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Andri Putra Kesmawan
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Perumahan Sidorejo, Jl. Sidorejo Gg. Sadewa No.D3, Sonopakis Kidul, Ngestiharjo, Kapanewon, Kasihan, Kabupaten Bantul, Daerah Istimewa Yogyakarta 55184
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INDONESIA
Health & Medical Sciences
Published by Indonesian Journal Publisher
ISSN : -     EISSN : 30263867     DOI : https://doi.org.10.47134/phms
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
Pubmedia Health & Medical Sciences uses an online submission and peer review platform, which allows authors to track the progress of their manuscript and enables shorter processing times. Amidst the trend in attempting to constantly provide answers in problems or phenomena in our reality for a better health condition, Pubmedia Digital Series strive to publish a factual and applicable research result through the publication of journals from a wide arrange of field of studies such as in medicine, pharmacy, biology and the like. Focus and Scope Physiology Pharmacology Toxicology Genetics Neuroscience Tissue Engineering Regenerative Medicine Hematology Immunology Oncology Dentistry
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 247 Documents
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Perancangan dan Pembuatan Sistem Informasi Rawat Jalan Berbasis Web pada Poli Umum di Puskesmas Grujugan Bondowoso Suhartanty Afifah Rahmatillah; Andri Permana Wicaksono; Mochammad Choirur Roziqin; Muhammad Yunus
Health & Medical Sciences Vol. 2 No. 4 (2025): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v2i4.763

Abstract

Penelitian ini berfokus pada perbaikan sistem rawat jalan di Puskesmas Grujugan Bondowoso, yang masih mengandalkan proses manual. Beberapa masalah yang muncul yaitu sering kali KIB tidak dibawa oleh pasien lama saat berkunjung, menyebabkan petugas pendaftaran kesulitan dalam mencari dan menyediakan berkas rekam medis. Duplikasi nomor rekam medis juga sering terjadi, sehingga petugas kesulitan mengidentifikasi data pasien. Selain itu, penggunaan rekam medis manual pada pelayanan rawat jalan khususnya pada poli umum dapat menimbulkan ketidakmampuan dokter dalam pemberian pelayanan yang cepat. Penelitian ini memiliki tujuan merancang dan membuat sistem informasi rawat jalan berbasis web pada poli umum di Puskesmas Grujugan Bondowoso dengan menerapkan metode waterfall yang memiliki tahapan definisi kebutuhan, desain sistem dan perangkat lunak, implementasi dan pengujian unit, serta pengujian integrasi dan sistem. Hasil yang dicapai yaitu sistem informasi rawat jalan berbasis web pada poli umum di Puskesmas Grujugan Bondowoso yang memberikan kemudahan dalam pencatatan dan pencarian data pasien, mencetak KIB dan dilengkapi fitur mengirim e-KIB melalui WhatsApp, pencatatan data pemeriksaan pasien, mencetak hasil pemeriksaan, surat keterangan sehat/sakit, resep obat, membuat laporan kunjungan pasien, kunjungan poli, diagnosa pasien, penyakit tidak menular, laporan peresepan, laporan rujukan, 15 besar penyakit, dan data kesakitan.
Faktor Penyebab Keterlambatan Pengembalian Rekam Medis Rawat Inap di Rumah Sakit X Maria Goreti Riski Wulandari; Ervina Rachmawati; Rossalina Adi Wijayanti; Selvia Juwita Swari
Health & Medical Sciences Vol. 2 No. 4 (2025): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v2i4.764

