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Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan
Published by Lembaga Pengembangan Kinerja Dosen
ISSN : 2809235X     EISSN : 28092090     DOI : 10.55606
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
Klinik: Jurnal Ilmiah Kedokteran dan Kesehatan diterbitkan 3 (tiga) kali dalam satu tahun yaitu Edisi Januari, Mei, dan September. Jurnal Ilmiah Kedokteran dan Kesehatan menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi dokter, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu Kedokteran dan Kesehatan
Arjuna Subject : Kedokteran - Kedokteran (Lain-Lain)
Articles 481 Documents
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Keselamatan dan Kesehatan Kerja di Industri Fast Fashion: Analisis Literatur Tentang Risiko dan Tantangan Irma Fajriah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.3985

Abstract

The fast fashion industry has become a dominant sector in the global economy, providing affordable fashion products and generating millions of jobs. However, behind its rapid growth, there are significant concerns regarding occupational safety and health (OSH), especially in developing countries that serve as major production hubs. Workers often face hazardous working conditions, exposure to toxic chemicals, excessive working hours, and a lack of adequate health protection. This study aims to analyze the main OSH risks and challenges in the fast fashion industry through a comprehensive literature review and comparative analysis of different countries, including Indonesia, Bangladesh, Vietnam, and China. The findings indicate that weak regulations, lack of enforcement, and high production pressures contribute to unsafe working conditions. Countries with stricter OSH policies, such as China, tend to have better compliance, whereas Indonesia and Bangladesh still struggle with poor implementation and monitoring. To improve OSH standards, this study recommends strengthening regulatory frameworks, enhancing worker safety training programs, increasing corporate accountability, and promoting ethical consumer behavior. Governments, companies, and consumers must collaborate to ensure a safer and more sustainable fast fashion industry.
Membangun Transparansi dan Akuntabilitas dalam Tata Kelola Sistem Kesehatan Indonesia Almeria Annisa Putri; Saula Bellatrix Lumbantobing; Riswandy Wasir
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.3986

Abstract

Corruption in the health sector undermines efficiency and reduces the quality of public services. This study aims to analyze the current level of transparency and accountability in Indonesia’s health system governance, identify key challenges, and formulate strategies for improvement. A literature review was conducted using five selected scientific articles from national and international databases published between 2016 and 2025. The findings reveal that weak policy implementation, limited cross-sector coordination, and inadequate understanding of accountability frameworks remain significant barriers. Proposed strategies to improve governance include digitalizing procurement through e-Procurement systems and enhancing community participation in monitoring healthcare services. The adoption of technology-based systems is considered effective in promoting transparency, reducing budget inefficiencies, and strengthening public trust. Therefore, sustainable health governance reform must be supported by improving human resource capacity and increasing health literacy at the community level to build a more transparent, accountable, and responsive health system..
Gambaran Sikap Remaja Putri dalam Mencegah Pernikahan Usia Dini di SMA X Kecamatan Tanjungsari, Kabupaten Sumedang, Jawa Barat Debby Janette; Mamat Lukman; Dadang Purnama
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.3988

Abstract

Early marriage remains a serious issue that affects education, reproductive health, and increases the risk of stunting in children. Adolescents, as a vulnerable age group, are in a formative stage of attitude development, making it essential to understand their tendencies in facing this issue. This study aims to describe the attitudes of female adolescents in preventing early marriage at SMA X, Tanjungsari District, Sumedang Regency, West Java . The research employed a descriptive quantitative design with a cross-sectional approach and involved 144 respondents selected through proportional stratified random sampling. Data were collected using the Early Marriage Attitude Scale (EMAS) and analyzed using frequency distribution and percentages. The results showed that 77 respondents (53.5%) had a positive attitude toward preventing early marriage, while 67 respondents (46.5%) showed a negative attitude. The spiritual belief dimension recorded the highest percentage of positive attitudes (72.9%), followed by the parent-child relationship dimension (66%) and parental economic hardship (66%). The social norms dimension appeared the most balanced, indicating that cultural and social pressures continue to significantly influence adolescent attitudes. Age and family income were also influential; respondents aged 17 and from middle-to-upper-income families tended to exhibit more positive attitudes. These findings imply the need to strengthen reproductive health education, family-based approaches, and adolescent empowerment programs rooted in spiritual values and self-control to sustainably support the prevention of early marriage.
Kimia Medisinal dan Masa Depan Pengobatan Desinta Nurohman Husen; Saeful Amin; Karina Budi Arti; Maesaroh Maesaroh
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.3989

