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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 Between Uncontrolled Hba1c and the Incidence of Minor Amputations in Diabetic Foot Ulcer Patients at Banten Regional Hospital Fitri Anggraini; Habib Burahman; 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.v3i1.39966

Abstract

Diabetes Mellitus (DM) is a metabolic disorder characterized by elevated blood sugar levels due to impaired insulin production or function. One of its chronic complications is diabetic foot ulcers, which can lead to infection, gangrene, and even amputation, especially in patients with poor glycemic control, as assessed by HbA1c. This condition increases morbidity and mortality, and reduces quality of life. This study aims to determine the relationship between uncontrolled HbA1c levels and the incidence of minor amputations in patients with diabetic foot ulcers at Banten Regional Hospital. This study was an observational analytical study with a cross-sectional design using a retrospective approach through medical records of diabetic foot ulcer patients at Banten Regional Hospital. The sampling technique used was consecutive sampling with a sample size of 100 subjects who met the inclusion and exclusion criteria. Data analysis was performed using univariate and bivariate analysis using SPSS. The chi-square test was used to determine the relationship between HbA1c and the incidence of minor amputations. The results of the study from a total of 100 subjects showed that from univariate analysis, in the uncontrolled HbA1c group (>7%) the majority experienced minor amputations (53.8%), while in the controlled HbA1c group (≤7%) the majority did not experience amputations (57.1%). From bivariate analysis, there was no significant relationship between HbA1c levels and the incidence of minor amputations (p=0.402). The results of this study also have a 95% Confidence Interval (CI) with a lower value of 0.679 and an upper value of 3.561. There was no significant relationship between uncontrolled HbA1c levels and the incidence of minor amputations.
The Relationship between the Duration of Sudden Abdominal Pain until Surgical Intervention and Gastric Perforation Patient Mortality Rate at RSUD Banten Adi Rastono; Louisa Ivana Utami; Farah Nabila Griselda
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.v2i1.34514

Abstract

Gastric perforation is caused by damage to the gastric mucosa, leading to peritonitis and requiring emergency surgery. This study aims to determine the relationship between the duration of sudden abdominal pain complaints and the timing of surgical intervention with mortality in patients with gastric perforation at RSUD Banten. The research method used analytical observational study with a cross-sectional design involving 110 patients selected through consecutive sampling. Data were obtained from patient medical records from January to December 2023. The result showed the mortality rate of patients with gastric perforation was 16.4%. Bivariate analysis indicated no significant association between the duration of sudden abdominal pain complaints until surgery (p=0.463) and intraoperative systolic blood pressure (p=0.187) with mortality. However, there was a significant relationship between patient age (p=0.004) and comorbidities (p=0.030) with mortality, where patients aged ≥60 years and those with comorbidities such as heart disease had a higher risk of death. This study highlights the importance of comorbidity management and special attention to elderly patients in order to reduce mortality in cases of gastric perforation.
Impact of Maternal Knowledge, Socioeconomic Factors, Social Support, and Policies on Exclusive Breastfeeding: A Comprehensive Literature Review Luluk Hermawati; Nur Bebi Ulfah Irawati; Hilizza Awalina Zulfa
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.v2i2.32063

Abstract

Exclusive breastfeeding during the first six months of an infant’s life is the primary recommendation from WHO and UNICEF, as it has been proven to offer significant health benefits for both infants and mothers. However, the coverage of this practice remains suboptimal in many countries, including Indonesia, due to various multidimensional factors. This article aims to systematically review the scientific literature from the past ten years (2015–2025) on the factors influencing the success of exclusive breastfeeding, with a focus on maternal knowledge, socioeconomic factors, social support, and policies. The review findings indicate that education level, maternal understanding of the benefits and techniques of breastfeeding, employment status, household income, and access to healthcare services play crucial roles in the success of exclusive breastfeeding practices. Several studies also highlight the importance of social support from family, friends, and community, as well as government policies such as maternity leave and educational programs that promote exclusive breastfeeding. Community-based interventions and supportive policy environments have also been shown to effectively increase exclusive breastfeeding rates. Therefore, a holistic approach is needed—not only to improve maternal knowledge, but also to address the social and policy-related factors that influence breastfeeding behavior.
Relationship between Burnout Incidents in Nurses and Their Assigned Work Placement in the Emergency and Outpatient Department at Banten Regional Hospital and Serang Regency Public Hospital 2024 Fitri Arianti; Ade Ichwan Sulthany; Ari Estuningtyas
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.v1i1.25996

