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Jurnal Medika Nusantara
Published by Sekolah Tinggi Ilmu Kesehatan Kesdam IV, Diponegoro
ISSN : 29867878     EISSN : 29867061     DOI : 10.59680
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Medika Nusantara mencakup artikel di bidang ilmu kesehatan dan Kedokteran. Kami menyediakan akses terbuka (open access) bagi para akademisi dan praktisi serta mahasiswa kesehatan yang ingin mendapatkan artikel dalam Jurnal Jurnal Medika Nusantara
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 240 Documents
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Eksplorasi Endofit Sambung Nyawa: Potensi Mikroba dalam Penemuan Obat dan Bioaktivitasnya Salsabila Rahman
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1669

Abstract

Gynura procumbens, also known as “Sambung Nyawa,” is a medicinal plant known for its various therapeutic properties. This study aims to explore the potential of endophytic microbes living inside Gynura procumbens plants as a source of bioactive compounds with pharmaceutical applications. Endophytic microbes are microorganisms that live symbiotically in plant tissues without causing damage, and are known to produce secondary metabolites similar to their host plants. In this study, endophytic microbes in the form of bacteria and fungi were isolated from various plant parts, including leaves, stems, and roots. A total of 12 isolates were obtained, consisting of 7 bacteria and 5 fungi, which were identified using molecular techniques. The isolates were tested for antimicrobial, antioxidant and cytotoxic activities. The antimicrobial assay showed significant inhibitory effects against Staphylococcus aureus and Candida albicans, where isolates from the genus Streptomyces and Penicillium had the highest activity. Antioxidant activity was measured using the DPPH method, and two bacterial isolates showed strong free radical scavenging ability. Cytotoxic assays on MCF-7 breast cancer cells revealed that the fungal isolates, mainly from the genus Penicillium and Aspergillus, had strong anticancer activity. The results of this study indicate that endophytic microbes from Gynura procumbens contain bioactive compounds that have potential as antimicrobial, antioxidant, and anticancer agents. This study confirms the importance of exploring endophytic microbes from medicinal plants in the discovery of new drugs and the development of therapeutic agents. Further research is needed to isolate and characterize the specific compounds responsible for these bioactivities as well as evaluate their potential in clinical applications.
Analisis Kepuasan PMIK Terhadap Implementasi Rekam Medis Elektronik dengan Metode EUCS di RSUD Dr. Moewardi Saryadi Saryadi; Puguh Ika Listyorini; Liss Dyah Dewi Arini; Anggelli Marsha Pattinama
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1679

Abstract

The implementation of electronic medical records is expected to support the effectiveness of time in service. User satisfaction of electronic medical records, especially PMIK, is an important aspect to determine whether an information system is successful or not. The implementation of electronic medical records at Dr. Moewardi Hospital is still found to be an obstacle, namely when Vclaim is updated in the registration area, it experiences a server error and services are carried out manually, which causes BPJS patient recording and reporting to be carried out twice so that there is inefficiency in work. The purpose of this study is to determine PMIK's satisfaction with the implementation of electronic medical records with the EUCS method at Dr. Moewardi Hospital. This study is a quantitative descriptive research with a cross sectional approach. The data collection technique in this study is a questionnaire. The population in this study is 55 officers. The sampling technique uses total sampling. Data processing in this study is by collecting, editing, coding and presenting data by presenting the research results in the form of tables. Data analysis using univariate analysis. The results of the study show that: 1) The content dimension has a mean value of 4.44, meaning very satisfied. 2) The accuracy dimension has a mean of 4.27, meaning very satisfied. 3) The display dimension (format) has a mean of 4.24, meaning very satisfied. 4) The dimension of ease of use has a mean of 4.20, meaning very satisfied. 5) The timeliness dimension has a mean of 4.26, meaning very satisfied.
Penatalaksanaan Fisioterapi pada Kasus Frozen Shoulder : a Case Report Andhika Fatir Ath-Thariq; Isnaini Herawati; Warih Sri Widodo
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1683

