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Health Dynamics
Published by Knowledge Dynamics
ISSN : -     EISSN : 30065518     DOI : https://doi.orag/10.33846/hd
Core Subject : Health, Science,
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Health Dynamics (ISSN: 3006-5518, online) is an open-access journal that publishes Original Research, Case Report, Literature Reviews, Short Communications, Commentary, Opinion, Book Review, Letter to Editor, and Scientific News in the areas of public health, medicine, dentistry, human nutrition, nursing, health administration etc.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 159 Documents
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Descriptive Epidemiology of Tuberculosis-Diabetes Mellitus Co-Infection in Respira Paru Hospital: A Study of Incidence from 2021 to 2023 Rizkika, Bunga Bilbina; Sofiana, Liena; Oktaviana, Ardyawati Wira
Health Dynamics Vol 2, No 1 (2025): January 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20103

Abstract

Background: Tuberculosis (TB) and Diabetes Mellitus (DM) are global problems, especially in countries with high TB endemicity. The relationship between TB and DM is more dominant in developing countries where TB is endemic, and the prevalence of DM is increasing. The risk of death during TB treatment and the risk of relapse after treatment is higher in TB patients with comorbid DM. More than 10% of TB patients are also known to have DM. This study aims to determine the epidemiological picture of TB-DM incidence based on time, place and person. Methods: This study uses a descriptive quantitative design with a case study approach; the analysis used is univariate analysis using proportions. The population of TB-DM patients in 2021-2023 was recorded in medical records, with a purposive sampling technique obtained from 110 people. Results: The epidemiological picture of TB-DM cases based on the characteristics of the person is age ≥ 45 years (80.9%), male gender (71.8%), type of pulmonary TB (98.2%), bacteriologically confirmed TB diagnosis (73.6%), the final result of TB treatment is cured (52.7%), type of DM therapy is insulin injection (76.4%) and high random blood sugar levels > 200 mg/dL (64.5%). Conclusions: The epidemiological picture of TB-DM cases for three years (2021-2023) has an upward trend and the highest cases in 2022; the majority of TB-DM cases are male, aged > 45 years, with the most cases coming from Bantul Regency.
Comparison Between General and Spinal Anesthesia in the Effect on Hemodynamic Stability in Patients Undergoing Hernia Repair in Hospitals in Karbala, Iraq Kadhim, Adnan Abdul Adheem; Salem Al-Khikani, Haider Ahmed Jalab; Hamza, Qasim Muhammad; Habib, Yass Khudair; Hussein, Muhammad Mohsen; Muhammad, Hassan Taqi
Health Dynamics Vol 2, No 1 (2025): January 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20104

Abstract

Background: Among the various methods, drugs, strategies, and guidelines for optimal anesthesia selection, the anesthesia and critical care staff primarily aim to choose the anesthetic with the least risk to the patient. Spinal anesthesia is one of the most effective and commonly used forms of anesthetic for hernia repair procedures. This study aims to provide an updated and accurate analysis of patients undergoing hernia repair at Karbala's Al-Hassan Hospital and Al-Hussein Medical City. Methods: We divided 100 patients who underwent herniotomy into two groups based on the type of anesthesia received: 50 patients received spinal anesthesia (SA), and 50 received general anesthesia (GA). The analysis included patient age, weight, changes in blood pressure, and pulse rate. To ensure comprehensive monitoring, patients aged 20 to 90 years were followed before, during, and after the procedure. Results: The results indicate greater hemodynamic stability in patients who received SA, with approximately 56% of patients demonstrating stable parameters compared to 40% in the GA group. However, higher blood pressure was observed more frequently in the GA group (32%) compared to the SA group (24%). Similarly, lower blood pressure was more common in GA (28%) than in SA (20%). Heart rate analysis revealed that SA resulted in greater stability, with 56% of patients maintaining a stable heart rate, compared to 32% in the GA group. Conversely, an increased heart rate was observed in 34% of patients in the SA group compared to 60% in the GA group. A decreased heart rate was reported in 10% of SA patients and 8% of GA patients, further supporting the conclusion that SA provides more stable outcomes. Conclusions: Spinal anesthesia was found to be superior to general anesthesia in maintaining heart rate and blood pressure stability at normal or minimally fluctuating levels.
Mobile Health Interface Analysis: Usability Assessment of the Sembada Application for Non-Communicable Disease Monitoring Wijayanti, Dian; Kurdanti, Weni; Siswati, Tri
Health Dynamics Vol 2, No 1 (2025): January 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20105