Abstract

Diketahui bahwa Rumah Sakit X masih mengalami keterlambatan pengembalian berkas sebanyak 51%. Tujuan penelitian adalah menganalisis faktor penyebab keterlambatan. Jenis penelitian kualitatif menggunakan observasi, wawancara, dan dokumentasi. Subjek penelitian yaitu 1 kepala RM, 1 PMIK, 2 admin ruangan, dan 7 Kepala Ruangan. Hasil penelitian pada variabel individu kemampuan dan keterampilan dan latar belakang tidak menjadi faktor penyebab keterlambatan. Variabel organisasi sumber daya, kepemimpinan, dan desain pekerjaan menjadi faktor penyebab keterlambatan. Variabel psikologi sikap tidak menjadi faktor penyebab sedangkan motivasi menjadi faktor penyebab keterlambatan. Kesimpulannya yang menjadi faktor penyebab keterlambatan adalah pemahaman petugas yang kurang terkait penggunaan e-setor, arahan, dukungan, dan evaluasi yang belum terselenggara secara berkala, belum maksimalnya penerapan jobdesk, belum terdapat motivasi pemberian reward atau punishment. Sarannya adalah kepala RM dibantu dengan kepala instalasi rawat inap merencanakan adanya sosialisasi dan arahan terkait penggunaan e-setor, kepala RM merumuskan adanya pedoman penggunaan e-setor, diadakan evaluasi secara berkala dibantu dengan adanya formulir monev untuk mengetahui feedback dari ruangan. Arahan, dukungan, dan evaluasi baik dari kepala ruangan, kepala instalasi rawat inap, serta kepala RM untuk selalu secara rutin dan konsisten minimal 1 bulan sekali. Pihak atasan dapat menganggarkan dan memberikan reward berupa penghargaan atau punishment kepada kepala ruangan/admin ruangan.
Autologous Bone Graft Versus Bone Morphogenetic Protein Augmentation for Comminuted Midshaft Femoral Fractures: A Systematic Review Andika Prasetyo Arifin; M Yogi Alamsyah; Arimurti Pratianto; Rheza Fabianto Sebastian
Health & Medical Sciences Vol. 3 No. 4 (2026): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i4.677

Abstract

Comminuted midshaft femoral fractures (AO/OTA 32-C2/C3) are complex injuries associated with extensive bone fragmentation, severe soft-tissue damage, and elevated risks of delayed union or nonunion. This systematic review, conducted in accordance with PRISMA guidelines, compared the efficacy and safety of autologous bone grafting (ABG) versus recombinant bone morphogenetic protein (BMP) augmentation as adjuncts to surgical fixation. Comprehensive searches of PubMed, Embase, and Cochrane databases identified twelve comparative studies involving patients treated with internal fixation plus biological enhancement. Primary outcomes included radiographic union rates, time to union, complications, functional recovery, and cost-effectiveness. Risk of bias was assessed using the ROBINS-I tool. Both ABG and BMP achieved high union rates (92% versus 90%), with BMP linked to an approximate two-week reduction in healing time. Substantial heterogeneity across studies, however, precluded definitive conclusions. ABG provided reliable results but was associated with donor-site morbidity in nearly one-fifth of patients. BMP avoided harvest-related complications yet increased risks of heterotopic ossification and soft-tissue edema while incurring significantly higher costs without proven superiority in preventing nonunion or reoperation. In conclusion, both ABG and BMP offer effective biological support for these fractures. Treatment selection should be individualized according to patient characteristics, fracture severity, complication profiles, and resource availability; routine BMP use is not currently justified.
The Role of Blood Biomarker p-tau217 in the Early Detection of Alzheimer's Disease: A Systematic Review Mangde Anata Sindhu
Health & Medical Sciences Vol. 3 No. 4 (2026): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i4.678

Abstract

This systematic review sought to assess the function of the blood biomarker phosphorylated tau 217 (p-tau217) in the early identification of Alzheimer's disease. A systematic review was carried out adhering to the PRISMA 2020 protocols. Literature searches were executed in PubMed, ScienceDirect, and Scopus to locate original studies published between 2023 and 2026. Eligible studies assessed blood p-tau217 in individuals with mild cognitive impairment, suspected Alzheimer's disease, Alzheimer's disease, or at-risk populations and reported diagnostic performance or correlations with established Alzheimer's biomarkers. Study quality was evaluated utilizing QUADAS-2 for diagnostic accuracy studies and the Study Quality Assessment Tools for observational and longitudinal studies. A total of 328 records were retrieved, of which 18 studies met the inclusion criteria. Research consistently demonstrates that plasma p-tau217 serves as a highly accurate biomarker for identifying the biological pathology of Alzheimer's disease, specifically regarding amyloid and tau status. Numerous studies have reported impressive area under the curve (AUC) scores between 0.92 and 0.97. When p-tau217 is paired with Aβ42 or the Aβ42/40 ratio, its diagnostic precision improves significantly, particularly in patients who are cognitively normal or in the preclinical stages of the disease.
Nutritional Knowledge and Dietary Behavior Among Hemodialysis Patients With Chronic Kidney Disease: A Cross-Sectional Study at Gunung Jati Hospital Mohamad Bintang Rizki; Siti Maria Ulfah; Thysa Thysmelia Affandi
Health & Medical Sciences Vol. 3 No. 4 (2026): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i4.765