Abstract

Background: Frozen shoulder also known as adhesive capsulitis, is a common shoulder disorder that manifests as pain and progressive loss of shoulder motion. Frozen shoulder can be primary or secondary, which refers to whether the condition occurs spontaneously, without known cause or trauma to primary frozen shoulder, or whether it is associated with trauma, surgery or other pathologies, such as secondary frozen shoulder subacromial pain. Method: This study design used a case report method which observed one patient with a case of left frozen shoulder. The observation location was at Panembahan Senopati Bantul Hospital. Examination using the Numeric Rating Scale (NRS) for pain examination, Manual Muscle Testing (MMT) for muscle strength examination, goniometer for joint range of motion (LGS) examination, palpation for spasm examination, Shoulder Pain and Disability Index (SPADI) for functional activity evaluation. Results: This study showed that physiotherapy treatment for 3 meetings increased joint range of motion, increased muscle strength, decreased spasm and reduced pain in patients with frozen shoulder. Conclusion: Infrared, TENS, Massage, Active resisted exercise and SPADI are effective in treating frozen shoulder cases.
Patient Engagement’s Influence On Brand Image As A Mediator To Strengthen Revisit Intention Kharisma Berlian Sjukri; Rokiah Kusumapradja; Erry Yudhya Mulyani
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1688

Abstract

The transformation of medical services in Indonesia from a disease-centered model to a patient-centered model has created intense competition among medical institutions. At one of the Maternal and Child Hospitals in Jakarta, a decline in visits from Non-BPJS patients indicates the need for a deeper understanding of the factors influencing patients' intentions to revisit. This study aims to analyze the influence of patient involvement and patient experience on the intention to revisit the hospital, with the mediation of the hospital's brand image. A quantitative approach with a cross-sectional design was used in this study. Data were collected through questionnaires from 119 Non-BPJS patients in the Outpatient Unit. Data analysis was conducted using PLS-SEM with the Smart-PLS program. The results showed that patient involvement and patient experience significantly influenced the intention to revisit, with the hospital's brand image serving as a strong mediator. Enhancing patient involvement, positive experiences, and a strong brand image can significantly increase patients' intention to return to the Maternal and Child Hospital in Jakarta.
Perilaku Pengurangan Sampah Plastik pada Mahasiswa Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta Alfira Damayanti; Fini Fajrini
Jurnal Medika Nusantara Vol. 3 No. 3 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1699

Abstract

Plastic waste has become a global issue that has a significant impact on the environment and human health. Universities as higher education institutions are also one of the sources of considerable plastic waste due to the daily activities of students and staff. This study aims to identify factors that influence plastic waste reduction behavior among students of the Faculty of Public Health, Universitas Muhammadiyah Jakarta. This research design uses a quantitative approach with a cross-sectional method. A total of 188 students became respondents who were selected by stratified random sampling. Data were collected through an online questionnaire and analyzed using the Chi-Square test with a 95% confidence level. The results showed that the majority of students had good knowledge (77.1%) and positive attitudes (60.1%), but plastic waste reduction behavior was still poor in 52.7% of respondents. A total of 52.1% of students considered government policies related to plastic waste reduction to be good, and statistical analysis showed a significant relationship between government policies and plastic waste reduction behavior (p = 0.026). In contrast, knowledge, attitude, and availability of infrastructure did not have a significant relationship (p > 0.05). The results of this study emphasize that policies have an important role in encouraging changes in behavior that are more concerned about the environment. This study suggests the need to improve supporting facilities, continuous education, and strengthening policy implementation to reduce the use of plastic waste.
Gambaran Aktivitas Sebelum Tidur dan Kualitas Tidur Lansia Penderita Hipertensi Khairatul Husnia; Reni Zulfitri; Arneliwati Arneliwati
Jurnal Medika Nusantara Vol. 3 No. 3 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1700

Abstract

Entering old age causes changes in various aspects, one of which is physiological, namely hypertension, which can affect the sleep quality of the elderly. This happens due to several factors, such as physical, spiritual, and other activities. The aim of this study was to determine the description of activities before bed and the sleep quality of elderly people with hypertension. This research uses a descriptive design. The sample used was 104 respondents, taken based on inclusion criteria using the snowball sampling technique. The research results indicate that the majority of hypertension sufferers were in the level 1 hypertension category, namely 74 respondents. The majority of elderly people's activities before going to bed for the physical dimension were 92 respondents, namely not stretching; the most for the spiritual activity dimension was doing dhikr with 89 respondents; and for other activities, the most was regulating the room temperature and avoiding disturbing sounds, namely 98 respondents. The majority of elderly people's sleep quality is poor, namely 78 respondents. The increasing number of activities before bed, whether physical, spiritual, or other, makes the sleep quality of the elderly poorer.
Studi Kasus Stunting pada Anak TBC Usia 36 Bulan di Wilayah Kerja Puskesmas Mangkang Kota Semarang Tahun 2024 Luluk Nur Fadhillah Mukminurrahmah; Lauren Cahayarsi; Latifatun Nisa; Nella Vallen; Saedatun Saedatun
Jurnal Medika Nusantara Vol. 3 No. 3 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1701