Abstract

Background: Early detection of non-communicable diseases (NCDs) through integrated guidance posts (Posbindu PTM) can be enhanced through mobile health applications. This study aimed to develop and evaluate the usability of Sembada m-Health, an Android-based application for conducting Posbindu PTM activities at Sleman Regional General Hospital. Methods: This Research and Development study employed the Four D model (Define, Design, Develop, Disseminate). The define phase involved stakeholder needs assessment through Focus Group Discussions. The design phase encompassed application development by IT experts, while the develop phase included multi-level testing by material experts (n=2), media experts (n=2), and end-users (n=30). Structured questionnaires assessed media and material aspects, while the Post-Study System Usability Questionnaire (PSSUQ) evaluated user experience. The disseminate phase included application socialization and qualitative evaluation. The study was conducted in Yogyakarta from October 2021 to April 2022, with feasibility thresholds set at ≥4.20 for media and material aspects and ≤2.82 for PSSUQ. Results: The application exceeded all feasibility thresholds, scoring 4.62 for media aspects, 4.23 for material aspects, and 1.71 on the PSSUQ. Stakeholders expressed high satisfaction with Sembada m-Health's system functionality, particularly its support for individual health monitoring, program implementation, NCD risk factor tracking, and personalized recommendations. Conclusions: Sembada m-Health demonstrated high usability and feasibility for supporting the Posbindu PTM program. Future research should focus on evaluating its long-term impact on NCD prevention and management outcomes.
Analysis of the Leukocyte Profile for Peripheral Blood Smear Stained with Diff-Count Based on Fixation Time Variation Museyaroh, Museyaroh; Nabilah, Musholli Himmatun; Endarini, Lully Hanni
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20202

Abstract

Background: Peripheral blood smear examination (HDT) is a test to observe the morphology of blood cells microscopically. A peripheral blood smear is a simple method, and its examination is widely available in laboratories. The advantage of peripheral blood smear examination is its ability to assess various components of peripheral blood cells, such as cell morphology (erythrocytes, leukocytes, and platelets). One of the commonly used methods for peripheral blood smear examination is Giemsa staining. The process of Giemsa staining fixation aims to preserve the cell structure and its components before the staining is performed. The precise fixation time is key to obtaining optimal staining results, which allows for accurate observation of cell morphology. The aim of this study is to analyze the morphology of leukocyte profiles in peripheral blood smears stained with Giemsa based on variations in fixation time to determine the optimal time. Methods: This research was conducted in August-September 2024. The sample in this study was whole blood taken from the academic community of the Department of Medical Laboratory Technology and examined with a peripheral blood smear using Giemsa staining, and analyzed using descriptive statistical tests with the SPSS for Windows 22 software. Results: The research results showed that at a fixation time of 3 minutes, 60% were good and 40% were less good; at 5 minutes, 100% were good; at 10 minutes, 100% were good; at 15 minutes, 40% were good and 60% were less good; and at 20 minutes, 20% were good and 80% were less good. Conclusion: The best time variation in Giemsa staining using phosphate buffer is fixation for 5 minutes and 10 minutes, where all preparations (5 preparations) are 100% in the good category.
The Role of Employee Characteristics and Quality of Work Life in Improving Performance at Mother and Children Glamour Husada Kebun Hospital, Bangkalan, Indonesia Haksama, Setya; Rahmarista, Ditami; Lusno, M. Farid Dimjati; Prayoga, Diansanto; Sriram, Shyamkumar; Adji, Arga Setyo; Zeinsar, Syahprevi Rayyan; Shedyta, Syadza Zahrah
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20203

