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Eka Deviany Widyawaty
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Jurnal Medicare
Published by Rena Cipta Mandiri
ISSN : -     EISSN : 2828352X     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Medicare Journal, ISSN 2828-352X (media online) contains writings taken from the results of research in obstetrics and nursing, pregnancy, childbirth, postpartum; baby; family plans; reproduction health; complementary midwifery care. This journal is published four times a year. Medicare Journal is published by CV. Rena Cipta Mandiri Malang City. Publication schedule: January, April, July, October
Arjuna Subject : Keperawatan - Maternity and Midwifery
Articles 181 Documents
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PRAKTIK PENDIDIKAN MANAJEMEN KEBERSIHAN MENSTRUASI SISWI SMP/MTs Wahida Yuliana; Retno Hastri RR; Agustina Widayati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.220

Abstract

Pure and healthy living behaviors must be instilled from an early age, including menstrual hygiene management (MHM), which should be introduced to adolescent girls from a young age, even before they menstruate. This activity will provide many positive benefits in the future. The purpose of this study was to evaluate the practice of reproductive education related to menstrual hygiene management among middle school adolescents in the Zainul Hasan Islamic Boarding School environment, Probolinggo Regency. A cross-sectional study was conducted with a sample of 198 female adolescent students selected using stratified random sampling method. Data were collected using a questionnaire in the form of a Google form distributed online; after data processing, it was continued with descriptive analysis with SPSS version 26. The results showed that 45% of middle school students had good knowledge about maintaining hygiene during menstruation. 62% of those with good knowledge obtained MHM information from school and 25% from family. The average age of participants was 14 years (SD = 0.8). Research findings show that there are middle school students who have low levels of MHM knowledge and this makes it important for schools to collaborate with midwives to continuously provide MHM education to adolescents in addition to other health education as a form of behavioral intervention.
HUBUNGAN STATUS GIZI DAN KETERSEDIAAN VENTILASI RUMAH DENGAN KEJADIAN ISPA PADA ANAK 1-5 TAHUN Mukhlis; Muhammad Firmansyah
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.223

Abstract

Acute Respiratory Tract Infection or ISPA is an acute infection that attacks one or more parts of the respiratory tract starting from the nose to the alveoli, ISPA is one of the most common diseases suffered by children and toddlers. The purpose of this study was to determine the relationship between nutritional status and the availability of home ventilation with the incidence of ISPA in children aged 1-5 years. The design used in the study was descriptive analytic with a cross-sectional approach, namely a research approach that was carried out simulatively or carried out at the same time then processed and analyzed with the Sample taken in this study amounted to 51 samples, the sampling technique used was purposive sampling. The instrument used was an observation sheet regarding the relationship between nutritional status and the availability of home ventilation with the incidence of ISPA in children. The results of the study showed a relationship between nutritional status and the availability of home ventilation and the incidence of acute respiratory infections (ARI) in children aged 1-5 years. The criteria were 7 (13.7%), 24 (47.1%) undernourished, 15 (29.4%), and 5 (9.8%) overnourished. Furthermore, 17 (33.3%) had suboptimal ventilation and 34 (66.7%) had ideal ventilation.
KETERLAMBATAN DIAGNOSIS KANKER OVARIUM DAN DAMPAKNYA TERHADAP PROGNOSIS PASIEN DI NEGARA BERKEMBANG Dewi; Ernawati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.212

Abstract

This study is a systematic review of 10 international journals published between 2020 and 2025, examining the diagnosis, treatment, and survival of ovarian cancer patients, particularly in low- and middle-income countries (LMICs). The findings indicate that delayed diagnosis and treatment are the primary causes of poor survival rates. Other contributing factors include limited access to healthcare services, variations in histological subtypes, and socioeconomic and geographical disparities. In Indonesia, the average survival time for ovarian cancer patients is only five months, significantly lower than the global average. In Sub-Saharan Africa, the five-year survival rate is approximately 45%, with notable variation between countries. The study also identifies that moderate delays in surgery during the early stages do not necessarily worsen outcomes if clinical management is properly conducted. This review recommends several strategic interventions, such as enhancing early detection, strengthening referral systems, increasing public awareness of early symptoms, and improving the capacity of oncology services. Reducing ovarian cancer mortality requires collaboration among governments, healthcare providers, and communities to expand equitable access to quality cancer care in developing countries.
TINJAUAN LITERATUR TENTANG PERAN MIKRONUTRIEN TERHADAP KONSENTRASI SPERMA BERDASARKAN STUDI KLINIS LIMA TAHUN TERAKHIR Nadia Fatimah Ahmad; Ernawati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.214