Abstract

IntroductionBurnout is work-related stress condition that has an impact on worker's physical and mental health. This condition has been reported to occur in the nursing profession. Assigned work placement in nursing profession influences a staff's vulnerability to burnout. If burnout not properly treated, it may pose serious impacts on nurses' well-being, quality of patient service and satisfaction. Premises above serve as foundation of the study and observation conducted at Banten Regional Hospital and Serang Regency Public Hospital to find out the relationship between burnout incidents in nurses and their respective assigned work placement in the emergency and outpatient department in 2024.MethodThis type of research was observational analytic with a cross-sectional design on a population of nurses in the emergency department and outpatient department at Banten Regional Hospital and Serang Regency Public Hospital. BAT12 questionnaire used to assess burnout. Respondents who fail to completely fill the questionnaire and have worked at related public hospital for < 6 months be excluded from data collection.ResultThe prevalence of burnout nurses was 21 people (16%) out of 131 total research subjects. From 71 emergency department nurses, 8.5% of them experienced burnout. Meanwhile, from 60 outpatient department nurses, 25% of them experience burnout. Result of chi-square test showed that there was a significant relationship between assigned work placement and the incidence of burnout (p value = 0.01).ConclusionBurnout was more common in outpatient department nurses. There was a significant relationship between work placement and the incidence of burnout.Keywords: Burnout, Nurses, Work Placement, Emergency Department, Outpatient Department, Banten Regional Hospital, Serang Regency Public Hospital.
The Relationship Between Hypertension and the Incidence of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus at RSUD Banten Lirra Aisya; Habib Burahman; Maytia Pratiwishita
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.v3i1.41074

Abstract

Diabetic retinopathy is one of the most common microvascular complications in patients with type 2 diabetes mellitus (T2DM) and a significant cause of blindness. This study aimed to analyze the association between hypertension and the incidence of diabetic retinopathy in T2DM patients at RSUD Banten. This study used a cross-sectional design with a retrospective approach based on medical records. A total of 62 T2DM patients at RSUD Banten during the period 2023–2025 were selected using non-probability consecutive sampling. Hypertension status was determined based on blood pressure ≥140/90 mmHg, a physician diagnosis of hypertension, or documented use of antihypertensive medication, while diabetic retinopathy was assessed through funduscopy or fundus photography findings. Of 62 subjects, 31 (50%) had hypertension and 23 (37.1%) had diabetic retinopathy. The proportion of diabetic retinopathy in the hypertension group was 41.9% and 32.3% in the non-hypertension group. Chi-Square analysis showed no significant association between hypertension and diabetic retinopathy (p = 0.430; PR = 1.30; 95% CI 0.674–2.508). The mean HbA1c was 5.48% ± 0.58%, indicating well-controlled glycemia across all subjects. There is no significant association between hypertension and diabetic retinopathy in T2DM patients at RSUD Banten. These findings suggest that in patients with controlled glycemia, hypertension alone may not be sufficient to demonstrate a significant contribution to diabetic retinopathy, highlighting the multifactorial nature of this complication.
THE RELATIONSHIP BETWEEN OCCUPANCY DENSITY, SOCIO-ECONOMIC, KNOWLEDGE AND BEHAVIOR WITH PEDICULOSIS CAPITIS PREVALENCE IN FEMALE STUDENTS AT AL-FATHANIYAH BOARDING SCHOOL SERANG CITY, BANTEN 2024 Dhea Nuria Ferdianti; Reqgi First Trasia; Rawina Winita
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.v1i2.25482

