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Media of Health Research
Published by Lembaga Publikasi Ilmiah Nusantara
ISSN : 29877784     EISSN : 29877784     DOI : https://doi.org/10.70716/mohr.v1i3
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Media of Health Research (MOHR) is a national periodical journal which contains research articles in health sector. MOHR journal are expected to be a medium for conveying scientific findings and innovations in the health sector for those in the health sector, both those engaged in the health sector. MOHR journal is published by Lembaga Publikasi Ilmiah Nusantara (PUBLINE Institute) with online version of e-ISSN: 2987-7784. MOHR aims to facilitate researchers, especially in the field of health to disseminate the results of his research. And disseminate knowledge to build new knowledge to the general public in order to improve self-professionalism and responsibility for national education.
Arjuna Subject : Kedokteran - Kesehatan Masyarakat, Kesehatan Lingkungan dan Pekerjaan
Articles 100 Documents
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Prenatal Ultrasound Diagnosis and Conservative Management of Fetal Lower Urinary Tract Obstruction with Bilateral Hydroureteronephrosis and Severe Oligohydramnios at 23 Weeks of Gestation: A Case Report Jackson Mandala Putra; Abarham Martadiansyah; Nuswil Bernolian
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.603

Abstract

Fetal lower urinary tract obstruction (LUTO) is a rare group of congenital anomalies characterized by megacystis, bilateral hydroureteronephrosis, and, in severe forms, oligohydramnios that predisposes to pulmonary hypoplasia and renal dysplasia. This report described a 37-year-old multigravida (G3P2A0) referred at 23 weeks of gestation with intermittent abdominal pain and a suspected fetal anomaly. Serial fetal ultrasonography demonstrated bilateral hydronephrosis and hydroureter, a distended, thick-walled bladder with a keyhole sign suggestive of LUTO, and severe oligohydramnios (deepest vertical pocket 0.59 cm). Maternal renal function and infection screening were unremarkable. After multidisciplinary counseling regarding the guarded prognosis and the local unavailability of fetal therapy, expectant management was undertaken, comprising tocolysis with nifedipine, antenatal corticosteroids, maternal rehydration, and planned amnioinfusion with serial ultrasound surveillance. The patient stabilized and was discharged for close follow-up. This case underscored the central role of prenatal ultrasonography in early recognition of LUTO and the importance of severity-based, multidisciplinary counseling. When severe oligohydramnios presents in the second trimester, the prognosis is guarded, and standardized staging and timely referral to a fetal-therapy center are essential to optimize perinatal outcomes
Bilateral Ureterovesical Rupture Complicating Total Hysterectomy with Ureteral Neoimplantation for Placenta Accreta Spectrum in a Preterm Multigravida: A Case Report Afif Naufal Akbarsyah; Abarham Martadiansyah
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.604

Abstract

Placenta accreta spectrum (PASD) is an increasingly common obstetric condition that carries a substantial risk of life-threatening hemorrhage and urinary tract injury, particularly when cesarean hysterectomy is required. We reported a 28-year-old multigravida (G2P1A0) with one previous cesarean delivery who presented at 25 weeks of gestation with recurrent antepartum bleeding and marginal placenta previa. Antenatal sonography yielded a Placenta Accreta Index of 6 (probability of invasion approximately 69%) and an ISUOG score above 3, while magnetic resonance imaging suggested percreta infiltrating the rectosigmoid wall. Because of massive bleeding and threatened maternal and fetal deterioration, an emergency cesarean delivery followed by total abdominal hysterectomy was performed without prior ureteral stenting. During dissection of dense parametrial adhesions, bilateral ureteral ruptures occurred, which were repaired by extravesical ureteral neoimplantation using the Lich-Gregoir technique with double-J stenting. Histopathology confirmed PASD grade II (revised FIGO). The patient later developed a suspected vesicovaginal fistula during follow-up. This case underscored that antenatal diagnosis, multidisciplinary planning, and pre-emptive urological mapping are essential to minimize urinary tract injury in PASD surgery, and that the urological consequences of emergency hysterectomy can be considerable.
Body Stalk Anomaly in a 24-Week Singleton Pregnancy: Prenatal Sonographic Diagnosis and Differentiation from OEIS Complex and Pentalogy of Cantrell - A Case Report Edvans Henry; Abarham Martadiansyah; Nuswil Bernolian
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.605

