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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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
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 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
Development of Smart Toothbrush (VIT-Brush) To Improve Toothbrushing Behavior of Visually Impaired Children
Children with visual impairments are a group that requires special services related to motor skills. Sensory impairments in children with visual impairments can affect their ability to imitate movements, causing difficulties in understanding and mastering dental and oral hygiene techniques. Therefore, a smart toothbrush (VIT-Brush) with a multisensory approach based on movement, vibration, and audio was developed as an alternative. Developing a Smart Toothbrush (VIT-Brush) that is feasible and effective in improving tooth brushing behavior and reducing debris index scores in visually impaired children. Research and Development (R&D) method using the application of quasi experiment pre-post test with control group design. The research subjects were 32 parents and blind children and 24 teachers, divided into intervention groups using Smart Toothbrush (VIT-Brush) and control groups using conventional toothbrushes, for 21 days. Independent variable Smart Toothbrush (VIT-Brush), intermediate variable of parents' and teachers' tooth brushing behavior, dependent variable of tooth brushing behavior, and debris index score of visually impaired children. Feasibility test analysis using Aiken's V and ICC, effectiveness test using paired t-test, Wilcoxon, independent t-test, Mann-Whitney, and linear regression. A smart toothbrush (VIT-Brush) has been developed based on the characteristics and inclusiveness of visually impaired children that is validated and feasible to implement with a V value = 0.941 very high validity category and high reliability with a value of 0.776 (p=0.000). The results of the application of smart toothbrush (VIT-Brush) are more effective in increasing knowledge (p=0.000), attitudes (p=0.000) and tooth brushing actions (p=0.000) and reducing the debris index score with a value of (p=0.000) compared to the use of conventional toothbrushes. Produced a Smart Toothbrush (VIT-Brush) that is feasible and effective in improving tooth brushing behavior as measured by knowledge, attitudes and actions and reducing the debris index score of visually impaired children.
Smart toothbrush (VIT-Brush), Tooth brushing behavior, Visually impaired children
Copyright (c) 2025 Aprilinda Pipit Ruswita https://creativecommons.org/licenses/by-sa/4.0
Comparison Of Fixation Using NBF 10% and Honey 13% with Time Variation On Mice Heart Histology Preparations Using Hematoxylin Eosin Staining
The fixation stage is the initial stage of making histopathology preparations whose role is to maintain the cell structure of the tissue so that it is like living tissue and prevent tissue damage, thus facilitating the process of macroscopic and microscopic analysis. The fixative solution that is often used for standard preservation in anatomical pathology laboratory examinations is Neutral Buffered Formalin (NBF) 10%, which has the advantage of a pH that is close to neutral and effective in fixing soft tissue for 12-24 hours. However, NBF 10% is carcinogenic and has high toxicity. There is a natural fixative solution, honey, which contains fructose and glucose and has an acidic pH that has antimicrobial, antioxidant and antiautolysis properties. In addition, honey has also been widely used as a preservative because it is easily available, affordable, and without toxicity effects. The purpose of this study was to determine the comparison of the quality of histology preparations of mice heart tissue fixed with 10% NBF and 13% honey with time variations. This research is a type of laboratory experimental research conducted in November 2024-April 2025. The sample used is the heart of healthy male mice. The number of sample preparations used was 27 sample preparations. Data analysis through scoring and statistically processed using non-parametric Kruskal-Walis test, if there is a difference followed by Mann-Whitney test. The results showed that fixation with 13% honey solution with a time variation of 24 hours has the same comparison of preparation quality results with 10% NBF solution for 24 hours. Based on the Mann-Whitney test, the result is 0.018 (p < 0.05) for 13% honey solution for 12 hours and 0.634 (p > 0.05) for 13% honey solution for 24 hours. It can be concluded that fixation with 13% honey solution for 24 hours is effective as an alternative fixation solution with natural ingredients that are safe in fixing tissues
Copyright (c) 2025 Amirah Putri Zerlina, Dr. Juliana Christyaningsih, Ir, M.Kes https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Diet Patterns and Dental Caries in Preschool Children: Study at Muslimah Nu Islamiyah Kindergarte, Taman Sidoarjo
Dental caries is still a common problem, especially in children under 6 years old. Diet is a way of regulating the type and amount of food to maintain nutrition, prevent disease and maintain a healthy body. In August 2024, researchers conducted dental examinations on 10 children at the Muslimah NU Islamiyah Taman Sidoarjo Kindergarten and all had dental caries with an average def-t of 4.6. The aim is to determine whether there is a relationship between diet and dental caries in preschool children at Muslimah NU Islamiyah Taman Sidoarjo Kindergarten. This study used a quantitative method with a Cross Sectional research design. A total of 36 respondents were selected according to the specified criteria. he results showed that the value (p-value 0.001 <0.05). Data were collected through dental caries examination forms and dietary pattern questionnaires. Data analysis using the chi-square test. The results showed that there was a relationship between diet and dental caries in preschool children at Muslimah NU Islamiyah Kindergarten Taman Sidoarjo in 2025.
