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Svāsthya: Trends in General Medicine and Public Health
Published by PT Mega Science Indonesia
ISSN : -     EISSN : 30630649     DOI : https://doi.org/10.70347/svsthya
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
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.
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 52 Documents
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Spatial risk assessment of canine rabies transmission via GIS buffer analysis in Bobonaro municipality, Timor-Leste Cruz, Zito Viegas da; Pereira, Abrão J.; Machado, Filipe de Neri; Adnyana , I Made Dwi Mertha; Jundaeng, Jarupat
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.v2i4.137

Abstract

Rabies is a fatal zoonotic disease caused by Lyssavirus of the Rhabdoviridae family. Timor-Leste experienced a rabies outbreak in March 2024, with a 100% fatality rate, primarily affecting dogs as the main reservoir. Bobonaro Municipality has reported an increasing number of confirmed cases, necessitating spatial approaches for effective control strategies. This study aimed to identify confirmed rabies case distribution patterns and predict transmission risk zones via GIS buffer analysis within the Bobonaro Municipality. This study utilized secondary data from 39 confirmed rabies cases from the Bobonaro Municipal Agriculture Service between January and June 2025. The analysis was conducted via the Buffer and Multiple Buffer tools in ArcGIS 10.8 software. The geographic coordinates of confirmed cases were mapped to generate distribution maps with transmission movement predictions on the basis of locations in each administrative post, village, and hamlet. Mapping revealed that the majority of confirmed rabies cases were concentrated in the northeastern Bobonaro Municipality, comprising the Cailaco administrative post with the hamlets of the Meligo village, such as Bereleu, Daulelo, Liabote, and Mude, plus the Maliana administrative post. Buffer analysis with a 2 km radius identified tendencies for animal movement at risk of local rabies transmission that could spread to humans and other animals, including neighboring municipalities sharing land borders with Bobonaro. GIS-based buffer analysis successfully identified high-risk zones for rabies transmission within a 2 km radius of the average confirmed case locations. These findings provide an evidence-based foundation for policymakers to implement effective and specific rabies control strategies tailored to Timor-Leste's resource-limited environment.
Front and Back Matter for Volume 2 Issue 4, July 2025 Trends in General Medicine and Public Health, Svāsthya
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

Abstract

Volume 2, Issue 4, July 2025 This issue consists of 5 articles contributed by 16 authors affiliated with 12 affiliations from four countries including Indonesia (Universitas Pembangunan Nasional Veteran Jakarta, Universitas Hindu Indonesia, Universitas Negeri Makassar, Universitas Hang Tuah Surabaya, Universitas Muhammadiyah Semarang, Universitas Jambi, dan Indonesian Society of Epidemiologists), United Kingdom (Royal Society of Tropical Medicine and Hygiene), Timor-Leste (Epidemiological Surveillance Municipal Health Service (SMS) Bobonaro, National University of Timor-Leste (UNTL), National Institute of Public Health of Timor-Leste (INSP-TL)), Thailand (Mahasarakham University)
A Decade of KDIGO updates (2012–2025): What’s new in the evaluation and management of anemia in chronic kidney disease? Indriyani, Fonna; Wahyudi, Hendra
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 5 (2025): September 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i5.110

