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Contact Name
Paska Marto Hasugian
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paskamarto86@gmail.com
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+6281264451404
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editorjournal@seaninstitute.or.id
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Komplek New Pratama ASri Blok C, No.2, Deliserdang, Sumatera Utara, Indonesia
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INDONESIA
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa)
Published by SEAN INSTITUTE
ISSN : -     EISSN : 2963993X     DOI : https://doi.org/10.58471
Core Subject : Health,
UK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) is a journal covering the fields of health, Medical Records and Pharmacy with Scope: Health: Health Policy and Management, Midwifery, Nursing, Public Health, Critical Care and Intesive Care Medicine, Health Information Technology,Medical Informatics,Occupational Health and Safety, Health Law. Medical Record: Health Information Management, Health Information System, Health Information Technology, Classification and Codefication of Diagnostic Related Health Problems and Prosedure, Health Quality Information Management. Pharmacy: Clinical Pharmacy, Pharmaceutical Chemistry, Pharmaceutics, Community Pharmacy, Pharmacognosy, Phytochemistry, Biology of Pharmacy, Pharmacology, Pharmacy Technology and Pharmaceutics.
Articles 71 Documents
The Effect of Diabetes Exercise on Blood Sugar Level Reduction in Type 2 Diabetes Patients in Peuniti Village Yadi Putra; Ayu Maisarah; Yusrika Yusrika; Nurul Sakdah; M. Daud
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Abstract

  The prevalence of diabetes mellitus is one of the leading causes of death. This disease also has an impact on societies globally, negatively affecting quality of life as well as relationships between individuals and within communities. The prevalence of diabetes mellitus in Indonesia stands at 1.7 per cent, with type 1 diabetes accounting for 16.9 per cent and type 2 diabetes for 50.25 per cent. High prevalence of type 2 diabetes mellitus is caused by various factors. Therefore, efforts to control blood glucose levels, including through diabetes exercise therapy, are essential. The aim of this study was to determine the effect of diabetes exercise therapy on reducing blood glucose levels in patients with type 2 diabetes in Peuniti Village, Banda Aceh City. A quantitative research method was employed, utilising a single-group quasi-experimental design with a pre-test–post-test approach. The population comprised 29 individuals with gastritis, and the sample consisted of 15 individuals with type 2 diabetes mellitus in Peuniti Village, Baiturrahman Sub-district, Banda Aceh City, selected using purposive sampling. This study was conducted from 24 May to 29 July 2025. The data were analysed using univariate and bivariate analysis with a paired t-test. The results of the study showed that, prior to the physical exercise programme for people with diabetes, the respondents’ average blood glucose level was 232.3 mg/dl, whilst after the programme, it fell to 219.3 mg/dl—a reduction of 13.2 mg/dl. Based on the results of the statistical test, it was found that p = 0.000 < 0.05. In conclusion, there is a significant effect of exercise on diabetes
Determinants of Psychological Health among Shipyard Workers: A Literature Review Rika Yulianti Fitri; Mutia Permata Iryanti; Trisna Jayati
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Psychological health is an important occupational health issue among shipyard workers, who may be exposed to multiple physical, environmental, psychosocial, and organizational demands. However, evidence regarding the determinants of psychological health in this occupational group remains fragmented. This literature review aimed to identify and synthesize evidence on organizational, psychosocial, environmental, work-related, and individual factors associated with psychological health and related work outcomes among shipyard workers. A literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Literature searches were performed in Google Scholar, PubMed, and ProQuest in July 2026 using English and Indonesian keywords. Studies published between 2016 and 2026 were screened based on predefined inclusion and exclusion criteria. Eleven original research articles were included and descriptively synthesized. The findings indicated that psychological health among shipyard workers was associated with multiple determinants, including safety climate, supervisor support, organizational roles, career development, workload, psychological demands, social support, work–life balance, noise exposure, job control, environmental risks, time perspective, age, and education. These factors were associated with work stress, burnout, psychological strain, job satisfaction, organizational commitment, absenteeism, presenteeism, and safety performance. In conclusion, psychological health among shipyard workers is multifactorial and requires comprehensive occupational health strategies integrating workplace hazard control, organizational support, improved work design, and psychosocial interventions.
