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INOMED
Published by Universitas Sultan Ageng Tirtayasa
ISSN : -     EISSN : 30891655     DOI : http://dx.doi.org/10.62870/inomed.v3i2
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International Journal of Occupational Medicine and Public Health is a scientific publication published by the Medical Science study program. Faculty of Medicine, University of Sultan Ageng Tirtayasa which contains research results related to technology development, innovation and novelty of science in the field of relevant medical science at the higher education level. International Journal of Occupational Medicine and Public Health is an open access and peer-reviewed journal that aims to offer a national and international academic platform for Medical science. This journal publishes articles and reviews scientific in field focus on : Medical Biomedicine Occupational Medicine Public health Infectious disease Nutrition Sport science Nursing This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
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Articles 49 Documents
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The Relationship beetwen Emotional Eating and Weight Gain Problem among Medical Student of Sultan Ageng Tirtayasa University Alvianto Dwiansyah Adiputra; Yana Aurora Prathita; Yani Dwi Lestari
International Journal of Medicine and Public Health Vol 2, No 1 (2025): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v2i1.32756

Abstract

Emotional eating is a phenomenon of eating behavior triggered by emotions, especially negative emotions such as stress, anxiety, or depression. This behavior is of particular concern in public health due to its contribution to overweight and obesity prevalence across different age groups. In the context of certain populations, such as medical students, weight gain is often influenced by unhealthy lifestyles due to high academic pressure. Stress due to a heavy academic load can trigger unhealthy eating behaviors, one of which is emotional eating, which is the tendency to overeat in response to negative emotions such as stress, anxiety, or sadness. This study is an analytic observational study using a cross-sectional study design and the sampling technique used is simple random sampling with the aim of evaluating the relationship between emotional eating as an independent variable with excessive body weight as the dependent variable, in medical students of the Faculty of Medicine, Sultan Ageng Tirtayasa University. The number of medical students at the Faculty of Medicine and Health Sciences, Sultan Ageng Tirtayasa University, who have the habit of emotional eating is 38 students (50.7%), and the number of students who are excess weight is 28 students (37.3%). Additionally, 16 students (21.30%) have both excess weight and emotional eating habits, while 25 students (33.30%) don’t have either excess weight or emotional eating habits. There was an insignificant relationship between the incidence of emotional eating and excessive body weight in medical students of the Faculty of Medicine and Health Sciences, Sultan Ageng Tirtayasa University.Keywords : emotional eating, weight gain problem, medical students, faculty of medicine
Stroke Risk Prognosis in Type 2 Diabetes Mellitus Patients with Hypertension Syahla Akhwazain; Bella Candrakanti; Reni Safitri; Yasmin Nur Aqila; Muhamad Kaamil; I Made Arya Subadiyasa
International Journal of Medicine and Public Health Vol 2, No 1 (2025): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v2i1.31755

Abstract

Stroke is a leading cause of global morbidity and mortality, particularly among patients with type 2 diabetes mellitus (T2DM) and hypertension (HTN), where the combination of these conditions increases the risk of stroke. Several studies indicate that patients with both T2DM and HTN have a higher incidence of new stroke cases and recurrences compared to those with only one of these conditions. A prognosis-based evidence analysis was conducted using the Evidence-Based Case Report method, with article searches performed in the PubMed, Cochrane, and ProQuest databases. Articles were selected based on exclusion criteria and duplication, followed by a critical appraisal of three cohort studies using Sackett’s (1996) prognosis worksheet. The study by Chang et al. (2022) showed that the incidence of new strokes in patients with T2DM and HTN within one year reached 15%, with a stroke risk 1.743 times higher than in patients without both conditions (95% CI: 1.216–2.499, p = 0.003). Meanwhile, Liu et al. (2021) found that the combination of T2DM and HTN further increased stroke risk (aHR = 2.620, 95% CI = 2.031 - 3.380, p < 0.0001). A long-term study by Hu et al. (2005) reported that patients with both conditions had up to 3.7 times higher stroke risk compared to patients without hypertension (HR = 3.7, 95% CI = 2.77 – 4.99). Based on these findings, it can be concluded that patients with T2DM and HTN have a higher risk of stroke than those with diabetes alone, emphasizing the importance of strict management of blood pressure and blood glucose levels in preventing stroke.
THE RELATIONSHIP BETWEEN AGE, LENGTH OF SERVICE, AND WORK ATTITUDE IN RELATION TO CARPAL TUNNEL SYNDROME SYMPTOMS AMONG INPATIENT NURSES AT DR. DRAJAT PRAWIRANEGARA SERANG PUBLIC HOSPITAL Muhammad Kevin Zarlis; Omat Rachmat Hasbullah; Imelda Rosalyn Sianipar
International Journal of Medicine and Public Health Vol 1, No 1 (2024): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v1i1.26069

