cover
Article Per Year (5 Year)
All
Home Page
OAI Link
Editorial Team
Contact
Reviewer
Google Scholar
Contact Name
M. Ibraar Ayatullah
Contact Email
mibraarayatullah21@gmail.com
Phone
081314119647
Journal Mail Official
medica2108@gmail.com
Editorial Address
Jl. Karya Bhakti, Pontianak Selatan, Kalimantan Barat
Location
Unknown,
Unknown
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
 5   6   7   8   9 
Hospital Management Strategies in Erythropoiesis-Stimulating Agents Therapy for Chronic Kidney Disease: A Systematic Literature Review Akhmad Ulil Albab; Aflit Nuryulia Praswati; Yuli Kusumawati; Eko Sugihanto
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1054

Abstract

Anemia is a severe and costly complication in patients with end-stage Chronic Kidney Disease (CKD) undergoing long-term maintenance hemodialysis. The management of Erythropoiesis-Stimulating Agents (ESAs) therapy frequently faces challenges due to patient variability, dose inertia, and the lack of standardized managerial oversight. This study aims to analyze the strategic role of hospital management in implementing Clinical Practice Guidelines (CPGs) and Standard Operating Procedures (SOPs), evaluating their impact on clinical stability and economic outcomes. The method used is a Systematic Literature Review (SLR) of 21 scientific articles from Scopus, PubMed, and Google Scholar databases published between 2020 and 2025. Study quality, evidence heterogenity, and risk of bias were critically appraised by prioritizing methodological rigor and alignment with clinical implementation. The review results indicate that structured ESA protocols managed by specialist healthcare professionals, such as pharmacists or clinical nurse specialists, exhibit clinical effectiveness equivalent to conventional physician-led care while improving operational efficiency. The implementation of these protocols significantly lowers drug dosages, with studies showing a median weekly ESA dose reduction of up to 34% compared to discretionary care. Furthermore, achieving a high Hemoglobin Time-in-Range (TiR ≥60% within 10.0–11.5 g/dL) strongly correlates with a 19% decline in hospitalization rates and a 43% reduction in blood transfusion requirements. Economically, protocol-driven management demonstrates potential for substantial value; however, exact financial outcome should be interpretedwith caution due to the heterogenity of regional healthcare financing systems. With specific settings, proactive models reported annualized total healthcare cost savings reaching $33,921 per patient, including $6,201 in reduced transfusion costs. The novelty of this research lies in highlighting management systems and process discipline as critical factors influencing therapeutic success. As an implication, the formalization of SOPs and the integration of predictive tools like AI become crucial mandates for hospital management to ensure patient safety while maintaining institutional financial sustainability and ESG accountability.
Antenatal Rolling Back Massage Combined with Breast Care: Effect on Postpartum Breast Milk Output Andi Ria Metasari; Nursari Abdul Syukur; Parellangi; Nurul Rahmadini Hakim; Heni Suryani; Rahmawati Wahyuni; Jasmawati; Diah Ulfa Hidayati; Ega Ersya Urnia; Dewi Rinda Astuti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1060

Abstract

Breastfeeding problems often emerge during the antenatal period, with many mothers experiencing delayed or insufficient breast milk output during the first to third days postpartum. Inadequate breast care and the absence of rolling back massage during pregnancy are known to negatively affect breastfeeding outcomes. This study aimed to determine the effect of combining rolling back massage with breast care during the third trimester of pregnancy on postpartum breast milk output. A quasi-experimental study with a two-group posttest-only control group design was conducted at Klinik Aminah Amin Rianta 1 from April 1 to May 31, 2024. A total of 36 third-trimester pregnant women (≥36 weeks’ gestation) were recruited using accidental sampling (18 per group). The treatment group received rolling back massage (along the spine from the cervical region to costa 5–6, twice during the third trimester) in addition to breast care, while the control group received breast care only. Breast milk output was assessed on the first to third postpartum day and categorized dichotomously as ‘present’ or ‘absent’ using a standardized observation checklist. Fisher’s Exact Test was used for analysis. The treatment group demonstrated markedly higher breast milk output (94.4%) compared with the control group (61.1%). A statistically significant effect was confirmed (ρ = 0.041, p < α = 0.05). The combination of rolling back massage and breast care during the third trimester significantly improves postpartum breast milk output. Integration of both interventions into antenatal care is recommended, with the caveat that future randomized studies with larger samples are needed to confirm generalizability.
Association between Health Belief Model Constructs and Blood Pressure Control among Hypertensive Patients Solikhah Solikhah; Dyah Suryani; Ade Riki Hardani Bintang Pertiwi; Maretalinia Maretalinia
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1077