Abstract

This study aimed to assess the level of nutritional knowledge, eating behavior, and the association between nutritional knowledge and eating behavior among patients with chronic kidney disease (CKD) undergoing hemodialysis at Gunung Jati Hospital, Cirebon City. This quantitative study employed an observational analytic design with a cross-sectional approach and was conducted at the Hemodialysis Unit of Gunung Jati Hospital. A total of 58 respondents were selected using simple random sampling. Primary data were collected through structured questionnaires and interviews to assess nutritional knowledge and eating behavior. Data were analyzed using the Spearman rank correlation test. The results showed a statistically significant association between nutritional knowledge and eating behavior (r = 0.390; p = 0.002), indicating a moderate positive correlation. These findings suggest that higher levels of nutritional knowledge are associated with better eating behavior among patients with CKD undergoing hemodialysis. Strengthening nutrition education programs may help improve patients' understanding and support healthier dietary practices as part of comprehensive CKD management
Knowledge, Attitudes, and Iron Intake among Adolescent Girls: A Cross-Sectional Study at SMAN 1 Cirebon City Sri Ayu Lestari; M.Duddy Satrianugraha Wahidin; Doddy Rizqi Nugraha
Health & Medical Sciences Vol. 3 No. 4 (2026): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i4.768

Abstract

This study aimed to determine the relationship between knowledge and attitudes regarding iron deficiency anemia and iron intake among adolescent girls at State Senior High School 1 Cirebon City. This quantitative analytical observational study employed a cross-sectional design involving 114 female students selected using purposive sampling. Knowledge and attitudes were assessed using structured questionnaires, while iron intake was measured using a 1×24-hour food recall. Data were analyzed using ordinal logistic regression. The results showed that knowledge was significantly associated with iron intake (β = 0.896; 95% CI: 0.064–1.727; p = 0.035), indicating that higher knowledge was associated with better iron intake. Attitude was also significantly associated with iron intake (β = 2.354; 95% CI: 0.075–4.633; p = 0.043), suggesting that a more positive attitude was associated with better iron intake. The model explained 36.6% of the variation in iron intake (Nagelkerke R² = 0.366). In conclusion, knowledge and attitudes regarding iron deficiency anemia were significantly associated with iron intake among adolescent girls, indicating the importance of strengthening nutrition education and promoting positive attitudes to improve iron intake and support anemia prevention programs
The Association between the Covid-19 Pandemic and the Number of Visits, Clinical Profile, and Treatment Costs on Pediatric Patients with Acute Gastroenteritis at dr. Soetomo General Hospital Carisa Auralia Ramadhani; Anang Endaryanto; Ummi Maimunah
Health & Medical Sciences Vol. 3 No. 4 (2026): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/phms.v3i4.769

Abstract

The COVID-19 pandemic disrupted healthcare utilization and may have influenced the clinical characteristics and treatment costs of pediatric acute gastroenteritis (AGE). This study aimed to evaluate changes in the number of visits, clinical profiles, and treatment costs of pediatric AGE patients pre-, during, and post- the COVID-19 pandemic at Dr. Soetomo General Academic Hospital, Surabaya. Methods: A retrospective observational comparative study was conducted using medical records of pediatric AGE patients (≤18 years old) treated at Dr. Soetomo General Hospital. A total of 3,721 patients who met the inclusion and exclusion criteria were included. Data were compared across the pre-pandemic, pandemic, and post-pandemic periods using the Kruskal–Wallis test, followed by the Mann–Whitney U test. Results: Among the 3,721 patients, the mean monthly visits decreased from 91.8 patients pre-pandemic to 59.2 patients during the pandemic (p < 0.05). The mean number of comorbidities increased from 3.91 to 4.68 during pandemic, particularly among hospitalized patients (p < 0.05). The mean total treatment costs increased from IDR 3,74 million to IDR 7,56 million during the pandemic. Discussion: The COVID-19 pandemic significantly affected healthcare utilization, clinical characteristics, and treatment costs among pediatric AGE patients. These findings may help guide healthcare planning, resource allocation, and the development of strategies during future public health emergencies.

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