Abstract

Carpal Tunnel Syndrome or CTS for short has a prevalence of between 1% and 5%, with a higher ratio in women with a ratio of 3:1 compared to men. Most of the activities performed by nurses will use excessive and repetitive hand activities. Therefore, nurses have a risk of being disrupted in their daily activities, especially in their activities as nurses due to CTS complaints. The analytic observational method was used for this study to see the events that occurred in the subject without any intervention to the research subject. This study was conducted with a cross sectional research design to see the relationship between age, tenure, work attitude towards CTS complaints in nurses at Dr. Drajat Prawiranegara Serang Hospital. The final total sample size was 120 respondents consisting of nurses from the inpatient unit of RSUD Dr. Drajat Prawiranegara. There was a prevalence of 62.5% of nurses who experienced CTS complaints at Drajat Prawiranegara Serang Hospital. From the results of bivariate analysis, there was no relationship between CTS complaints and age (p = 0.195), tenure (p = 0.689), work attitude (p = 0.423). From the results of the analysis, there was no relationship between age, length of service, and work attitude with CTS complaints in inpatient nurses at Dr. Drajat Prawiranegara Serang Hospital.
Relationship Between Maternal Age, Gravidity, Pregnancy Interval, and Low Birth Weight at Banten Provincial Hospital Muhammad Nurrizki Haikal; I Made Arya Subadiyasa; Novitrian Eka Putra
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.40980

Abstract

Low Birth Weight (LBW) remains a major neonatal health problem contributing significantly to infant morbidity and mortality worldwide. Maternal factors such as maternal age, gravidity, and pregnancy interval are considered important determinants associated with LBW incidence. This study aimed to analyze the relationship between maternal age, gravidity, and pregnancy interval with the incidence of LBW at Banten Provincial Hospital in 2024. This research used an observational analytic study with a cross-sectional approach. Data were collected from medical records of mothers who delivered at Banten Provincial Hospital during 2024. Samples were selected using simple random sampling based on inclusion and exclusion criteria. Independent variables included maternal age, gravidity, and pregnancy interval, while the dependent variable was the incidence of LBW. Data analysis was conducted using univariate and bivariate analysis with the Mann-Whitney U test and T-Test at a significance level of p
Current Review in Malaria Pathogenesis and Host Immune Response Reqgi First Trasia; Yana Aurora Prathita; Louisa Ivana Utami
International Journal of Medicine and Public Health Vol 1, No 1 (2024): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v1i1.24763

Abstract

Indonesia is one of the countries in the Southeast Asian region that contributes the largest malaria cases after India. In 2022, there has been the highest increase in cases in the last 3 years. Various molecular findings and malaria genomization projects are now increasingly being researched in a number of research centers around the world. However, only a few systematic reviews are available regarding malaria in Indonesia. This article aims to explore the latest update of malaria pathogenesis, so that it is expected to be a reference in establishing proper diagnosis and deciding on therapy, as well as contributing to the development of tropical infection science in Indonesia. As one of parasite causing Malaria, P. falciparum has ability to carry out an unlimited antigen variation by altering gene expression on the surface of infected red blood cells. When infected, the morphology of red blood cells changes significantly compared to uninfected ones. One indicator of the severity of malaria is a significant reduction in the flexibility of red blood cells. Plasmodium products trigger host release of a number of cytokines that aggravate clinical manifestations. For this reason, treatment with anti-cytokines is thought to be able to overcome the clinical manifestations of severe malaria. Malaria toxin is an immunogen produced by parasites. This toxin will induce the host so that it releases molecules bound to the serum. The Pf155 antigen, also called ring-stage erythrocyte surface antigen (RESA), can also trigger TNF-. Thrombospondin, CD36, ICAM-1, and VCAM-1 which are receptors located on infected erythrocytes. The degree of parasitemia may change over time in malaria infection. Repeated infections followed by the appearance of other antigens are a way for plasmodium to trick the immune system.
Exosomes from Stem Cells as Emerging Therapeutics for Chronic Kidney Disease: A Systematic Review Ghea Farmaning Thias Putri; Dwi Widyawati; Zahara Nurfatihah Z
International Journal of Medicine and Public Health Vol 2, No 2 (2025): October
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v2i2.35502