Abstract

Micronutrients have an important impact on the male reproductive system, especially regarding the sperm concentration, which is a vital indicator of male fertility. This review aims to find and discuss the results of clinical studies done in the last five years on the impact of micronutrient supplementation on sperm concentration in men. This study takes a qualitative literature review approach by compiling articles obtained from peer-reviewed scientific journals published during the last five years, emphasizing only on micronutrient intake and sperm concentration in men. Following this approach, the study purposively benchmarked 15 reviewed clinical trials and research articles to document recurring themes and factors associated with the level of micronutrient intake and sperm quality. The findings suggest that the mentioned micronutrients have positive effects due to their role in reducing oxidative stress and improving cellular function within the testes. Furthermore, some antioxidants seem to have protective effects on sperm DNA, which is crucial for enhancing fertility. These findings notwithstanding, differences in the design of the studies, including the participants, their characteristics, the dosage of the supplements given, underscore the variability well designed clinical trials are still needed to define optimal protocols. The results emphasize the importance of adding nutritional therapies as adjunct strategies in treating male fertility issues. This review is important to clinicians and researchers as well as health policymakers interested in formulating strategies to enhance reproductive health in men by employing evidence-based techniques and micronutrient supplementation. Mikronutrien memiliki dampak penting pada sistem reproduksi pria, terutama mengenai konsentrasi sperma, yang merupakan indikator penting kesuburan pria. Tinjauan ini bertujuan untuk menemukan dan membahas hasil studi klinis yang dilakukan dalam lima tahun terakhir tentang dampak suplementasi mikronutrien terhadap konsentrasi sperma pada pria. Studi ini mengambil pendekatan tinjauan literatur kualitatif dengan menyusun artikel yang diperoleh dari jurnal ilmiah per review yang diterbitkan selama lima tahun terakhir, hanya menekankan pada asupan mikronutrien dan konsentrasi sperma pada pria. Mengikuti pendekatan ini, penelitian ini secara sengaja membandingkan 15 uji klinis dan artikel penelitian yang ditinjau untuk mendokumentasikan tema dan faktor berulang yang terkait dengan tingkat asupan mikronutrien dan kualitas sperma. Temuan menunjukkan bahwa mikronutrien yang disebutkan memiliki efek positif karena perannya dalam mengurangi stres oksidatif dan meningkatkan fungsi seluler di dalam testis. Selain itu, beberapa antioksidan tampaknya memiliki efek perlindungan pada DNA sperma, yang sangat penting untuk meningkatkan kesuburan. Terlepas dari temuan ini, perbedaan dalam desain penelitian, termasuk peserta, karakteristik mereka, dosis suplemen yang diberikan, menggarisbawahi variabilitas uji klinis yang dirancang dengan baik masih diperlukan untuk menentukan protokol yang optimal. Hasilnya menekankan pentingnya menambahkan terapi nutrisi sebagai strategi tambahan dalam mengobati masalah kesuburan pria. Tinjauan ini penting bagi dokter dan peneliti serta pembuat kebijakan kesehatan yang tertarik untuk merumuskan strategi untuk meningkatkan kesehatan reproduksi pada pria dengan menggunakan teknik berbasis bukti dan suplementasi mikronutrien.
PERAN PROBIOTIK DALAM MENGURANGI RESIKO BAKTERIAL VAGINOSIS DAN KETIDAKSUBURAN PADA WANITA USIA REPRODUKTIF Andriani, Eka Safitri; Ernawati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.215

Abstract

This study examines the role of probiotics, especially Lactobacillus strains, in reducing the risk of bacterial vaginosis (BV) and infertility in women of reproductive age. BV occurs due to an imbalance in the vaginal microbiota, characterized by a decrease in Lactobacillus and an increase in pathogenic bacteria, which negatively impacts reproductive health. Probiotics help restore microbiota balance, lower vaginal pH, and protect against infection and inflammation. Findings indicate that probiotics can enhance treatment effectiveness, reduce recurrence, and potentially lower the risk of infertility. However, further research is needed to uncover molecular mechanisms and direct effects on fertility.
ANALYSIS OF ENVIRONMENTAL FACTORS ON HUMAN SPERM VIABILITY IN MODERN CLINICAL REPRODUCTION LABORATORY Rizkiawati, Reza; Ernawati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.216

Abstract

This study discusses the main influence of environmental factors on sperm viability in modern clinical reproductive laboratories, which is a crucial component in successful fertilization because only live and good quality sperm are capable of fertilizing an egg. Sperm are known to be very sensitive to environmental disturbances. Based on a review of the latest scientific literature (2020–2025), this study emphasizes the importance of maintaining the incubation temperature at 37°C, the pH of the culture medium between 7.2–7.4, and regulating the concentration of CO₂ (5–7%) and O₂ (5%) gases in order to create optimal culture conditions. Imbalances such as temperature fluctuations, excessively high pH, the presence of volatile organic compounds (VOCs), and exposure to light—particularly blue light—have been shown to increase oxidative stress that adversely affects sperm viability. Therefore, laboratory optimization strategies such as the use of compartment incubators, automated CO₂ regulation systems, fast and gentle sample handling, and protection from excessive light exposure are essential to enhance the success of assisted reproductive (ART) technologies such as IVF and ICSI.
TINJAUAN PUSTAKA AKSES YANG TIDAK SETARA TERHADAP PEMERIKSAAN KANKER SERVIKS: PERSPEKTIF GENDER DAN KESEHATAN PUBLIK DI ERA DIGITAL Indira, Syalisa Mei; Ernawati, Ernawati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.217

