International Journal of Advanced Health Science and Technology
Journal Title : International Journal of Advanced Health Science and Technology, (IJAHST) Frequency : 6 issues per year (Feb., April, June, August, Oct. and Dec.) DOI : https://doi.org/10.35882/ e-ISSN : 2808-6422; p-ISSN : 2829-3037 Editor in Chief : Prof. Aini Ahmad, Ph.D, School of Nursing, KPJ Healthcare University College, Malaysia Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES), Indonesia Indexed in : Google Scholar Citation Analysis: Google Scholar, <a href="https://www.scopus.com/results/results.uri?sort=plf-f&src=dm&st1=International+Journal+of+Advanced+Health+Science+and+Technology&sid=6f4c24883a130c200403ce761b4cb94e&sot=b&sdt=cl&sl=78&s=TITLE-ABS-KEY%28International+Journal+of+Advanced+Health+Science+and+Technology%29&origin=resultslist&editSaveSearch=&sessionSearchId=6f4c24883a130c200403ce761b4cb94e&limit=10&cluster=scoexactsrctitle%2C%22International+Journal+Of+Advanced+Health+Science+And+Technology%22%2Ct" target="_blank" rel="noopener">Scopus, Dimension The International Journal of Advanced Health Science and Technology, IJAHST, is a peer-reviewed open-access journal. The journal invites scientists and engineers throughout the world to exchange and disseminate theoretical and practice-oriented topics which covers eight (8) major areas of research that includes BUT not limited to (1) Biomedical Engineering, (2) Environmental Health, (3) Nursing, (4) Nutrition, (5) Medical Laboratory Technology, (6) Public Health (7) Midwifery and (8) Health Informatics. Submitted papers must be written in English for an initial review stage by editors and further review process by a minimum of two reviewers. The minimum standard requirements before you submit the manuscript: Author should read the Author Guidelines to prepare the article Written in English. The length of the submitted paper is at least six pages. Use a tool such as Zotero, Mendeley, or EndNote for reference management. The author can use the following link to use a Mendeley Application (link). The citation style is IEEE (example: [1], [2], [3], etc.) Expect a minimum of 25 references primarily from international journal papers.The references must be up-to-date references (2012-2022). Make sure that your paper is prepared using the IJAHST paper template Attach the cover letter and statement of originality along with the manuscript submission. Note: If you don't follow the instructions, your submission will be rejected or postponed.
Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)
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The Effect of Animation Book–Based Education on Adolescents’ Knowledge and Attitudes Toward Diabetes Mellitus Prevention: A Quasi-Experimental Study at Muhammadiyah 1 Junior High School, Sidoarjo, Indonesia
The increasing prevalence of diabetes mellitus (DM) among adolescents represents a significant public health challenge, largely driven by lifestyle factors and insufficient awareness of preventive measures during early life stages. Despite existing health education efforts, traditional media such as leaflets often fail to effectively engage this population, limiting their impact on knowledge and behavioral change. This study aimed to evaluate the effectiveness of animation book-based health education compared to conventional leaflet methods in enhancing knowledge and attitudes toward diabetes mellitus prevention among adolescents at Muhammadiyah 1 Junior High School, Sidoarjo, Indonesia. Utilizing a quasi-experimental design with non-equivalent control groups, 64 ninth-grade students were allocated evenly into an intervention group receiving animation book education and a control group receiving leaflet-based education. Pretest and posttest assessments were conducted using structured questionnaires to measure changes in knowledge and attitudes. Statistical analysis applying paired and independent t-tests revealed a significant improvement in both knowledge and positive attitudes in the intervention group compared to the control group (p = 0.001). Notably, the animation book group demonstrated a substantial increase in knowledge scores, with the percentage of students exhibiting “good” knowledge rising from 40.6% to 93.8%, while the control group showed only marginal gains. Attitudinal improvements followed a similar pattern, indicating that the animation book medium facilitates more effective cognitive and affective engagement. These findings suggest that animation book-based education serves as a superior and innovative pedagogical tool for school-based health promotion aimed at early diabetes prevention. Integration of such interactive media can enhance adolescent health literacy and support preventive behaviors, ultimately reducing the future burden of non-communicable diseases.
Copyright (c) 2026 Bilqis Nikma Fauzan, Anita Joeliantina, Sari Luthfiyah, S.Kp., M.Kes, Dr. Moch Bahrudin, M.Kep., Sp.KMB https://creativecommons.org/licenses/by-sa/4.0
The Effect of Role Playing Method on The Socialization Skills of School-Age Children: Pre-Experiment Study at SDN Ngoro 3 Mojokerto, Indonesia
Bullying among school-aged children remains a significant public health and educational concern that negatively affects psychological well-being, emotional stability, self-esteem, and socialization abilities. Inadequate social skills may hinder children’s ability to interact effectively with peers and adapt to their social environment. Interactive educational approaches, such as role-playing, are considered beneficial in promoting communication, cooperation, empathy, and self-control among children. However, empirical evidence regarding the effectiveness of role-playing methods in improving socialization skills among elementary school students in Indonesia remains limited. Therefore, this study aimed to analyze the effect of the role-playing method on the socialization skills of school-aged children at SDN Ngoro 3 Mojokerto, Indonesia. This study employed a quantitative pre-experimental design using a one-group pretest–posttest approach. The participants consisted of 30 fifth-grade students selected through a total sampling technique. The intervention involved three role-playing sessions conducted weekly. Socialization skills were measured using the teacher version of the Social Skills Rating System (SSRS) questionnaire before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test with a significance level of 0.05. The findings demonstrated a significant improvement in students’ socialization skills following the intervention. Before the intervention, most students (66.67%) were categorized as having moderate socialization skills, whereas after the intervention, the majority (90%) achieved high socialization skill levels. Statistical analysis revealed a significant difference between pretest and posttest scores (Z = -4.796; p = 0.000). These results indicate that the role-playing method effectively enhances children’s social interaction, cooperation, and self-control. In conclusion, role-playing is an effective and practical educational strategy for improving socialization skills among school-aged children. Integrating role-playing activities into school learning programs may contribute to fostering positive peer relationships and reducing social difficulties among elementary school students.
