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Gema Lingkungan Kesehatan
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Arjuna Subject : Ilmu Lingkungan (semua ketegori) - Kesehatan, Toksikologi dan Mutasi Gen
Articles 172 Documents
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Effectiveness of a Mobile Application Empowerment Educational Program on Nurses’ Attitudes and Competencies in Patient Safety Banjarnahor, Seriga; Simatupang, Lenny L.; Anggriani, Theresia; Sinaga, Regina M.; Harahap, Sridama Y.; Handoko, Erwin
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.273

Abstract

Patient safety is a global issue that must be prioritized in health care facilities, Patient Safety Incidents often occur and one of the causes is human error from health workers, therefore it is important to improve the quality of Human Resources, especially Nurses in Health Care Facilities by utilizing technological developments to increase effectiveness and efficiency. The purpose of this research is to determine the effect of mobile application empowerment educational program on nurses knowledge, attitude and competencies towards patient safety. The design of this study was purely experimental, the population was all nurses implementing the inpatient ward in 3 hospitals in Medan City (Murni Teguh Memorial Hospital, Rosiva Mother and Child Hospital and Susanna Wesley Hospital) as many as 860 nurses. Sampling was determined by the proportional random sampling method of 300 nurses. Showed that there was an increase in scores between before and after being given learning using the Mobile Application (Wilcoxon Test P value <0.001), being given learning between the intervention and control groups (Mann-Whitney Test P Value <0.001). There is an influence of the use of mobile applications (SBN Patient Safety) as a learning method on the attitudes, and competencies of respondents Multivariate ANOVA (MANOVA) test shows that all four significant values of Pillai's Trace, P Wilks' Lambda, Hotelling's Trace, Roy's Largest Root <0.001). In this study, mobile Application was well received as a learning method to improve nurses' attitudes and competencies about patient safety. It is expected that health service facilities and all related parties will maintain and improve the quality of health services by implementing patient safety as an effort to prevent patient safety incidents.
A Analysis of Land Use on Water Quality in Merjosari Village, Lowokwaru Subdistrict, Malang City K, Maharani Pertiwi; Anshary, Muhammad Reza; Kartikaningsih, Hartati; Fadila, Rizki
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.343

Abstract

Malang City faces several environmental challenges, including inadequate sanitation and water management, which have not been fully addressed across all aspects of life. This is not in line with the Sustainable Development Goals, which aim to ensure the availability and sustainable management of clean water and sanitation for all people. Malang City is also experiencing increasingly massive land use changes, from green open land to housing, which can impact clean water quality. This study aims to assess the quality of clean water from the non-Local Water Supply Utility in Merjosari Village, Lowokwaru Subdistrict, Malang City, which is undergoing land-use transformation. A quantitative observational approach was employed using the National Sanitation Foundation's Water Quality Index (NSF-WQI) method, which evaluates water quality based on physical, chemical, and biological parameters. The results showed that the water quality index in Merjosari Village, Lowokwaru District, Malang City, analyzed using the NSP-WQI method, has a value of 77.53 and falls within the good criteria. However, several parameter values exceed the clean water standard. The average value of the DO parameter, at 5.85 mg/,L is less than the quality standard of 6 mg/L. The average value of the BOD parameter, at 8.12 mg/,L exceeds the quality standard of 2 mg/L. The pH parameter at several sample points exceeds the quality standard of above 8.5, and the Nitrate Parameter at several sample points exceeds the quality standard of 20 mg/L. In conclusion, the land cover change in the Merjosari area, Lowokwaru District, Malang City, does not significantly affect the quality of clean water. However, the values of several water parameters exceed the clean water standard, which has the potential to impact public health negatively.
Mothers’ Knowledge and Skills as Key Factors in Preventing Stunting in Toddlers: A Case Study in Malingping, Banten Rokayah, Yayah; Kuswandi, Kadar; Nuraeneu, Yaneu; Husnida, Nintinjri
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.365