Abstract

Hypertension is a major global health problem and a leading cause of cardiovascular morbidity and mortality, particularly in developing countries such as Indonesia. This study aimed to analyze the association between Health Belief Model (HBM) constructs and sociodemographic factors with blood pressure control among hypertensive patients. A cross-sectional study was conducted in November 2025 at Puskesmas Piyungan, Bantul, involving 219 hypertensive patients selected using purposive sampling. Data were collected using a validated Hypertension Belief Assessment Tool and blood pressure measurements, then analyzed using multiple regression and bivariate tests. Among HBM constructs, only perceived susceptibility was significantly associated with systolic blood pressure (SBP) in multivariate analysis, suggesting a modest inverse relationship between susceptibility beliefs and SBP levels. Sociodemographic factors including age, educational level, and occupational category also showed significant associations with SBP. No HBM constructs were significant predictors of diastolic blood pressure. These cross-sectional findings highlight perceived susceptibility and sociodemographic context as correlates of blood pressure, though the design precludes causal inference. Hypertension management programs should consider patients’ belief profiles and sociodemographic characteristics when designing health promotion interventions, while longitudinal research is needed to confirm the direction and magnitude of these associations.
Analysis of Dietary Patterns and Nutritional Adequacy in Relation to Nutritional Status Rifana Cholidah; Emmy Amalia; Ario Danianto; Dyah Purnaning; Zahro Ananta; Ni Kadek Sintha Amanda
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1089

Abstract

University students are vulnerable to unhealthy eating behaviors due to academic demands, time constraints, and reliance on convenience foods, which may affect their nutritional status. This study aimed to assess nutritional status, dietary patterns, and nutritional adequacy among second-semester students at the Faculty of Medicine and Health Sciences, University of Mataram, and to examine their associations. A cross-sectional study was conducted among 215 students. Nutritional status was determined using body mass index (BMI), while dietary intake was assessed through 24-hour food records analyzed using NutriSurvey. Participants had a mean age of 18.81 ± 0.75 years and a mean BMI of 21.83 ± 4.18 kg/m², with 66.51% classified as having normal nutritional status. The study shows that most students have inappropriate dietary patterns (66.51%) and inadequate macronutrient intake, particularly carbohydrates. Although 69.77% achieved adequate total energy intake, the overall dietary pattern reflected an imbalanced macronutrient distribution. No significant association was found between dietary patterns and nutritional status (p = 0.109) or between nutritional adequacy and nutritional status (p = 0.295). These findings suggest that factors beyond dietary intake alone may influence nutritional status among university students. Therefore, targeted nutrition education and behavior-based interventions are needed to promote healthier eating habits among future health professionals.
Association between Knowledge, Preventive Attitudes, and HIV/AIDS Preventive Behaviors Among High School Students Dolfinus Yufu Bouway; Fathu Rahmah Azizah; Inriyanti Assa; Katarina Lodia Tuturop; Agustina Regina Yufuai
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1113

Abstract

HIV/AIDS remains a major global health problem, particularly among adolescents who are vulnerable to risky behaviors. This study aimed to analyze the association between HIV/AIDS knowledge, preventive attitudes, and HIV/AIDS preventive behaviors among high school students in Jayapura City. A quantitative cross-sectional design was conducted in 17 high schools in Jayapura City from September to October 2025 involving 540 students selected as respondents. Data were collected using a structured questionnaire distributed through Google Forms and analyzed using descriptive statistics and Spearman Rank correlation test with a significance level of p < 0.05. The results showed that most respondents had good HIV/AIDS knowledge (85.6%) and positive preventive attitudes (78.9%), while 65.2% demonstrated good prevention efforts. The Spearman Rank test indicated a significant but weak positive relationship between HIV/AIDS knowledge and prevention efforts (r = 0.230; p = 0.000), and a moderate positive relationship between preventive attitudes and prevention efforts (r = 0.403; p = 0.000). In conclusion, both HIV/AIDS knowledge and preventive attitudes are significantly associated with prevention efforts among high school students in Jayapura City, with preventive attitudes showing a stronger relationship than knowledge, and strengthening school-based HIV/AIDS education programs is recommended to improve adolescent preventive behaviors. This study is limited by its cross-sectional design, which precludes causal inference, and its reliance on self-reported data, which may be subject to social desirability bias.
Psychological Resilience as a Putative Mediator Between Psychological Distress and Quality of Life in Drug-Resistant Tuberculosis: A Gap-Mapping Scoping Review Sri Arini Winarti Rinawati; Sarka Ade Susana; Nur Hidayat
MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i6.1159