The Relationship Between Smartphone Usage Duration and Distance During Sleep and Sleep Quality Among Employees of RSJKO X M. Kafit; Rasmin Nurjading; Hengky Oktarizal; Novela Sari; Mutia Permata Iryanti; Roni Razali; Ahmadi Ahmadi; Fajar Fajar; Lamtiur Sinaga
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Sleep quality is a key indicator of an employee's physical and mental health, and the growing use of smartphones has raised concern about its effect on rest. This study aimed to determine the relationship between the duration of smartphone use and smartphone distance during sleep with sleep quality among employees of  X Mental Health and Drug Addiction Hospital (RSJKO), in 2026. A quantitative method with a cross-sectional design was used, involving 81 respondents selected through purposive sampling. Data were collected using questionnaires, including the Pittsburgh Sleep Quality Index (PSQI), and analyzed using univariate and bivariate Chi-Square tests at a 95% confidence level (α = 0.05). Results showed that 51.9% of respondents had a risky daily smartphone use duration (>2–4 hours/day), while 70,4% kept a safe smartphone distance (≥1 metre) during sleep, and 77,8% had good sleep quality. Bivariate analysis found a significant relationship between duration of smartphone use and sleep quality (p = 0,013), whereas smartphone distance during sleep showed no significant relationship with sleep quality (p = 0,845). The study concludes that duration of smartphone use, rather than its distance from the body during sleep, is associated with sleep quality among RSJKO employees. Employees are advised to limit smartphone use, particularly at night, to help maintain good sleep quality.
Profile of Serum Folate Levels in Various Severity Degrees of Psoriasis Vulgaris Patients at Murni Teguh Memorial Hospital Medan Natascya Putri Siburian; Rudyn Reymond Panjaitan; Joseph Partogi Sibarani
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Abstract

Psoriasis vulgaris is a chronic inflammatory disease characterized by keratinocyte proliferation and excessive immune system activation. Folic acid plays a role in DNA synthesis and cell division processes. Keratinocyte hyperproliferation in psoriasis can affect serum folic acid levels, but previous studies have shown varying results. The aim of this study was to determine the serum folic acid level profile in patients with various degrees of psoriasis vulgaris severity at Murni Teguh Memorial Hospital in Medan. This was a cross-sectional study with a sample size of 11 respondents at Murni Teguh Memorial Hospital in Medan. The results showed that the majority of respondents were in the early-to-late adulthood age group (54.5%) with an average serum folate level of 9.1 ng/mL. Based on gender, the majority of respondents were female (63.6%) with an average serum folate level of 9.5 ng/mL. Based on the severity of vulgaris psoriasis, most respondents were in the mild category (72.7%) with an average serum folic acid level of 9 ng/mL, while those in the moderate category (27.3%) had an average level of 8 ng/mL. It can be concluded that all respondents (100%) in this study had serum folic acid levels in the normal range.
The Effect of NLRP3 Inflammasome on Wound Healing Nur Aliviya Ananda; Reeny Purnamasari Juhamran
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Abstract

Wound healing is a complex biological process involving hemostasis, inflammation, proliferation, and remodeling. One of the key regulators of the inflammatory phase is the NLRP3 inflammasome, a multiprotein complex that plays a role in the activation of caspase-1 and the release of the proinflammatory cytokine interleukin-1.β(IL-1β) and interleukin-18 (IL-18), as well as the induction of pyroptosis. Physiological activation of NLRP3 is required to initiate an immune response, but excessive activation can prolong inflammation and inhibit the wound healing process. Therefore, studying the effect of the NLRP3 inflammasome on wound healing is important as a basis for developing inflammation-modulating therapies. This study used a literature review method by examining 25 scientific articles published in 2022–2026. The literature search was conducted through the PubMed, Google Scholar, ScienceDirect, SpringerLink, Frontiers, Nature Publishing Group, and MDPI databases using keywords related to NLRP3 inflammasome, wound healing, pyroptosis, diabetic wound, and inflammation. Data were analyzed descriptively narratively to identify the mechanism of NLRP3 activation, its role in wound healing, and potential therapies targeting this pathway. The results of the synthesis indicate that the NLRP3 inflammasome plays a crucial role in regulating the inflammatory response during wound healing. Inflammasome activation is required in the early phase for pathogen elimination and clearance of damaged tissue, but excessive activation increases IL-1 production.β, IL-18, and pyroptosis, thereby inhibiting angiogenesis, fibroblast proliferation, collagen deposition, and re-epithelialization. Various studies have shown that modulating NLRP3 using probiotics, natural compounds, hydrogels, stem cell-derived extracellular vesicles, and exosomes can suppress inflammation, enhance tissue regeneration, and accelerate wound healing, especially in diabetic wounds, burns, and radiation injuries. The NLRP3 inflammasome has a dual role in wound healing: it acts as a key regulator of the inflammatory response and as a factor that can inhibit tissue regeneration if overactivated. Modulating NLRP3 activity is a promising therapeutic strategy to accelerate wound healing by controlling inflammation and enhancing tissue regeneration.