Copyright (c) 2026 Inna Ilma Nafi'ah, Aida Novitasari, Miadi, Kiaonarni Ongko Waluyo https://creativecommons.org/licenses/by-sa/4.0
Oral Hygiene and Gingivitis Among Schizophrenic Patients at Karangkembang Regional General Hospital: A Cross-Sectional Study
Schizophrenia is a chronic mental disorder that can affect an individual's ability to maintain oral hygiene. This condition may lead to dental and oral health problems, such as gingivitis. An examination conducted in August 2024 on 30 patients with schizophrenia showed that 93% of them experienced gingivitis, indicating a high prevalence of gingivitis among patients with schizophrenia. This study aims to determine the relationship between oral hygiene and gingivitis in patients with schizophrenia at Karangkembang Regional Public Hospital, Lamongan Regency, in 2025. This research uses an analytical survey with a cross-sectional design involving 77 patients with schizophrenia. Data were collected through oral examinations to assess the patients’ oral hygiene and gingival condition. Data analysis was conducted using the Spearman rank correlation test to determine the relationship between oral hygiene and gingivitis in patients with schizophrenia, with a significance level (α) = 0.05. If the analysis result shows a ρ-value < 0.05, then H1 is accepted. If the ρ-value > 0.05, then H1 is rejected. The result of the Spearman rank test showed a ρ-value of 0.000. This value is smaller than the predetermined significance level (α = 0.05), thus H1 is accepted. This means there is a relationship between oral hygiene and gingivitis in patients with schizophrenia at Karangkembang Regional Public Hospital, Lamongan Regency, in 2025. The correlation coefficient (ρ) is 0.531, indicating a strong relationship between oral hygiene and gingivitis in patients with schizophrenia.
Copyright (c) 2026 Eva Mufida Ikhdati, Kusuma Astuti N. P, Agus Marjianto https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Knowledge of Dental Health Maintenance and Debris Index
Health is essential for overall well-being and productivity, and oral health is closely linked to general health. Issues in the mouth can affect the whole body and human quality of life. At Sanggar Alang-Alang, for the preliminary observation 10 children showed an average OHIS score of 3.2 and a Debris Index of 2.1—both in the poor category. This study aimed to examine the relationship between dental health knowledge and the Debris Index among 48 street children using a cross-sectional correlation design. Data were collected through questionnaires and oral examinations, then analyzed with the Spearman Rank test. Results showed no relationship between dental health knowledge and the Debris Index. Although most adolescents had good knowledge, their debris levels remained high. This indicates that knowledge alone is not enough to ensure good oral hygiene; proper attitudes and behaviors must also support it
Copyright (c) 2026 Regina Amelia Muslim, Sri Hidayati, Sunomo Hadi , I.G.A Kusuma Astuti N.P https://creativecommons.org/licenses/by-sa/4.0
The Effect of Animated Video-Based Health Education on Mothers’ Knowledge and Attitudes Toward Stunting Prevention During the First 1000 Days of Life
Stunting remains a major public health challenge, particularly in developing countries, because it negatively affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life constitute a critical period for growth and development, during which nutritional deficiencies and inadequate maternal understanding of child health may increase the risk of stunting. Limited knowledge and unfavorable attitudes among mothers toward stunting prevention may hinder early preventive efforts. Therefore, effective educational interventions are needed to improve maternal awareness and promote positive health-related attitudes during this crucial period. This study aimed to determine the effect of animated video-based health education on mothers’ knowledge and attitudes regarding stunting prevention during the first 1,000 days of life. A quasi-experimental study with a pre-test–post-test control group design was conducted in the working area of the Sidotopo Wetan Health Center, Surabaya, Indonesia. A total of 44 respondents were selected using cluster sampling and divided into intervention and control groups. The independent variable was health education delivered through animated videos, while the dependent variables were mothers’ knowledge and attitudes toward stunting prevention. Data were collected using structured knowledge and attitude questionnaires. Statistical analysis was performed using the Wilcoxon Signed Rank Test to assess within-group differences and the Mann–Whitney U Test to compare differences between groups. The findings revealed a statistically significant improvement in mothers’ knowledge and attitudes after receiving animated video-based health education on stunting prevention during the first 1,000 days of life (p < 0.05). Mothers in the intervention group demonstrated better post-test outcomes than those in the control group. In conclusion, animated video-based health education is effective in improving mothers’ knowledge and attitudes toward stunting prevention. This approach may serve as an engaging and practical educational strategy to strengthen maternal awareness and support early stunting prevention programs in community health settings.
Copyright (c) 2026 Margaretha Angelia Prajogo, Irine Christiany, Endah Suprihatin, Mohammad Najib https://creativecommons.org/licenses/by-sa/4.0
The Effect of Flipchart-Based Health Education on Knowledge and Self-Efficacy Regarding High-Risk Pregnancy among Pregnant Women
Maternal mortality remains a major public health challenge in Indonesia, and limited knowledge of high-risk pregnancy is one of the factors that may delay appropriate decision-making and reduce women’s confidence in managing pregnancy-related complications. This study aimed to examine the effect of flipchart-based health education on the knowledge and self-efficacy of pregnant women regarding high-risk pregnancy. A pre-experimental study with a one-group pretest-posttest design was conducted at the Kapas Health Center, Bojonegoro Regency. The population consisted of 302 pregnant women, and a sample of 51 participants was selected using the Lemeshow formula. The independent variable was health education delivered through flipchart media, while the dependent variables were knowledge and self-efficacy regarding high-risk pregnancy. Data were collected using structured questionnaires and analyzed using the Wilcoxon signed-rank test with a significance level of 0.05. The results showed a statistically significant improvement in knowledge after the intervention (p = 0.008). Before the intervention, 27 participants (53%) had poor knowledge, 20 (39.2%) had adequate knowledge, and 4 (7.8%) had good knowledge. After the intervention, the proportion with poor knowledge decreased to 16 participants (31.4%), while 24 (47%) had adequate knowledge and 11 (21.6%) had good knowledge, indicating that 68.6% achieved adequate-to-good knowledge after the intervention. A significant improvement was also observed in self-efficacy (p = 0.000). Prior to the intervention, 12 participants (23.5%) had low self-efficacy and 39 (76.5%) had high self-efficacy; after the intervention, all participants (100%) demonstrated high self-efficacy. In conclusion, flipchart-based health education was effective in improving both knowledge and self-efficacy among pregnant women regarding high-risk pregnancy. This approach may serve as a practical, low-cost, and accessible educational strategy for use in community health centers to support better maternal awareness, confidence, and decision-making.
Copyright (c) 2026 Sri Hardi Wuryaningsih, Adin Mu’afiro, Miadi, Nimas Dhalita Audria Hanun https://creativecommons.org/licenses/by-sa/4.0
Early Dental Identification and Multidisciplinary Management of Severe Pediatric Obstructive Sleep Apnea: A Case Report
Pediatric obstructive sleep apnea (OSA) represents a significant yet often underdiagnosed respiratory disorder associated with adverse neurocognitive, cardiovascular, and developmental outcomes. Despite its clinical importance, early detection remains challenging, particularly in cases where symptoms overlap with common pediatric conditions. This study aims to highlight the critical role of pediatric dental assessment in the early identification and multidisciplinary management of severe OSA through a detailed case report. An 8-year-old male patient was referred for dental malpositions and molar-incisor hypomineralization. Comprehensive clinical, radiographic, and functional evaluations revealed craniofacial abnormalities indicative of airway obstruction. Screening using a validated pediatric questionnaire suggested OSA, which was subsequently confirmed by ventilatory polygraphy, demonstrating a severe apnea–hypopnea index (AHI) of 34.5 events/hour. A multidisciplinary treatment approach was implemented, including rapid maxillary expansion, mandibular advancement orthosis, nasal dilation, and myofunctional therapy. Due to limited access to polysomnography, follow-up relied on clinical observations and caregiver-reported outcomes. After six months, the patient exhibited notable improvements in respiratory function, sleep quality, and daytime alertness, along with enhanced facial aesthetics and oral function. These findings are consistent with existing evidence supporting orthodontic and functional interventions in managing pediatric OSA, particularly in cases associated with craniofacial abnormalities. In conclusion, this case underscores the pivotal role of pediatric dentists as frontline healthcare providers in recognizing early signs of OSA and initiating timely referrals. Integrating dental assessments into routine screening protocols can facilitate early diagnosis and coordinated multidisciplinary care, ultimately improving patient outcomes and preventing long-term complications.
