cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
Lantip Rujito
Contact Email
smhj@unsoed.ac.id
Phone
+6281343880797
Journal Mail Official
smhj@unsoed.ac.id
Editorial Address
Address: Jl. Dr. Gumbreg, Medical Street, Mersi, Purwokerto Central Java 53122 Telp. (0281) 622022, Fax. (0281) 624990
Location
Kab. banyumas,
Jawa tengah
INDONESIA
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 188 Documents
 15   16   17   18   19 
Rumination and Mental Health in Indonesian Adults: The Mediating Roles of Anxiety and Depression Isran Kamal; Diyah Woro Dwi Lestari; Rahmawati Wulansari; Ernasiwi Astri Oktavilia; Nisaul Maghfiroh
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.20334

Abstract

Rumination is one of the many psychological factors that worsen mental health. Based on that, this study aims to analyze the relationship between rumination and anxiety, depression, suicidal tendencies, and overall mental health in individuals aged 18–50 years. Rumination is a repetitive thought pattern that focuses on negative emotions without generating adaptive solutions, potentially worsening psychological conditions. The research method used a quantitative approach with a correlational design. A sample of 129 participants was purposively recruited and completed an online questionnaire consisting of the Ruminative Response Scale (RRS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Suicidal Ideation Scale (SIS), and General Health Questionnaire (GHQ). Data analysis included Spearman correlation, linear regression, and mediation analysis. The results showed that rumination was significantly positively correlated with depression (ρ = 0.603, p < 0.001), anxiety (ρ = 0.604, p < 0.001), and suicidal ideation (ρ = 0.370, p < 0.001), but not significantly with global mental health (ρ = 0.105, p = 0.236). Mediation analysis showed that depression and anxiety fully mediated the relationship between rumination and mental health. These results indicate that the impact of rumination on psychological well-being occurs primarily through increased affective and cognitive symptoms.
Water Tepid Sponge On Hyperthermia In Children With Feverish Seizures: A Case Report Regina Cahyani Ali; Rini Wahyuni Mohamad
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.20583

Abstract

Hyperthermia is a condition of body temperature above normal as a result of an increase in the temperature regulating center in the hypothalamus. Hyperthermia (fever) can cause complications such as febrile seizures and decreased consciousness. Water tepid sponge is one of the treatments for hyperthermia (fever) through non-pharmacological measures. Water tepid sponge is a warm compress technique that combines block compression techniques on the superficial blood vessels using a wiping technique. This study aims to describe the application of water tepid sponge in the management of hyperthermia in children with febrile seizures. This type of research is a case study on one patient in the Pediatric Ward of Aloei Saboe Regional Hospital, Gorontalo City, data collection techniques through interviews, observation, physical examination and documentation. The implementation of water tepid sponge was carried out for 3 days in 15-20 minutes. Research Results: body temperature decreased from 38.0°C to 36.8°C after administering water tepid sponge for 15-20 minutes in 3 days. The conclusion of this study is that water tepid sponges have the potential to be a complementary non-pharmacological intervention in helping to reduce body temperature in children with hyperthermia.
Implementation of Puzzle Play Therapy to Reduce Hospitalization Anxiety in Preschool Children with Febrile Seizures: A Case Study Astriyani Ali; Rini Wahyuni Mohamad
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.20589

Abstract

Hospitalization is an experience that can cause anxiety in preschool children due to changes in their environment, invasive medical procedures, and the children’s limited ability to understand their illness. Anxiety that is not properly managed can hinder the treatment process and worsen the child’s condition. One nonpharmacological nursing intervention that can be used to reduce anxiety in preschool children is puzzle play therapy as a form of distraction and developmental stimulation. This study aims to describe the application of puzzle play therapy in reducing hospitalization anxiety levels in preschool children diagnosed with febrile seizures in the pediatric ward of Prof. Dr. H. Aloei Saboe General Hospital in Gorontalo City. The method used was a case study with a nursing care approach that included assessment, nursing diagnosis, planning, implementation, and evaluation. The interventions carried out were anxiety reduction and puzzle play therapy, conducted over three days. Anxiety levels were assessed through observation of the children’s behavior using the Modified Yale Preoperative Anxiety Scale (m-YPAS). The results of the intervention showed a decrease in the anxiety score from 86.6 (severe anxiety) to 31.6 (mild anxiety), as well as changes in the child’s emotional responses and behavior, marked by a reduction in crying and restlessness; the child appeared calmer, more cooperative, and able to interact with the nurses. The conclusion of this case study indicates that the application of puzzle play therapy as part of nursing care, along with therapeutic communication and parental involvement, can support children’s adaptation process during hospitalization.
Application of Balloon Blowing Therapy in Improving Respiratory Function in Children with Bronchopneumonia in Pediatric Treatment Warning: A Case Report Alpionita Adam; Rini Wahyuni Mohamad
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.20594

