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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 429 Documents
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Hubungan Tingkat Pengetahuan terhadap Keterampilan Kader dalam Pengukuran Tinggi Badan dan Berat Badan Balita di Posyandu Cikarang Selatan
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5523

Abstract

Inaccuracies in anthropometric measurements of toddlers caused by improper positioning are a significant issue that can hinder early detection of stunting and other nutritional problems. This study aims to evaluate the relationship between cadres' length of service and knowledge level with their skills in performing anthropometric measurements of toddlers in the Cikarang Selatan area. This study was conducted using a quantitative approach. The design used for this study was cross-sectional. 41 cadres who met the inclusion criteria were included in the working area of Cikarang Selatan Subdistrict, specifically in Pasirsari Village, Bekasi Regency. Data analysis was conducted using the chi-square test to examine relationships between variables. The analysis showed that cadre knowledge was also significantly associated with the skill of measuring height (p-value = 0.000; OR = 45.500). However, the relationship between knowledge and the skill of measuring weight did not reach statistical significance (p-value = 0.120; OR = 2.963). The findings of this study indicate that cadre knowledge has a significant effect on the skill of measuring height. Conversely, knowledge was not proven to have a significant relationship with the skill of measuring weight. Cadres with adequate knowledge tend to have better skills in measuring both the height and weight of toddlers.
Analisis Waktu Tunggu Pasien Operasi Elektif di Instalasi Bedah Sentral (IBS) dengan Metode Root Cause Analysis (RCA) di RS Bhayangkara Ruwa Jurai Lampung Tahun 2025
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5532

Abstract

The Central Surgical Installation (CSI) plays a strategic role in ensuring the quality of hospital services, particularly in supporting the implementation of elective surgical procedures. Excessive waiting time beyond the established standards poses a serious challenge that may affect patient safety and service efficiency. This study aims to analyze the causes of delayed elective surgery waiting times at Bhayangkara Ruwa Jurai Hospital, Lampung, and to formulate solutions based on managerial and evidence-based approaches. This research employed a descriptive qualitative method using Root Cause Analysis (RCA) and the 5M factors (Man, Material, Machine, Method, Money). Data were collected through observation, interviews, and document reviews, and analyzed. The findings revealed that the average waiting time for elective surgery patients was 50 minutes, with some cases reaching up to 219 minutes. The delays were caused by a combination of factors, including a shortage of surgical and CSSD personnel, limited sterile linen, equipment failures such as operating lights and sterilization machines, non-standardized preoperative procedures, and suboptimal supervision and coordination among units. Furthermore, the work environment and limited number of operating rooms exacerbated the problem. RCA results indicated that comprehensive improvements could potentially reduce waiting times by 25–30%. This study recommends strengthening healthcare service aspects through staff training, procurement of additional equipment, establishment of standardized SOPs, and integration of inter-unit communication systems. Improvements in the work environment and data-driven planning are essential to enhance the quality of surgical services and significantly reduce delays.
Analisis Kebutuhan Tenaga Sterilisasi Berdasarkan Beban Kerja dengan Teknik Work Sampling Menggunakan Metode WISN di Unit CSSD di RS Bhayangkara Ruwa Jurai Bandar Lampung Tahun 2025
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5533

Abstract

The Central Sterile Supply Department (CSSD) is a crucial support unit in hospital service quality, particularly in ensuring the availability of sterile medical instruments. An imbalance between workload and personnel capacity may result in delays, increased risk of infection, and reduced efficiency. This study aimed to analyze the staffing needs of the sterilization unit at Bhayangkara Hospital Level III Lampung in 2025 using a managerial and evidence-based approach. This study employed a descriptive quantitative design using the Workload Indicators of Staffing Need (WISN) method. Data were obtained from direct observations, document reviews, and interviews, and analyzed according to workload standards set by the Ministry of Health. The findings showed that the sterilization unit had 5 available staff, while the analysis indicated a requirement of 5-6 staff members. Factors contributing to the shortage included increasing demand for surgical procedures, limited shifts, and insufficient distribution of tasks. This study recommends the addition of at least 1 sterilization staff to achieve optimal service standards, along with periodic training and workload-based scheduling. Strengthening human resources in the CSSD is essential to improve efficiency, ensure patient safety, and support the overall quality of hospital services.
Tinjauan Kimia Medisinal dalam Pengembangan Obat Berbasis Flavonoid: Studi Literatur
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5538