Abstract

Body stalk anomaly (BSA), also known as the limb–body wall complex, is a rare and almost uniformly lethal fetal malformation characterized by a large anterior abdominal wall defect with visceral herniation, severe kyphoscoliosis, and an absent or markedly short umbilical cord. We report a 19-year-old woman, gravida 1, referred at 17–18 weeks with a presumptive diagnosis of gastroschisis and diaphragmatic hernia. Serial transabdominal ultrasonography at our maternal–fetal medicine unit demonstrated a wide anterior abdominal wall defect with total herniation of the liver, stomach, and bowel into a covering membrane, oligohydramnios at 20 weeks, scoliosis, and a short umbilical cord with the fetal trunk lying close to the placenta. These findings fulfilled the Van Allen diagnostic criteria for BSA and allowed differentiation from OEIS complex and pentalogy of Cantrell. The fetal karyotype was clinically presumed normal, and maternal serology was non-contributory. Given the lethal nature of the condition, the family received detailed counseling regarding the grave fetal prognosis, recurrence risk, and management options, including elective termination at a tertiary center. This report underscores the central role of systematic second-trimester sonography in diagnosing BSA, distinguishing it from other anterior abdominal wall defects with more favorable outcomes, and guiding parental counseling.
Spasmophilia Grade IV in Pregnancy: Diagnosis and Conservative Management of a Rare Neuromuscular Disorder of Calcium Dysregulation - A Case Report Muhammad Satria Erlangga Sinum; Nuswil Bernolian; Abarham Martadiansyah; Hasnawi Haddani
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.606

Abstract

Spasmophilia is an uncommon neurovegetative disorder characterized by tissue-level calcium dysregulation and neuromuscular hyperexcitability. Its occurrence in pregnancy is rarely reported, and the physiological remodeling of calcium and magnesium homeostasis during gestation poses distinctive diagnostic and therapeutic challenges. Case Presentation. A 26-year-old primigravida at 36–37 weeks of gestation presented with a history of intermittent stiffness and cramping of the hands and feet that had been diagnosed electrophysiologically as grade IV spasmophilia prior to conception. Involuntary movements had abated during pregnancy. Physical examination revealed positive Chvostek and Trousseau signs; a nerve conduction study demonstrated the repetitive multiplet discharges characteristic of grade IV disease. Laboratory evaluation showed mild anemia (hemoglobin 6 g/dL) with calcium and magnesium within the lower reference ranges. Management and Outcome. The patient was managed conservatively with oral calcium carbonate, folic acid, ferrous sulfate, and neurotropic B vitamins, along with non-pharmacological measures, while avoiding benzodiazepine muscle relaxants, which are contraindicated in pregnancy. She delivered a healthy female neonate (3,175 g, Apgar 8/9) at term without neuromuscular complications. Spasmophilia in pregnancy can be diagnosed through a structured integration of clinical signs, electrophysiological assessment, and electrolyte assessment, and is amenable to safe conservative management centered on calcium supplementation and avoidance of teratogenic relaxants.
Determinants of Suboptimal Hemoglobin Response to Oral Iron Supplementation among Pregnant Women with Anemia in Primary Midwifery Care Adriana Bangun; Achmad Zulfikar Siregar; Eka Ristin Tarigan; Adelina Fitri Tanjung; Putri Yolanda Situmorang; Merry Lumban Gaol
Media of Health Research Vol. 3 No. 3 (2025): Media of Health Research, December 2025
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v3i3.728

