motor development progresses significantly. Parental knowledge regarding developmental stimulation can influence the effectiveness of such stimulation. The purpose of this study was to describe mothers’ knowledge of motor development stimulation in toddler-aged children within the working area of Puskesmas Kota Utara. This research employed a quantitative method with a descriptive research design. The study population consisted of mothers with toddler-aged children. A total of 115 respondents were selected using a total sampling technique. The results showed that 73 respondents (63.5%) had a low level of knowledge, while 42 respondents (36.5%) demonstrated a good level of knowledge regarding motor development stimulation. It can be concluded that most mothers had limited knowledge, indicating the need for health professionals at the Public Health Center to provide health promotion interventions through educational activities aimed at improving maternal understanding of motor development stimulation.
Gender Differences in Scabies Risk Factors at Darul ‘Ulum Islamic Boarding School, Cilacap Aulia, Fadhila Shufi; Putranti, Ismiralda Oke; Susiawan, Lieza Dwianasari
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14920

Abstract

Background: The global prevalence of scabies remains high, with approximately 300 million cases reported annually. Despite educational and behavioral interventions implemented in Islamic boarding schools, case reduction has been insignificant. Gender-related risk factors for scabies require further investigation. Objective: This study aimed to determine the differences in scabies risk factors between males and females at A.P.I Darul ‘Ulum Islamic Boarding School, Cilacap. Methods: An observational analytic study with a cross-sectional approach was conducted on 37 students selected through total sampling from February to March 2024. Data were collected using questionnaires and physical examinations and analyzed using Fisher's exact test. Results: Scabies was identified in 10.8% of the respondents (4 out of 37), all of whom were males. Most respondents exhibited poor personal hygiene (73.0%) and normal nutritional status (56.8%). Significant differences were found in scabies incidence based on gender (p=0.036), knowledge level (p<0.001), and nutritional status (p=0.003). However, personal hygiene did not show a significant correlation with scabies incidence (p=0.557). Male respondents with underweight nutritional status and low knowledge levels had a higher risk of scabies (40%). Conclusion: There were differences in scabies risk factors between males and females at A.P.I Darul ‘Ulum Islamic Boarding School, Cilacap.
Effect of Diabetic Gymnastics on Blood Glucose Levels in Diabetes Mellitus Patients at Patilanggio Public Health Center Sujani, Aceng Anwar; Djamaluddin, Nurdiana; Liputo, Gusti Pandi; Hadjarati, Hartono
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14993

Abstract

Diabetes is a chronic metabolic disease that, if not managed properly, will increase the occurrence of complications. The risk of disease complications can be exacerbated by the non-compliance of DM patients in controlling blood sugar, so intervention is needed in controlling blood sugar in the form of diabetic gymnastics intervention. This research used a quantitative design with the Quasi Experiment method including a Pretest-Posttest Control Group design. The population was all people suffering from type II DM without complications, and the sampling technique used was the Simple Random Sampling technique with a total of 59 samples. The instrument consisted of the questionnaire and paired t-test, obtained a value of 0.043 (<0.05) in the intervention group, which means that there is an effect of diabetic gymnastics on reducing blood sugar levels during diabetes mellitus patients in the work area of the UPTD Puskesmas Patilanggio Subdistrict, Puhuwato Regency, and 0.161 (>0.05) in the control group which means there is no effect of it. Puskesmas can use this research in preventive efforts through diabetic gymnastics and as a source of information for patients to maintain diabetes control.
Effectiveness of Atraumatic Tooth Extraction in Minimizing Trauma and Pain: A Case Report Prakosa, Aditya Priagung; Dio Fanny, Putri Cherry
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.15041

