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Contact Name
I Made Dwi Mertha Adnyana
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dwi.mertha@unhi.ac.id
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+6283119338984
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editor@journal.megsci-ind.org
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Jl. Pulau Menjangan, Sri Mandala, Kelurahan Dauhwaru, Kecamatan Jembrana, 82217, Provinsi Bali, Indonesia
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INDONESIA
Svāsthya: Trends in General Medicine and Public Health
ISSN : -     EISSN : 30630649     DOI : https://doi.org/10.70347/svsthya
Core Subject : Health, Science,
Svāsthya: Trends in General Medicine and Public Health is a multidisciplinary journal and it is published six times (January, March, May, July, September, and November) a year. The objective is to promote articles on general medicine, infection, public health, Global health Infection, Tropical diseases, One health and eco-epidemiology, Biomedical sciences, Epidemiology and clinical epidemiology, Molecular biology, Biology of disease and infection, Environmental health, Epidemiology and biostatistics, Disease, prevention and health promotion, Health technology and innovation, Microbiology, Pharmacological medicine, Traditional medicine, and Diseases in tropics. Svāsthya publishes original research work across all disciplines of medicine and allied sciences, related to infection, public health, global health, tropical infection, one health and diseases in tropics. The journal publishes original articles, short report, case report, review articles, systematic review - meta analysis and letters to the editor. All articles published in Svāsthya are peer-reviewed and published online for immediate access and citation.
Articles 52 Documents
The effect of provided exercise therapy on cases Morbus Hansen type multi basilers with reactions: A case report Reyhana, Faizah Nashrillah; Arif Pristianto; Christina Wahyu Wijayanti
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 3 (2025): May 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i3.99

Abstract

Hansen's disease (Leprosy) is caused by Mycobacterium leprae infection and primarily affects the peripheral nervous system. Leprosy reactions, classified as type 1 (reversal) or type 2 (erythema nodosum leprosum), significantly affect sensory, motor, and functional capacities through inflammatory processes. This study evaluated the efficacy of structured exercise therapy in managing multibacillary Hansen's disease in an acute reactional state. A single-case study methodology was employed at Sumberglagah Hospital in Mojokerto, with a focus on a female patient with a leprosy reaction exhibiting movement and functional impairment. Interventions were delivered thrice weekly on alternate days, with protocol modifications on the basis of clinical status. The assessment parameters included the visual analog scale for pain, the Barthel Index for functional status, manual muscle testing for strength, anthropometric measurements for edema, goniometric evaluation for range of motion, and the prevention of disability scale for reaction severity. The intervention increased joint mobility in the hip and knee regions and significantly reduced wrist and ankle edema. Pain levels decreased in all the measured domains. However, muscle strength, functional independence scores, and overall leprosy reaction severity did not change throughout the intervention period. The Barthel Index score was maintained at 50, indicating persistent moderate dependency. Manual muscle testing demonstrated consistent values of 3/5 for most muscle groups, with selected ankle movements maintaining 4/5 strength. This severe classification reflects significant neurological involvement, which likely constrains neuromuscular recovery within the brief intervention timeframe. Exercise therapy effectively reduces pain, increases joint mobility, and resolves peripheral edema in patients with multibacillary Hansen's disease reactions, despite its limited impact on muscle strength and functional independence within the study timeframe.
Human metapneumovirus (HMPV): A brief overview Ansori, Arif Nur Muhammad
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 3 (2025): May 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i3.89

Abstract

Human metapneumovirus (HMPV), discovered in 2001, is a significant respiratory pathogen in the Paramyxoviridae family that is responsible for substantial global morbidity and mortality. Despite its clinical impact, HMPV remains underdiagnosed and lacks specific treatments and vaccines. This perspective aims to provide a comprehensive analysis of HMPV as an emerging respiratory pathogen, examining its virological characteristics, epidemiology, clinical manifestations, pathogenesis, diagnostic methods, and management approaches. This review synthesizes the current literature on HMPV, examining its virological characteristics, epidemiology, clinical manifestations, pathogenesis, and management approaches through an analysis of peer-reviewed publications from 2001-2025. HMPV accounts for 5–10% of pediatric respiratory hospitalizations globally, with an estimated 14.2 million lower respiratory tract infections in children under five annually, resulting in 643,000 hospital admissions and 16,100 in-hospital deaths annually. The virus predominantly affects children, elderly individuals, and immunocompromised patients, who present with symptoms ranging from mild upper respiratory infections to severe pneumonia. Diagnostic advances, particularly in molecular techniques, have improved detection capabilities. Current management relies primarily on supportive care, whereas therapeutic research focuses on antiviral agents, monoclonal antibodies, and vaccine candidates utilizing novel platforms, including nanoparticle and mRNA technologies. Increased global surveillance, accelerated vaccine development, and novel therapeutic approaches are needed to address HMPV. Research priorities include understanding long-term immunity, immune evasion mechanisms, and the environmental influences on transmission. Collaborative efforts among academia, industry, public health institutions, and regulatory bodies are essential to translate scientific discoveries into effective interventions that reduce the public health burden of HMPV.
Effectiveness of olive oil administration on stretch mark reduction in postpartum women Nurwendah, Siti; Manullang, Riyen Sari; Br Karo, Marni; Santosa, Puji Raharja; Silitonga, Riris Ocktryna
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 3 (2025): May 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i3.92