Abstract

Background: Human resource management plays a vital role in achieving hospital goals, including improving service quality by optimizing human resource talent efficiently. The quality of work significantly affects employee performance. Employees who experience a supportive and conducive work environment are more motivated, engaged, and likely to provide optimal results, contributing to organizational success. This study aims to analyze the influence of employee characteristics and quality of work life on employee performance at RSIA Glamour Husada Kebun Bangkalan. Methods: A quantitative research method with a cross-sectional approach was employed. The study involved all employees of RSIA Glamour Husada Kebun Bangkalan, with a sample of 74 respondents selected through total sampling. Data were collected via questionnaires covering employee characteristics, quality of work life, and employee performance. Binary logistic regression was used for data analysis. Results: Employee characteristics (p = 0.265) did not have a significant influence on performance simultaneously. However, the quality of work life (p = 0.000) significantly influenced performance simultaneously. Among the employee characteristics, the length of service (p = 0.008) had a significant effect on performance. All dimensions of quality of work life were proven to partially affect employee performance. Conclusion: Employee performance is significantly influenced by the length of service and various dimensions of quality of work life. These findings highlight the importance of fostering a supportive work environment and recognizing the critical role of tenure in enhancing the performance of hospital employees.
High Compliance Rates and the Roles of Gender in Hand Hygiene Practices Among Medical Laboratory Technologists at USM Health Campus Setiyadi, Ain Fatihah; Sabri, Nurhidayah; Samad, Nurul Izzah Abdul; Hasan, Nurul Atikah Che; Yhaya, Mohd Firdaus; Hamzah, Nurul Ainun
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20204

Abstract

Background: Effective hand hygiene is crucial to prevent laboratory-acquired infections (LAIs), yet research on MLTs' practices remains limited. The study examines hand hygiene compliance and adherence factors among Medical Laboratory Technologists (MLTs) at Universiti Sains Malaysia (USM) Health Campus. Methods: A cross-sectional study involved 125 MLTs, utilising self-administered questionnaires to assess sociodemographic characteristics, knowledge, attitudes, practices (KAP), and access to hand hygiene tools. Descriptive and inferential statistical analyses were performed to identify key compliance predictors. Results: The findings revealed a high compliance rate of 97.6%, with 94.4% of participants reporting good access to hand hygiene resources. Female MLTs demonstrated significantly higher adherence to hand hygiene protocols as compared to their male counterparts (Adj b= 0.222, 95% CI: 0.040, 0.404), while other factors such as age, education, and training did not significantly affect compliance (p>0.05). Conclusion: Despite high KAP scores, these variables did not predict adherence, highlighting the complex interplay of behavioural and systemic factors in hand hygiene practices. Future studies should explore innovative approaches, including direct observational methods, gender-specific initiatives, and organisational strategies to enhance hand hygiene practices further. These efforts are essential to strengthen infection control measures, promote laboratory safety, and improve outcomes for healthcare workers and patients.
The Relationship Between Cultural Food of Metuakan and Megibung with the Incidence of Hypertension at Karangasem I Health Center, Karangasem District, Bali, Indonesia Padmi, Luh Sri Anggayoni Julia; Achjar, Komang Ayu Henny; Gama, I Ketut; Mustika, I Wayan; Lestari, Agus Sri; Sudiantara, Ketut; Suardana, I Wayan; Ngurah, I Gusti Ketut Gede
Health Dynamics Vol 2, No 2 (2025): February 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20205

Abstract

Background: Hypertension, a non-communicable disease, is defined by a systolic pressure of ≥ 140 mmHg and/or a diastolic pressure of ≥ 90 mmHg. Factors contributing to hypertension include alcohol consumption and diets high in salt and saturated fats. This study aims to explore the relationship between community cultural practices and the occurrence of hypertension. Methods: This study employed a quantitative correlational approach with a cross-sectional design. A probability sampling technique, specifically stratified random sampling, was used to select 90 participants who met the inclusion and exclusion criteria. Data analysis was conducted using the Spearman Rank correlation test. Results: The findings revealed that most respondents' cultural practices were categorized as poor (29 participants, 32.2%), followed by normal (17 participants, 18.9%), good (16 participants, 17.8%), very poor (15 participants, 16.7%), and very good (13 participants, 14.4%). Regarding hypertension severity, the majority of respondents experienced grade 1 hypertension (61 participants, 67.8%), while 29 participants (32.2%) had grade 2 hypertension. The study identified a significant relationship between community culture and hypertension incidence, with a p-value of 0.000. Conclusion: This study underscores the importance of increasing public awareness and educating hypertension patients about cultural practices that elevate the risk of hypertension, such as consuming alcohol and diets rich in salt and saturated fats.
Family Empowerment Model Based on Madurese Social and Cultural Structures to Prevent Stunting Suryaningsih, Suryaningsih; Fitriah, Fitriah; Rodiyatun, Rodiyatun; Hendriyani, Feftin; Haris, Mustofa
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s10

