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Contact Name
Yanti Susan
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awatara.res@gmail.com
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+6282219322077
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Editorial Address
Jl. DR. Cipto Mangunkusumo No. 29, Kesambi, Kec. Kesambi, Kota Cirebon, Jawa Barat 45132
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Jawa barat
INDONESIA
MEJORA
Published by Awatara Publisher
ISSN : -     EISSN : 30259584     DOI : https://doi.org/10.61434/mejora.v2i1
Core Subject : Health,
MEJORA Medical Journal Awatara adalah sebuah jurnal kesehatan yang berdedikasi untuk mendorong eksplorasi mendalam dalam berbagai aspek ilmu kesehatan dan dinamika masyarakat di era digital. Jurnal ini tidak hanya berfokus pada diseminasi informasi hasil penelitian klasikal tetapi juga mengambil peran sentral dalam memahami bagaimana perubahan teknologi digital mempengaruhi sektor kesehatan dan kesejahteraan masyarakat secara keseluruhan. Artikel-artikel di dalam MEJORA mencakup beragam topik, seperti telemedicine, aplikasi kesehatan digital, manajemen data kesehatan elektronik, pemberdayaan pasien dalam pengambilan keputusan kesehatan, implementasi alat wearable untuk pemantauan kesehatan, serta analisis big data dalam meramalkan tren penyakit. Jurnal ini juga menyoroti isu-isu etika terkait privasi data, keamanan informasi kesehatan, serta kesenjangan akses teknologi di berbagai lapisan masyarakat. MEJORA Medical Journal Awatara terbit secara berkala tiga kali dalam setahun, yaitu pada bulan Januari, April, Juli dan Oktober.
Articles 67 Documents
Determinan Stunting pada Anak di Indonesia: Sebuah Tinjauan Literatur Sistematis Meily Amelia1; nur asih, wulan
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
Publisher : Awatara Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.287

Abstract

Child stunting remains a major public health problem in Indonesia and has long-term implications for child growth and human capital development. This study aimed to identify and synthesize the determinants of stunting among children in Indonesia based on published scientific evidence. A systematic literature review was conducted by reviewing relevant scientific articles on stunting determinants in Indonesia. Article searches were primarily performed through Google Scholar using stunting-related keywords. Articles were selected based on topic relevance, study setting in Indonesia, and availability of full-text publications. A total of four eligible articles were included and analyzed using descriptive and thematic synthesis. The findings indicate that stunting in Indonesia is a multifactorial condition influenced by determinants at individual, household, and community levels. Individual-level factors include child age, biological conditions at birth, and infant feeding practices. Household-level determinants involve parental education, socioeconomic status, food security, and living conditions. Environmental factors, particularly water, sanitation, and hygiene (WASH), as well as regional disparities and the role of community-based health services such as posyandu, also contribute to stunting risk. In conclusion, reducing stunting in Indonesia requires an integrated multisectoral approach that addresses nutrition, environmental conditions, and strengthening community-based health services. 
Dampak Perubahan Iklim dan Cuaca Ekstrem terhadap Dinamika Penularan Demam Berdarah Dengue: Sebuah Tinjauan Literatur Mulyani; Manda
MEJORA Medical Journal Awatara Vol 3 No 1 (2025): January
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i1.288