Effect of Bunga Telang (Clitoria ternatea) Flower Tea on Pain Intensity Among Adolescent Girls with Primary Dysmenorrhea: A Pre-Experimental Study Zuhrotunida Zuhrotunida; Regina Ramahanti; Ika Oktaviani
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 01 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi), 2026
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Background: Primary dysmenorrhea is a common menstrual health problem among adolescent girls and may interfere with daily activities and school participation. Bunga telang (Clitoria ternatea) flower tea has potential as a simple complementary approach for managing menstrual pain. Objective: This study aimed to evaluate the effect of bunga telang flower tea on pain intensity among adolescent girls with primary dysmenorrhea at Al-Hikmah Curug Vocational High School, Tangerang Regency, Indonesia. Methods: A quantitative pre-experimental study using a one-group pretest-posttest design was conducted among 43 Grade 10 female students selected based on predetermined eligibility criteria. Pain intensity was assessed before and after the intervention using the 0–10 Numeric Rating Scale (NRS). Participants received 1 g of dried bunga telang flower brewed in 200 mL of boiling water for approximately 5 minutes on H−2, H−1, and the first day of menstruation. Data were analyzed using the Shapiro–Wilk test for normality and the Wilcoxon signed-rank test for paired comparisons. Results: Before the intervention, 46.5% of participants reported mild pain, 37.2% moderate pain, and 16.3% severe pain. After the intervention, 39.5% reported no pain, 58.1% mild pain, 2.3% moderate pain, and none reported severe pain. The Wilcoxon signed-rank test demonstrated a significant reduction in pain intensity (Z = −5.742, p = 0.001), with all 43 participants showing lower posttest pain scores. Conclusion: Bunga telang flower tea was associated with a significant reduction in menstrual pain intensity among adolescent girls with primary dysmenorrhea. It may represent a practical complementary approach to menstrual pain management; however, controlled studies with larger samples are needed to establish causal effectiveness.
The Relationship Between Interprofessional Collaboration and the Quality of Health Services at Nurul Hasanah Hospital, Kutacane Nandara Priyanti Elna; Yusnaini Yusnaini; Mira Novita; Safitri Rukiani
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Interprofessional coordination (collaboration among doctors, nurses, pharmacists, and other healthcare professionals) is an important pillar in achieving quality medical care and patient safety in hospitals. High-quality healthcare services in the modern era cannot be achieved individually, but rather through structured synergy among healthcare professionals. This study aims to analyze the relationship between interprofessional collaboration and healthcare service quality at Nurul Hasanah Hospital, Kutacane. This study employed a descriptive-analytic correlational design with a cross-sectional approach. The study sample consisted of 300 respondents in the inpatient wards of Nurul Hasanah Hospital, Kutacane, with the interprofessional coordination variable measured based on the perspectives of healthcare professionals (N=150) and the healthcare service quality variable measured based on the perspectives of patients (N=150) treated by the healthcare team. The data were analyzed using univariate and bivariate analyzes with the Chi-Square test at a significance levelα= 0.05. The results showed that interprofessional collaboration was categorized as good in 56.7% of respondents, while healthcare service quality was rated as good by 53.3% of patients. The bivariate analysis demonstrated a significant relationship between interprofessional collaboration and healthcare service quality, with a p-value of 0.001 (p < 0.05). The dimensions of open communication and shared goals were crucial factors closely associated with the reliability and assurance of healthcare services. Therefore, the management of Nurul Hasanah Hospital, Kutacane, is expected to continuously improve interprofessional collaboration training programs and foster a collaborative work environment to promote excellent and sustainable healthcare service quality.
The Effect of Video-Based Health Promotion on Clean and Healthy Living Behavior Among Elementary School Students Negeri 050664 Lubuk Dalam, Stabat District, Langkat Regency Gadis Permata Hati Manalu; Jumirah Jumirah; Indah Anggraini
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Clean and Healthy Living Behavior (CHLB) among elementary school students needs to be strengthened through health promotion that is appropriate to children's characteristics and the school environment. Video-based media can serve as an educational tool to improve students' understanding and implementation of CHLB. This study aimed to analyze changes in CHLB knowledge and practices following video-based health promotion and to examine the associations of parental support, teacher support, and facilities and infrastructure with students' CHLB knowledge and practices. This quantitative study employed a pre-experimental one-group pretest-posttest design. The study involved 40 students from SD Negeri 050664 Lubuk Dalam, Stabat District, Langkat Regency. Data were collected using questionnaires before and after the intervention and analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and bivariate analysis with SPSS at a significance level of 0.05. The results showed an increase in students' knowledge, with the median score rising from 17.50 to 18.00 (p = 0.003), and in CHLB practices, with the median score increasing from 12.00 to 14.00 (p = 0.001). Parental support was associated with CHLB knowledge (p = 0.013) but was not associated with CHLB practices (p = 0.270). Teacher support and facilities and infrastructure showed no significant associations with either CHLB knowledge or practices. Video-based health promotion has the potential to improve elementary school students' knowledge and CHLB practices, with sustained reinforcement from families and the school environment.
