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INDONESIA
(MJN)
Published by Penerbit Tahta Media Group
ISSN : 29630150     EISSN : 29640598     DOI : 10.550.80
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary
Medical Journal of Nusantara (MJN) E-ISSN : 2964-0598, P-ISSN 2963-0150 is a scientific journal that publishes research articles, case reports, case reports, literature reviews (reviews), and other topics relevant to the field of medicine and health. Medical Journal of Nusantara (MJN) is published three times a year, namely every January-March, April-August, September-December Published areas of knowledge include: Nursing Pharmacy Physiotherapy Health Technology Nutrition And Nutrition Public Health Obstetrics Education And Health Promotion Hospital Administration and Management Health Law and Ethics Occupational Health and Safety Maternal and Child Health Mental Health Medical Education Submit your manuscripts today! through our online system (If you reached any problems in your papers submission, please contact us at email: admin@tahtamedia.co.id Download Medical Journal of Nusantara (MJN) Guide of Authors for writing and style in here.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 66 Documents
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DIFFERENTIAL LEARNING DESIGN TO OPTIMIZE THE POTENTIAL OF VISUALLY IMPAIRED STUDENTS Gunawan; Khasanah, Uswatun
Medical Journal of Nusantara Vol. 4 No. 2 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i2.1877

Abstract

This study aims to analyze the learning needs of a speech-impaired student, design a differentiated learning model contextualized to the characteristics of the madrasah, and examine the effectiveness of the design in improving student participation and learning achievement. The research employed a Research and Development (R&D) approach conducted at MI Muhammadiyah Klaseman. The research subjects consisted of one fifth-grade speech-impaired student and a classroom teacher as a supporting informant. Data were collected through observation, interviews, documentation, and limited trials. The needs analysis revealed that the primary barrier faced by the student was instructional communication access rather than cognitive ability. The developed differentiated learning model included differentiation of content, process, product, and learning environment through visual supports and alternative non-verbal responses. The effectiveness test showed an improvement in learning participation from low to high category and an increase in learning achievement with an N-gain score of 0.57 (moderate category). The study concludes that a needs-based differentiated learning design is effective in optimizing the potential of speech-impaired students and strengthening the implementation of inclusive education in Islamic elementary schools.
LEARNING MANAGEMENT BASED ON INDIVIDUAL NEEDS ASSESSMENT IN CHILDREN WITH DISABILITIES Hadi, Imam Anas
Medical Journal of Nusantara Vol. 4 No. 2 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i2.1878

Abstract

This study aims to analyze the implementation strategies of learning management based on individual needs assessment for students with disabilities at SMK Muhammadiyah Delanggu. The research employed a qualitative approach with a case study design. Data were collected through observation, in-depth interviews, and documentation analysis of lesson plans and student assessment records. The findings indicate that individual needs assessment was systematically integrated into the modification of learning objectives, adaptation of teaching methods and media, classroom organization, and the implementation of adaptive evaluation using performance rubrics and portfolios. The applied strategies included breaking down competency indicators into operational steps, utilizing visual media and step-by-step demonstrations, organizing small structured learning groups, and providing continuous formative feedback. The implementation of these strategies significantly improved students’ participation, independence, and self-confidence in vocational learning activities. The study concludes that learning management based on individual needs assessment is an effective approach to strengthening inclusive education practices in vocational secondary schools.
OPTIMIZING HOSPITAL SERVICE MANAGEMENT IN THE ERA OF HEALTH TRANSFORMATION Nasikin, Moch
Medical Journal of Nusantara Vol. 4 No. 2 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i2.1880

Abstract

This study aims to analyze the effectiveness, efficiency, and quality of hospital services in a sustainable manner within the era of healthcare transformation. The research employed a mixed methods approach with a sequential explanatory design, combining quantitative analysis of hospital performance indicators with qualitative exploration of service management practices. Effectiveness indicators included Bed Occupancy Ratio (BOR), Length of Stay (LOS), and Turn Over Interval (TOI); efficiency was measured through Bed Turn Over (BTO), Cost Recovery Rate (CRR), and waiting time; while service quality was assessed using patient satisfaction index and patient safety indicators. The findings indicate that data-driven management strengthening, digitalization of hospital information systems, and the implementation of continuous quality improvement significantly contribute to improving hospital service performance. The integration of clinical effectiveness, operational efficiency, and service quality forms the foundation for hospital sustainability in responding to regulatory demands and national healthcare transformation initiatives.
THE EFFECTIVENESS OF DIFFERENTIAL CLASSROOM MANAGEMENT ON THE PSYCHOLOGICAL WELL-BEING OF STUDENTS WITH DISABILITIES Abidin, Zaenal
Medical Journal of Nusantara Vol. 4 No. 2 (2025): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v4i2.1881