Copyright (c) 2025 tokmans_18 afif https://creativecommons.org/licenses/by-sa/4.0
Difference in quality of preparates of mice kidney histology using xylol and sunflower oil (Helianthus annuus) on deparafinization processes
ematoxylin-Eosin staining begins with deparaffinization. Deparaffinization aims to remove the remaining paraffin in the tissue and xylol is a commonly used deparaffinization material but the use of xylol has a bad impact on health and also the environment because of its toxic nature besides the price of xylol is relatively more expensive. A more natural material that is not harmful to the body and the environment is needed as an alternative to xylol. Sunflower oil is a type of vegetable oil that contains oleic acid. The oleic acid content in sunflower oil has a chain of carbon atoms that is non-polar and water insoluble so that it can dissolve paraffin which is non-polar and hydrophobic. This study was conducted at Faculty of Veterinary Medicine Airlangga University, Veterinary Farm Center and the Cytohistotechnology Laboratory of the Medical Laboratory Technology Department of the Surabaya Ministry of Health Polytechnic also this study was conducted from January - May 2025. which examined the differences in the quality of mice kidney histology preparations using xylol and sunflower oil in the deparaffinization process with experimental research methods and the sample size obtained using the federer formula was 24 preparations and divided into 4 groups including xylol, sunflower oil at 50oC for 5 minutes, 10 minutes and 15 minutes. The data were statistically processed with the Kruskal Wallis non-parametric test and the results showed that Ho was accepted (P = 0.350) so it can be concluded that there is no significant difference between the preparations deparafinitation with sunflower oil and xylol in hematoxylin eosin
Copyright (c) 2025 adin bhagawanti poernomo, juliana christyaningsih https://creativecommons.org/licenses/by-sa/4.0
Determinants Affecting Menopause at Kamboja Posyandu, Tambakmas Village, Indonesia
Background: Menopause generally occurs in women aged 45–55 years. Various factors influence the age of menopause, including the possibility of early onset (premature menopause). Menopause has a significant impact on women's quality of life, ranging from physical changes and psychological disturbances to an increased risk of degenerative diseases such as osteoporosis and heart disease. This study aims to analyze the determinants influencing menopause among women aged 40–60 years at the Kamboja Posyandu in Tambakmas Village. Methods: This is a quantitative study using an analytic survey approach with a cross-sectional design. The population consisted of 200 women aged 40–60 years at the Kamboja Posyandu, from which a sample of 134 women was selected using proportional simple random sampling. Independent variables included age, genetics, lifestyle, general health, medical interventions, and environmental exposure. The dependent variable was menopause status. Data were collected using an interview questionnaire and analyzed using multinomial logistic regression with a 95% confidence level and a significance threshold of α = 0.05. Results: The findings indicate that increasing age, a family history of early menopause, unhealthy lifestyle, medical interventions, and environmental exposure significantly increase the likelihood of experiencing menopause. Analysis showed that five out of the six independent variables—age, genetics, lifestyle, medical interventions, and environment—had a statistically significant influence on menopause (p < 0.05). General health did not show a significant association with menopause (p = 0.840). Conclusion: The study concludes that the occurrence of menopause among women aged 40–60 years in the study area is influenced by a combination of age, genetic factors, lifestyle, medical interventions, and environmental conditions. These findings can serve as a basis for designing more targeted community-based intervention strategies, particularly in the form of menopause health education for healthcare workers and policymakers. The study is expected to serve as a reference to enhance women’s awareness and preparedness in facing the menopausal transition in a healthy and informed manner.
Copyright (c) 2025 Tigor Maylani, Suparji, Astin Nur Hanifah, Agung Suharto https://creativecommons.org/licenses/by-sa/4.0
Evaluating Commercial Control Materials and Homemade Lyophilisates Quality in Kidney Function Test with Sigma Metric
This study aims to determine the quality of commercial control materials and homemade lyophilisates using the sigma metric method for BUN and creatinine parameters in a primary clinical laboratory. This cross-sectional study conducted 20 examinations on both types of control materials. The results showed that for the BUN parameter, homemade lyophilisates had a sigma value of 1 (unacceptable), while the commercial control material had a sigma value of 2 (poor). For the creatinine parameter, both homemade lyophilisates and commercial control materials had a sigma value of 3 (marginal). There was a significant difference in quality between commercial control materials and homemade lyophilisates for the BUN parameter, so homemade lyophilisate cannot be used as an alternative to commercial control materials. However, for the creatinine parameter, there was no significant difference in quality between the two control materials, so homemade lyophilisates can be used as an alternative to commercial control materials. Thus, this study shows that homemade lyophilisates can be an effective and economical alternative for creatinine parameters, but not for BUN parameters. This research can help primary clinical laboratories to develop more effective and efficient quality control strategies.