Abstract

This study aims to review the latest developments in medicinal chemistry and its prospects in the development of future treatments. Through a comprehensive literature study approach, this study analyzes the latest innovations in drug design and development, including the use of computational technology, nanotechnology, and biological target-based approaches. The results show that the integration of artificial intelligence and machine learning technologies with conventional medicinal chemistry techniques has opened a new paradigm in more efficient and precise drug discovery. Personalization of treatment based on patient genetic profiles, development of new antibiotics to overcome antimicrobial resistance, and nanomaterial-based therapies are important trends in contemporary medicinal chemistry applications. This study concludes that the future of medicine will be greatly influenced by advances in medicinal chemistry, with the main challenges being safety, regulation, and accessibility.More intensive multidisciplinary collaboration is needed between chemists, biologists, pharmacologists, clinical medicine, and informatics to optimize the potential of medicinal chemistry in the future medicine revolution.
Hubungan Usia dan Riwayat Abortus dengan Kejadian Abortus di Puskesmas Peninggalan Kabupaten Musi Banyuasin Provinsi Sumatera Selatan Tahun 2024 Friza Novita Sari Situmorang; Wayan Lusiana Wulandari; Yesica Geovany Sianipar; Rismalia Tarigan; Pitri Indriani Purba; Novitaria Zega
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.3999

Abstract

Abortion is a condition in which the results of conception are expelled before the fetus has the ability to survive outside the womb, usually occurring at a gestational age of less than 20 weeks or with a fetal weight of less than 500 grams. In 2022, K1 coverage reached 100% in several areas such as Lahat Regency, Musi Banyuasin, East OKU, Ogan Ilir, Empat Lawang, and the cities of Palembang, Prabumulih, and Pagar Alam. Meanwhile, the lowest K1 coverage was found in South OKU Regency, with a percentage of 56.6%. The purpose of this study was to identify the age and history of abortion with the incidence of abortion at the Peninggalan Health Center, Musi Banyuasin Regency, South Sumatra Province in 2024. This study used a Case Control design, the research time was April-June 2024, with a population of 117 people. Using a 1:1 comparison of 38 case samples and 38 control samples, so that the sample was 76 people. This study used Chi Square Test analysis. The majority of respondents aged <20 years and >35 years who experienced abortion were 28 people (33.2%). The majority of respondents who had a history of abortion and experienced abortion were 31 people (40.1%). There is a significant relationship between age and history of abortion with the incidence of abortion at the Peninggalan Health Center, Musi Banyuasin Regency, South Sumatra Province, with a p-value <0.05 (0.001).
Hubungan Mutu Pelayanan Antenatal Care dengan Tingkat Kepuasan Ibu Hamil di Praktik Mandiri Bidan Citra Kecamatan Sawit Seberang Kabupaten Langkat Provinsi Sumatera Utara Tahun 2024 Yesica Geovany Sianipar; Umi Juninda Nasution; Friza Novita Sari Situmorang; Magdalena br Barus; Party Joita Lumban Gaol; Nur Ainun Baru Setepu
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.4000

Abstract

Abortion is a condition in which the results of conception are expelled before the fetus has the ability to survive outside the womb, usually occurring at a gestational age of less than 20 weeks or with a fetal weight of less than 500 grams. In 2022, K1 coverage reached 100% in several areas such as Lahat Regency, Musi Banyuasin, East OKU, Ogan Ilir, Empat Lawang, and the cities of Palembang, Prabumulih, and Pagar Alam. Meanwhile, the lowest K1 coverage was found in South OKU Regency, with a percentage of 56.6%. The purpose of this study was to identify the age and history of abortion with the incidence of abortion at the Peninggalan Health Center, Musi Banyuasin Regency, South Sumatra Province in 2024. This study used a Case Control design, the research time was April-June 2024, with a population of 117 people. Using a 1:1 comparison of 38 case samples and 38 control samples, so that the sample was 76 people. This study used Chi Square Test analysis. The majority of respondents aged <20 years and >35 years who experienced abortion were 28 people (33.2%). The majority of respondents who had a history of abortion and experienced abortion were 31 people (40.1%). There is a significant relationship between age and history of abortion with the incidence of abortion at the Peninggalan Health Center, Musi Banyuasin Regency, South Sumatra Province, with a p-value <0.05 (0.001).
Efektivitas Teknik Relaksasi Napas dalam dan Kompres Air Hangat Menggunakan Warm Water Zak untuk Meredakan Nyeri pada Pasien Post Operasi Rizkia Suci Pratiwi; Madyo Maryoto
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4001