Abstract

Background: The atraumatic tooth extraction technique aims to minimize tissue trauma and pain, thereby promoting optimal healing and supporting the success of future prosthetic rehabilitation. Objective: This case report aims to describe the application of atraumatic tooth extraction techniques in various tooth extraction indications and to evaluate their clinical outcomes. Methods: The technique was applied to four patients with different extraction indications. The procedure was performed using optimal anesthesia, specialized instruments such as luxating elevators and atraumatic forceps, as well as root sectioning when necessary. Results: All patients reported minimal pain during and after the procedure, requiring only a single dose of mild analgesics. Soft tissue healing occurred more rapidly than with conventional extractions, with one-week evaluations showing that the wounds were almost completely closed. No significant complications were observed, except for one case of mild emphysema, which resolved within five days. Conclusion: Atraumatic tooth extraction techniques are effective in reducing tissue trauma, accelerating healing, and preserving the supporting tooth structures. This technique can be recommended as the primary choice for various extraction cases, particularly for patients scheduled for prosthetic rehabilitation or implant placement.
Caught in the Crossfire: Doctors’ Battle with Emotional Strain and Resource Shortages (Lesson Learned from Covid-19 Pandemic) Lestari, Diyah Woro Dwi; Hidayah, Arfi Nurul; Ferine, Miko; Wicaksono, Raditya Bagas; Dinata, Ageng Bella; Muhaimin, Amalia; Octavilia, Ernasiwi Astri; Maghfiroh, Nisaul; Kamal, Isran
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.15090

Abstract

Healthcare professionals, particularly doctors, navigate a delicate balance between empathy and emotional resilience, a challenge that became more pronounced during the COVID-19 pandemic. This study explores the experiences of doctors in managing empathy while coping with burnout, compassion fatigue, and resource scarcity. Through in-depth interviews with general practitioners and specialists, four key themes emerged: the emotional impact of patient conditions on doctors, the heightened burnout caused by excessive workloads, the distress of resource shortages, and the struggle to maintain professionalism despite emotional strain. Findings highlight the dual nature of empathy—while essential for patient care, it also contributes to emotional exhaustion. The study underscores the urgent need for systemic support, including psychological interventions and institutional strategies, to sustain healthcare professionals' well-being and ensure compassionate yet sustainable medical practice.
Comparative Antibacterial Effects of Honey Bee Propolis on Gram Negative Bacteria Escherichia coli and Gram Positive Bacteria Staphylococcus aureus Hestiyani, Rani Afifah Nur; Handini, Tri Okmawati; Nitihapsari, Galuh Yulieta; Ning Widhi, Anriani Puspita Karunia; Wahyudin, Wahyudin
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.15814

Abstract

Antimicrobial resistance in pathogens such as Escherichia coli and Staphylococcus aureus poses an urgent global health challenge. Honeybee propolis is known for its promising antibacterial potential.This study aimed to compare the antibacterial effectiveness of propolis against E. coli (Gram-negative) and S. aureus (Gram-positive) using the in vitro disk diffusion method. Propolis was tested at concentrations of 6.25%, 12.5%, 25%, 50%, and 100% against both bacterial species. Disk diffusion assays were conducted on Mueller Hinton Agar, and inhibition zones were measured using a vernier caliper. Data were analyzed using one-way ANOVA. The results showed the Inhibition zone diameters increased with higher propolis concentrations. At 100% concentration, S. aureus showed a 15 mm inhibition zone, while E. coli showed only 7 mm. One-way ANOVA indicated significant differences (p < 0.05) in both bacteria. These findings indicate that propolis exhibits antibacterial activity against both S. aureus and E. coli, with greater effectiveness against Gram-positive S. aureus. These findings support the potential use of propolis as a natural antibacterial agent, particularly for Gram-positive infections.
Relationship Between History of Exclusive Breastfeeding and the Incidence of Stunting in Toddlers Jafar, Cindy Puspita Sari Haji
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.16029

Abstract

Stunting is a condition in which the height or length of a toddler is lower than it should be based on age, which is caused by long-term malnutrition, especially in the first 1000 days of life (HPK). The purpose of this study was to determine the relationship between the history of exclusive breastfeeding and the incidence of stunting in toddlers. The researcher used the Purposive Sampling Technique. The samples in this study were mothers and toddlers aged 2-5 years who had been registered at the Tilango Health Center, Gorontalo Regency, totaling 92 samples. The results of the study using the Chi-square test obtained ap value of 0.038 (p <0.05), which showed that the variable history of exclusive breastfeeding had a significant relationship with the incidence of stunting in toddlers aged 2-5 years at the Tilango Health Center, Gorontalo Regency. The Health Center is expected to be able to carry out routine monitoring of children at risk of stunting, with special attention to exclusive breastfeeding.
Mitral and Tricuspid Valve Regurgitation as a Subclinical Manifestation of Rheumatic Heart Disease: A Pediatric Case Report Oliviany, Windy; Aristya, Davina Aqiilah
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.17120