Abstract

Flavonoids are natural polyphenols that are abundantly found in a wide variety of fruits, vegetables, seeds, and medicinal plants, and are known for their wide-ranging antioxidant, anticancer, anti-inflammatory, and antidiabetic effects. This comprehensive review outlines the important role of medicinal chemistry in the development of flavonoid-based therapeutics, with a particular focus on classification, structure activity relationships (SAR), mechanisms of action, and various strategies to improve bioavailability. Literature from PubMed, Scopus, and Google Scholar indicates that structural features such as hydroxyl group number and position, the C2=C3 double bond, and modifications like methylation, glycosylation, or prenylation strongly influence biological activity and pharmacokinetics. Clinical use is limited by poor solubility, rapid metabolism, and low stability. Chemical modification and advanced delivery systems including liposomes, nanoparticles, nanocrystals, micelles, and natural carriers can enhance solubility and plasma concentration. Combining medicinal chemistry with modern formulation technologies may enable flavonoids to become safe and effective therapeutic agents.
Kemanjuran Letrozole Dibandingkan dengan Clomiphene Citrate untuk Induksi Ovulasi pada Wanita dengan PCOS: Tinjauan Sistematis dan Analisis Meta
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5552

Abstract

Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women of reproductive age and often causes ovulation disorders and infertility. For decades, clomiphene citrate (CC) was the go-to choice for stimulating ovulation, but letrozole is now considered a more effective alternative with the potential for better reproductive outcomes. This study systematically assessed the comparison of the effectiveness of letrozole and CC based on the PRISMA 2020 guidelines. Literature searches through PubMed and Google Scholar include randomized controlled clinical trials (RCTs) published between 2015–2025 in English, with a population of women diagnosed with PCOS. Data were combined using a fixed-effects model to calculate odds ratio (OR) and 95% confidence intervals, as well as assess heterogeneity through Cochran's Q and I² tests. Of the 11 RCTs involving 1,995 participants (1,000 using letrozole and 995 using CC), the rate of ovulation with letrozole ranged from 37.9–88%, while with CC it was 19.7–85.2%. Most studies showed significant improvements in ovulation and clinical pregnancy rates using letrozole (22–61%) compared to CC (13–43%). Overall, letrozole increased the chances of reproductive success (OR = 2.13; 95% CI = 1.73–2.61; p < 0.00001) with low heterogeneity, demonstrating better effectiveness and safety than CC.
Model Kolaborasi Bidan dan Terapis Akupunktur dalam Penerapan Manajemen Komplementer Masa Nifas
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5556

Abstract

Background: The postpartum period is a critical stage for maternal recovery, characterized by physical and emotional adjustments. Conventional midwifery care often lacks complementary interventions that can enhance maternal well-being. Collaboration between midwives and acupuncture therapists is expected to create a more holistic, evidence-based complementary care model for postpartum mothers. Methods: This study employed a mixed-methods sequential exploratory design. The qualitative phase involved in-depth interviews with 12 midwives, 6 acupuncture therapists, and 10 postpartum mothers to identify needs, barriers, and perceptions toward collaborative care. The quantitative phase involved 30 postpartum mothers who received a 14-day collaborative intervention combining midwifery care and acupressure therapy. Data were analyzed using paired t-tests with a significance level of p<0.05. Results: Significant improvements were observed after implementing the collaborative model: pain scores decreased from 5.8 ± 1.2 to 3.1 ± 0.9 (p=0.001), anxiety scores reduced from 16.5 ± 4.3 to 10.2 ± 3.1 (p=0.001), and breast milk production increased from 410 ± 80 ml to 560 ± 90 ml (p=0.002). Sleep quality improved from 8.2 ± 2.1 to 5.0 ± 1.6 (p=0.003), and maternal satisfaction rose from 3.6 ± 0.7 to 4.7 ± 0.4 (p=0.001). Discussion: The collaborative midwife–acupuncturist model effectively accelerated postpartum recovery through acupressure stimulation and holistic emotional support. This aligns with the World Health Organization’s (2021) Framework for Interprofessional Collaborative Practice, emphasizing integrated, patient-centered care. Conclusion: The collaborative model between midwives and acupuncture therapists effectively enhances the physical and psychological well-being of postpartum mothers. It is feasible for implementation in midwifery services as an evidence-based complementary care approach.
Literature Review: Identifikasi Bakteri Salmonella sp pada Telur yang Dijual di Pasar Tradisional
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5558