Abstract

This study aims to analyze the effectiveness of differentiated classroom management in improving the psychological well-being of students with intellectual disabilities at SLB Ungaran Barat. The research employed a quasi-experimental approach using a non-equivalent control group design. The participants consisted of an experimental group receiving differentiated classroom management treatment and a control group receiving conventional classroom management. Data were collected through a psychological well-being scale, structured observations, and teacher interviews. The indicators of psychological well-being included self-confidence, emotional stability, social participation, and learning motivation. The findings revealed a significant increase in the psychological well-being scores of the experimental group compared to the control group, with a large effect size. These results indicate that the implementation of differentiated classroom strategies positively contributes to improving mental health and socio-emotional development among students with intellectual disabilities. The study recommends differentiated classroom management as a sustainable pedagogical strategy in special education to support students’ holistic development.
MICROBIOLOGICAL CHARACTERISTICS AND ANTIMICROBIAL RESISTANCE IN DIABETIC FOOT ULCERS Yulia Ratna Dewi; Arum Kusuma Putri; Mutia Azahra
Medical Journal of Nusantara Vol. 5 No. 1 (2026): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v5i1.1950

Abstract

Background: Diabetic foot ulcers (DFUs) are among the most severe complications of diabetes mellitus, contributing significantly to morbidity, prolonged hospitalization, and lower-extremity amputations. Infection plays a critical role in the progression of DFUs, with diverse bacterial involvement and increasing antimicrobial resistance posing major challenges to effective treatment. Objective: This study aimed to review and synthesize current evidence on bacterial identification and antimicrobial resistance patterns in diabetic foot ulcers. Methods: A semi-systematic literature review was conducted using electronic databases, including PubMed, Scopus, ScienceDirect, and Google Scholar. The study selection followed PRISMA guidelines. A total of 130 articles were initially identified, of which 30 studies met the inclusion criteria after screening and eligibility assessment. Data were extracted and analyzed using a qualitative descriptive approach with narrative synthesis. Results: The findings revealed that diabetic foot infections are predominantly polymicrobial, with a higher prevalence of Gram-negative bacteria compared to Gram-positive organisms. The most frequently identified pathogens included Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa. A significant proportion of isolates exhibited resistance to commonly used antibiotics, particularly penicillin, amoxicillin, and trimethoprim-sulfamethoxazole. Gram-negative bacteria demonstrated more complex resistance mechanisms, including extended-spectrum beta-lactamase (ESBL) and carbapenemase production. Multidrug-resistant (MDR) organisms were commonly reported, further complicating treatment strategies. Conclusion: Diabetic foot infections represent complex polymicrobial conditions with a predominance of Gram-negative bacteria and a growing burden of antimicrobial resistance. Accurate bacterial identification and antibiotic susceptibility testing are essential to guide targeted therapy and improve clinical outcomes. Continuous surveillance and rational antibiotic use are necessary to prevent the further spread of resistant pathogens.
COST OF ILLNESS STROKE TREATMENT: A SYSTEMATIC REVIEW Izzah, Raihana Nurul; Alia, Dina Fatma; Amalia, Annora Rizky; Sari, Yunita Dian Permata
Medical Journal of Nusantara Vol. 5 No. 1 (2026): Medical Journal of Nusantara (MJN)
Publisher : Tahta Media Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55080/mjn.v5i1.1957

Abstract

Cardiovascular disease remains the leading cause of death worldwide, with stroke playing a significant role in increasing morbidity, mortality, and the global economic burden. This study aimed to systematically review the cost of illness and health expenditure associated with stroke across different countries. A systematic review was conducted using PubMed, ScienceDirect, and Springer databases for articles published between 2021 and 2026, following PRISMA guidelines. Studies included in the criteria were original research that reported direct and/or indirect costs due to stroke, both in primary health care facilities and in hospitals. Data extraction, screening, and quality assessment were performed using the CHEERS checklist. A total of 13 studies met the inclusion criteria. The findings showed that most studies (76%) applied the Cost Of Illness (COI) approach, while the rest used Health Expenditure (HE) methods. Direct medical costs, particularly those from inpatient care, constitute the largest component of stroke-related expenditures. Cost estimates show considerable variation between countries, with expenditures tending to be higher in high-income countries than in middle-income countries. Clinical severity, length of hospital stay, stroke subtype, and sociodemographic factors were identified as key determinants influencing total costs. Indirect cost components such as lost productivity and premature death also contribute significantly, but their reporting has not been consistent across studies. In conclusion, stroke imposes a substantial and heterogeneous economic burden influenced by methodological approaches, perspectives, and healthcare system differences. Comprehensive evaluation including both direct and indirect costs is essential to support effective health policy and resource allocation.

Page 7 of 7 | Total Record : 66

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