Abstract

Penyakit ginjal kronis (PGK) merupakan tantangan kesehatan global dengan pilihan terapi yang terbatas di luar pengobatan konvensional. Eksosom yang berasal dari sel punca mesenkimal (MSC) telah muncul sebagai kandidat yang menjanjikan karena sifat regeneratifnya dan kemampuannya untuk memodulasi inflamasi, fibrosis, dan apoptosis. Tinjauan sistematis ini bertujuan untuk mengevaluasi potensi terapeutik eksosom turunan MSC untuk PGK. Pencarian komprehensif dilakukan di PubMed, Scopus, dan ScienceDirect untuk studi yang diterbitkan antara tahun 2020 dan 2025 menggunakan kata kunci spesifik. Dua puluh empat studi praklinis in vivo memenuhi kriteria inklusi. Temuan ini secara konsisten menunjukkan bahwa eksosom turunan MSC meningkatkan luaran ginjal dengan mengurangi fibrosis, inflamasi, stres oksidatif, dan apoptosis sekaligus meningkatkan fungsi ginjal dan regenerasi jaringan. Aksi mekanistik dikaitkan dengan modulasi jalur TGF-β/Smad, Wnt/β-catenin, dan p38MAPK/ERK yang dimediasi ROS, serta aktivitas mikroRNA spesifik seperti miR-21a-5p, miR-186-5p, dan miR-381-3p. Strategi prekondisi meningkatkan efikasi terapeutik, termasuk hipoksia, stimulasi melatonin, dan modifikasi genetik. Hasil ini menyoroti eksosom turunan MSC sebagai strategi terapeutik yang menjanjikan untuk PGK. Namun, translasi klinis memerlukan protokol isolasi standar, dosis optimal, dan uji klinis skala besar untuk memastikan keamanan dan efikasi jangka panjang.Kata Kunci : Penyakit Ginjal Kronis, Sel Punca Mesenkimal, Eksosom, Terapi Regeneratif
Analysis of Risk Factors for Dermatomycosis in Patients Seeking Treatment at Unyur Community Health Center, Serang City Muhammad Aidil Qahtan; Reqgi First Trasia; Robiatul Adawiyah
International Journal of Medicine and Public Health Vol 2, No 1 (2025): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v2i1.32759

Abstract

Dermatomycosis or superficial fungal infection (SFI) is one of the most common fungal skin infections suffered by the world community and often occurs in countries with tropical climates. The prevalence of SFI itself is still very high at around 20%-25% of the world's population. Data on the prevalence of SFI in Indonesia cannot be found with certainty. Dermatomycosis spreads through skin contact, poor sanitation, wearing contaminated items and consumption of immunosuppressive drugs. Dermatomycosis is not life-threatening but greatly interferes with daily activities. This study aims to determine the risk factors associated with the occurrence of dermatomycosis cases in patients seeking treatment at the Unyur Health Center. This study used observational analytical method with cross-sectional design. The subjects studied were dermatomycosis patients who sought treatment at the Unyur Health Center in Serang City. Samples were taken by consecutive sampling of 41 workers. Data collection was carried out using questionnaires and medical records. Data were analyzed using Fisher's Exact test and Chi-Square test. The prevalence of dermatomycosis in patients who seek treatment at the Unyur Health Center in Serang City is 56.1%. There was no significant relationship between the level of patient hygiene and sociodemographic factors of patients with the incidence of dermatomycosis at the Unyur Health Center.
THE RELATIONSHIP BETWEEN SLEEP DISORDERS AND QUALITY OF LIFE SHIFT-WORKING NURSES AT BANTEN DISTRICT HOSPITAL
International Journal of Medicine and Public Health Vol 1, No 2 (2024): October
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v1i2.29175