Sigma metric, Commercial control, Homemade lyophilisates, BUN, Creatinine.
Copyright (c) 2025 Alifa Christin , Alifa Christin , Anik Handayati https://creativecommons.org/licenses/by-sa/4.0
The Influence of Education Using The Android Based Mom Smile Application on Pregnant Women’s Knowledge About Pregnancy Gingivitis
Pregnant women are highly vulnerable to oral and dental diseases during pregnancy, one of which is gingivitis. Problem: The high incidence of pregnancy gingivitis among pregnant women.This study aims to determine the impact of education using the Android-based Mom Smile application on pregnant women’s knowledge about pregnancy gingivitis at Gayam Public Health Center.Research Method: This is a quasi-experimental study using a one-group pretest-posttest design. Data were collected through questionnaires, and the study involved 32 pregnant women who visited Gayam Public Health Center. The Wilcoxon test was used for data analysis.Results: The study indicated that the average knowledge score of pregnant women before receiving education through the Mom Smile application was 54.68%, which increased by 28.60%, resulting in a post-education average score of 83.28%.This suggests that education delivered through the Mom Smile application has a positive effect on increasing pregnant women’s knowledge about pregnancy gingivitis.
Knowledge, Pregnancy Gingivitis, Pregnant.
Copyright (c) 2025 Nabila safir safir https://creativecommons.org/licenses/by-sa/4.0
Relationship Between Waist-Hip Ratio (WHRC) And Prementrual Syndrome (PMS)
Premenstrual Syndrome (PMS) is a common health problem experienced by adolescent girls, characterized by physical, emotional, and psychological symptoms related to the menstrual cycle. Waist-to-Hip Circumference Ratio (RLPP), which is a comparison between waist circumference and pelvis, is thought to play a predictive role in the incidence of STDs. This study uses an observational analytical design with a cross sectional approach. A simple random sampling sample was taken from 140 respondents. RLPP is measured directly, while PMS is assessed using the Shortened Premenstrual Assessment Form (SPAF) questionnaire. Data analysis was carried out by Chi-Square test. Most of the respondents with normal RLPP experienced mild PMS (65 female students), while the majority of respondents with high RLPP experienced moderate PMS (25 female students). The results of the statistical test showed a value of p = 0.000, indicating a significant relationship between RLPP and PMS. There is a meaningful association between RLPP and the incidence of PMS. RLPP above normal limits not only reflects the risk of metabolic syndrome, but is also associated with reproductive and emotional health disorders in adolescents. Promotive interventions such as increased physical activity, healthy diets, and monitoring of nutritional status are important to be implemented in educational and family settings.
waist-to-hip circumference ratio (RLPP); premenstrual syndrome (PMS)
Copyright (c) 2025 Afitsya Afitsya Salsa Ayudi, Teta Teta Puji Rahayu, Agung Agung Suharto, Nuryani Nuryani https://creativecommons.org/licenses/by-sa/4.0
The Relationship of Husband Support with Unmet Need Family Planning in Couples of Childbearing Age
Unmet need is a condition where women of reproductive age (WUS) are sexually active but do not use contraception. In 2024, Terung Village recorded an unmet need rate of 11.31%. This condition poses a risk to population control efforts. One contributing factor is the level of husband support. This study aims to analyze the relationship between husband support and unmet need incidence in WUS in Terung Village. The research used an observational, cross-sectional design with 163 respondents selected through simple random sampling. Husband support served as the independent variable, while unmet need was the dependent variable. Data were collected using questionnaires and open interviews, and analyzed using the Chi-Square test.Results showed that 30.1% of WUS experienced unmet need, primarily among women over 35 years old, with elementary education, as housewives, having more than one child, and middle-income status. WUS without husband support had a higher unmet need rate (45.2%) compared to those with full support (10%). The Chi-Square analysis indicated a significant relationship between husband support and unmet need (p = 0.000; α = 0.05). The novelty of this study lies in the considerable disparity in unmet need based on the presence or absence of husband support. Findings emphasize the importance of involving men in family planning decisions, suggesting the need for community-based education to enhance husband participation in contraceptive use.