Abstract

Bronchopneumonia is one of the leading causes of morbidity and mortality among children in Indonesia. It is characterized by inflammation of the lower respiratory tract, resulting in impaired respiratory function, including shortness of breath (tachypnea), secretion retention, and reduced pulmonary ventilation. One of the non-pharmacological nursing interventions that can be implemented to improve respiratory function is balloon blowing therapy. This therapy is a breathing exercise designed to enhance lung expansion, strengthen the respiratory muscles, facilitate secretion clearance, and provide a relaxation effect that supports the implementation of atraumatic care in children. This study aimed to describe the effect of balloon blowing therapy on respiratory function in a child diagnosed with bronchopneumonia at Prof. Dr. H. Aloei Saboe Regional General Hospital, Gorontalo City. The study employed a case study design involving a six-year-old child (M.A.E.) diagnosed with bronchopneumonia who presented with shortness of breath, difficulty expectorating sputum, and additional breath sounds (rhonchi). Balloon blowing therapy was administered as part of airway management for three consecutive days, with each session lasting 10–15 minutes. Evaluation was conducted by measuring the respiratory rate (RR) before and after the intervention and by observing the patient's clinical condition. The results demonstrated a gradual decrease in RR, from 39 to 37 breaths/minute on the first day, from 36 to 34 breaths/minute on the second day, and from 32 to 27 breaths/minute on the third day, reaching the normal range for the patient's age. In addition, shortness of breath decreased, sputum was expelled more easily, and rhonchi diminished. Balloon blowing therapy has the potential to improve respiratory function in children with bronchopneumonia and may be considered a complementary non-pharmacological nursing intervention. However, further studies involving larger sample sizes and more rigorous research designs are required to confirm its effectiveness.
Disseminated Tuberculosis with Tuberculous Meningitis And Multisegmental Tuberculous Sponsylitis: A Case Report Fitria Nurlaely; Prasetyo Tri Kuncoro; Fatiha Sri Utami Tamad; Tutik Ermawati; Untung Gunarto; Muhamad Rifqy Setyanto
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.20731

Abstract

Background: The combination of tuberculous meningitis and tuberculous spondylitis as a manifestation of disseminated tuberculosis (TB) is a rarely reported condition often associated with poor clinical outcomes due to delayed diagnosis. This case report aims to highlight the importance of maintaining clinical suspicion for disseminated TB in patients presenting with a combination of neurological symptoms and chronic back pain. Case Presentation: A 30 year old woman presented with a 15 month history of progressive chronic low back pain radiating to both legs, which subsequently progressed to headache and altered consciousness. Neurological examination revealed signs of meningeal irritation, paraparesis, and sensory impairment at the T4 level. Imaging studies demonstrated multiple foci of tuberculous spondylitis and meningeal involvement, while cerebrospinal fluid analysis and molecular testing confirmed tuberculous meningitis. Based on the combnation of clinical manifestations, imaging findings, and ancillary tests, the patient was diagnosed with disseminated TB. She received anti-tuberculosis therapy, corticosteroids, and underwent a laminectomy with posterior fusion. Discussion: This case demonstrates that the combination of chronic back pain and progressive neurological symptoms should raise suspicion of disseminated TB, even though these manifestations rarely occur concurrently. Early diagnosis achieved through the integration of clinical, radiological, and microbiological findings enables appropriate multidisciplinary therapy, thereby contributing to improved clinical outcomes. Conclusion: Disseminated tuberculosis should be considered in patients presenting with a combination of neurological symptoms and chronic back pain. Clinical vigilance, early diagnosis, and adequate multidisciplinary management play a crucial role in improving the patient's prognosis and clinical outcomes.
A Rare Case Report of Subdural Empyema as a Severe Intracranial Complication of Maxillary Sinusitis Fetra Bagus Tira; M. Pramudigdo; S. Dirahayu; Untung Gunarto
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.21037