Abstract

Drug-resistant tuberculosis (DR-TB) is a prolonged and burdensome condition often associated with psychological distress and reduced quality of life (QoL). Although resilience is considered a protective factor in chronic illness, its role in linking distress and QoL in DR-TB remains unclear. This review aimed to map whether psychological resilience has been directly operationalized as a mechanism linking psychological distress to QoL in DR-TB, and to identify evidence gaps for future longitudinal mediation research. A gap-mapping scoping review guided by the framework and reported using PRISMA 2020 was conducted. PubMed/MEDLINE was searched directly; equivalent Boolean strings were also prepared for Scopus and Web of Science for institutional verification. Hand-searching and citation chaining were performed across major indexed journal platforms for studies published from January 2021 to May 2026. Eligible empirical records addressed active TB or DR-TB and reported at least two constructs relevant to the target pathway (psychological distress, QoL, resilience, coping, social support, self-efficacy, self-management, stigma, or mediation-type relationships). Included studies were charted by design, population, DR-TB specificity, temporal ordering, mediation/path testing, resilience operationalization, and key relevance. Forty studies from 16 countries/settings were included, all systematically screened against predefined eligibility criteria across title/abstract and full-text stages. Most used cross-sectional designs, with fewer longitudinal, qualitative, mixed-methods, or intervention studies. No study directly examined psychological resilience as a mediator between psychological distress and QoL in DR-TB. However, evidence suggested that distress, stigma, adverse drug reactions, and socioeconomic hardship were linked to poorer QoL, while social support, adaptive coping, self-management, self-efficacy, family care, and routinisation were associated with better psychosocial outcomes. The recent evidence base strongly supports a psychosocial pathway connecting distress to poorer QoL in TB and likely in DR-TB, but direct mediation testing of resilience in DR-TB remains absent. The field is ready for longitudinal DR-TB studies that measure resilience explicitly, collect repeated distress and QoL outcomes, and test causal mediation instead of treating resilience only as a narrative or inferred construct.
Maternal Health Seeking Behavior from a Sociocultural Perspective: A Qualitative Ethnographic Study Arfiah Arfiah; Nurdin Rahman; Andi Mascundra Amir
MEDICA (International Medical Scientific Journal) Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i7.1117

Abstract

Maternal healthcare behavior is shaped by biomedical, sociocultural, familial, and traditional factors. However, despite improvements in maternal health programs in Indonesia, limited evidence exists on how sociocultural processes influence maternal healthcare decision-making among indigenous communities. This study aimed to explore the sociocultural influences on maternal healthcare behavior among the Kaili Indigenous community in Loru Village, Central Sulawesi, Indonesia. A qualitative ethnographic study was conducted in Loru Village, Sigi Biromaru District, Central Sulawesi, Indonesia, between January and June 2025, involving seven participants selected through purposive sampling. Data were collected through in-depth semi-structured interviews, participant observation, document review, and triangulation interviews and analyzed using thematic analysis. The findings demonstrated that maternal healthcare behavior was strongly influenced by collective family decision-making, sociocultural values, customary authority, and traditional beliefs. Furthermore, culturally responsive communication by midwives and collaboration with traditional birth attendants increased community acceptance of formal maternal healthcare services while respecting local cultural practices. These findings indicate that maternal healthcare behavior within the Kaili Indigenous community is a socially and culturally embedded process rather than an individual health decision. They further highlight the potential of culturally responsive maternal healthcare strategies that actively engage families, community leaders, and traditional birth attendants to improve maternal healthcare utilization and strengthen culturally appropriate service delivery in indigenous settings. Further research involving multiple indigenous communities, larger participant groups, and comparative ethnographic designs is warranted to confirm the transferability of these findings and broaden understanding of sociocultural influences on maternal healthcare behavior across diverse cultural contexts.

Page 9 of 9 | Total Record : 87

 5   6   7   8   9 

Filter by Year

2023 2026


Reset
Filter By Issues
All Issue Vol. 8 No. 7 (2026): MEDICA (International Medical Scientific Journal) Vol. 8 No. 6 (2026): MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal) Vol. 8 No. 4 (2026): MEDICA (International Medical Scientific Journal) Vol. 8 No. 3 (2026): MEDICA (International Medical Scientific Journal) Vol. 8 No. 2 (2026): MEDICA (International Medical Scientific Journal) Vol. 8 No. 1 (2026): MEDICA (International Medical Scientific Journal) Vol. 7 No. 3 (2025): MEDICA (International Medical Scientific Journal) Vol. 7 No. 2 (2025): MEDICA (International Medical Scientific Journal) Vol. 7 No. 1 (2025): MEDICA (International Medical Scientific Journal) Vol. 6 No. 3 (2024): MEDICA (International Medical Scientific Journal) Vol. 6 No. 2 (2024): MEDICA (International Medical Scientific Journal) Vol. 6 No. 1 (2024): MEDICA (International Medical Scientific Journal) Vol. 5 No. 3 (2023): MEDICA (International Medical Scientific Journal) Vol. 5 No. 2 (2023): MEDICA (International Medical Scientific Journal) More Issue