Abstract

Anemia is a prevalent complication of chronic kidney disease (CKD) that leads to adverse clinical outcomes, increased rates of morbidity and mortality, and increased healthcare costs. The recently updated KDIGO 2025 Anemia in CKD Guideline substantially updates the 2012 version, incorporating the latest clinical evidence and expert consensus to improve patient care in CKD patients. This review examines the updates in the KDIGO 2025 Anemia in CKD Guideline compared with the 2012 version, highlighting advancements in diagnosis, evaluation, and management to improve patient outcomes. A comprehensive analysis of the published literature, guideline updates, and clinical studies was conducted to assess changes in the diagnostic and evaluation criteria, treatment approaches, and therapeutic recommendations for anemia in CKD patients. The diagnosis and evaluation of anemia in CKD emphasize a more individualized, risk-based approach that considers the patient’s stage of CKD. Optimizing iron status and addressing inflammation before initiating ESA therapy should be prioritized to minimize the risk of complications. HIF-PHIs are alternative therapies for patients with ESA resistance or an increased risk of ESA-related complications. A structured framework for managing ESA hyporesponsiveness can classify high-risk patients and promote alternative interventions, such as iron optimization and HIF-PHIs, instead of ESA dose escalation. The updated guidelines largely maintain unchanged transfusion practices. The KDIGO 2025 guidelines represent a major evolution in the evaluation and management of anemia in CKD patients, building on the 2012 recommendations with more precise and individualized treatment strategies. These updates optimize treatment efficacy, reduce complications, and enhance patient outcomes.
Online game addiction and its impact on social-emotional development: A study of elementary school children in Sidoarjo Firmansyah, Muhammad Fahrijal Arifudin; Faridah, Faridah; Astuti, Nur Muji; Sustrami, Dya
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 5 (2025): September 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i5.117

Abstract

The increasing popularity and accessibility of online games among schoolchildren, particularly through smartphones, has raised concerns about potential addiction, which may adversely affect their social-emotional development. The factors contributing to this issue include insufficient parental supervision and a lack of awareness. This study aimed to examine the relationship between online game addiction and social-emotional development in children. This study employed an analytical observational design with a cross-sectional approach. The sample consisted of 171 respondents selected through a proportionate stratified random sampling method. The study utilized the Gaming Addiction Scale (GAS) and the Strengths and Difficulties Questionnaire (SDQ) to assess the levels of online game addiction and social-emotional development, respectively. Spearman's rho correlation test was applied for data analysis. Most respondents (52.6%) were categorized as having moderate online game addiction, whereas 91.2% exhibited abnormal social-emotional development. A statistically significant relationship was found between online game addiction and social-emotional development in school-age children, with a p-value of 0.001 and a moderate correlation coefficient of 0.310. Online game addiction significantly affects the social-emotional development of children. It is crucial to monitor children's game usage and its potential impacts. Prevention efforts should focus on educational interventions, support parents and schools.
Behavioral, environmental, and climatic factors associated with dengue hemorrhagic fever incidence in Limboto District, Gorontalo, Indonesia Sandalayuk, Marselia; Arda, Zul Adhayani; Hanapi, Sunarti; Hafid, Wahyuni; Pakaya, Ririn; Badu, Franning Deisi; Kanan, Maria; Sandalayuk, Daud; Baba, Julfa
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 5 (2025): September 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i5.119

Abstract

Dengue hemorrhagic fever (DHF) remains endemic in Southeast Asia, with Indonesia reporting more than 131,000 cases and 1,135 deaths in 2022. In 2019, Gorontalo Province ranked fourth nationally in terms of incidence rate (101.53 per 100,000 population), with Gorontalo Regency accounting for 31.4% of the provincial cases in 2021. This study aimed to determine the factors associated with the incidence of dengue fever in the Limboto Health Center Working Area, Gorontalo Regency, in 2022. A cross-sectional research design was used. The research was conducted from April to July 2022 in the working area of the Limboto Health Center. The population and sample were people who lived in Limboto District, with 124 respondents. Simple random sampling was used. The independent variables were knowledge, attitude, action, water reservoir, air temperature, air humidity, and occupancy density. The dependent variable was the incidence of dengue hemorrhagic fever. The research instruments used were questionnaires, observation sheets, and hygrometers. The data were processed using univariate and bivariate analyses with SPSS at the 95% confidence level (p<0.05). Among the 124 participants, 33.1% (n=41) reported DHF infection during the study period. Chi-square analyses revealed no statistically significant associations between DHF incidence and knowledge (p=0.499, χ²=0.456), attitudes (p=0.526, χ²=0.401), preventive actions (p=1.000, χ²=0.000), water storage practices (p=0.763, χ²=0.091), ambient temperature (p=0.688, χ²=0.161), humidity (p=1.000, χ²=0.000), or household density (p=0.788, χ²=0.072). All p-values exceeded the 0.05 significance threshold, indicating insufficient evidence to reject the null hypotheses. No factors were significantly associated with DHF incidence in this cross-sectional analysis.
The combination of Ambon banana juice and dates increases maternal weight and estimated fetal weight for the prevention of stunting Herningsih, Sari; Karo, Marni Br; Lumbansiantar, Rupdi
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 5 (2025): September 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i5.19