Copyright (c) 2026 Selsebil Laajimi, Rihab Mabrouk, Yamina Elelmi, Fatma Masmoudi, Ahlem Baaziz https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Smoking Habits and Dental and Oral Hygiene in Patients at the Kesamben Community Health Center Dental Clinic in Jombang Regency
Smoking remains a major public health concern and is widely recognized as an important behavioral risk factor for poor dental and oral health. Tobacco exposure contributes to plaque accumulation, calculus formation, gingival inflammation, and impaired oral tissue healing. However, evidence regarding the relationship between smoking habits and oral hygiene status in Indonesian primary health care settings is still limited. This study aimed to analyze the association between smoking habits and dental and oral hygiene status among patients attending the Dental Clinic of the Kesamben Community Health Center, Jombang Regency. A quantitative cross-sectional analytical design was employed in March 2025. The study involved 30 male patients aged ≥25 years who were selected using purposive sampling. Smoking habits were assessed using a structured 20-item questionnaire and categorized into low, moderate, and high levels based on cumulative scores. Dental and oral hygiene status was evaluated using the Simplified Oral Hygiene Index (OHI-S), which classifies hygiene conditions into good, moderate, and poor categories. Data were analyzed using univariate and bivariate statistical methods, including the Chi-square test, Spearman correlation analysis, and Phi effect size, with a significance level set at p < 0.05. The results showed that the majority of respondents had high smoking intensity (93.4%) and poor oral hygiene status (96.6%). Statistical analysis revealed a significant association between smoking habits and oral hygiene status (χ² = 7.226; p = 0.007). Spearman correlation analysis indicated a moderate positive relationship between smoking intensity and worsening OHI-S scores (r = 0.52; 95% CI: 0.18–0.74), with a moderate effect size (φ = 0.49). In conclusion, higher smoking intensity is significantly associated with poorer dental and oral hygiene among adult patients at the Kesamben Community Health Center. These findings highlight the importance of integrating smoking cessation counseling with preventive oral health education in primary health care services to improve overall oral health outcomes.
Copyright (c) 2026 Rosita Novayanti Nur Arofah, Bambang Hadi Sugito, Sri Hidayati https://creativecommons.org/licenses/by-sa/4.0
Therapeutic Communication in Nursing Practice: A Systematic Review of Synthesizing Evidence for Enhanched Practice and Patient Outcome
Therapeutic communication represents a fundamental component of professional nursing practice, directly influencing patient satisfaction, treatment adherence, and overall healthcare outcomes. Despite its recognized importance, nurses often encounter challenges in implementing therapeutic communication effectively due to various interpersonal, organizational, and technological complexities. Therefore, this study aims to systematically synthesize existing evidence on the dimensions, barriers, and innovative strategies of therapeutic communication in nursing practice to enhance patient outcomes. This study employed a systematic review design, analyzing articles retrieved from databases including PubMed, Scopus, and ProQuest. The search was limited to publications between 2018 and 2022. A total of 103 articles were initially identified, and after removing duplicates and conducting eligibility screening based on predefined inclusion criteria, 8 studies were selected following the PRISMA guidelines. Data were extracted and analyzed to identify key themes and patterns related to therapeutic communication. The findings revealed several critical dimensions of therapeutic communication, including empathy, emotional support, verbal and non-verbal communication skills, and the establishment of collaborative nurse–patient relationships. Additionally, common barriers such as workload, time constraints, and communication gaps were identified. The integration of digital technologies and artificial intelligence also emerged as an innovative approach to enhancing communication effectiveness in healthcare settings. In conclusion, therapeutic communication remains a vital determinant of patient-centered care and positive health outcomes. Strengthening nurses’ communication competencies, addressing systemic barriers, and leveraging technological innovations are essential strategies to optimize nurse–patient interactions. Future research should focus on developing standardized communication frameworks and evaluating the effectiveness of technology-assisted communication interventions in diverse clinical contexts.
Copyright (c) 2026 Bestfy Anitasari, Zulfikar Muhammad, Siti Misaroh Ibrahim , Elly Dwi Masita, Tunggul Sri Agus Setyaning, Hesti Wahyuni, Subroto Eka Ristia, Agus Sudaryanto, Harisma https://creativecommons.org/licenses/by-sa/4.0
An Analysis of Digital Marketing Strategy for Syariah Maternity Services at YARSI Hospital
The rapid expansion of digital technologies has transformed healthcare marketing; however, the adoption of Syariah-compliant maternity services remains relatively low despite high social media usage among executive patients in Indonesia. Limited evidence exists on how culturally and religiously aligned digital marketing strategies influence patient decision-making, particularly through Instagram. This study aims to analyze the effectiveness of Instagram-based digital marketing strategies in influencing executive patients’ intention to utilize Syariah maternity services at YARSI Hospital, Jakarta. A sequential explanatory mixed-methods design was employed. Quantitative data were collected from 19 executive patients and analyzed using Spearman correlation to examine the relationship between five marketing dimensions informativeness, usefulness, authenticity, entertainment, and content variety and patient visit intention. Subsequently, qualitative data from 19 key informants, including patients, medical staff, and marketing personnel, were analyzed thematically to provide deeper insights into the quantitative findings. The results indicate that informativeness (r = 0.533; p = 0.019), usefulness (r = 0.492; p = 0.032), and authenticity (r = 0.482; p = 0.037) have significant positive effects on patient visit intention. In contrast, entertainment (r = –0.596; p = 0.007) and excessive content variety show negative associations. Qualitative findings reinforce that clear, practical, and culturally aligned content enhances trust and engagement, whereas low posting frequency and limited interactivity hinder marketing effectiveness. In conclusion, digital marketing strategies that prioritize informative, useful, and authentic content are more effective in promoting Syariah-compliant maternity services. Integrating cultural and religious values into digital communication is essential to strengthen patient trust and engagement. These findings provide practical implications for healthcare providers to optimize social media strategies in culturally sensitive contexts.