Abstract

Stunting in children under five years of age remains a serious public health problem in Indonesia because it affects physical growth, cognitive development, and long-term productivity. This study aims to analyse mothers' knowledge and skills in preventing stunting and the relationship between sociodemographic characteristics and these two aspects in the working area of the Malingping Community Health Centre, Banten. The study used a descriptive-analytical survey design with a cross-sectional approach involving 80 mothers of toddlers selected through purposive sampling. Data were collected using a structured questionnaire and analysed univariately and bivariately using the Chi-square test. The results showed that most mothers did not know the definition of stunting (81.3%), its causes (86.3%), signs (83.8%), or how to prevent it (88.8%). Mothers' skills in prevention were also low, with 78.8% unable to prepare a balanced complementary feeding menu, 73.7% lacking hygiene when preparing food, and 81.2% rarely monitoring their children's growth. Bivariate analysis showed no significant relationship between education and knowledge (p = 0.721), but there was a significant relationship between education and skills (p = 0.039). This study concludes that although mothers' knowledge about stunting is still low, practical skills are more influenced by education level. These findings emphasise the importance of educational interventions that not only increase knowledge but also build mothers' practical skills through community-based approaches and support from health cadres.
Maternal Age at Marriage and Risk of Childhood Stunting: Evidence from a Case-Control Study in North Sumatra, Indonesia Sidabutar, Anjas Domini; Pratama, Irza Haicha; Fadillah, Qori; Angwyn, Wilbert; Rimadeni, Yeni; Anggriani, Theresia
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.403

Abstract

Stunting remains a major public health issue in Indonesia, particularly in urban areas such as Medan. While socioeconomic and nutritional factors are well recognized, the influence of maternal age at marriage on child growth is less explored. This study examined the association between maternal age at marriage and childhood stunting in Medan, Indonesia. Methods. An analytical observational study with a case–control design was conducted from January to March 2025 across several community health centres in Medan. A total of 124 mother–child pairs (62 stunted and 62 non-stunted children) were selected using cluster random sampling. Data were collected through structured interviews and health-record reviews. Stunting was defined as height-for-age Z-score < -2 SD based on WHO standards. Logistic regression was used to assess the relationship between maternal age at marriage (<25 years vs ≥25 years) and stunting, adjusting for maternal education, maternal health during pregnancy, socioeconomic status, and birth weight. Children of mothers who married before age 25 had significantly higher odds of being stunted compared with those whose mothers married later (adjusted OR = 2.85; 95% CI: 1.71-4.76; p < 0.001). Low maternal education (adjusted OR = 2.12; p = 0.021) and low birth weight (adjusted OR = 2.43; p = 0.030) were also independent predictors of stunting. Conclusion. Maternal marriage before 25 years is a strong determinant of childhood stunting in urban Medan. Delaying maternal marriage, enhancing women’s education, and strengthening maternal health programs could substantially reduce stunting prevalence. This study contributes new evidence to Indonesia’s national efforts to prevent stunting through life-course and policy-oriented interventions.
Impact of Air Temprature and Humidity on Sick Building Syndrome among Bank Employees Arifin; Zubaidah, Tien; Ratodi, Muhamad
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/v23i4.136

Abstract

Sick Building Syndrome (SBS) is a condition in which inhabitants develop health problems or discomfort as a result of extended exposure to indoor surroundings. The purpose of this study was to investigate the association between air temperature and humidity in air-conditioned rooms and the prevalence of SBS, specifically mental weariness (burnout) instances, among employees of Bank Syariah Indonesia (BSI) in Banjarbaru City, Indonesia. The study followed a quantitative design with an analytical cross-sectional survey approach. Data were gathered using questionnaires and devices that measured air temperature and humidity. Univariate analysis defined the variable features, whereas bivariate analysis looked at the correlations between air temperature and humidity (independent variables) and the prevalence of SBS mental fatigue cases (dependent variable). The survey included 30 bank employees, with an average age of 32.4 years. The average air temperature was 25.8°C, with a relative humidity of 84.2%, which was outside of the permissible limit. The prevalence of SBS was 43.3%, with common symptoms including nose discomfort, eye irritation, headache, and fatigue. The prevalence of mental weariness was 36.7%. Pearson correlation analyses found significant positive relationships between air temperature and SBS prevalence (r = 0.48, p < 0.01), relative humidity and SBS prevalence (r = 0.39, p < 0.05), air temperature and mental fatigue (r = 0.41, p < 0.05), and relative humidity and mental fatigue. The findings emphasize the need of maintaining adequate indoor environmental conditions to reduce SBS risk and increase employee well-being in air-conditioned workplaces.
Effectiveness of Cascade Aerator Overflow System in Reducing Fe Levels in Excavated Well Water Ramadhani, Hani; As, Zulfikar Ali As; Pahruddin, Muhammad; Junaidi
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/v23i4.205

