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INDONESIA
MEDICA (International Medical Scientific Journal)
Published by Borneo Scientific Publishing
ISSN : 26226596     EISSN : 2622660X     DOI : https://doi.org/10.53770/medica
Core Subject : Health, Science,
Chemistry Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary
MEDICA (International Medical Scientific Journal), with registered number ISSN 2622-6596 (Print), 2622-660X (Online) is an Open Access and peer-reviewed journal presenting timely research on all aspects of health that other media have not published. Managed by the Borneo Scientific Publishing, published by Borneo Scientific Publishing. MEDICA (International Medical Scientific Journal) will publish journals three times yearly: January, May, and October. Manuscripts are published as original articles, review articles, and case reports. The Journal invites public health concerned with any of these areas to submit research on topics including, but not limited to Health promotion & disease prevention in all stages of human life, Medical laboratory, Nursing, Environmental Health, Epidemiology and biostatistics. Health policy and administration, Public health nutrition, Occupational health and safety, Health Promotion, Reproductive health, maternal and child health, and other related articles in public health.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 87 Documents
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Innovation of A Smart Dental Mirror for More Effective and Efficient Plaque Score Assessment Fernanda, Fradita; Supriyana, Supriyana; Suwondo, Ari
MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i4.1000

Abstract

Dental plaque is one of the primary etiological factors contributing to oral diseases. Therefore, plaque detection and control are essential components of preventive dental care. Conventional plaque detection methods using disclosing agents still present several limitations, including chemical content, complicated application procedures, subjective interpretation, and potential side effects on oral tissues. Consequently, technological innovation is needed to improve the effectiveness and efficiency of plaque examination. This study aimed to develop and evaluate a smart dental mirror based on camera technology and deep learning sensors as an innovative tool for plaque assessment. The study employed a Research and Development (R&D) approach with a quasi-experimental crossover design. A total of 33 dental health professionals were recruited using purposive sampling. Product testing was conducted to evaluate the effectiveness and efficiency of plaque examination through observation and interview methods. Data were analyzed descriptively and statistically using the Wilcoxon test. The results of expert validation showed that the smart dental mirror achieved a feasibility score of 72.2%, indicating that the device was suitable for use. The effectiveness test demonstrated no statistically significant difference between the smart dental mirror and the conventional method (p = 0.439), indicating comparable effectiveness in plaque assessment. However, the efficiency test revealed a statistically significant difference (p = 0.001), indicating that the smart dental mirror provided greater efficiency compared to the conventional method. In conclusion, the smart dental mirror is considered a feasible, efficient, and innovative alternative for dental plaque assessment, with effectiveness comparable to conventional methods while offering improved operational efficiency in clinical practice.
The Effect of Katuk Leaf Decoction on Breast Milk Production Among Postpartum Mothers Anggraini, Anggraini; Ermasari, Anissa; Sunarsih, Sunarsih; Yunani, Risa; Rochmawati, Rochmawati
MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i4.1006

Abstract

Insufficient breast milk production remains a major barrier to achieving exclusive breastfeeding at both global and national levels. In Indonesia, exclusive breastfeeding coverage declined from 88.9% in 2021 to 82.2% in 2023. The use of plant-based herbal galactagogues, particularly Sauropus androgynus (katuk leaves), is widely practiced; however, comparative evidence against active interventions such as lactation education remains limited. This study aimed to compare the effectiveness of katuk leaf decoction and breastfeeding technique education in increasing breast milk production among postpartum mothers. A quantitative study with a quasi-experimental pretest–posttest control group design was conducted involving 32 postpartum mothers selected through purposive sampling from a population of 66, comprising 16 respondents in the intervention group (katuk leaf decoction 150 ml/day for 7 days) and 16 respondents in the control group (breastfeeding technique education). Breast milk production was assessed using a structured observation sheet based on four proxy indicators. Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney test for between-group comparisons. The results showed that breast milk production scores increased in both groups, with a higher mean increase observed in the intervention group (from 4.44 to 6.56; Δ=2.12) compared with the control group (from 4.19 to 5.94; Δ=1.75). Within-group analysis demonstrated statistically significant improvements in both groups (p=0.001), and between-group comparison revealed a statistically significant difference in score changes (p<0.05). In conclusion, katuk leaf decoction demonstrated a greater increase in breast milk production compared with breastfeeding technique education; however, these findings should be interpreted cautiously due to methodological limitations, and further studies using more rigorous designs are recommended.
Analysis of Blood Cholinesterase Enzyme Levels Among Farmers Sunuh, Herlina Susanto; Politon, Fellysca V. M.; Christine, Christine; Novarianti, Novarianti; Doda, Diana Vanda D.
MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i4.1035