Abstract

Hospital operational activities within 24 hours with the high workload, make a shift work system as an integral part of its services. Health professional nurses who work night shifts are at risk of sleep disorders. Disruption of circadian rhythms that occur on an ongoing basis has an impact on health, productivity, and overall quality of life. Quality of life is assessed based on individual perceptions of aspects of physical health, psychology, social relationships, and environment. This study aimed to identify the relationship between sleep disturbances and quality of life in working shift nurses. A cross-sectional study was conducted at Banten District Hospital. The research subjects included 130 nurses with a stratified random sampling technique. Primary data were obtained by filling out demographic characteristics, the Pittsburgh Sleep Quality Index (PSQI), and WHO Quality Of Life – Bref (WHOQOL-Bref) questionnaire. Bivariate analysis was performed with a chi-square statistical test. The results showed that most nurses experienced sleep disturbances (68.5%) and were included in the category of good quality of life (75.4%). There was no significant relationship between sleep disorder and quality of life for shift-working nurses at Banten District Hospital (p = 0.632).
The Relationship Between Personal Hygiene and The Incidence of Pityriasis Versicolor in Elementary School Children in Waringinkurung District, Serang Regency Muhammad Wildan Novtariansyah; Louisa Ivana Utami; Baety Adhayati
International Journal of Medicine and Public Health Vol 3, No 1 (2026): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i1.42061

Abstract

Pityriasis versicolor (PV) is a superficial skin infection caused by Malassezia and is common in tropical areas. Elementary school children are at high risk of PV infection due to physical activities that trigger excessive sweating and suboptimal personal hygiene practices. This study aims to analyze the relationship between personal hygiene behavior and the incidence of PV in elementary school children in Waringinkurung District, Serang Regency. The study was conducted quantitatively with observational analytical methods and a cross-sectional approach to 54 students from two elementary schools in Waringinkurung District who were selected using stratified random sampling. Data were collected through personal hygiene questionnaires and Wood lamp examinations for PV diagnosis. The data were then tested using the Chi-Square test. The results obtained were 37% of children had poor personal hygiene and 25.9% were diagnosed with PV. Chi-square analysis showed a significant relationship between personal hygiene and PV incidence (p = 0.002). It can be concluded that there is a relationship between personal hygiene and the incidence of PV in elementary school children in Waringinkurung District, Serang Regency.
The Relationship between Emotional Intelligence and the Effectiveness of Online Problem Based Learning (PBL) Discussion for Medical Students of FKIK Untirta Ummu Zakiyatun Nisa Nugraha; Erni Trisnasari; Desak Gede Budi Krisnamurti
International Journal of Medicine and Public Health Vol 1, No 1 (2024): April
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v1i1.25865

Abstract

A study of nursing students at the Bali Institute of Technology and Health found that 60.3% of students were in the high emotional intelligence category. (Ni Kadek, 2022). The results of Pioh dkk (2016) show that as much as 95% of students stated that the effectiveness of the PBL group discussion was well assessed in its implementation.5 The success of the PBL group explored by Dolmans dkk, they found a linear relationship between the success of PBL tutorial group and several dimensions of motivation and cognitive (elaborasi dan interaksi). According to Dolman, there is a problem that is called "ritual" behavior, which is that students pretend to be active in the discussion process, while in fact they are not involved in the debate process. 5 Emotional intelligence will drive student learning motivation. Lack of learning motivation in discussion group members will cause students to contribute only little and less actively during discussion. Given the importance of group discussion learning method (PBL) in achieving medical learning CPL, the author is interested in conducting research into the relationship between emotional intelligence and the effectiveness of group discussions online in FKIK Untirta medical students. Research design method using cross sectional design, quantitative observational research. The researchers used a stratified random sampling technique on a medical student. The reseach uses two types of questionnaires; the adoption questionnaire of the Emotional Competence Inventory of Ini Kadek’s research, and the Tutorial Group Effectiveness Instrument (TGEI). Based on the results of the study, the majority of emotional intelligence were in the middle category with 50 respondents (53,2%), in the high category 44 respondents (46,8%), and no respondents in the low emotional intelligence category. PBL discussions conducted by medical students of FKIK Untirta have been conducted effectively (98,9%). Bivariate analysis using Fisher Exact Test, showed no relationship (p>0,05) between emotional intelligence and discussion effectiveness. The category of emotional intelligence in students is at a moderate leel, the PBL discussions are already running effectively. There was no relationship between emotional intelligence and effectiveness of PBL discussions.

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