Abstract

Water is an essential resource that profoundly influences the quality of human life. In Indonesia, approximately 73.03% of the population continues to depend on water sourced from protected dug wells for their daily needs. This is particularly evident in Tambak Baru Ilir Village, located in Banjar Regency, South Kalimantan, where residents rely on dug well water as their primary source of potable water. However, the concentration of iron (Fe) in this water source often exceeds the acceptable threshold for drinking water quality, which is set at 0.2 mg/L, presenting a significant public health concern in the region. The objective of this study is to assess the efficacy of the Cascade Aerator overflow system in mitigating Fe levels in dug well water. The research employed a purely experimental design utilizing a Pretest-Posttest Control Group framework, incorporating seven variations of aeration contact time ranging from 0 to 60 minutes. Measurements of Fe concentration, pH, and temperature were conducted, and the data were subjected to linear regression analysis. The findings revealed a substantial reduction in Fe levels, decreasing from 1.125 mg/L to 0.385 mg/L at a 60-minute contact duration, which corresponds to an efficiency reduction of 63%. Concurrently, the pH value increased from 6.3 to 7.8, and the temperature remained within acceptable limits. Regression analysis indicated a strong correlation between contact time and the reduction of Fe levels, with an R² value of 93.4%. Although the final Fe concentration did not meet established quality standards, the Cascade Aerator system demonstrates potential as a viable technology for the treatment of well water. Further advancements, such as the integration of filtration units or extending the contact time beyond 75 minutes, are recommended to enhance the effectiveness of this treatment method.
Umbilical Cord Mesenchymal Stem Cells Secretome in Osteoarthritis Patients: A Case Report Nurudhin, Arief; Prabowo, Nurhasan Agung; Wedhiningsih, Yulyani; Sunarso, Indrayana
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/

Abstract

We report a case study of a 58-year-old lady diagnosed with symptomatic knee osteoarthritis (OA) who received umbilical cord-derived mesenchymal stem cell (UC-MSC) secretome via intra-articular injections once weekly for a total of five weeks. This treatment significantly reduced pain compared to the control, using a Visual Analog Scale, with pain scores reducing from 7/10 to 3/10. Moreover, the patient showed marked functional capacity improvement, as indicated by a Western Ontario and McMaster Universities Osteoarthritis Index score from 65 to 30. Her Kellgren-Lawrence grade also improved radiographically from 4 to 2 indicating either an initiation of cartilage regeneration or a reduction in degenerative change. These favorable results position the UC-MSC secretome as a novel and safe treatment for knee osteoarthritis, making it a potent non-invasive replacement therapy to classical treatments. The researchers advise that these findings must be confirmed in bigger, controlled trials before the therapeutic effects of UC-MSC secretome can be established in broader patient populations.
The Influence of Balinese Dancing on Children’s Self Confidence in Denpasar, Bali Sukmandari, Ni Made Ari; Triana, Komang Yogi; Sukriyanti, Putu Ari
Gema Lingkungan Kesehatan Vol. 24 No. 1 (2026): Gema Lingkungan Kesehatan (on progress)
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i1.302