Abstract

Background: Iron deficiency anemia remains a major public health problem during pregnancy, particularly in low- and middle-income countries. Although oral iron supplementation is the standard treatment in Indonesian primary midwifery care, many women fail to achieve an adequate hemoglobin response. Objective: This study aimed to identify determinants of suboptimal hemoglobin response, defined as a hemoglobin increase of less than 1 g/dL after 90 days of oral iron supplementation, among pregnant women with anemia in primary midwifery care in Medan. Methods: An analytical cross-sectional study with prospective hemoglobin follow-up was conducted in seven primary midwifery care units involving 286 pregnant women with mild-to-moderate anemia. Data were collected using structured questionnaires, dietary assessments, compliance records, and maternal health records. Hemoglobin levels were measured at baseline and after 90 days. Multiple logistic regression was performed to identify independent determinants. Results: Suboptimal hemoglobin response occurred in 42.3% of participants. Independent determinants included poor adherence to iron supplementation (AOR = 5.34), low dietary iron intake (AOR = 4.52), tea or coffee consumption after meals (AOR = 3.71), moderate baseline anemia (AOR = 3.29), fewer than four antenatal care visits (AOR = 2.84), and inadequate nutritional counseling (AOR = 2.56). Conclusion: Behavioral, nutritional, biological, and service-related factors jointly influence hemoglobin response. Strengthening adherence monitoring, nutritional counseling, and risk-based screening within primary midwifery care may improve treatment outcomes among pregnant women with anemia.
Gender Differences in Nutritional Status Among Adolescents in Sangihe Islands, Indonesia: A School-Based Cross-Sectional Study Astri Mahihody; Jelita Siska Herlina Hinonaung; Grace Angel Wuaten; Meityn Disye Kasaluhe
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.562

Abstract

Adolescence is a critical phase of growth that requires higher nutritional intake, with different needs for males and females. Research on the relationship between gender and nutritional status among adolescents in Indonesia’s border island regions remains limited. This study aims to analyze the relationship between gender and nutritional status among adolescents at Manganitu State Junior High School No. 2 (SJHS 2), Sangihe Islands Regency. This cross-sectional study was conducted in October 2024 and included 139 students aged 12–15 years, selected through total sampling. Nutritional status was measured using the Age-Adjusted Body Mass Index (BMI-for-Age) based on the 2006 WHO standards and analyzed using the Chi-Square test (α = 0.05). The results showed that the majority of respondents had good nutritional status (79.1%); however, 5.8% were underweight, 5.0% were overweight, and 10.1% were obese. Statistical analysis revealed no significant association between gender and nutritional status: underweight (p = 1.000), normal weight (p = 0.436), overweight (p = 0.758). Gender is not a primary determinant of nutritional status in this population; behavioral and environmental factors such as dietary patterns and physical activity are thought to play a greater role. Routine anthropometric monitoring and nutrition education remain necessary given the continued presence of dual nutrition problems. Further research is recommended to more comprehensively explore the determinants of adolescents’ nutritional status in the Sangihe Islands region.
The Effectiveness of Self-Help Groups in Enhancing Self-Efficacy Among Patients with Gout Arthritis in the Sangihe Islands Community, Indonesia Iswanto Gobel; Meistvin Welembuntu; Yanli Everson Tuwohingide; Rizza Lei Asuncion
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.648