Abstract

Dengue Hemorrhagic Fever (DHF) remains a major public health concern, particularly in tropical and subtropical regions. Climate change and the increasing frequency of extreme weather events, such as flooding and irregular rainfall patterns, play a significant role in influencing dengue transmission dynamics through their effects on mosquito vectors and viral replication. This article aims to narratively review scientific evidence on the relationship between climate change, extreme weather, and dengue transmission. A narrative literature review was conducted using relevant national and international publications retrieved from databases including PubMed, Scopus, Google Scholar, and ScienceDirect, covering the period from 2015 to 2024. The reviewed studies examined the influence of key climatic variables—temperature, rainfall, and humidity—as well as extreme weather events such as flooding on dengue incidence. The findings indicate that increased temperature, variable rainfall, and high humidity are consistently associated with a higher risk of dengue transmission. Flood events were also found to contribute to increased mosquito breeding sites and subsequent rises in dengue cases following flooding periods. These findings highlight the role of climate change in exacerbating dengue risk and emphasize the need for adaptive disease control strategies. Integrating climate information into dengue surveillance and public health policy is essential to strengthen dengue prevention and control in the context of ongoing climate change.
Implementasi Relaksasi Genggam Jari Dan Nafas Dalam Untuk Menurunkan Tekanan Darah Pada Pasien Congestive Heart Failure (Chf) Syipa Audia Nurpadilah; Syaukia Adini; Ida Rosdiana; Riyana, Asep
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.298

Abstract

Congestive heart failure (CHF) is one of the non-communicable diseases caused by structural or functional impairment of the heart. In Indonesia, the highest number of CHF cases is reported in West Java Province, with 186,809 cases. Inadequate management of CHF may lead to serious complications; therefore, blood pressure control is an essential component in preventing such complications. In addition to pharmacological therapy, blood pressure management can be supported by non-pharmacological interventions, one of which is finger-holding relaxation combined with deep breathing. This relaxation technique works by reducing sympathetic nervous system activity and promoting a relaxation response. This study aimed to describe the implementation of finger-holding relaxation and deep breathing therapy in reducing blood pressure among patients with CHF. A qualitative method with a case study approach was used. The study was conducted at Pandega Regional Hospital, Pangandaran, from April 8 to April 28, 2025, involving two CHF patients with a nursing diagnosis of ineffective peripheral perfusion. The intervention was administered for three consecutive days. The results showed a decrease in blood pressure in both patients after the implementation of finger-holding relaxation and deep breathing therapy. Systolic blood pressure decreased by 40 mmHg in the first patient and by 55 mmHg in the second patient, while diastolic blood pressure decreased by 25 mmHg and 30 mmHg, respectively. These findings indicate that finger-holding relaxation and deep breathing therapy can help reduce blood pressure in patients with CHF and a history of hypertension and may be used as a complementary therapy alongside pharmacological treatment.
Implementasi Terapi Bermain dengan Media Plastisin untuk Menurunkan Kecemasan pada Anak Usia Prasekolah di Ruang Anak RSUD Banjar Solehudin, Rizki; Novi Enis Rosuliana; Dini Mariani
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.299

Abstract

Anxiety is a common problem experienced by children during hospitalization, which can affect their mental and physical health. To reduce their anxiety, play therapy using plasticine was conducted. Plasticine games do not require a lot of energy to play. This game can also be done on the child's bed so that it does not interfere with the child's health recovery process. In addition, plasticine games are suitable for preschool children because playing plasticine can increase children's imagination to make interesting things and improve children's fine imagination skills, so that children continue to develop even when hospitalized. This study aims to explore the effectiveness of play therapy in reducing children's anxiety levels. The method used was a case study involving two preschool children who experienced moderate anxiety. Play therapy was conducted over three days, with sessions lasting 20 minutes each. The results showed that play therapy with plasticine was successful in reducing preschool children's anxiety levels, as seen from the comparison of anxiety scores before and after the intervention. In addition, this therapy also provides opportunities for children to express their feelings and improve fine motor skills. Hopefully, the results of this study can be a reference for health workers in providing nursing care.
Penggunaan Flash Card dalam Meningkatkan Pengetahuan dan Praktik Pemberantasan Sarang Nyamuk (PSN) 3M Plus pada Tanggap Bocah (Tabo) di Dusun Sidomulyo Indah Hikmawati, Fitria
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.309