Abstract

Stunting is a form of chronic malnutrition that begins during the prenatal period. Nutritional interventions during pregnancy play a role in preventing fetal growth retardation. Ambon bananas (Musa acuminata) and dates (Phoenix dactylifera) contain iron, folate, and micronutrients that support maternal health and promote fetal growth. This study aimed to evaluate the effectiveness of a combination of Ambon banana and date juice in increasing maternal weight and estimated fetal weight in third-trimester pregnant women as a stunting prevention measure. A quasiexperimental study with a pretest‒posttest control group design was conducted with 20 pregnant women in their third trimester at the Imas Masriyah Midwife Practice, Bogor Regency, Indonesia, from October to December 2023. The respondents were divided into an experimental group (n=10) that received Ambon banana and date juice and a control group (n=10) without any special intervention. Maternal weight and estimated fetal weight were measured before and after the intervention. Data analysis was performed via paired t-tests.  In the experimental group, the mean maternal weight increased from 54.90±3.071 kg to 56.40±2.989 kg (p=0.003), and the estimated fetal weight increased from 2.43±0.155 kg to 2.58±0.152 kg (p=0.005). The control group showed no significant changes in maternal weight (p=0.022) or estimated fetal weight (p=0.036). The combination of Ambon banana juice and dates effectively increased maternal weight and estimated fetal weight in pregnant women in the third trimester and has the potential to be used as a nutritional intervention for stunting prevention.
Risk factors for loss to follow-up in HIV care: A retrospective cohort study in Dili, Timor-Leste Amaral, Benigna Veneranda da Costa Amaral; Yeom, Joon Sup; Machado, Filipe de Neri; Marques, Mariano da Silva; Soares, Noel Gama
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 5 (2025): September 2025
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i5.141

Abstract

Loss to follow-up (LTFU) among people living with HIV/AIDS (PLWHA) is a public health challenge that reduces the effectiveness of antiretroviral therapy (ART), increases the risk of transmission, and contributes to increased mortality. This study aimed to identify the risk factors for LTFU among patients with HIV in Dili, Timor-Leste. This retrospective cohort study used secondary data from 150 HIV-positive patients at the Community Progress Association (AK-P) in Dili from 2014 to 2022. The inclusion criterion was adult patients aged ≥ 15 years who started ART with a minimum follow-up of 183 days. Descriptive statistics, chi-square tests, logistic regression, and Kaplan‒Meier analysis were used to identify the factors affecting LTFU. Of the 150 patients, 72% remained under care, 20.6% experienced LTFU, and 7.3% died. The majority were male (90%), with men who had sex with men (MSM) having a 40% lower risk of LTFU than female sex workers (FSW). Patients aged ≥54 years had a 21% lower risk, and married individuals had a 26% lower risk than single individuals did. High income and ART initiation were protective factors, while a CD4 count <200 cells/mm³ increased the risk of LTFU by 4.2 times, and a viral load >1000 copies/mL increased the risk by 2.79 times. Level 1 ART was associated with 97% survival at 1, 3, and 5 years, whereas level 2 ART was associated with only 3.6% survival in the first year. Sociodemographic and clinical variables influenced LTFU in HIV care in Timor-Leste. 
Front and Back Matter for Volume 2 Issue 5, September 2025 Trends in General Medicine and Public Health, Svāsthya
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 5 (2025): September 2025
Publisher : PT. Mega Science Indonesia