Abstract

Cervical cancer is a global health problem, with 85-90% of cases and deaths occurring in low- and middle-income countries due to limited screening availability. This study used a qualitative review of 20 scientific papers (2021-2025) to investigate disparities in screening availability and digital advances such as AI, telehealth. Findings suggest that digital tools improve diagnostic accuracy and user consent, such as AI-driven sensitivity and self-sampling willens access for rural women and individuals with disabilities. However, barriers such as inadequate facilities, hidden costs, social bias, scarcity of medical staff, and systemic discrimination continue to limit engagement. Use of technology without support from digital literacy, culturally aware conversations, and gender-friendly rules may further exacerbate the divide. In short, screening programs must be open, inclusive, and combine digital advances with national referral networks and equity – to ensure cervical cancer screening is available and equitable for all.
HUBUNGAN PERAN ORANG TUA DENGAN PERKEMBANGAN KOGNITIF ANAK PRASEKOLAH DI TK ISLAM AL-HUDA SANGKAPURA Sitti Navia; Ernawati
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.221

Abstract

Children's cognitive development is greatly influenced by the role of parents. If parents provide stimulation to children from an early age, then the child's development, including cognitive development, will have a positive impact in the future. The aim of the research was to determine the relationship between the role of parents and the cognitive development of preschool children at Al-Huda Sangkapura Islamic Kindergarten. This research is a correlational analytic with a cross sectional approach. The population in this study was 46 preschool children. The sample in this study was the entire population, namely preschool children using a total population sampling technique. Data analysis used the Spearman Rank test, the research instrument used a questionnaire on the role of parents and the cognitive development of preschool children. The results of the study show that the role of parents is adequate at 26. The cognitive development of children aged 4-5 years is starting to develop at 12 and at the age of 5-6 years is developing very well at 11. Spearman rank test analysis of the relationship between the role of parents and cognitive development at age 4 -5 years with a p value of 0.005 > α, 0.05 aged 5-6 years with a p value of 0.014 > α 0.05.There is a relationship between the role of parents and the cognitive development of preschool children at Al-Huda Sangkapura Islamic Kindergarten., It is hoped that parents must play a more active role in children's development.
ANALISIS RISIKO GANGGUAN LAMBUNG PADA POLA MAKAN PEDAS DAN CARA PENANGANANNYA PADA GENERASI Z DI SATU WARALABA MIE PEDAS DI KOTA BEKASI Simamora, Rotua Suriany; Sani, Aluwi Nirwana; Nurhayati, Nunung; Warti, Lia; Rahma, Icha Saeful; Setiadi, Feri
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.222

Abstract

Spicy food has now become a favorite among many young people, especially Generation Z. In addition to its tantalizing taste, spicy food is often featured in social media content in the form of challenges. This habit can increase the risk of gastric disorders if not accompanied by proper knowledge and management. This study aims to determine the influence of spicy food consumption patterns, knowledge levels, and handling practices on the incidence of gastric disorders among Generation Z at a spicy noodle franchise in Bekasi City. The method used was quantitative correlational with a cross-sectional approach, involving 100 respondents. The results of the multiple linear regression test showed a correlation coefficient (R) of 0.610 (strong category) and an R Square of 0.372 (moderate category). The chi-square test showed a p-value for eating patterns of 0.000 < 0.05, knowledge of 0.001 < 0.05, and management of 0.000 < 0.05, indicating that all variables had a significant effect on gastric disorders. Based on the results of the study, it can be concluded that spicy eating patterns, knowledge, and handling practices significantly influence gastric disorders among Generation Z.
HUBUNGAN KETERATURAN POLA MAKAN DENGAN KEJADIAN GASTRITIS PADA MAHASISWA FARMASI STIKes RANAH MINANG Rina; Anne Rufaridah; Rikaoctriantiaskar; Fonny Kurnia Putri
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.224

Abstract

Gastritis is a chronic inflammation of the stomach lining that causes epigastric pain, anemia, tenderness, and loss of appetite. In West Sumatra, gastritis was the fourth most common disease after acute respiratory infections in 2022 and 2023. A key cause of gastritis is irregular eating patterns, often due to improper diets, spicy foods, or foods containing microorganisms, which increase stomach sensitivity and risk of mucosal bleeding. This study aimed to examine the relationship between eating pattern regularity and the incidence of gastritis among third-year Diploma III Pharmacy students at STIKes Ranah Minang in 2024. A cross-sectional design was used, with primary data collected via questionnaires. The sample consisted of 55 students selected using purposive sampling. Data were analyzed using the Chi-Square test. Results showed that 76.4% had irregular eating patterns and 70.9% experienced gastritis. Among 42 students with irregular eating habits, 88.1% had gastritis, compared to only 15.4% of those with regular patterns. The p-value was 0.000, indicating a significant relationship. Conclusion: There is a relationship between eating pattern regularity and gastritis incidence.

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