Abstract

Stunting remains a major public health issue in Indonesia, including in Semarang City. Stunting can be exacerbated by infectious diseases such as tuberculosis (TB), which hinder nutrient absorption and child growth. This study aims to evaluate risk factors and the effectiveness of interventions in managing stunting in children with TB infection in the working area of Puskesmas Mangkang. This research employs a case study design with an observational approach. Data were collected through home visits, child growth monitoring, and collaboration with healthcare professionals in providing interventions such as Supplementary Feeding (PMT) and milk. The results of this research is A 36-month-old child with stunting and TB infection showed an increase in weight and height after receiving interventions for eight weeks. However, the increase was not significant. Risk factors contributing to stunting in this case included a history of Low Birth Weight (LBW), poor dietary habits, and ongoing TB infection treatment. Conclusion: Managing stunting in children with TB infection should be conducted gradually, with a primary focus on treating the infection before optimizing nutritional status. A multidisciplinary approach, including nutritional therapy, regular monitoring, and family education, is essential for more effective results.
Scoping Review HIV pada Remaja di Indonesia Sulis Puspito Rini
Jurnal Medika Nusantara Vol. 3 No. 3 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1702

Abstract

Sexually transmitted infections or STIs are types of infections that are spread through sexual intercourse, such as vaginal, oral, or anal sex. Human Immunodeficiency Virus (HIV) attacks the human immune system and can cause Acquired Immune Deficiency Syndrome (AIDS), a disease that can weaken the immune system and cause opportunistic. This research design uses a scoping review. A literature review is one way of research using review and reviews. This research, conducted by examining articles on Google Scholar was examined. This literature review has screened articles from one database of 200 articles, then found 10 selected articles. Furthermore, the authors found themes in this literature review, among others, HIV services in adolescents and two themes were factors related to HIV screening in adolescents, namely sociodemographic factors and health factors. Researchers concludes that HIV can be transmitted through promiscuity and sexual activities that do not use contraceptive.
Potensi Bakteri Pseudomonas stutzeri dari Objek Wisata Pusat Laut, Kabupaten Donggala sebagai Antibakteri terhadap Staphylococcus aureus Slamet Ifandi; Shinta Nugraini; Enggar Enggar
Jurnal Medika Nusantara Vol. 3 No. 3 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1704

Abstract

Pusat Laut is a tourist area located in Towale Village, Banawa Tengah District, Donggala Regency. The purpose of the study was to determine the antibacterial activity of Pseudomonas stutzeri against Staphylococcus aureus skin disease bacteria. This type of research is qualitative with descriptive analysis with data interpretation presented in tabular form. The results of the study showed that P. stutzeri bacteria were able to inhibit Staphylococcus aureus pathogenic bacteria with an average inhibition zone of 10ab (mm). This study can provide scientific evidence of the potential of marine bacteria, especially in the fields of biotechnology and pharmacy as antibiotic drug ingredients in the future.
Faktor Risiko Postpartum Depression dalam Konteks Geografis, Sosial, dan Ekonomi Recavery Dwi Wulandari; Wening Pangesthi Maharani; Nevy Norma Renityas; Dyah Mubarokah Ahadiyati
Jurnal Medika Nusantara Vol. 3 No. 3 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1707

Abstract

Postpartum Depression is also known as PPD, which is a maternal mental health condition that affects each woman worldwide significantly and also potentially influences mothers' and babies' conditions. Various socioeconomic, environmental, and geographic conditions determine the prevalence and the risk factors of PPD. This study aims to identify and analyze the primary factors associated with PPD. This systematic review utilizes articles from PubMed, Elsevier, Google Scholar, and other academic databases published between 2020 and 2025, particularly focusing on differences in PPD prevalence between rural and urban areas. Seven articles were selected based on the inclusion criteria. The results indicate that low educational attainment, prior mental disorders, lack of social support, limited access to health care services, low economic condition, and complications in pregnancy or childbirth significantly increase the risk of PPD. Therefore, advancing mental health services, promoting the involvement of partners and families, as well as mediating interventions related to socio-economics are fundamental strategies to mitigate the incidence of PPD.

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