Copyright (c) 2026 Pramita Ines Parmawati Raden Roro, Lia Gardenia Partakusuma, Enrico Adithya Rinaldi, Dicky Budiman, Sri Wuryanti, Hanny Handjadja Ronosulistyo https://creativecommons.org/licenses/by-sa/4.0
Phenomenological Study on Workflow Efficiency and Response Time in Emergency Obstetric and Neonatal Care
Indonesia continues to face a high maternal mortality ratio, with delays in emergency obstetric care at referral hospitals remaining a critical contributor, despite the implementation of Comprehensive Emergency Obstetric and Neonatal Care (PONEK) services. These delays are frequently associated with inefficiencies in workflow and response time, particularly during post-triage management. This study aimed to explore healthcare workers’ lived experiences and to identify organizational, procedural, and systemic factors influencing workflow efficiency and response time in PONEK services at Y Hospital, Jakarta, a teaching hospital, referral center, and certified Syariah-based institution. A qualitative descriptive phenomenological design was employed, involving 15 purposively selected participants consisting of obstetricians, emergency physicians, midwives, nurses, administrative staff, and hospital managers directly engaged in PONEK services. Data were collected through in-depth interviews, non-participant observations, focus group discussions, and document review, and were analyzed using thematic analysis supported by content and SWOT analyses to ensure analytical rigor and triangulation. The findings revealed that while triage response time consistently met international standards of less than five minutes, significant delays occurred in subsequent stages of care due to fragmented inter-unit coordination, reliance on informal communication, inconsistent implementation of Standard Operating Procedures, and suboptimal utilization of the Hospital Management Information System (SIMRS). Additional barriers included incomplete referral documentation and the presence of non-emergency cases within the PONEK pathway, which disrupted prioritization and prolonged patient length of stay. In conclusion, workflow inefficiencies in PONEK services at Y Hospital are primarily driven by coordination gaps, human resource limitations, and insufficient digital integration rather than infrastructural shortcomings. Strengthening cross-unit collaboration, improving referral accuracy, enhancing staff capacity through continuous training, and optimizing digital systems are essential strategies to improve response time, service quality, and maternal emergency outcomes, thereby supporting hospital performance and contributing to the achievement of Sustainable Development Goal 3.1 on maternal mortality reduction.
Copyright (c) 2026 Pratiwi Madya Putri Raden Roro, Guswan Wiwaha, Sri Wuryanti, Nurul Huda, Mia Mariani, Edy Prasetyo, Dicky Budiman https://creativecommons.org/licenses/by-sa/4.0
The Effectiveness of Self-Care Enhancement Based Intervention Among Type 2 Diabetes Mellitus: A Systematic Review
Poor glycemic control and the high prevalence of complications among individuals with type 2 diabetes mellitus (T2DM) remain major public health challenges and are strongly associated with inadequate self-care behaviors. Despite the growing implementation of self-care–based interventions, evidence regarding their effectiveness on glycemic outcomes and self-care activities remains inconsistent. This systematic review aimed to evaluate the effectiveness of self-care enhancement–based interventions in improving glycemic control and self-care behaviors among adults with T2DM. A systematic search was conducted across four electronic databases PubMed, ScienceDirect, ProQuest, and Google Scholar using relevant keywords related to self-care, intervention, and T2DM. Studies published between 2019 and 2024, written in English, available in full text, and employing randomized controlled trial or quasi-experimental designs were included. Article selection followed the PRISMA framework, and methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Eight eligible studies were included in the final synthesis. The findings demonstrated heterogeneous outcomes across interventions. Most studies (n = 5) reported significant reductions in HbA1c levels accompanied by improvements in self-care activities, including diet management, blood glucose monitoring, and self-efficacy. One study showed a significant reduction in HbA1c without corresponding improvements in self-care behavior, while two studies reported improvements in self-care activities without significant changes in HbA1c. Interventions that incorporated structured, personalized education and ongoing monitoring, supported by family or community involvement, consistently yielded more favorable outcomes. In conclusion, self-care enhancement–based interventions are generally effective in improving glycemic control and self-care behaviors among individuals with T2DM, particularly when delivered through a structured, person-centered approach integrated with social support systems. These findings highlight the importance of comprehensive and context-sensitive intervention designs in diabetes self-management programs.
Copyright (c) 2026 Yusron Amin, Haswita Haswita https://creativecommons.org/licenses/by-sa/4.0
A Rare Case Report of Impacted Primary First Molar below the First Premolar
Tooth impaction represents a disturbance in the normal eruption process, predominantly affecting permanent dentition, while its occurrence in primary teeth remains exceedingly rare. Such anomalies may lead to complications including delayed eruption of permanent successors, malocclusion, and potential damage to adjacent anatomical structures. However, limited evidence exists regarding the optimal management of impacted primary molars, particularly in atypical cases where the primary tooth is located inferior to its permanent successor. This study aims to report and evaluate the clinical management of a rare case involving an impacted mandibular first primary molar positioned beneath its succedaneous premolar, with emphasis on the outcomes of a conservative treatment approach. A 7-year-old male patient presenting with dental malposition underwent comprehensive clinical and radiographic examination, including panoramic radiography and computed tomography. Due to the close proximity of the impacted tooth to the mandibular canal and mental foramen, a non-invasive strategy consisting of periodic monitoring, space maintenance, and interceptive orthodontic treatment was implemented. Longitudinal follow-up over a five-year period demonstrated delayed but progressive development of the permanent premolar. Clinical and radiographic findings revealed initiation of eruption in 2024, followed by complete eruption in 2025 without surgical intervention or associated complications. These findings indicate that, despite initial developmental delay, spontaneous eruption remained achievable under careful supervision. In conclusion, conservative management with regular follow-up may represent a safe and effective alternative to surgical intervention in selected cases of impacted primary molars, particularly when anatomical risks are significant. This approach supports preservation of surrounding structures while allowing natural eruption processes, highlighting the importance of individualized, risk-based treatment planning in pediatric dentistry.
Copyright (c) 2026 Mouna Ben Salem, Abir Mannai, Yamina Elelmi, Fatma Masmoudi, Ahlem Baaziz https://creativecommons.org/licenses/by-sa/4.0
The Use of TikTok Media on the Knowledge of Dental and Oral Hygiene among Students of SMAN 1 Porong
Oral and dental hygiene remains a significant public health concern among adolescents, largely due to inadequate knowledge and limited exposure to effective health education. Preliminary findings at SMAN 1 Porong indicated that 50% of students exhibited poor plaque indices, reflecting insufficient awareness of proper oral hygiene practices. This study aimed to evaluate the effectiveness of TikTok-based educational media in improving students’ knowledge of oral and dental hygiene. A quasi-experimental design with a one-group pretest–posttest approach was employed. A total of 52 tenth-grade students were selected using simple random sampling. Data were collected through a structured questionnaire distributed via Google Forms before and after the intervention. The educational intervention consisted of delivering oral health content through TikTok media. Data analysis was conducted using the Wilcoxon Signed-Rank Test to assess differences in knowledge scores before and after the intervention. The results demonstrated a substantial improvement in students’ knowledge following the intervention. Prior to education, 96% of respondents were categorized as having low knowledge, whereas after the intervention, 88% achieved a good knowledge level. Statistical analysis revealed a significant difference between pretest and posttest scores (p = 0.000; p < 0.05), indicating the effectiveness of TikTok as an educational medium. In conclusion, TikTok-based health education significantly enhances adolescents’ knowledge of oral and dental hygiene. The findings suggest that integrating social media platforms into health promotion strategies can serve as an innovative and engaging approach to improve health literacy among students. Future research is recommended to explore the long-term impact of such interventions and to compare the effectiveness of different digital media platforms.