Abstract

School-aged children tend to prefer physical and social activities. This period is the right time to develop oneself in areas such as physical, cognitive, language, social, emotional, spiritual, self-concept, discipline, and independence. Self-confidence is a personality trait that can be characterized by the ability to interact with friends and family. This research aims to determine the effect of Balinese dancing activities on the self-confidence of school-aged children at the Denpasar Dance Studio. This research uses a quasi-experimental design, particularly the pre-test-post-test control group design. Self-confidence measurements for school-age children were carried out twice a week for one month, while the control group was beginner musicians who had never performed. The sampling technique used in sample selection was purposive sampling with inclusion and exclusion criteria. The difference in pre-test and post-test results using the Wilcoxon signed rank test in the intervention group, with a p-value of 0.000, signifies that Balinese dancing activities influence self-confidence in school-aged children. Meanwhile, in the control group, the p-value was 0.993, meaning that beginner Balinese music activities did not affect the self-confidence of school-aged children. The Mann-Whitney test found a p-value of 0.005, indicating a difference in the self-confidence of school-aged children in the intervention and control groups. It is hoped that this research will provide input for parents to provide physical activity in the form of Balinese dancing to school-aged children to increase their self-confidence.
The Relationship of Water and Sanitation with the Incidence of Stunting: A Bibliometric Analysis Yuniarti, Elsa; Azzahra, Nabila; Nugraha, Fitra Arya Dwi
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i1.341

Abstract

This research analyzes trends in studies regarding the relationship between water, sanitation, and stunting in children under five through bibliometric analysis. Water, sanitation, and hygiene (WASH) interventions are recognized as critical factors in addressing childhood stunting, yet the research landscape remains fragmented across disciplines. A total of 130 publications from the Scopus database covering 2010-2024 were analyzed using VOSViewer software. Co-occurrence analysis, co-authorship analysis, and citation analysis were performed to identify research patterns, collaboration networks, and knowledge clusters. The results reveal that medical sciences dominate the field (34.6%), followed by nursing (15.4%) and environmental sciences (13.8%), with research articles comprising 77.2% of publications. The United States leads in publication output with 35 documents, while Johns Hopkins Bloomberg School of Public Health emerges as the most prolific institution with 8 publications. Publication trends show significant growth from 2010 to 2020, peaking at 23 publications in 2020. International collaboration analysis demonstrates strong cooperation networks, particularly between the United States and the United Kingdom. Keyword co-occurrence analysis identified three distinct clusters: Cluster 1 focusing on growth disorders and child development, Cluster 2 emphasizing stunting epidemiology and risk factors, and Cluster 3 addressing WASH interventions and pathogen exposure. The research landscape reveals disciplinary fragmentation that may explain contradictory findings and limited intervention effectiveness. Enhanced interdisciplinary collaboration and integration of clinical, epidemiological, and intervention perspectives are essential for developing comprehensive stunting prevention strategies, particularly in low- and middle-income countries.
The Effect of TNF-α and FIB-4 Score on Diastolic Dysfunction in Child Pugh C Liver Cirrhosis Karim, Muhammad Yusuf; Pramana, Triyanta Yuli; Sulastomo, Heru; Nurudhin, Arief; Pamungkasari, Eti Poncorini
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.384

Abstract

Liver cirrhosis is a major global health concern, often complicated by cardiac dysfunction such as diastolic heart failure. Tumor necrosis factor-alpha (TNF-α) and FIB-4 score are widely used biomarkers in cirrhotic patients, but their predictive value for cardiac complications remains unclear. To determine the effect of TNF-α and FIB-4 scores on the severity of diastolic dysfunction in patients with Child-Pugh C liver cirrhosis. This analytical cross-sectional study included 40 Child-Pugh C cirrhotic patients. Serum TNF-α levels were measured using ELISA. Diastolic function was evaluated using echocardiography. Ordinal logistic regression was used to analyze the association between TNF-α, FIB-4, and diastolic dysfunction grades. The majority of participants had moderate (65.0%) or severe (35.0%) chronic inflammation based on TNF-α levels, with a median TNF-α of 45.52 pg/mL. Significant liver fibrosis (FIB-4 >3.25) was observed in 82.5% of participants. Grade I diastolic dysfunction was the most prevalent (52.5%). TNF-α levels were significantly associated with the degree of diastolic dysfunction (p=0.042), whereas FIB-4 scores showed no significant correlation (p=0.533). Elevated TNF-α is strongly associated with worsening diastolic dysfunction in Child-Pugh C cirrhosis, suggesting its role in systemic inflammation and myocardial injury. In contrast, the FIB-4 index may not reflect cardiac involvement in advanced cirrhosis. TNF-α may serve as a potential biomarker for cardiovascular risk stratification in cirrhotic patients, supporting early intervention and integrated care approaches.

Page 17 of 18 | Total Record : 172

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