Abstract

Subdural empyema is a rare but potentially life-threatening intracranial complication of bacterial sinusitis. This case report described a 34-year-old man who presented with progressive impairment of consciousness following generalized tonic-clonic seizures. The patient had a three-month history of sinusitis and subsequently developed foul-smelling purulent nasal discharge, worsening headache, and high-grade fever. Neurological examination revealed impaired consciousness and nuchal rigidity without focal motor deficits. Laboratory investigations demonstrated leukocytosis, neutrophilia, an elevated neutrophil-to-lymphocyte ratio, reactive thrombocytosis, and mild anemia. Contrast-enhanced head computed tomography revealed a right frontoparietotemporal crescent-shaped subdural collection with peripheral enhancement, cerebral edema, a 0.7-centimeter midline shift, subfalcine herniation, and associated meningoencephalitis. Opacification of multiple paranasal sinuses, including the right maxillary sinus, supported sinusitis as the infectious source. The patient was treated with intravenous broad-spectrum antibiotics, anticonvulsant therapy, corticosteroids, and supportive management. Following multidisciplinary evaluation, conservative treatment was continued without surgical drainage because the patient showed progressive clinical improvement. His consciousness improved, no recurrent seizures occurred, and his headache subsided. The patient was discharged in stable neurological condition. This case highlighted the importance of early recognition, prompt neuroimaging, appropriate antimicrobial therapy, and multidisciplinary management in patients with sinusitis who developed neurological deterioration.
Duration of Illness and Stress Levels Among Pulmonary TB Riswandi Tayahu; Siti Rahma; Mihrawaty S. Antu
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.21044

Abstract

Pulmonary tuberculosis is a communicable infectious disease caused by Mycobacterium tuberculosis. The prolonged and complex treatment, disease complications, and various other concerns can induce psychological stress in patients. This study aimed to determine the relationship between the duration of illness and stress levels among pulmonary tuberculosis patients at the Kota Utara Community Health Center. This was a quantitative study utilizing a cross-sectional approach. The study population consisted of 57 pulmonary tuberculosis patients within the working area of ​​the Kota Utara Community Health Center. A sample of 50 respondents was selected using purposive sampling. Research instruments included demographic data collection and the Perceived Stress Scale-10 (PSS-10) questionnaire. Data analysis was performed using the Spearman rank test. The majority of the sample (33 individuals, or approximately 66%) fell into the category of having suffered from the disease for more than two months. Most respondents (23 individuals, or 46%) fell into the severe stress category. Spearman’s rho correlation analysis revealed a relationship between the duration of illness and stress levels among pulmonary tuberculosis patients, with a correlation coefficient of 0.714, indicating a strong positive relationship. Furthermore, a p-value of < 0.001 indicated that this relationship was statistically highly significant. The findings suggest that the longer an individual suffers from pulmonary tuberculosis, the higher their stress level tends to be. These results are expected to provide valuable input for improving the quality of healthcare services, particularly by addressing the psychological aspects of pulmonary tuberculosis patients through stress level screening.
Self-Care Behavior Management And Blood Glucose Control Among Elderly Patients with Diabetes Mellitus Marsyanda Haniu; Zainuddin Zainuddin; Dewi Suryaningsih Hiola
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.21074

Abstract

Type 2 Diabetes Mellitus is a chronic disease characterized by elevated blood glucose levels due to impaired insulin secretion and function. Controlling blood sugar levels is crucial to prevent complications, but in the elderly, suboptimal blood sugar control is still found due to low self-care behavior. This study aims to analyze the relationship between self-care behavior management and blood sugar control in elderly people with type 2 Diabetes Mellitus at the Limboto Community Health Center, Gorontalo Regency. This study used a quantitative, correlational analytical design with a cross-sectional approach . The study population was 1,094 people with a sample of 92 respondents selected using a purposive sampling technique . Self-care behavior was measured using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire which includes diet management, physical activity, medication adherence, blood glucose monitoring, and foot care, while blood sugar control was measured using random blood sugar (GDS) examinations using a glucometer. The results showed that respondents with good self-care behavior management were 26 respondents (28.3%), sufficient category were 36 respondents (39.1%), and poor category were 30 respondents (32.6%). A total of 24 respondents (26.1%) had controlled blood sugar levels and 68 respondents (73.9%) had uncontrolled blood sugar levels. Chi-square analysis showed a significant relationship between self-care behavior management and blood sugar control (p=0.000; p<0.05). Respondents with better self-care behavior management tended to have better blood sugar control, with 21 of 26 respondents (80.8%) with good self-care having controlled blood sugar levels. These findings demonstrate the importance of strengthening self-care education and mentoring programs in primary health care to improve the ability of the elderly to manage diabetes so that blood sugar control can be maintained optimally.
Dynamic Balance in Children Aged 10-11 Years With and Without Flat Foot Berliana Tsania Dewi; Massita Dwi Yuliani; Nenden Nursyamsi Agustina
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.21410