Abstract

Eggs are animal products that serve as one of the main sources of animal protein containing essential nutrients beneficial for human health. They are widely consumed due to their affordability, high nutritional value, and ease of processing. However, eggs are also one of the most common media for the contamination and transmission of Salmonella sp., a bacterium that causes Salmonellosis, which can infect poultry, mammals, and humans. This study aims to determine the contamination level of Salmonella sp. bacteria in eggs sold in traditional markets. The research method used is a literature review with a qualitative descriptive approach by collecting, synthesizing, and analyzing data related to the Salmonella Shigella Agar (SSA) test. The study results show that Salmonella sp. contamination was highest in quail egg samples at 43.75%, followed by native chicken eggs (33.4%) and broiler eggs (33.33%). These findings indicate that eggs sold in traditional markets are susceptible to Salmonella contamination, which poses a potential risk to food safety and public health. Therefore, it is essential to strengthen handling, sanitation, and storage practices during production and distribution to reduce microbial contamination and ensure consumer safety.
Infeksi Nosokomial di Unit Perawatan Intensif : Pencegahan dan Pengendalian
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5569

Abstract

Nosocomial infections in the intensive care unit (ICU) are a significant health problem with high susceptibility rates among critically ill patients. These infections are caused by pathogenic microorganisms that spread through medical equipment, direct contact with healthcare workers, or poorly maintained environments. Key risk factors include the use of invasive devices such as catheters and ventilators, immunocompromised conditions, and inappropriate antibiotic use that can lead to antibiotic resistance. The most common types of nosocomial infections in the ICU are ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infections (CAUTI), surgical site infections (SSI), and multidrug-resistant organism (MDRO) infections. Data shows approximately 30% of nosocomial infections occur in ICUs, with 51% of ICU patients experiencing infections and 64% of infection sources originating from the respiratory tract. Prevention and control of infections requires a comprehensive approach through implementation of prevention bundles, strict hygiene management, use of sterile medical equipment, and rational antibiotic use. Consistent infection prevention and control (IPC) programs can reduce nosocomial infection incidence, decrease morbidity, mortality, and healthcare costs in ICUs. Teguh Setiadi, Akhmad Yun Jufan, Erlangga Prasamya. Nosocomial infections in intensive care units: prevention and control.
Faktor-Faktor yang Berhubungan dengan Kejadian Dismenore pada Remaja Putri di MTs Rabiatul Adawiyah Baturaja Kabupaten Oku Tahun 2025
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5570

Abstract

The Sustainable Development Goals (SDGs) are a global development agenda for the period 2016 to 2030, continuing from the MDGs. The fifth goal of theSDGs is to empower all women and girls, particularly in improving women's reproductive health (Selia Desma Sari et al., 2024). According to the World Health Organization, it is estimated that the number of women experiencing severe dysmenorrhea globally is 1,769,425 individuals (90%), with 10–15% experiencing mild dysmenorrhea. This study aims to determine the relationship between the level of knowledge, stress levels, and fast food consumption with the incidence of dysmenorrhea among adolescent girls at MTs Rabiatul Adawiyah Baturaja in 2025. Theresearch was conducted in August at MTs Rabiatul Adawiyah Baturaja. This is a cross-sectional study with a population of 70 respondents and a sample of 41 respondents selected using stratified random sampling. The type of data used is primary data collected through interviews, and the instrument used was a questionnaire. Data analysis was performed using the chi-square statistical test with a p-value ≤ α (0.05). The results showed that 26 respondents (63.4%) with poor knowledge levels experienced dysmenorrhea (p-value = 0.002). Among 31 respondents experiencing stress, 30 (73.2%) had dysmenorrhea (p-value = 0.001). Meanwhile, of the 29 respondents who frequently consumed fast food, 28 (68.3%) experienced dysmenorrhea (p-value = 0.000).It can be concluded that there is a significant relationship between the level of knowledge, stress level, and fast food consumption with the incidence of dysmenorrhea among adolescent girls at MTs Rabiatul Adawiyah Baturaja in 2025.
Apa Penyebab Utama Insomnia pada Mahasiswa Kedokteran Tahun 2017-2024: Literature Review
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 5 No. 1 (2026): 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.v5i1.5576

Abstract

Insomnia is one of the most prevalent sleep disorders among medical students, characterized by difficulties in initiating or maintaining sleep that affect concentration and academic performance. This literature review aims to identify the main factors contributing to insomnia among medical students from 2017 to 2024. Articles were obtained from PubMed, Google Scholar, and Garuda databases using the keywords “insomnia,” “medical students,” and “sleep quality.” A total of seven studies met the inclusion and exclusion criteria. The results indicate that insomnia in medical students is a multifactorial problem influenced by academic stress, excessive internet use, poor sleep habits, and psychological conditions such as anxiety and depression. Academic stress and irregular study schedules were found to increase sympathetic nervous system activation, reducing melatonin production and impairing sleep quality. Furthermore, excessive screen exposure and internet addiction contributed to delayed sleep onset. These findings highlight the need for early interventions, including stress management programs and good sleep hygiene education, to improve the well-being and academic performance of medical students.

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