Abstract

Pesticides are chemical substances used to control or eradicate pests and are considered toxic compounds that may pose health risks to farmers. Organophosphate pesticides can enter the human body through the digestive system, respiratory tract via inhalation, and unprotected skin surfaces. This study aimed to analyze the association between educational level, knowledge, spraying position, spraying frequency, length of employment, and blood cholinesterase levels among farmers in Parigi Moutong Regency. This study employed an analytical observational design with a cross-sectional approach. A total of 41 pesticide-spraying farmers from Balinggi Jati Village were included as respondents using a purposive sampling technique. Data collection was conducted through interviews using structured questionnaires and blood cholinesterase examinations performed by health personnel from Prodia Laboratory, Palu. Data were analyzed using the Chi-square test. The results showed that there were no statistically significant relationships between age and blood cholinesterase levels (p = 0.846), educational level (p = 0.879), gender (p = 0.548), length of employment (p = 0.854), spraying frequency (p = 0.252), spraying position (p = 0.132), and knowledge level (p = 0.879). In conclusion, age, gender, educational level, knowledge, spraying position, spraying frequency, and length of employment were not significantly associated with blood cholinesterase levels among farmers in Parigi Moutong Regency. Nevertheless, continuous education regarding safe pesticide use and the implementation of proper occupational safety practices remain important to minimize the risk of pesticide exposure among farmers.
The Effect of the Pre-Screening Questionnaire for Child Development on Increasing Parental Compliance in Monitoring Child Development Matje Meriaty Huru; Kamilus Mamoh; Diyan Maria Kristin; Agustina Abuk Seran; Mariana Ngundju Awang; Ni Luh Made Diah Putri Anggraeningsih; Maria Florentina Nining Kosad
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.900

Abstract

Early childhood represents a critical period for growth and development that substantially influences the quality of future human resources. Therefore, regular developmental monitoring is essential to ensure the early identification of developmental problems. However, parental compliance with child development monitoring remains suboptimal, including in East Penfui Village. The Pre-Screening Developmental Questionnaire (PSDQ/KPSP) is a practical and user-friendly tool that may enhance parental involvement in developmental surveillance. This study aimed to analyze the effect of KPSP utilization on parental compliance in monitoring child development. A pre-experimental study with a one-group pretest–posttest design was conducted among 64 parents of children aged 0–6 years selected through purposive sampling. Data were collected using a respondent characteristics questionnaire, a parental compliance questionnaire, and the KPSP as the intervention instrument. Descriptive statistics were used to summarize respondent characteristics, while the Wilcoxon Signed Rank Test was employed to assess differences in compliance scores before and after the intervention due to the non-normal distribution of data (Shapiro–Wilk test, p < 0.05). The results showed that most respondents were aged 25–35 years, had completed senior high school education, were housewives, and had two to three children. Parental compliance scores increased significantly following the intervention, with the mean score rising from 56.25 ± 10.32 before KPSP implementation to 82.40 ± 8.15 after the intervention. The Wilcoxon Signed Rank Test demonstrated a statistically significant difference between pretest and posttest compliance scores (p < 0.001). The findings indicate that the use of KPSP significantly improves parental compliance in monitoring child development. Integrating KPSP into community-based child health services may strengthen parental participation in developmental surveillance and support the early detection of developmental delays.
The Periodontal Tissue Health Status of Patients with Chronic Kidney Disease Ani Subekti; Agustin Wulan Suci Dharmayanti; Miranda Gita Wahyuningtyas; Agnes Lia Renata
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.901

Abstract

Chronic Kidney Disease (CKD) is a significant global health issue, affecting approximately 700 million people worldwide. This study investigates the periodontal health of CKD patients in Banyumanik District, Semarang, Central Java, Indonesia, where the prevalence of CKD is notably high. A cross-sectional analysis involving 44 CKD patients from three community health centers was conducted. Data were collected through medical records and periodontal examinations using the Community Periodontal Index of Treatment Needs (CPITN) and the Gingival Index (GI). Results indicated that 70% of participants exhibited moderate to severe gingival inflammation, with an average GI score of 1.75. The majority required phase I periodontal treatment, including scaling and root planning. Significant correlations were found between gingival inflammation and factors such as hemodialysis history and the duration of CKD. Patients undergoing hemodialysis showed higher levels of gingival inflammation compared to those who were not. The findings highlight the critical need for regular periodontal assessments and interventions in CKD patients to mitigate oral health complications and improve overall quality of life. This study underscores the importance of integrating oral health management into the care of CKD patients, particularly in regions with high prevalence rates.
The Effectiveness of Electronic Medical Records by Nurses at Hospitals in East Kalimantan Ratanto Ratanto; Rizky Setiadi; Arifin Hidayat
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.909