Abstract

penanganan pedikulosis kapitis membuat penularannya sangat cepat. Ada banyak faktor yang berhubungan dengan kejadian pedikulosis kapitis. Tujuan penelitian ini adalah untuk mengetahui prevalensi dan hubungan faktor risiko (kepadatan hunian, status sosial ekonomi, pengetahuan dan perilaku) dengan kejadian pedikulosis kapitis pada santri di Pondok Pesantren Al-Fathaniyah Kota Serang Banten. Penelitian ini dilaksanakan pada bulan Maret-April 2024 dengan menggunakan metode analitik observasional dengan desain penelitian cross sectional. Subyek penelitian berjumlah 112 responden yang dipilih dengan menggunakan teknik simple random sampling sesuai dengan kriteria inklusi. Pengumpulan data dilakukan dengan menggunakan kuesioner yang telah divalidasi dan pengambilan sampel kutu rambut secara langsung kemudian dilakukan pemeriksaan laboratorium. Analisis penelitian dilakukan dengan menggunakan uji chi-square dan uji eksak Fisher. Terdapat 106 responden (94,64%) positif pedikulosis kapitis dan 6 responden (5,4%) negatif pedikulosis kapitis pada santri Pesantren Al-Fathaniyah Serang. Terdapat hubungan antara kepadatan hunian (p value= 0,05), pengetahuan (p value= 0,008), perilaku (p value= 0,005) dengan kejadian pedikulosis kapitis dan tidak terdapat hubungan yang bermakna secara statistik antara sosial ekonomi dengan kejadian pedikulosis kapitis. kejadian pedikulosis kapitis (p value= 0,66). Kesimpulannya, terdapat hubungan antara kepadatan hunian, pengetahuan, perilaku dengan kejadian pedikulosis kapitis dan tidak ada hubungan yang bermakna secara statistik antara sosial ekonomi dengan kejadian pedikulosis kapitis.
Phacoemulsification in Eyes with Cataract and High Astigmatism Ade Irawan
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.v2i2.35591

Abstract

Purpose: Evaluating the results of cataract surgery with high astigmatism and determining the type of IOL and surgical technique.Methods: Evaluating data from a patient with cataracts and high astigmatism who underwent phacoemulsification with IOL implantation. The patient's preoperative and postoperative visual acuity, refraction, aurorefractometer (AR), and keratometer results are shown.Result: The results of the examination of a patient with OD grade 2 buratto cataract with high astigmatism (AR: S+2.50 C-4.75X70). While OS grade 2 buratto cataract with AR: S+2.25 C-0.75 x140. The patient also found cylindrical anisometropia. OD UCVA 6/24 and BCVA 6/21 preoperatively after phacoemulsification + IOL / LA became 6/12 with BCVA 6 / 7.5 at the third week. The results of the preoperative corneal astigmatism in the patient were 0.25 diopters with astigmatism originating from the lens 4.50 diopters. In this operation, phacoemulsification was performed with the installation of foldable EDOF Elon IOL and did not choose the installation of foldable toric IOL. The AR results at the third week showed S-0.25 C-0.25 x40. This case report also demonstrates a reduction in the patient's lens  astigmatism after cataract removal, which also eliminated the patient's astigmatism. Phacoemulsification surgery also eliminated the patient's cylindrical anisometropia.Conclusion: Good surgical results were obtained in cataract patients with high astigmatism who underwent phacoemulsification surgery with the choice of nontoric IOL when most of the astigmatism came from the lens and only a small amount of corneal astigmatism was left.
Relationship between Duration of Sand Dust Exposure and Symptoms of Respiratory Disorders in Sand Mine Workers of Batukuda Village, Mancak District Bella Candrakanti; Siti Darifah; Erni Trisnasari
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.v2i1.32708