Copyright (c) 2026 Nur Fauziyah, Imam Sarwo Edi, Siti Fitria Ulfah, Silvia Prasetyowati https://creativecommons.org/licenses/by-sa/4.0
Correlation Between Parental Knowledge of Oral Health and Dental Caries Incidence Among Preschool Children at Ar-Rahman Foundation Jombang
Dental caries remains one of the most prevalent oral health problems among preschool children and continues to pose a significant public health concern, particularly in developing countries. Inadequate parental knowledge of oral and dental health is often considered a contributing factor to the high incidence of early childhood caries. This study aimed to examine the relationship between parental knowledge of oral health and the incidence of dental caries among preschool children attending PAUD and Kindergarten under the Ar-Rahman Foundation in Jombang, Indonesia. A quantitative cross-sectional design was employed involving 39 parents and their preschool-aged children selected using total sampling. Parental knowledge was assessed using a structured questionnaire, while dental caries status in children was evaluated using the def-t (decayed, extracted, and filled teeth) index. Data were analyzed using the Chi-square test with a significance level of α = 0.05. The results indicated that the majority of parents (51.3%) had low levels of oral health knowledge, while only 10.3% demonstrated good knowledge. Dental caries prevalence among preschool children was relatively high, with higher def-t scores more frequently observed among children whose parents had lower knowledge levels. However, statistical analysis revealed no significant association between parental knowledge and the incidence of dental caries (p = 0.286). Despite the absence of a statistically significant relationship, descriptive findings suggested a tendency toward poorer oral health outcomes among children of parents with limited knowledge. In conclusion, parental knowledge alone was not significantly associated with dental caries incidence among preschool children in this study. These findings suggest that dental caries is influenced by multiple factors beyond knowledge, including behavioral practices, dietary patterns, and access to dental care. Comprehensive oral health promotion programs that integrate parental education with practical behavioral interventions are therefore essential to improve early childhood oral health outcomes.
Copyright (c) 2026 Heva Pratiwi, Silvia Prasetyowati, Sunomo Hadi, Imam Sarwo Edi https://creativecommons.org/licenses/by-sa/4.0
Analysis of Lungs Maturity Induction (LMI) in Preterm Labor on Neonatal Asphyxia Status at dr. Sayidiman Regional General Hospital, Magetan
Neonatal asphyxia remains a major contributor to neonatal morbidity and mortality, particularly among preterm infants whose lungs are physiologically immature and lack adequate surfactant production. At Dr. Sayidiman Regional General Hospital, Magetan, neonatal mortality due to asphyxia remains considerably high, indicating the need for effective preventive interventions. Lungs Maturity Induction (LMI) is widely recommended for pregnant women at risk of preterm delivery to accelerate fetal lung development; however, evidence regarding its effectiveness in reducing neonatal asphyxia in local clinical settings is still limited. This study aimed to analyze differences in neonatal asphyxia status among preterm births between mothers who received LMI and those who did not. This research employed an analytical survey with a cross-sectional design. Secondary data were obtained from the Delivery Register Book at Dr. Sayidiman Regional General Hospital, Magetan, covering the period from January 2024 to February 2025. The study population comprised 121 preterm deliveries, from which 93 samples were selected using proportional random sampling. Of these, 44 mothers received LMI and 49 did not. Neonatal asphyxia status served as the dependent variable, while LMI administration was the independent variable. Data were analyzed using the Chi-Square test with a significance level of α = 0.05. The results showed that 79.5% of preterm infants whose mothers received LMI did not experience neonatal asphyxia, whereas 75.5% of preterm infants without LMI experienced asphyxia. Statistical analysis demonstrated a significant difference in neonatal asphyxia status between the two groups (χ² = 26.090; p < 0.001). In conclusion, LMI is significantly associated with a lower incidence of neonatal asphyxia in preterm deliveries. The routine administration of LMI to pregnant women at risk of preterm birth is strongly recommended to improve neonatal outcomes and reduce neonatal mortality.
Copyright (c) 2026 Eni Rahayu, Sulikah, S.ST., M.Kes., Budi Joko Santosa, S.KM., M.Kes., Tutiek Herlina, S.KM., MM.Kes https://creativecommons.org/licenses/by-sa/4.0
Implications of Tuberculosis Prevention Smart Book in Elementary School Age Children on Parenting Social Support Approach
Tuberculosis (TB) remains a major public health challenge in Indonesia, particularly affecting vulnerable populations such as elementary school-aged children whose immune systems are not fully developed. Despite ongoing national efforts to mitigate the spread of TB, the incidence among children remains notably high, necessitating innovative prevention strategies. This study aims to evaluate the impact of a specifically designed Tuberculosis Prevention Smart Book on enhancing parental social support approaches towards childhood TB prevention. Employing a quantitative quasi-experimental design with a two-group pretest-posttest format, the research sampled 200 parents of children attending elementary schools in Surabaya. Data were collected through structured questionnaires measuring informational, instrumental, emotional, and reward dimensions of social support. Findings indicate a statistically significant improvement in all dimensions of parental support following the intervention, with p-values below 0.05 for informational, instrumental, and emotional support categories. Notably, the use of the Smart Book facilitated heightened parental awareness, increased proactive caregiving behaviors such as early symptom detection and maintaining hygienic environments, and strengthened emotional engagement with children. However, changes in the reward support dimension were not statistically significant. The study concludes that integrating educational Smart Books into health promotion initiatives markedly enhances parental involvement and social support mechanisms critical for childhood TB prevention. This approach offers a promising avenue for community-based TB control programs, emphasizing the pivotal role of parents in safeguarding child health and curbing TB transmission within educational settings
Copyright (c) 2026 Indriatie indriatie, Aida Novitasari, Anita Joeliantina https://creativecommons.org/licenses/by-sa/4.0
Improving Oral Health Knowledge Among Pregnant Women Using TikTok at the Jogoloyo Community Health Center in Jombang
Oral and dental health play a crucial role in maintaining overall well-being, particularly during pregnancy, when hormonal changes increase susceptibility to oral problems such as gingivitis and caries. However, awareness and knowledge of oral hygiene among pregnant women remain low, leading to a higher risk of oral diseases. Traditional health education methods often fail to attract sustained attention, highlighting the need for innovative, accessible approaches. This study aimed to evaluate the effectiveness of TikTok-based audiovisual education in improving oral health knowledge among pregnant women at the Jogoloyo Community Health Center in Jombang, Indonesia. A quasi-experimental study with a one-group pretest–posttest design was conducted on 58 pregnant women selected through purposive sampling. The intervention consisted of short TikTok videos (1–3 minutes) covering key topics such as oral hygiene maintenance, brushing time, and appropriate dental visits. Knowledge levels were measured using a validated questionnaire administered before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of α = 0.05. The results demonstrated a significant improvement in oral health knowledge after the TikTok-based intervention. The mean pretest score was 36.59 ± 2.997, which increased to 66.24 ± 2.861 in the posttest, with a p-value of 0.001, indicating a statistically significant difference. Participants also showed notable progress in specific knowledge domains, including brushing time and dental check-up awareness. In conclusion, the study confirms that TikTok can serve as an effective and engaging platform for oral health promotion among pregnant women. Integrating social media–based audiovisual education into maternal health programs may enhance health literacy, accessibility, and engagement, offering a scalable alternative to conventional health education strategies in primary care settings.