Abstract

Background: Bangkalan district has the highest incidence of stunting in East Java. Various efforts have been made to accelerate the reduction of stunting, but maximum results have not been achieved. This study aimed to determine the impact of family empowerment based on Madura sociocultural structures on the ability to prevent stunting. Methods: This study used a cross-sectional design with a population of families with school-aged children in PAUD, Regency area of Bangkalan, with a sample of 280 individuals drawn by stratified random sampling. Data analysis was performed using SEM. Results: The results showed that the Madurese family culture and social structure were built on religious, kinship, and economic interest indicators. Family empowerment, with aspects of family structural strength, family functioning, and family values, influences the family's ability to prevent growth retardation. Family empowerment in stunting prevention is strongly influenced by the culture and social structure of the Madura family. Indicators of stunting prevention skills include the ability to meet family nutrition, fertility management, growth and development monitoring, personal and environmental hygiene patterns, and family capacity to modify the environment. The more power a family has, the more impact it has on their ability to prevent stunting. Conclusion: Stunting based on Madhura culture can be achieved through the integrative implementation of stunting. Local government organizations involve informal community figures
Strengthening Family Commitment in Monitoring Child Development through the Role of Filial Values Utami, Sri; Susilaningrum, Rekawati; Yunita, Evi
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s02

Abstract

Background: Monitoring the development of children under five by families is essential for optimal child development. Family commitment in this context is influenced by various factors, including personal factors and family resources. This study aims to analyze the influence of monitoring on child development, with a focus on the role of filial values as a mediator variable. Methods: This study used an explanatory, cross-sectional design. The sample consisted of 275 families with toddlers within the health center working area in Surabaya City, selected through simple random sampling. The variables assessed include factors influencing family commitment. Data were collected using a questionnaire and analyzed using SEM-PLS. Results: The findings showed that personal factors and resource factors significantly influence family commitment to monitoring the development of children under five, mediated by the filial values. The coefficient for the effect of personal factors on behavioral factors was 0.149 (p = 0.028); for resource factors on cognition behavior, 0.541 (p = 0.000); for cognition behavior on filial values, 0.493 (p = 0.000); for cognition behavior on commitment, 0.1113 (p = 0.024); and for filial values on commitment, 0.697 (p = 0.000). Conclusions: Filial values play a crucial role in enhancing the impact of personal factors and family resources on family commitment to monitoring the child development. Further research is needed on an intervention that strengthens the filial value of families to enhance family commitment to optimizing the monitoring of children’s development. Personal factors and family resources are key in shaping family commitment, with filial values strengthening this relationship. Emphasizing personal aspects, family resources, and filial values is essential to increase family commitment in monitoring child development.
Analysis of Preeclampsia Risk Factors at Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency Hospital, Indonesia Rahayu, Ari Tri; Triyawati, Lilik; Wahyuni, Sri
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s11

Abstract

Background: Hypertension in pregnancy affects 10% of pregnant women worldwide and includes preeclampsia, eclampsia, gestational hypertension, and chronic hypertension. Preeclampsia is the most common, with a global incidence of 2–8% of pregnancies. In Indonesia, preeclampsia accounts for 128,273 cases annually, or approximately 5.3% of pregnancies. Several risk factors contribute to preeclampsia, including a history of preeclampsia, diabetes, chronic hypertension, kidney disorders, a family history of severe preeclampsia, obesity, maternal age, nulliparity, and multiple pregnancies. Medical records from Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency Hospital show that preeclampsia cases constituted 17.57% (195 of 1,110 cases) in 2020 and 8.26% (139 of 1,696 cases) in 2021. This study aims to analyze the risk factors for preeclampsia at RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency. Methods: This observational analytic study employed a cross-sectional design. The sample consisted of 105 pregnant women in their second and third trimesters, selected using simple random sampling. Data were analyzed using the Multiple Logistic Regression Test to assess risk factors. Results: The multivariate analysis yielded a significance value of 0.243, indicating that maternal age, history of preeclampsia, and pregnancy spacing influence preeclampsia incidence. The Model Summary table showed Nagelkerke's R Square value of 0.037. Conclusion: Maternal age, pregnancy spacing, and a history of preeclampsia are significant risk factors for preeclampsia.

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