Abstract

Community in island settings has limited access to healthcare facility as well as health information. Nevertheless, the strong kinship networks and social cohesion characteristic represent valuable sociocultural resources. This study aimed to evaluate the effectiveness of Self-Help Group (SHG) on self-efficacy among patients with gout arthritis living in the Sangihe Islands Regency, rural and remote archipelagic area located at the Indonesia-Philippines border.  A quasi-experimental design with pretest-posttest control group was conducted on September-November 2025, involving 134 participants (74 intervention, 60 control). Self-efficacy was measured using the validated and reliable Indonesian version of the Arthritis Self-Efficacy Scale-8 (ASES-8).  The intervention group received a single 45-60 minutes session (8 groups), Baseline groups were comparable in age, gender and employment, but differed in duration of illness and education level; both were controlled as covariates in analysis. The intervention group showed a significant increase in self-efficacy from pre-test (media=21.5) to post-test (median=68.5) (Wilcoxon test, p=0.001). Post-intervention self-efficacy was significantly higher in the intervention group (mean=67.61; median 68.5) compared to the control group (mean=41.18; median 39) (Mann-Whitney test, p=0.001). After adjusting for duration of illness and education level, the intervention effect remained highly significant (ANCOVA, F=173.56; p<0.001), with no significant covariate or interaction effects. These findings emphasize The SHG Method can increase self-efficacy among patients with gout arthritis. This low-cost, community-based method is recommended for integration into routine health education at community health centers to enhance chronic disease self-management in island and remote settings.Community in island settings has limited access to healthcare facility as well as health information. Nevertheless, the strong kinship networks and social cohesion characteristic represent valuable sociocultural resources. This study aimed to evaluate the effectiveness of Self-Help Group (SHG) on self-efficacy among patients with gout arthritis living in the Sangihe Islands Regency, rural and remote archipelagic area located at the Indonesia-Philippines border.  A quasi-experimental design with pretest-posttest control group was conducted on September-November 2025, involving 134 participants (74 intervention, 60 control). Self-efficacy was measured using the validated and reliable Indonesian version of the Arthritis Self-Efficacy Scale-8 (ASES-8).  The intervention group received a single 45-60 minutes session (8 groups), Baseline groups were comparable in age, gender and employment, but differed in duration of illness and education level; both were controlled as covariates in analysis. The intervention group showed a significant increase in self-efficacy from pre-test (media=21.5) to post-test (median=68.5) (Wilcoxon test, p=0.001). Post-intervention self-efficacy was significantly higher in the intervention group (mean=67.61; median 68.5) compared to the control group (mean=41.18; median 39) (Mann-Whitney test, p=0.001). After adjusting for duration of illness and education level, the intervention effect remained highly significant (ANCOVA, F=173.56; p<0.001), with no significant covariate or interaction effects. These findings emphasize The SHG Method can increase self-efficacy among patients with gout arthritis. This low-cost, community-based method is recommended for integration into routine health education at community health centers to enhance chronic disease self-management in island and remote settings.
Psychological Trauma Recovery After Flooding in Sibolga: A Clinical Approach Based on Community Local Wisdom Meri Susanti; Ira Aini Dania
Media of Health Research Vol. 4 No. 3 (2026): Media of Health Research, August 2026
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v4i3.655

Abstract

Flood disasters can cause prolonged psychological distress, particularly when formal mental health interventions are culturally disconnected from affected communities. This study examines psychological trauma recovery among flood survivors in Sibolga, North Sumatra, by integrating clinical approaches with community local wisdom. An explanatory sequential mixed-method design was employed. Quantitative data were collected from 150 adult flood survivors selected through purposive sampling using questionnaires measuring motivation, perception, attitude, and interest in trauma recovery. Qualitative data were obtained through semi-structured interviews, field observations, and discussions with survivors, religious figures, and community leaders. Quantitative data were analyzed using descriptive statistics and hypothesis testing, while qualitative data were examined through thematic analysis. The results showed that motivation significantly influenced survivors' attitudes and interest in trauma recovery but did not significantly influence their perceptions of formal psychological services. Qualitative findings identified collective meaning-making, spiritual practices, cooperation, family support, and trust in local leaders as important recovery mechanisms. These findings indicate that culturally embedded practices can strengthen emotional regulation, community participation, and acceptance of psychological interventions. The study proposes an indigenous clinical recovery model combining professional psychological support with culturally legitimate community practices.
Effectiveness of Lemon Aromatherapy-Enhanced Health Belief Model Counseling in Reducing Labor Pain Eka Ristin Tarigan; Siti Nurul Fadhilah Sari; Adriana Bangun; Adelina Fitri Tanjung; Putri Nadilla; Jihan Anggraini
Media of Health Research Vol. 3 No. 3 (2025): Media of Health Research, December 2025
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v3i3.746