Abstract

Background: Rheumatic heart disease (RHD) accounts for approximately 15.6 million cases globally, with 282,000 new cases and 471,000 episodes of acute rheumatic fever (ARF) annually, predominantly affecting children aged 5–15 years in the Pacific region. In 2015, the incidence in Indonesia reached 1.18 million cases, mostly among children and young adults. RHD results from valvular damage due to an autoimmune inflammatory response to Group A Streptococcus (GAS) infection. It primarily affects the mitral valve (75%), aortic valve (25%), and rarely the tricuspid valve. ARF typically precedes RHD, marked by valvular abnormalities. Initial symptoms include sore throat, progressing in 2–4 weeks to fever and clinical signs such as polyarthralgia, polyarthritis, chorea, and erythema marginatum. Complications may include infective endocarditis, heart failure, stroke, and atrial fibrillation. The World Heart Federation recommends prophylactic administration of Benzathine benzylpenicillin G (BPG) every 3–4 weeks to prevent recurrent streptococcal infections. Case Report: An 8-year-old boy presented with left-sided chest pain described as pressure-like and non-radiating, along with fatigue, nausea, and joint pain for four days. He had a history of recurrent pharyngitis beginning a year earlier. A positive Anti-Streptolysin O (ASTO) test was previously recorded. Due to persistent joint pain and chest discomfort, the patient was referred to a tertiary hospital and hospitalized for four days. Physical examination showed a body weight of 20.5 kg, height 119 cm, with no murmur or tachycardia, but arthritis and erythema marginatum were observed. Laboratory findings indicated leukocytosis (14,110/mm³), and echocardiography revealed mild mitral and tricuspid regurgitation consistent with RHD. He was treated with intramuscular BPG (600,000 IU) and oral aspirin. The patient continues monthly outpatient follow-ups for BPG injections. Conclusion: RHD remains a significant contributor to childhood morbidity and mortality. This case highlights an atypical subclinical presentation without murmur, identified through echocardiography showing dual mild valvular insufficiency. Treatment included BPG and aspirin.
Gambaran Histopatologi Jaringan Paru Tikus (Rattus norvegicus) Pada Beberapa Keadaan Tenggelam di Air Tawar Savitri, Annisa; Syamsu Hidayat, Muhammad Zaenuri; Rahmawati, Indah; Pratidina, Rr. Wening Gelar
Medical and Health Journal Vol 5 No 1 (2025): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2025.5.1.14846

Abstract

Background: Drowning remains a significant cause of mortality, with complex pathophysiological mechanisms that are often challenging to diagnose. Histopathological examination of the lung is one of the tests that supports the diagnosis of the cause of death and manner of death in drowning cases. Objective: This study aims to analyze the histopathological features of rat lungs drowned in freshwater under conscious, unconscious, and post-mortem conditions. Methods: A descriptive experimental study by dividing the rats into three conditions; conscious, unconscious and post-mortem drowning. The lung tissues collected from the drowned rats, processed, stained with hematoxylin eosin and observed under the microscope. The results stated in descriptive form and scores. Results: In Group 1, alveolar edema (score 2), hemorrhage (score 4), inflammatory cell infiltration (score 2.2), and alveolar thickening (score 2.4) were observed. Group 2 exhibited a similar histopathological pattern to Group 1. Group 3 showed mild alveolar edema (score 1), massive hemorrhage (score 4), extensive inflammatory cell infiltration (score 4), and severe alveolar thickening (score 3). Conclusion: Histopathology of lung tissue of rats that drowned alive showed moderate alveolar edema, massive hemorrhage, moderate inflammatory cell infiltration and moderate alveolar thickening. Rats that drowned unconsciously showed moderate alveolar edema, massive hemorrhage, moderate inflammatory cell infiltration and moderate alveolar thickening. Rats that drowned after death showed minimal alveolar edema, massive hemorrhage, massive inflammatory cell infiltration and severe alveolar thickening.

Page 11 of 13 | Total Record : 124

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