Copyright (c) 2025 Juanita Matkhurotin https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN ELDERLY KNOWLEDGE ABOUT ORAL HEALTH AND PERIODONTITIS AT POSYANDU KEMUNING REJOSOPINGGIR VILLAGE JOMBANG DISTRICT
Periodontitis remains a major cause of tooth loss among the elderly, significantly affecting masticatory function, aesthetics, and overall quality of life. Despite its high prevalence, limited awareness and misconceptions about oral health among older adults may contribute to delayed prevention and treatment. Therefore, this study aimed to analyze the relationship between elderly knowledge of oral health and the incidence of periodontitis at the Kemuning Integrated Health Post, Rejosopinggir Village, Jombang Regency. This research employed an analytic observational design with a cross-sectional approach. A total of 32 elderly participants aged ≥60 years were selected using random sampling. Data were collected through a structured questionnaire to assess oral health knowledge and clinical examination using the Russell Periodontal Index to determine periodontal status. Statistical analysis was performed using the chi-square test with a significance level of 0.05. The findings revealed that the majority of respondents had poor knowledge of oral health (78.1%), and most participants exhibited severe periodontal conditions, with an average Russell Periodontal Index score of 3.55. However, the chi-square test indicated no statistically significant relationship between oral health knowledge and the occurrence of periodontitis (p = 0.396 > 0.05). These results suggest that knowledge alone is insufficient to influence periodontal health outcomes. In conclusion, although poor oral health knowledge is prevalent among the elderly, it does not significantly correlate with the incidence of periodontitis in this population. Other factors, such as behavioral habits, access to healthcare services, systemic conditions, and socioeconomic status, may play a more dominant role. Comprehensive and practical oral health interventions are therefore recommended to improve periodontal health among the elderly.
Copyright (c) 2026 Nur Choiryah, Ida Chairanna Mahirawatie, I.G.A. Kusuma Astuti N.P https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Pregnant Women's Knowledge of Oral Health Care and Gingivitis at the Karanggeneng Community Health Centre in Lamongan Regency in 2025
Gingivitis is one of the most prevalent oral health problems among pregnant women, primarily triggered by hormonal changes that increase gingival sensitivity to plaque and local irritants. Despite its high occurrence, inadequate knowledge of oral health care among first-trimester pregnant women (K1) remains a significant concern, potentially worsening gingival conditions and overall maternal health. This study aimed to examine the relationship between pregnant women’s knowledge of dental and oral health maintenance and the incidence of gingivitis at the Karanggeneng Community Health Center, Lamongan Regency. This study employed an analytic survey design with a cross-sectional approach. A total of 37 first-trimester pregnant women were selected using purposive sampling. Data were collected through a structured questionnaire assessing knowledge of oral health care and a clinical examination using the Gingival Index to determine gingivitis status. The relationship between variables was analyzed using Spearman’s rho correlation test. The findings revealed that the majority of respondents had a moderate level of knowledge (54.1%) and experienced moderate gingivitis (62.1%). Statistical analysis demonstrated a significant correlation between knowledge of oral health maintenance and gingivitis status (p = 0.020 < 0.05), indicating that lower levels of knowledge are associated with a higher severity of gingivitis. In conclusion, there is a significant relationship between oral health knowledge and gingivitis among first-trimester pregnant women. Improving knowledge through targeted health education is essential to promote better oral hygiene practices and reduce the risk of gingival inflammation during pregnancy. These findings highlight the importance of integrating oral health education into antenatal care services.
Copyright (c) 2026 Silviya Anis Sulha, Sunomo Hadi, Ida Chairanna Mahirawatie https://creativecommons.org/licenses/by-sa/4.0
Evaluating the Reliability of Glass Ionomer Cements in Restorative Dentistry for Primary Teeth: A Systematic Review
The clinical reliability of glass ionomer cements (GICs) in pediatric restorative dentistry remains a critical concern due to variations in material formulations and their performance in primary teeth. Despite continuous advancements, inconsistencies in clinical outcomes and influencing factors necessitate a comprehensive evaluation of current evidence. This systematic review aimed to assess and compare the clinical performance of different types of GICs used in restorations of primary teeth and to identify the factors affecting their success rates. A systematic search was conducted across four electronic databases MEDLINE, Cochrane Central, ScienceDirect, and EBSCOhost covering studies published between 2013 and 2025. The review followed PRISMA guidelines and applied the PICO framework to define eligibility criteria. Only randomized controlled trials involving pediatric patients with vital primary teeth were included. Study quality was assessed using the Modified Jadad Scale, and due to heterogeneity in methodologies, a narrative synthesis approach was adopted. Out of 237 identified records, seven studies met the inclusion criteria. The findings demonstrated that resin-modified glass ionomer cements (RMGICs) and high-viscosity glass ionomer cements (HVGICs) exhibited superior clinical success rates, reaching approximately 94% and 77%, respectively. These materials showed favorable longevity, enhanced marginal integrity, and satisfactory esthetic outcomes. Key factors influencing restoration success included the type of molar restored (p = 0.003) and the affected surface (p < 0.001), while patient-related variables showed no significant association. In conclusion, RMGICs and HVGICs are currently the most reliable restorative materials for primary teeth due to their improved mechanical and bioactive properties. However, restoration success is multifactorial, depending not only on material selection but also on clinical technique and cavity characteristics. Future research should focus on long-term, standardized clinical trials to strengthen evidence-based recommendations.