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

Abstract

Volume 2, Issue 5, September 2025 This issue consists of 5 articles contributed by 23 authors affiliated with 12 affiliations from four countries including Indonesia (Sekolah Tinggi Ilmu Kesehatan Medistra Indonesia, Universitas Gorontalo, Universitas Tompotika Luwuk, Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya, dan Rumah Sakit Ibu dan Anak (RSIA) Pemerintah Aceh), Republic of Korea (Yonsei University), Timor-Leste (National Institution of Public Health Timor-Leste - INSP-TL)
Dose-dependent effects of cholecalciferol supplementation on hepatocyte ballooning in Sprague–Dawley rats Veonika, Dea Anenta
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 6 (2025): November 2025 (In Progress)
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i6.134

Abstract

Obesity is an accumulation of fat body condition due to calories and energy imbalance. Low vitamin D levels are also associated with lower HDL levels, increased triglyceride levels, and increased triglyceride deposition levels in hepatocytes and liver parenchyma. Vitamin D supplementation has various benefits for obesity, such as by improving lipid profiles, reducing BMI, reducing waist circumference, and reducing hip circumference. This study aims to analyze the histopathological changes in the liver of male rats induced by a high-fat, high-fructose diet and supplemented with cholecalciferol. Thirty male Sprague-Dawley rats aged 6-8 weeks were randomly allocated into 5 groups. The normal control (KN) group only received the BR-2 pellet and PAM ad libitum. The negative control (K-) group received a high-fat, high-fructose diet (HFHF) for 28 days. The P1 group received only HFHS for the first 28 days and was supplemented with cholecalciferol 2500 IU thereafter. The P2 group received only HFHF for the first 28 days and was supplemented with cholecalciferol 5000 IU thereafter. The P3 group received only HFHF for the first 28 days and was supplemented with cholecalciferol 10000 IU thereafter. Histopathological analysis involves analyzing the microscopic image of the liver tissue of the obese rat models after receiving treatment with cholecalciferol for 56 days. After 8 weeks of intervention, cholecalciferol supplementation resulted in different findings on histopathological analysis. After intervention with cholecalciferol, there is no significant difference in the degree of steatosis and lobular inflammation on rat liver histopathology (p>0.05). Cholecalciferol supplementation resulted in a significant difference in hepatocyte ballooning on liver histopathology (p<0.05).  Administration of cholecalciferol at doses of 2,500 IU, 5,000 IU, and 10,000 IU was not significant in improving liver steatosis and lobular inflammation, but could reduce the occurrence of liver ballooning
Validity and reliability of the knowledge and attitude assessment tool for cadres in tsunami-prone areas Ekaputri, Kintan Resqitha; Faizatiwahida, Novia; Andini, Febri Tri; Oktaria, Rina; Mukhlis, Zikri; Nasution, Riska Amalya; Sari, Putri Irwanti
Svāsthya: Trends in General Medicine and Public Health Vol. 2 No. 6 (2025): November 2025 (In Progress)
Publisher : PT. Mega Science Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70347/svsthya.v2i6.150

Abstract

Padang city is a high-risk area for tsunamis, making the presence of disaster preparedness cadres crucial as the frontline in response. However, many cadres have never received formal training and have limited knowledge and attitudes regarding tsunami emergencies. Cadre competency evaluation has been hampered by the lack of specific, psychometrically tested instruments. This study aimed to test the validity and reliability of tsunami preparedness knowledge and attitudes instruments for cadres in tsunami-prone areas.  This cross-sectional study included 90 respondents. The instrument was developed through a literature review and a qualitative study. Content validity was tested through expert assessment via three expert judgments. The construct validity and reliability were tested on 90 cadres. Instrument validity was assessed via biserial correlation (knowledge) and Pearson’s product‒moment correlation (attitude). Reliability was tested via the Kuder Richardson formula (KR-20) and Cronbach's alpha. The results of the expert judgments on the knowledge and attitude questionnaires were 0.81–1 and 0.75–1, respectively. The construct validity test resulted in 12 knowledge statement items and 12 attitude items that were declared valid, with R values > R values. The reliability test results for the knowledge and attitude questionnaires were 0.630 and 0.737, respectively, indicating that the questionnaire is reliable. This instrument can be used by health workers, community nurses, and policymakers to map cadre capacity accurately and as an evaluation tool before and after providing future disaster training

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