Abstract

Currently, Dengue Hemorrhagic Fever (DHF) remains a public health issue in Sleman Regency. The disease can be controlled through the Mosquito Nest Eradication Program 3M Plus. Various methods can be used to disseminate information about PSN 3M Plus to the community, one of which is through the use of Flash Cards. This study aims to determine whether the use of Flash Cards can improve knowledge and practices of PSN 3M Plus among Tanggap Bocah (Tabo) members in Sidomulyo Hamlet. This research is a quasi-experimental study with a Non-Equivalent Control Group design. The sampling technique used was purposive sampling. The subjects of this study were 40 Tabo members, consisting of 20 from Sidomulyo Hamlet and 20 from Kalirase Hamlet. Data analysis was conducted descriptively and analytically using the Wilcoxon test, Paired Sample T-Test, and Mann-Whitney test. The results showed an increase in knowledge and practices of PSN 3M Plus, as indicated by the difference in pre-test and post-test scores after the Flash Card intervention. Both the knowledge and practice variables showed statistically significant improvements (p <0,05). Furtheremore, the difference in knowledge and practices score between the Flash Card and the lecture method showed that Flash Cards were more effective than lectures in improving knowledge and practices related to PSN 3M Plus among Tabo members (p <0,05).
Pengaruh Marinasi Belimbing Wuluh (Averrhoa bilimbi) terhadap Waktu dan Suhu Penyimpanan Daging Ayam Broiler dan Ayam Kampung di Pasar Bantengan Zulfany, Farsya Auliya; Narto; Choirul Amri; Sri Haryanti
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.311

Abstract

Averrhoa bilimbi (bilimbi) contains 10% saponins, 6% tannins, as well as alkaloids, phenols, and flavonoids, which are suspected to have antibacterial properties and can be used as natural food preservatives. To determine the effect of 12% bilimbi marination on the reduction of bacterial counts in broiler and native chicken meat based on variations in storage temperature and duration. This study used a quasi-experimental design with a one-group pretest-posttest method. Samples of broiler and native chicken meat were marinated with 12% bilimbi solution and stored at room and cold temperatures for 24 and 36 hours. Microbiological testing was conducted using the Total Plate Count (TPC) method, and data were analyzed using the Paired Sample T-test. The highest average reduction in bacterial count was observed in broiler chicken stored at room temperature for 36 hours (68.09%), while the lowest was found in native chicken stored at cold temperature for 24 hours (18.59%). Statistical analysis showed that 6 out of 8 treatments had significant differences before and after marination (p<0.05), while 2 treatments showed no significant difference (p>0.05). Marination with 12% bilimbi extract is effective in reducing bacterial counts in chicken meat, particularly during room temperature storage for up to 36 hours.
Efektivitas Cockroach Bottle Trap Dengan Atraktan Gula Merah Sebagai Pengendalian Kecoa Erlangga Putra, Habibie
MEJORA Medical Journal Awatara Vol 3 No 4 (2025): October 2025
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61434/mejora.v3i4.317

Abstract

Cockroaches are recognized as mechanical vectors capable of transmitting various pathogens to humans. The continuous application of chemical insecticides often results in resistance and poses risks to human health and the environment. Therefore, safer and environmentally friendly alternatives are needed. This study aimed to evaluate the effectiveness of cockroach bottle traps using fermented palm sugar attractants at three different weights: 15 g, 20 g, and 25 g. A quasi-experimental design with a post-test only control group was employed. The attractant was prepared by melting 100 g of palm sugar, mixing it with 10 g of yeast, and fermenting it for 24 hours. Each treatment was repeated six times across three days of observation, with two test containers used daily. Data were analyzed descriptively and inferentially using the Kruskal-Wallis test. Results showed that the 20 g fermented palm sugar attractant captured the highest number of cockroaches, with an average of 2.5 per replication. Statistical analysis revealed a significance value of 0.028 (p < 0.05), indicating a significant difference among treatment groups. Environmental conditions during the study, including an average temperature of 25.1°C and humidity of 74.3%, were supportive of cockroach activity. In conclusion, fermented palm sugar is an effective natural attractant for cockroach control, and further research should explore alternative attractant forms. This method may serve as a safe, eco-friendly, and low-cost strategy for household cockroach management.