Abstract

The implementation of electronic medical records (EMRs) has increased significantly in hospitals worldwide, including in Indonesia, due to their potential to improve healthcare quality, enhance efficiency, reduce medical errors, and support clinical decision-making. However, the effectiveness of EMR implementation varies across healthcare settings, highlighting the need for systematic evaluation. This study aimed to assess the effectiveness of EMR implementation in hospitals in East Kalimantan, Indonesia. A quasi-experimental study with a two-group post-test-only design was conducted involving 188 participants from two hospitals. Data were collected simultaneously and analyzed using the Mann–Whitney U test with a significance level of 0.05. The results revealed significant differences between the two hospitals in the dimensions of quality (p = 0.001), facilities (p = 0.028), functionality (p = 0.017), user satisfaction (p = 0.003), and overall effectiveness (p = 0.014). Hospitals implementing EMRs demonstrated higher effectiveness scores compared with hospitals that had not implemented EMRs. In conclusion, EMR implementation significantly influences the effectiveness of medical record management. These findings highlight the importance of optimizing EMR systems to improve healthcare service quality and operational performance in hospitals.
Nursing Interventions for Bone Healing After Open Reduction and Internal Fixation: A Scoping Review Faisal Abda’u; Kumboyono Kumboyono; Laily Yuliatun
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.914

Abstract

Nursing care plays an important role in supporting postoperative recovery and optimizing clinical outcomes in patients undergoing Open Reduction and Internal Fixation (ORIF). However, nursing interventions that support bone healing in this population have not been comprehensively mapped. This scoping review aimed to identify and map nursing interventions that support bone healing and postoperative recovery in patients undergoing ORIF. Literature searches were conducted in PubMed, ScienceDirect, ProQuest, and Google Scholar using keywords based on the Population–Concept–Context (PCC) framework for studies published between 2015 and 2025. Article screening and selection were conducted using predefined inclusion and exclusion criteria in accordance with the PRISMA-ScR guidelines. Data from the included studies were extracted, categorized, and synthesized thematically. A total of 20 studies were included in this review. The findings demonstrated that nursing interventions could be classified into four major domains: observational, therapeutic, educational, and collaborative interventions. Frequently reported interventions included pain management, early mobilization and rehabilitation support, clinical monitoring, health education, discharge planning, nutritional support, and multidisciplinary collaboration. The reviewed studies suggested that these interventions were associated with improved postoperative clinical outcomes, including reduced pain and complications, enhanced mobility and functional recovery, improved self-care ability, and better quality of life. However, most studies evaluated indirect clinical outcomes rather than direct radiographic indicators of bone healing. Further research is needed to evaluate the effectiveness of specific nursing interventions on radiographic bone healing outcomes across different fracture types and patient populations.  
The Effectiveness of Online Nutrition Counseling on Fish and Protein Consumption to Prevent Stunting in Children Aged 4-6 Years Lusyta Puri Ardhiyanti; Diah Ratnawati
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.918

Abstract

Stunting remains a significant public health problem in Indonesia, and inadequate fish and protein intake among preschool children is a key modifiable risk factor. The use of Zoom- and telephone-based nutritional counseling represents a novel, accessible strategy for community-based dietary education, yet evidence on its effectiveness in the Posyandu setting remains limited. This study aimed to evaluate the effect of nutritional counseling delivered through Zoom meetings and telephone communication on fish consumption and protein intake among children aged 4–6 years. A quasi-experimental one-group pretest–posttest design was employed at Posyandu Rajawali 1 and 2, Tugu Village, Depok, West Java. All 22 eligible children were included using total sampling. Mothers served as respondents. Dietary intake was assessed using 24-hour dietary recall and food frequency questionnaires over three non-consecutive days, administered before and after three educational sessions held in April–May 2025. Paired t-test was used for bivariate analysis. The results of the study show that mean fish consumption increased significantly from 23.91 g to 30.68 g (Δ = 6.77 g; p = 0.0001) and mean protein intake from 30.94 g to 38.45 g (Δ = 7.51 g; p = 0.0001). In conclusions, zoom and telephone-based nutritional counseling was associated with significant short-term improvements in fish and protein intake. However, given the absence of a control group and small sample size, causal inference is limited. Post-intervention intake levels remained below recommendations, suggesting the need for complementary structural and repeated educational interventions. Future studies with larger samples, control groups, and anthropometric outcome measures are strongly recommended.
Maternal Health Interventions and Other Determinants of Childhood Stunting: A Cross-Sectional Study Astuti Setiyani; Suparji Suparji; Hery Sumasto; Alfi Rusdianti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.920