Abstract

Stretch marks manifest as hyperpigmented dermal lesions that commonly occur during pregnancy. These cutaneous changes frequently cause physical discomfort and psychological distress among postpartum women, leading to diminished self-esteem and social withdrawal. Nonpharmacological interventions, particularly olive oil application, are potentially effective management approaches. This study evaluated the efficacy of topical olive oil in reducing stretch mark visibility among postpartum women in the Karang Mulya Community Health Center service area in 2024. This quantitative investigation employed a quasi-experimental design with pre- and posttest assessments. The participants included 45 postpartum women on postpartum day 6 residing within the Karang Mulya Health Center catchment area in March 2024. A total sampling technique was used, and data collection relied on standardized observational assessment tools. Statistical analysis was performed via the Mann‒Whitney test (p<0.05). The baseline assessment revealed a mean stretch mark severity score of 3.87 (SD=1.407) before olive oil application, which decreased significantly to 1.07 (SD=0.799) after the intervention. The experimental group demonstrated a statistically significant improvement compared with the control group (p<0.001), confirming marked differences in the visibility of stretch marks following olive oil treatment. Topical olive oil application significantly reduces stretch mark visibility in postpartum women. These findings support the implementation of this technique as a safe and accessible nonpharmacological intervention in postpartum care protocols for stretch mark management.
Emergency response and recovery management in the 2023 Turkey earthquake: Lessons learned from AFAD's systematic approach and international EMT coordination Rahman, Safrizal; Anugerah, Panji; Mubarak, Muhammad Iqbal EL; Atayoğlu, Ali Timuçin
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 3 (2025): May 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i3.93

Abstract

The February 6, 2023, earthquake in Turkey (7.8 Mw) created unprecedented challenges for emergency response systems.  This study examines Turkey's Disaster and Emergency Management Authority's (AFAD) systematic approach and coordination with international emergency medical teams (EMTs), with a particular focus on the contributions of the Indonesian Aceh EMT.  This intrinsic descriptive case study employed qualitative methodologies, including in-depth interviews with 20 participants involved in humanitarian response. Document analyses of AFAD, WHO, and UN OCHA reports complemented primary data collection. Purposive sampling ensured that the participants had relevant disaster response experience. The data were subjected to thematic analysis via NVivo software to identify recurring patterns. AFAD demonstrated preparedness through comprehensive disaster response frameworks, mobilizing over 300,000 volunteers despite initial delays in some cases. GIS mapping technology facilitated the real-time identification of affected regions, reducing response times by 25%. The Indonesian Aceh EMTs arrived on day nine and provided medical services to more than 5,000 individuals within their first operational week. More than 100,000 displaced individuals received immediate aid within 48 h of the earthquake through the AFAD's prepositioning of medical supplies. Response effectiveness is influenced by several factors, including technological integration, volunteer mobilization, and international coordination.  The 2023 Turkey earthquake underscores the importance of systematic preparedness and international collaboration in disaster management in Turkey. Recommendations include improving logistical systems for rapid deployment, increasing the utilization of advanced technologies, enhancing multilingual training, and continuously evaluating disaster management frameworks.
Assessment of fly density, temperature, and humidity in the port areas of the Banyuwangi Regency: Implications for disease vector control Ali, Khaidar; Hamidya, Syifa Ula; Rizaldi, Muhammad Addin
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 3 (2025): May 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i3.94