Copyright (c) 2026 selsebil laajimi, souha Saidi, farah chouchene, yamina elelmi, ahlem Baaziz https://creativecommons.org/licenses/by-sa/4.0
Influence of Brand Image and Islamic Values on Patient Loyalty in YARSI Hospital in Jakarta, Indonesia
Patient loyalty has become a critical challenge for hospitals operating in an increasingly competitive healthcare environment, particularly for faith-based institutions that integrate religious principles into service delivery. Islamic hospitals, such as YARSI Hospital in Jakarta, must not only maintain high service quality but also ensure that Islamic values are meaningfully embedded in patient care. However, empirical evidence examining how brand image and Islamic values interact with patient experience and satisfaction to influence patient loyalty remains limited. This study aims to analyze the direct influence of brand image, Islamic values, patient experience, and patient satisfaction on patient loyalty at YARSI Hospital. A mixed-methods approach with a concurrent triangulation design was employed to obtain comprehensive insights. Quantitative data were collected through structured questionnaires administered to 388 outpatients, measuring perceptions of brand image, Islamic values integration, patient experience, satisfaction, and loyalty. Multiple linear regression analysis was used to assess the relationships among variables. Qualitative data were obtained through in-depth interviews with selected patients to enrich and contextualize the quantitative findings, and thematic analysis was applied. The results demonstrate that all examined variables significantly and positively influence patient loyalty (p < 0.05). Patient satisfaction emerged as the strongest predictor of loyalty (β = 0.440), followed by brand image (β = 0.287), Islamic values (β = 0.238), and patient experience (β = 0.209). Qualitative findings corroborated these results, highlighting that the integration of Islamic values provides spiritual reassurance and strengthens emotional bonds between patients and the hospital. In conclusion, patient loyalty in Islamic healthcare settings is shaped by a combination of service quality, value congruence, and positive patient experiences. Strengthening brand image, consistently integrating Islamic values, and enhancing patient satisfaction are essential strategic priorities for sustaining patient loyalty in faith-based hospitals.
Copyright (c) 2026 Dede Yunus, Rifqatussa'adah , Yudi Amiarno, Dicky Budiman https://creativecommons.org/licenses/by-sa/4.0
Analyzing Ethical Practices of Digital Marketing in YARSI Islamic Hospital
The rapid growth of digital technology has transformed healthcare marketing in Indonesia, creating both opportunities and ethical challenges for Islamic hospitals that must uphold Sharia principles. Despite the existence of Sharia certification frameworks, the operationalization of ethical digital marketing in these institutions often remains normative, lacking detailed guidelines and systematic oversight. This study aimed to analyze the ethical implementation of digital marketing at YARSI Sharia Hospital by examining its regulatory framework, implementation process, and compliance mechanisms. A qualitative descriptive–exploratory case study design was applied, involving purposive sampling of key stakeholders including hospital management, the Sharia Ethics Committee, marketing personnel, and patients. Data were collected through semi-structured interviews, direct observation, and document analysis, followed by thematic analysis using Braun and Clarke’s framework and a complementary SWOT assessment. The findings revealed that while YARSI Sharia Hospital possesses formal Sharia certification and governance under a Supervisory Board (DPS), its digital marketing practices are constrained by insufficient human resources, limited Sharia-based training, and the absence of structured audit procedures. Approximately 65% of reviewed content adhered to Sharia ethical principles, while 35% required modification or revision. Nevertheless, the hospital benefits from leadership commitment and a supportive external environment favoring Sharia-compliant healthcare. In conclusion, although YARSI Sharia Hospital demonstrates strategic readiness for ethical and Sharia-based digital marketing, improvements are needed in capacity building, the establishment of platform-specific ethical regulations, and the institutionalization of periodic compliance audits to ensure sustainable ethical performance and competitive advantage in Islamic healthcare services.
Copyright (c) 2025 Nastain Mohammad Dunda, Edi Prasetyo, Enrico Adhitya Rinaldi, Dicky Budiman, Wahyu Sulistiadi https://creativecommons.org/licenses/by-sa/4.0
Downtime Analysis of Ultrasound Maintenance Using Failure Mode and Effects Analysis (FMEA) as a Risk‑Management Strategy in Radiology Services at YARSI Hospital, 2025
The radiology department of YARSI Hospital experienced considerable ultrasonografi equipment downtime in 2025, disrupting diagnostic continuity and decreasing patient satisfaction. This study aimed to identify the principal causes of USG downtime and to formulate risk‑mitigation strategies using Failure Mode and Effect Analysis (FMEA). A descriptive, case‑study design was adopted; data were gathered over a twelve‑month period through field observations, semi‑structured interviews with ten technicians and biomedical engineers, and review of maintenance logs containing 312 recorded incidents. The collected information was processed within the FMEA framework identifying failure modes, assigning severity, occurrence, and detection scores, and calculating the Risk Priority Number (RPN) for each mode. The analysis revealed three critical failure modes: (1) Preventive maintenance of the spare‑parts availability, (2) technician readiness, and (3) inter‑departmental communication. The spare‑parts‑availability mode obtained the highest RPN (RPN = 100), indicating it as the primary risk factor. Guided by the RPN ranking, a bundle of preventive‑maintenance actions was prioritized and scheduled before any equipment failure occurs: (i) proactive inventory management of critical spare parts, (ii) continuous competency‑building programs and certification for technicians, and (iii) implementation of a structured internal communication platform for coordinated repair activities. Modeling the projected impact of these interventions suggests a potential reduction of USG downtime by up to 40 % within the first six months, thereby improving equipment availability and overall radiology service quality. The study concludes that FMEA is an effective risk‑management tool for pinpointing critical failure factors and directing preventive‑maintenance measures, ultimately strengthening the reliability and safety of ultrasound services at YARSI Hospital.
Copyright (c) 2025 Muhammad Umar Aziz, Menaie Husna https://creativecommons.org/licenses/by-sa/4.0
Analysis of Hemodialysis Unit Costs Using the Double Distribution Approach to Enhance Hospital Profitability: A Case Study at YARSI Hospital in Jakarta, Indonesia
Chronic Kidney Disease (CKD) represents a major and growing health challenge globally and in Indonesia, with the number of patients requiring hemodialysis increasing sharply in recent years. This surge in demand places significant financial pressure on healthcare institutions, necessitating precise cost management to maintain service quality and hospital sustainability. This study aims to calculate the actual unit cost of hemodialysis at YARSI Hospital using the Double Distribution (DD) method, which provides a transparent allocation of both direct and indirect costs. Employing a quantitative descriptive case study design, data were collected from hospital financial records and service documentation for 16,789 hemodialysis sessions conducted during 2024. The DD method was applied in two stages: distributing overhead costs to intermediate cost centers, and subsequently distributing intermediate costs such as those related to pharmacy, laboratory, and medical personnel to final service centers. The analysis revealed that the unit cost of Single-Use hemodialysis was IDR 1,927,643, while Re-Use hemodialysis was IDR 1,956,284. The minimal difference between the two systems indicates that high utilization volume significantly influences cost efficiency. These findings confirm that the DD method enables hospitals to obtain a more accurate understanding of cost structures, thereby supporting evidence-based decision-making in pricing and resource management. In conclusion, implementing the Double Distribution approach can enhance cost transparency, optimize efficiency, and guide hospitals in establishing rational service rates without compromising care quality. Future research should involve multi-hospital comparisons to strengthen the generalizability of cost-efficiency models in hemodialysis services.