Abstract

Flat foot is a condition characterized by a decrease or loss of the medial arch of the foot, which can affect the biomechanical function of the lower extremities. These changes have the potential to disrupt weight distribution, balance, and postural control. Dynamic balance is very important for school-age children in daily activities. Research on the relationship between flat foot and dynamic balance in children aged 10-11 years is still limited. This age group has a foot arch that has relatively mature so that flat foot condition can have an impact on fatigue when walking, balance disorder, increased risk of injury, and pain in the feet. This study aimed to determine the relationship between flat feet and dynamic balance in children aged 10-11 years. This study used a cross-sectional design with consecutive sampling of 50 children as the research sample. Subjects consisted of children aged 10-11 years who met the research inclusion criteria. Flat foot assessment used the Wet Footprint Test method with Clarke's Angle parameters. Dynamic balance was measured using the Y-Balance Test. Univariate analysis was performed to describe the characteristics of the research subjects. Bivariate analysis used Fisher's Exact Test to assess the relationship between flat foot and dynamic balance. The results showed that the most subjects (90%) had abnormal dynamic balance. Abnormal dynamic balance was found in 84% of subjects in the flat foot group and 96% of subjects in the non-flat foot group. The results of the Fisher Exact Test analysis showed that there was no statistically significant relationship between flat foot and dynamic balance (p=0.349; OR=4.571; 95% CI: 0.473-44.170). There is no significant relationship between flat foot and dynamic balance in children aged 10-11 years.
Neutrophil-to-Lymphocyte Ratio and Acute Kidney Injury in Patients with Sepsis Admitted to Intensive Care Unit Andi Ghina Alya Zurayah; Muhammad Wirawan Harahap; Nurhikmawati Nurhikmawati; Faisal Sommeng; Tirta Swarga
Medical and Health Journal Vol 6 No 1 (2026): August
Publisher : Fakultas Kedokteran Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.mhj.2026.6.1.21442

Abstract

Acute Kidney Injury (AKI) is a common complication in patients with sepsis and contributes to high morbidity and mortality. Early detection of AKI remains challenging because conventional biomarkers have several limitations. The Neutrophil-to-Lymphocyte Ratio (NLR) is an easily obtainable inflammatory marker with potential value in identifying patients at risk of AKI; however, previous studies have reported inconsistent findings. This study aimed to analyze the association between the neutrophil-to-lymphocyte ratio (NLR) and the incidence of acute kidney injury (AKI) in septic patients admitted to the intensive care unit (ICU). This observational analytical study employed a retrospective design using medical record data from 75 septic patients. The mean NLR was significantly higher in patients with AKI than in those without AKI (27.57 vs. 13.66; p < 0.001). Receiver operating characteristic (ROC) analysis identified an optimal NLR cut-off value of 14.45 for predicting AKI, with a sensitivity of 72.7%, a specificity of 81.0%, and an area under the curve (AUC) of 0.788. These findings indicate that a higher NLR is significantly associated with the incidence of AKI among septic patients in the ICU. Therefore, NLR may serve as a useful inflammatory marker to support the early identification of AKI in patients with sepsis.

Page 17 of 19 | Total Record : 188

 15   16   17   18   19 

Filter by Year

2021 2026


Reset
Filter By Issues
All Issue Vol 6 No 1 (2026): August Vol 5 No 2 (2026): February Vol 5 No 1 (2025): August Vol 4 No 2 (2025): February Vol 4 No 1 (2024): August Vol 3 No 2 (2024): February Vol 3 No 1 (2023): August Vol 2 No 2 (2023): February Vol 2 No 1 (2022): August Vol 1 No 2 (2022): February Vol 1 No 1 (2021): August More Issue