Abstract

Fly density is a critical indicator of environmental sanitation quality and potential risk of disease transmission in port environments. This study assessed fly density levels, temperature, and humidity in port areas of the Banyuwangi Regency to understand vector distribution patterns and inform disease prevention strategies. A quantitative cross-sectional study was conducted at three port locations in Banyuwangi: Ketapang Port, Tanjung Wangi Port (perimeter area), and landing craft machine ports (buffer areas). Fly density was measured via the fly grill method, according to the Indonesian Ministry of Health guidelines. The temperature and humidity measurements were recorded simultaneously at each location. The Kruskal‒Wallis test was used to compare fly density levels between locations. The mean fly densities at waste disposal sites in Ketapang Port, food stalls in Tanjung Wangi Port, and the open dumping area at LCM Port were 9, 9, and 2 flies per block grill, respectively. The average temperatures at the three locations ranged from 29.76°C to 35.53°C, with humidity levels between 62.82% and 77.35%. Statistical analysis revealed significant differences in fly density among the three locations (p<0.05), with the highest mean ranks observed at food stalls in Tanjung Wangi Port.  The perimeter areas presented high fly density levels that pose substantial public health risks, whereas the buffer area maintained an acceptable fly density. The environmental conditions recorded at all the sites provided optimal breeding conditions for the disease vectors. The implementation of targeted waste management strategies and environmental sanitation interventions is necessary at perimeter locations to mitigate disease transmission risk and protect public health in these transportation hubs.
Front and Back Matter for Volume 2 Issue 3, May 2025 Trends in General Medicine and Public Health, Svāsthya
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 3 (2025): May 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Volume 2, Issue 3, May 2025 This issue consists of 5 articles contributed by 16 authors affiliated with 11 affiliations from Three countries, including Indonesia (Universitas Jenderal Soedirman, Center of Sustainable Development Goals, Universitas Jenderal Soedirman, Sekolah Tinggi Ilmu Kesehatan Medistra Indonesia, Universitas Muhammadiyah Surakarta, Rumah Sakit Umum Daerah (RSUD) Sumberglagah Mojokerto, Universitas Airlangga, Universitas Syah Kuala, Dr. Zainoel Abidin Hospital, Aceh Emergency Medical Team), India (Uttaranchal Institute of Pharmaceutical Sciences, Uttaranchal University), Turkey (Istanbul Medipol University)
The financial burden of COVID-19 hospitalization: A retrospective economic evaluation Putro, Wahyu Gito
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.101

Abstract

The COVID-19 pandemic continues to demonstrate dynamic fluctuations across global, regional, and local contexts. These ongoing variations have substantial public health and socioeconomic consequences worldwide. This study examines the financial and demographic effects of COVID-19 hospitalizations at South Tangerang General Hospital between 2021 and 2022. A retrospective economic analysis by comparing hospitalization data from 2021 and 2022. This study evaluated key parameters, including patient demographics, duration of hospitalization, treatment costs, and funding sources, identifying significant patterns across the study period. This study revealed notable changes in patient demographics, with the predominant age group shifting from > 59 years (2021) to 19-59 years (2022; p=0.000). The percentage of females represented increased from 49.1% to 59.5% (p=0.033). Compared with 2021 admissions, hospital stays were significantly shorter, with most 2022 patients discharged within 1–5 days (p=0.000). The average treatment costs declined from $3,676 to $2,024 (p=0.000), primarily due to reduced nursing and medication expenses. Funding sources transitioned from near-total (99.6%) reliance on the national COVID-19 program in 2021 to 52.7% coverage by the BPJS health insurance in 2022 (p=0.000). This study revealed significant changes in COVID-19 hospitalization patterns, characterized by younger patient populations, shorter hospital stays, and lower treatment costs. The evolving financial model, which incorporates both insurance and government support, highlights the necessity of forward-looking financial strategies in healthcare systems to effectively manage future health crises. These findings underscore the adaptive capacity of the healthcare sector and the critical role of socioeconomic considerations in treatment outcomes.
Neutrophil–lymphocyte ratio as a predictor of dengue hemorrhagic fever severity in Indonesian pediatric patients: A Single-center retrospective study Dewi, I Gusti Ayu Ajeng Widia Kencana; Adiwinoto, Ronald Pratama; Rokhmadhoni Pikir, Rizqi; Rusli, Christina; Biutifasari, Verna; Diah Utami, Prawesty
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.104