Abstract

Postoperative pain is a common complaint that affects patients' comfort and quality of life, especially among the elderly who experience declining physical function. This study aims to evaluate the effectiveness of deep breathing relaxation techniques and warm compresses using a Warm Water Zag (WWZ) in alleviating postoperative pain. The research employed a descriptive case study design involving an elderly patient in Prigi Village who experienced acute pain following surgery due to a prior fall. Nursing interventions were implemented over three days, focusing on improving family health management through education and family coping support. Results indicated a significant reduction in pain after the application of deep breathing exercises and warm compress therapy. These therapies work by improving local blood circulation, relaxing muscles, and reducing physiological responses to pain through parasympathetic nervous system activation. Daily evaluations showed enhanced patient comfort and active family involvement in care. These findings suggest that a complementary combination of deep breathing relaxation and warm compresses can serve as an effective non-pharmacological intervention for postoperative pain management. Furthermore, the intervention supports increased family engagement in elderly care at home.
Efektivitas Muscle Energy Technique dan Ischemic Compression Terhadap Myofascial Pain Syndrome Menurunkan Neck Disability Index Amelia Putri Ardiani; Iman Santoso
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4003

Abstract

Myofascial Pain Syndrome is a common musculoskeletal disorder marked by the presence of hyperirritable trigger points within taut bands of skeletal muscle. One frequently affected area is the upper trapezius, where unmanaged pain can significantly imoair neck mobility and reduce quality of life. The Neck Disability Index is a widely accepted tool for evaluating the functional impact of neck pain. However, more evidence research is needed to determine the comparative effectiveness of different physiotherapy interventions in reducing NDI scores. This study employs a systematic review based on the prisma-p and ultilizing the PICOS structure. Articles were selected from databases including PubMed, Crossref, Web of Science, Medline, ScienceDirect, Elsevier, and IEEE. Results indicate that both ICT and MET stretching are effective in reducing pain and enhancing neck function in patients with MPS. The study concludes that ICT and MET can significantly improve NDI scored, suppporting their use as evidence-based physiotherapy treatment for MPS in the upper trapezius.
Analisis Faktor yang Berhubungan dengan Kelelahan Kerja pada Pegawai Di UPT Puskesmas Kota Karang Kota Bandar Lampung Tahun 2024 Kristianto Putro, Wisnu; Modjo, Robiana
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4005

Abstract

This study aims to assess the risk factors that affect fatigue in employees of UPT Puskesmas Kota Karang, Bandar Lampung City. This research design is quantitative with a cross-sectional approach, involving the entire employee population of 71 people as a sample through total sampling technique. The analysis was done with chi-square test and odds ratio using SPSS. The results showed that domestic dependents and other occupations had a significant association with health worker fatigue. In contrast, variables such as age, tenure, sleep quantity, and sleep quality showed no significant association. The conclusion of this study is that external factors outside of work contribute to the level of fatigue of health workers. Therefore, managerial interventions that take into account the workload as well as domestic dependents and additional work of employees are essential to improve the quality of service and the welfare of health workers in health centers.
Gambaran Atribut Surveilans Campak di Wilayah Kerja Puskesmas Panglayungan Kota Tasikmalaya Tahun 2024 Alika Arifiyani Ferbianti; Nazwa Salsabila; Putri Dzakiyya Lisdinawati; Siti Fatimah
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 2 (2025): Mei : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i2.4011

Abstract

Measles is one of the infectious diseases that continues to pose a challenge to public health in Indonesia. This study aims to evaluate the attributes of the measles surveillance system at Panglayungan Health Center, Tasikmalaya City, using a qualitative approach through interviews and the use of secondary data. The evaluation focused on nine key attributes of the surveillance system. The results showed that the system performed adequately in terms of simplicity, timeliness, acceptability, and data quality. However, weaknesses were identified in the attributes of flexibility, sensitivity, positive predictive value, and system stability, largely due to limitations in individual data and technical constraints. Therefore, improvements to the system can be made through strengthening information technology, training for health workers, and active community involvement in case reporting. An optimal surveillance system is essential for early detection and control of measles to reduce incidence and mortality, particularly in children under five years of age.

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