Abstract

Respiratory symptoms are conditions that are felt to indicate disruption of airflow due to problems in the oxygen binding process or instability of gas exchange in the circulation which can describe an occupational lung disease. Cases of occupational lung disease are still common among mine workers in the world, especially in developing countries. Exposure to sand dust in sand mines can cause symptoms of respiratory disorders. This study discusses the relationship between the duration of exposure to sand dust and symptoms of respiratory disorders in sand mine workers in Batukuda Village, Mancak District. This study included analytic observational research with a cross-sectional study design approach and convenience sampling technique with the aim of evaluating the relationship between the duration of exposure to sand dust as an independent variable with symptoms of respiratory disorders as the dependent variable. he proportion who experienced symptoms of respiratory problems in sand mining workers in Batukuda Village was 86.6%. Most of the sand mine workers in Batukuda Village have a duration of sand dust exposure ≤8 hours/day (59.7%). The proportion of most respondents aged <30 years (52.2%), abnormal BMI (50.7%), did not use PPE while working (82.1%), had a smoking habit (92.5%), and a work period <5 years (71.6%). There is no significant relationship between the duration of exposure to sand dust and symptoms of respiratory disorders in sand mine workers in Batukuda Village, Mancak District (p =0.785). Significant results were shown in the relationship between smoking habits (p =0.002) and the use of PPE masks (p =0.002).
The Role Of Pyruvate Kinase M2 In Aerobic Glycolysis Of Cancer Cells: Mechanisms And Potential Inhibitor Hilizza Awalina Zulfa; Nur Bebi Ulfah Irawati; Luluk Hermawati; Wulan Azva Diana
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.v1i2.30912

Abstract

Cancer is defined as the uncontrolled growth of cells that can spread to other parts of the body, leading to significant health issues and affecting the quality of life patients. One hallmark of cancer is its ability to reprogram metabolism to support rapid cell proliferation, even under adverse conditions such as low oxygen levels. This article aims to explore how cancer cells predominantly utilize aerobic glycolysis, converting glucose into lactate, a process known as the Warburg Effect. This metabolic shift allows cancer cells to quickly generate energy and produce necessary biomass, including NADH, which is vital for maintaining redox balance and supporting continued proliferation. Pyruvate Kinase M2 (PKM2) is highlighted as a primary regulator of aerobic glycolysis in cancer cells. It facilitates the conversion of phosphoenolpyruvate (PEP) to pyruvate, which is crucial for lactate production. The low affinity of PKM2 for this conversion contributes to the metabolic advantages that cancer cells exploit. The review emphasizes the potential of targeting PKM2 as a therapeutic strategy for cancer treatment. Inhibiting PKM2 could disrupt the metabolic pathways that cancer cells rely on, with studies indicating that high doses of docosahexaenoic acid (DHA) can reduce PKM2 expression, presenting a promising direction for future research.
Association Between Caffeine Consumption, Sleep Quality, and Academic-Related Stress Among Medical Students Desasti Gustipraduga; Louisa Ivana Utami; Yuda Nabella Prameswari
International Journal of Medicine and Public Health Vol 3, No 2 (2026): October
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/inomed.v3i2.42077

Abstract

Medical students experience substantial academic demands that increase their risk of developing academic-related stress (ARS). Caffeine is commonly consumed to improve alertness and academic performance, yet excessive intake may adversely affect sleep quality and psychological well-being. This study aimed to examine the associations between caffeine consumption, sleep quality, and academic-related stress among medical students. A cross-sectional analytic study was conducted among 139 medical students. Caffeine intake was assessed using a modified Caffeine Consumption Questionnaire (CCQ), sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), and academic-related stress was measured using the Academic Related Stressor (ARS) domain of the Medical Student Stressor Questionnaire (MSSQ). Associations between variables were analyzed using the Chi-square test or Fisher's exact test, with statistical significance set at p < 0.05. Most participants were classified as low caffeine consumers (92.8%), with a mean daily caffeine intake of 36.65 ± 38.61 mg. Poor sleep quality was reported by 75.5% of participants, while 70.5% experienced severe to very severe academic-related stress. No significant association was found between caffeine consumption and ARS (p = 1.000). In contrast, poor sleep quality was significantly associated with higher odds of severe ARS (p = 0.031; OR = 2.399; 95% CI: 1.068–5.387). Sleep quality was significantly associated with academic-related stress, whereas caffeine consumption was not. Medical students with poor sleep quality had more than twice the likelihood of experiencing severe academic-related stress, highlighting the importance of promoting healthy sleep habits to support students' psychological well-being. Keywords : Academic-Related Stress, Caffeine Consumption, Medical Students, Sleep Quality, Psychological Well-Being

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