Case Report: Initial Management of ST-Elevation Myocardial Infarction Patients with Hypotension in the Emergency Unit of Merauke Regional General Hospital Khalda Fakhirah Syahbana; Takwin Dainur; Muh Vikram
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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ST-elevation myocardial infarction (STEMI) is a cardiovascular emergency caused by acute coronary artery occlusion that requires immediate reperfusion therapy to limit infarct size and reduce mortality. In healthcare facilities with limited access to primary percutaneous coronary intervention (PCI), fibrinolytic therapy remains an important reperfusion strategy. A 71-year-old man presented to the emergency department with typical chest pain that had begun one hour before admission. The pain radiated to the left arm, left neck, and back and was accompanied by nausea, vomiting, and cold sweats. Electrocardiography (ECG) revealed ST-segment elevation in leads V1–V5, consistent with anteroseptal STEMI with an onset of less than 12 hours. Initial management included oxygen supplementation, dual antiplatelet therapy, anticoagulation, high-intensity statin therapy, intravenous nitrates, and fibrinolytic therapy with 1.5 million units of streptokinase. Ten minutes after fibrinolysis was initiated, the patient developed severe hypotension, with a blood pressure of 60/43 mmHg. Intravenous nitrate therapy was immediately discontinued, and dobutamine infusion was initiated. Following this intervention, the patient's blood pressure increased to 116/69 mmHg, accompanied by improved hemodynamic stability. Early diagnosis and prompt reperfusion therapy are essential in the management of anteroseptal STEMI. Fibrinolytic therapy remains an effective reperfusion option in healthcare facilities with limited access to primary PCI. Close monitoring for hemodynamic complications, particularly hypotension during treatment, is crucial to prevent progression to cardiogenic shock and improve patient outcomes.
Comparison of Quantitative Fecal Examination Using the Stoll Method and the Kato-Katz Method in Detecting the Number of Soil-Transmitted Helminth Worm Eggs Febrian Maulana; Iqrina Widya Zahara; Munauwarus Sarirah; Said Munazar Rahmat
Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa) Vol. 4 No. 02 (2026): JUK-Medifa (Jurnal Kesehatan, Rekam Medis dan Farmasi) 2026
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Soil-Transmitted Helminths (STH) are a group of parasitic worms transmitted through contaminated soil, with prevalence remaining high, particularly among elementary school-aged children. Detection of STH eggs through microscopic stool examination can be performed using the Stoll and Kato-Katz methods. Although both are quantitative methods frequently used, a comparative analysis of their detection results requires further investigation. To compare the number of STH eggs detected using the Stoll method and the Kato-Katz method in stool samples from elementary school students. This research was an analytical study with a cross-sectional design. A total of 67 stool samples from students at SDN 101931 Perbaungan were examined using the Stoll and Kato-Katz methods. Data were analyzed using the Wilcoxon test. Most samples tested negative for STH infection. The Kato-Katz method detected four positive cases (6.0%), while the Stoll method detected one positive case (1.5%). The types of worms detected using the Kato-Katz method were Ascaris lumbricoides and Trichuris trichiura, with average egg counts of 750 and 37.5 eggs per gram of stool (EPG), respectively. The Stoll method detected only Ascaris lumbricoides, with an average egg count of 200 EPG. The Wilcoxon test showed no statistically significant difference in the number of Ascaris lumbricoides eggs detected by the Kato-Katz and Stoll methods (p = 0.068). No statistically significant difference was found in the number of Ascaris lumbricoides eggs detected by the Stoll and Kato-Katz methods. However, the Kato-Katz method detected more positive samples and both STH species identified in this study, whereas the Stoll method detected only Ascaris lumbricoides. These findings suggest that the Kato-Katz method may provide greater detection yield under the conditions of this study, while the Stoll method may serve as an alternative for quantitative stool examination.