Copyright (c) 2025 Wendi Pradiyatmoko, Hulmansyah, Laura Mayanda, Dicky Budiman, Misbahul Munir, Danial Rasyid https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Oral Hygiene Knowledge and Oral Hygiene Status of The Elderly In The Periodontia Specialist Poly RSGM UNAIR
The objective this research aimd to ascertain the connection between understanding of oral health and actual mouth cleanliness stats of elderly patients at the Periodontics Specialist Clinic of RSGM Universitas Airlangga. An analytical survey with a cross-sectional method was used for this research. Through purposive sampling, a total of 54 individuals were selected to participate. The findings indicated that most of respondents had a middle level of knowledge regarding oral and dental hygiene, while most exhibited poor oral hygiene status. The Chi-Square test was conducted to the gathered data to examine the correlation between participants’ knowledge and their oral hygiene status. Nevertheless, the analysis revealed no significant association between understanding of oral health and actual mouth cleanliness stats among the elderly. This outcome is presumed to be due to the absence of behavioral data related to the respondents' oral hygiene practices. Consequently, it’s recommended that healthcare providers consistently offer education and counseling on oral and dental care to the elderly in order to enhance their oral health status.
Copyright (c) 2025 Nuril Hanifah https://creativecommons.org/licenses/by-sa/4.0
Analysis of Readiness Factors in Implementing the Clinical Research Unit Concept at Yarsi Hospital
This study explores the readiness factors required to implement a Clinical Research Unit (CRU) at YARSI Hospital. The research was driven by the necessity to enhance clinical research in Islamic hospitals that currently lack an integrated CRU. Utilizing a qualitative exploratory approach with a case study design, the study involved interviews, observations, and document analysis. The findings identified five key dimensions influencing CRU readiness: human resources, regulations, funding, infrastructure, and the organizational culture rooted in Islamic values. This study integrates organizational capability theory, institutional theory, and maqashid shariah principles, recommending the establishment of Indonesia's first Sharia-compliant CRU
Copyright (c) 2025 Listiyani Listiyani, Sri Wuryanti, Dicky Budiman, Chandra Yusuf, Danial Rasyid, Soroy Lardo https://creativecommons.org/licenses/by-sa/4.0
Dental caries remains one of the most prevalent oral health problems among preschool children, and inadequate parental knowledge is often identified as a major contributing factor. Despite existing preventive programs, many parents still lack sufficient understanding of proper oral hygiene practices, which may exacerbate caries risk during early childhood. This study aimed to analyze the relationship between parental knowledge of oral health and the incidence of dental caries among preschool children enrolled at PAUD and Kindergarten under the Ar-Rahman Foundation in Jombang. A quantitative, cross-sectional design was employed involving 39 parents selected through total sampling. Parental knowledge was assessed using a structured questionnaire, while children’s dental caries status was measured using the deft index following WHO guidelines. Data were analyzed using the Chi-square test with a significance level of α = 0.05. The results showed that more than half of the parents (51.3%) possessed low knowledge regarding oral health, while the prevalence of dental caries among preschool children remained high. Although descriptive patterns suggested that children of parents with lower knowledge tended to exhibit higher deft scores, statistical results (p = 0.286) indicated no significant association between parental knowledge and dental caries incidence. These findings highlight that knowledge alone may not sufficiently influence caries outcomes without being accompanied by consistent practice, behavioral reinforcement, and adequate access to oral health services. In conclusion, the high prevalence of dental caries observed in this study underscores the need for improved parental education and comprehensive health promotion strategies. Strengthening school-based oral health programs and enhancing parental involvement in preventive practices are essential to reducing the burden of caries among preschool-aged children.
Copyright (c) 2025 Heva Pratiwi, Silvia Prasetyowati, Sunomo Hadi, Imam Sarwo Edi https://creativecommons.org/licenses/by-sa/4.0
Dental and Oral Health with Periodontitis: Knowledge in Elderly T2DM in Surabaya - Indonesia
Type 2 Diabetes Mellitus (T2DM) is a chronic condition that affects various aspects of health, including dental and oral health. Diabetes and periodontitis are the most prevalent human diseases. Diabetes worsens the periodontal condition, but periodontitis also hampers glycemic control in diabetic patients. The study aimed to analyze the relationship between knowledge of oral health maintenance and the incidence of periodontitis among elderly patients with Type 2 Diabetes Mellitus (T2DM) at the Tanah Kalikedinding Health Center, Surabaya. The cross-sectional study involved 46 elderly participants diagnosed with T2DM. Data were collected using a dental and oral health maintenance knowledge questionnaire and the Community Periodontal Index of Treatment Needs (CPITN). The majority of respondents were women (73.9%) aged 60-70 years (91.3%), with most having only a junior high school education (47.8%). Knowledge levels were generally low, with 54.35% of respondents classified as having poor knowledge. Most respondents (80.4%) had severe periodontitis, as indicated by CPITN scores. The Pearson correlation test revealed no significant relationship between knowledge levels and CPITN scores (r = -0.134, p = 0.374), suggesting that knowledge about dental and oral health maintenance does not significantly influence the incidence of periodontitis in this sample. The findings highlight the need for comprehensive interventions to improve dental and oral health among elderly T2DM patients, focusing not only on increasing knowledge but also improving access to dental care and promoting healthy lifestyle practices. These efforts are essential to reducing the prevalence of severe periodontitis in this vulnerable population.
Oral Health, Periodontitis, Elderly Type 2 Diabetes
Copyright (c) 2025 Dyah Kartika https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Dental Joyful Learning Videos on Oral Health Knowledge in Children with Intellectual Disabilities in Paedagogia Special School in Surabaya
Children with intellectual disabilities often experience substantial challenges in understanding and performing effective oral hygiene practices, which contributes to a disproportionately high prevalence of dental caries and unmet dental treatment needs. Limited cognitive abilities, reduced motor skills, and low health literacy further hinder their ability to maintain proper oral hygiene. Addressing these gaps requires educational approaches that are accessible, engaging, and tailored to their learning characteristics. This study aimed to evaluate the effectiveness of the Dental Joyful Learning video a short animated educational intervention on improving oral health knowledge among students with intellectual disabilities at SLB Paedagogia Surabaya. A quasi-experimental design with a one-group pretest–posttest approach was employed involving 20 students who met the inclusion criteria. Participants completed a structured Guttman-scale questionnaire before and after a single 3-minute video intervention. Data were analyzed descriptively and statistically using the Wilcoxon signed-rank test to determine changes in knowledge. The findings demonstrated a marked improvement in oral health knowledge following the intervention. Prior to the video exposure, 75% of participants fell within the poor knowledge category, with an average score of 34%. After the intervention, 80% of participants reached the good category, with the mean score rising significantly to 83%. The Wilcoxon test yielded a p-value of 0.000 (<0.05), confirming a statistically significant increase in knowledge. In conclusion, the Dental Joyful Learning video proved effective in enhancing oral health knowledge among children with intellectual disabilities. The use of concise, visually engaging, and cognitively appropriate audiovisual media can serve as a practical and impactful educational strategy in special-needs settings. This study highlights the value of tailored digital health education tools in promoting better understanding and supporting preventive oral health behaviors in this vulnerable population.
Copyright (c) 2025 Syaima Istikhamah, Ratih Larasati, Imam Sarwo Edi, Ida Chairanna Mahirawatie https://creativecommons.org/licenses/by-sa/4.0