Abstract

Stunting remains a major public health problem in developing countries and is associated with impaired cognitive development, poor educational attainment, reduced productivity, and an increased risk of chronic diseases later in life. Maternal health during pregnancy is considered a key determinant of child growth and development. This study aimed to identify factors associated with stunting among children under five years of age, with a particular focus on maternal health interventions during pregnancy, including antenatal care, nutritional monitoring, and micronutrient supplementation. A cross-sectional study was conducted among 140 mothers of children under five years of age attending four community health centers in Surabaya, East Java, Indonesia. Participants were selected using proportionate stratified random sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics, Chi-square tests, and binary logistic regression, with a significance level of p < 0.05. The results of the study show that the prevalence of stunting was 21.4%. Bivariate analysis showed that maternal health interventions were significantly associated with stunting (p = 0.040), while breastfeeding and complementary feeding practices demonstrated a marginal association (p = 0.074). Child nutritional intake (p = 0.271), immunization and growth monitoring (p = 1.000), and environmental sanitation (p = 0.526) were not significantly associated with stunting. Multivariable logistic regression analysis identified maternal health intervention as the most influential factor associated with stunting (OR = 0.46; 95% CI: 0.23–0.94; p = 0.032), indicating a protective effect against stunting among children under five years of age. In conclusion, maternal health interventions during pregnancy play a significant role in reducing the risk of childhood stunting. Strengthening antenatal care services, maternal nutrition support, and health education for pregnant women should therefore be prioritized as part of integrated stunting prevention strategies at the primary healthcare level.  
Development of A Website-Integrated MobileNet Model for Ischemic Stroke Detection Based on CT Scan Images Naufal Lutfi Ardiawan; Gatot Murti Wibowo; Sri Mulyati; Donny Kristanto Mulyantoro; Rasyid Rasyid
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.955

Abstract

The prevalence of ischemic stroke in Indonesia continues to increase, highlighting the need for rapid and accurate diagnostic approaches. Computed Tomography (CT) imaging plays a crucial role in the early detection of ischemic stroke, particularly within the therapeutic window of 3–4.5 hours after symptom onset. This study aimed to develop and evaluate a website-based ischemic stroke detection system using a MobileNet deep learning model integrated with CT scan image analysis. A Research and Development (R&D) approach employing the Rapid Application Development (RAD) framework was applied. The model was developed using 2,000 CT scan images obtained from a Kaggle dataset, comprising 1,000 ischemic stroke images and 1,000 normal control images. The dataset was divided into training and validation sets, with 800 images per class used for training and 200 images per class used for validation. External clinical validation was conducted using 600 CT scan images collected from hospitals, consisting of 300 ischemic stroke images and 300 normal control images. Model performance was evaluated using accuracy, precision, sensitivity, and specificity metrics, while system usability was assessed using the System Usability Scale (SUS). The developed model achieved an accuracy of 92.25%, precision of 92.00%, sensitivity of 92.50%, and specificity of 92.00% on the validation dataset. However, performance decreased during external clinical testing, yielding an accuracy of 71.50%, precision of 73.12%, sensitivity of 68.00%, and specificity of 75.00%. These findings are consistent with previous studies indicating that models trained solely on public datasets often experience performance degradation when applied to real-world clinical data, emphasizing the importance of multi-institutional training datasets and extensive external validation. The usability evaluation produced an average SUS score of 83, indicating excellent user acceptance and system usability. The proposed website-based MobileNet model demonstrates strong potential as an accessible tool for supporting early ischemic stroke detection from CT scan images and may be further enhanced through the incorporation of multi-slice or volumetric imaging data to improve clinical performance.

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