Abstract

Background: Labor pain is a complex sensory-emotional experience that may lead to maternal exhaustion and prolonged labor if inadequately managed. Health Belief Model (HBM)-based antenatal counseling may improve coping self-efficacy, while inhaled lemon (*Citrus limon*) aromatherapy may reduce pain perception. **Objective:** To evaluate the effectiveness of lemon aromatherapy-enhanced HBM counseling in reducing labor pain and distinguish the effects of counseling from aromatherapy. Methods: A three-arm quasi-experimental study was conducted among 135 low-risk laboring women in Medan, Indonesia. Participants received HBM counseling plus lemon aromatherapy (n=45), HBM counseling only (n=45), or routine care (n=45). Pain intensity was measured at cervical dilatations of 4, 6, and 8 cm using the Numeric Rating Scale. Data were analyzed using ANOVA, post-hoc tests, relative risk, and generalized estimating equations. Results: At 8 cm dilatation, mean pain scores were 6.5±1.4, 7.8±1.3, and 8.3±1.2 in Groups A, B, and C, respectively. Aromatherapy significantly reduced pain compared with counseling alone (p<0.001). Group A also demonstrated lower severe pain risk (adjusted RR=0.38; 95% CI: 0.22–0.66), shorter active labor, and higher birth satisfaction, while neonatal outcomes were comparable. **Conclusion:** HBM-based antenatal counseling combined with lemon aromatherapy is an effective, safe, and low-cost strategy for improving labor pain management in primary midwifery care.
Occupational Pesticide Exposure and Parkinsonism Symptoms Among Highland Vegetable Farmers in North Sumatra, Indonesia: A Cross-Sectional Study Suriati Lubis; Dwi Ris Hasanah S
Media of Health Research Vol. 3 No. 3 (2025): Media of Health Research, December 2025
Publisher : Lembaga Publikasi Ilmiah Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70716/mohr.v3i3.762

Abstract

Chronic pesticide exposure is an established environmental risk factor for parkinsonian syndromes, yet evidence from Southeast Asian smallholder agriculture is scarce. This community-based cross-sectional study examined the prevalence of Parkinsonism symptoms and modifiable occupational determinants among 102 pesticide-applying farmers in Juhar District, Karo Regency, North Sumatra, Indonesia. Parkinsonism symptoms were screened using an adapted Unified Parkinson's Disease Rating Scale motor checklist (Cronbach α = 0.89). Exposure intensity, personal protective equipment (PPE) use, and post-application hygiene were assessed through structured interviews. Associations were tested using chi-square analysis and crude odds ratios (OR) with 95% confidence intervals (CI). Screening-positive Parkinsonism symptoms were identified in 36 farmers (35.3%; 95% CI 26.2–45.2), including resting tremor, bradykinesia, rigidity, and postural instability. High spraying frequency (OR = 7.1; 95% CI 2.7–18.9; p = 0.001), inconsistent PPE use (OR = 4.7; 95% CI 1.8–12.0; p = 0.002), and inadequate hygiene (OR = 7.5; 95% CI 2.5–22.0; p < 0.001) were all strongly associated with symptom positivity. One in three pesticide-applying farmers screened positive for Parkinsonism symptoms in this highland horticultural community, with strong associations to modifiable occupational behaviours. Findings support integrated occupational-health action including subsidised PPE, farmer education, restriction of highly hazardous pesticides such as paraquat, and neurological screening at primary care.

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