Abstract

Dengue hemorrhagic fever (DHF) is a significant health burden in Indonesia, necessitating reliable prognostic markers for early clinical intervention. The neutrophil‒lymphocyte ratio (NLR) has emerged as a potential biomarker for disease severity assessment, although its utility in pediatric populations requires further validation. This study aimed to to determine the relationship between the neutrophil‒lymphocyte ratio and DHF severity grade in pediatric patients and evaluate its potential as a prognostic indicator for clinical decision-making. This retrospective cross-sectional study analyzed 111 pediatric patients aged 5-14 years who were diagnosed with DHF at RSPAL Dr. Ramelan, Surabaya, between January 2022 and December 2024. Patients were classified according to the WHO severity grades (I-IV), with the NLR calculated from complete blood counts obtained during days 3-6 of illness. Statistical analysis with Spearman's rank correlation was used to examine the relationship between the NLR and disease severity. The study population predominantly demonstrated Grade I DHF (56.8%), followed by Grade II DHF (20.7%), Grade III DHF (18.0%), and Grade IV DHF (4.5%). Patients with lower severity grades (I-II) predominantly presented low NLR values (<1) in 46.0% and 47.8% of cases, respectively, whereas those with higher severity grades (III-IV) primarily presented normal NLR values (1-3) in 65.0% and 60.0% of cases, respectively. Spearman's correlation analysis revealed no statistically significant relationship between the NLR and DHF severity (ρ = 0.120, p = 0.208). The neutrophil‒lymphocyte ratio has limited utility as a standalone predictor of DHF severity in pediatric patients. These findings suggest the need for alternative biomarkers or composite indices for accurate prediction of pediatric DHF severity.
Translating tuberculosis control policy into practice: Planning and budgeting challenges at a primary healthcare center Mujtahidah, Mujtahidah; Rahmilah, Mitha
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.118

Abstract

Tuberculosis (TB) remains one of the most prevalent communicable diseases in Indonesia, with high morbidity and mortality rates, particularly in urban areas such as Makassar city. This study aimed to examine the planning and budgeting processes of the TB control program at the Tarakan Public Health Center (PHC) in Makassar city. A qualitative descriptive study was conducted via document analysis, direct observations, and in-depth interviews with four key informants (TB program managers, healthcare workers, and community health volunteers involved in TB control). Thematic analysis was used to identify patterns related to program planning, budgeting, implementation, and barriers to program implementation. The TB control program at Tarakan PHC followed national guidelines but faced local challenges, including insufficient early case detection, limited community awareness, and strong social stigma. Budget allocations fluctuate yearly, with IDR 12,800,000 allocated in 2023 and increasing to IDR 25,000,000 in 2024, affecting the program’s sustainability. Patient nonadherence to treatment, often due to perceived recovery, economic hardship, and stigma, was a major barrier. In response, the PHC implemented activities such as active case finding, contact tracing, default tracing, treatment supervision, and preventive therapy, supported by community engagement. Between 2020 and 2024, 226 TB cases were identified. Although national policy supports TB control efforts, local implementation is hindered by behavioral, operational, and financial constraints. Consistent budget allocation, targeted health education, and stronger community involvement are essential for improving treatment outcomes and supporting TB elimination strategies at the primary care level.
Body mass index as a determinant in the development of osteoarthritis: A cross-sectional study Adyasputri, A A I Ayesa Febrinia; Raini, Putu Ayu Meka
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 4 (2025): July 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i4.129

Abstract

Osteoarthritis (OA) is a degenerative joint disease characterized by the progressive degradation of articular cartilage, the formation of new bone (osteophytes), and changes in synovial and subchondral tissues. These pathological changes contribute to pain, joint stiffness, and functional impairment in OA. The primary risk factors for OA include advanced age and increased body mass index (BMI). This study aimed to determine the association between BMI and the incidence of osteoarthritis. A cross-sectional analytical study was conducted among 70 participants aged >40 years from Banjar Cepaka, Badung, Indonesia, using simple random sampling method. Osteoarthritis severity was assessed using the WOMAC questionnaire, while BMI was calculated from measured height and weight. Chi-square analysis was performed to determine the associations between variables. Osteoarthritis severity assessment using the WOMAC questionnaire demonstrated that 58.6% of the participants experienced severe symptoms, while 27.1% reported moderate symptoms. Chi-square analysis revealed a statistically significant association between BMI and osteoarthritis incidence (p = 0.000). The cross-tabulation showed that individuals with obesity class I had 81.2% severe osteoarthritis cases, while those with obesity class II had 83.3% severe cases and 16.7% very severe cases of osteoarthritis. In conclusion, a strong association between elevated BMI and osteoarthritis severity among adults over 40 years in rural Indonesia. The progressive relationship between increasing body weight and joint degeneration severity underscores the modifiable nature of this risk factor through weight management interventions.