husband support; unmet needs; family planning
Copyright (c) 2025 Aqila Fahru Sidqia, Tinuk Esti Handayani, Sunarto, Astuti Setiyani https://creativecommons.org/licenses/by-sa/4.0
Knowledge about Maintaining Dental and Oral Hygiene with Dents in the Box Media for Deaf Students in 4-6 Grades at SLB B Karya Mulia Surabaya
Maintaining oral and dental hygiene is an important thing for the whole community, especially for vulnerable groups such as deaf children. However, deaf children have difficulty receiving and absorbing information about maintaining oral hygiene due to hearing impairments, which affects their level of understanding. Deaf children have a condition of debris index status in the poor category. This study aims to determine differences in knowledge about maintaining dental and oral hygiene before and after using Dents in the Box media among deaf students in 4-6 grades at SLB B Karya Mulia Surabaya. This research uses a Quasi Experimental type of research: One-Group Pretest-Posttest Group Design with a target number of 28 deaf students. Pre-test and post-test data were collected through questionnaire sheet instruments. The data analysis technique uses the Wilcoxon Test. The results of this study show that there is a difference in knowledge about maintaining dental and oral hygiene before and after using Dents in the Box media among deaf students in 4-6 grades at SLB B Karya Mulia Surabaya. The level of knowledge of deaf students is in the good category after using Dents in the Box media.
Copyright (c) 2025 Izzakiya Chalida Zain, Silvia Prasetyowati, Sri Hidayati, Bambang Hadi Sugito https://creativecommons.org/licenses/by-sa/4.0
Knowledge of Maintaining Dental and Oral Hygiene Using Grodio Dental Box Media for Blind Students in III-VI Grades at SLB A YPAB Surabaya
Maintaining dental and oral hygiene is something important to do, especially for children with special needs such as blind people. However, blind children often find it difficult when they want to get information about maintaining dental and oral hygiene. The oral hygiene status of blind students is categorized as poor. This study was conducted to assess whether there are significant differences in knowledge regarding oral hygiene maintenance before and after counseling using the Grodio Dental Box media. This research uses a Quasi Experiment type of research: One-Group Pretest-Prosttest. The population in this study were 20 blind students. The data collection instrument used was a questionnaire sheet which was distributed before and after the counseling. The data analysis technique was tested using the SPSS data processing application with the Wilcoxon Test. The results of data analysis in this study using the Wilcoxon test showed that the Asymp Sig (2-tailed) value was 0.001 < 0.05, indicating that there is a difference in knowledge of dental and oral hygiene maintenance before and after using Grodio Dental Box media among blind students in grades III-VI at SLB A YPAB Surabaya. The level of knowledge of blind students after using Grodio Dental Box media is in the good category
Copyright (c) 2025 Fidinova Ika Putri Sang'adji https://creativecommons.org/licenses/by-sa/4.0
The Illness perception in patients with diabetes mellitus based on characteristics: cross-sectional study
Disease perception is a factor that affects self-care practices, psychological distress, and other health outcomes in people living with diabetes mellitus (DM). A positive perception of the disease can affect the patient's self-care and health status. This study aims to determine the correlation between characteristic factors and illness perception in patients with DM. This study was correlational research with a cross-sectional approach. The sample size was 175 adult patients with DM recruited from 4 health centres in Surabaya in July–August 2024 using a simple random sampling technique. Data analysis uses linear regression with a significance level of 0.05. This study shows that most (59.42%) patients with DM have a high illness perception. The factors that had a positive correlation with illness perceptions were age (p=0.021), disease history (p=0.027), and comorbidity (p=0.023). Age, disease history, and comorbidities are factors that are positively correlated with illness perception. This must be vigilance for patients at risk of DM, so they are conditioned to perceive the disease positively. As part of health workers, nurses must provide continuous education and counselling about patients' diseases
Comorbidity, Diabetes Mellitus, Illness Perception, Self Care
Copyright (c) 2025 Anita Joeliantina https://creativecommons.org/licenses/by-sa/4.0
Identifying Purine Intake Among People with Gout and Its Relationship with Uric Acid Level: A Cross-Sectional Study
Gout was still one of the chronic disease trends suffered by the community which was characterised by elevated uric acid levels. This condition is closely related to lifestyle, namely the consumption of purine-rich foods. However, there were not studies that discovered the relationship between purine-rich food intake with elevated uric acid levels. This study aims to analyse the relationship between purine-rich food intake with elevated uric acid levels. This study used a correlational design with a cross-sectional approach. The population was the community in village "x" who suffered from gout with a total of 70 people. From them, 66 people were selected as participants who met the inclusion criteria through a purposive sampling method. The instrument used was a questionnaire for the variable of purine-rich food intake and uric acid test with a GCU meter. The results showed that there was a strong positive correlation between purine-rich food intake with elevated uric acid levels (p = 0,000; r = 0,567), this is evidenced by the fact that the majority of participants with high uric acid levels had a history of consuming purine-rich foods exceeding the daily tolerance limit, whereas low or normal uric acid levels were found in participants with a history of consuming high purine foods below the threshold or even not consuming purine-rich foods. These results indicated that consuming purine-rich foods could have a significant impact on elevated uric acid levels, so it was necessary to reduce or limit daily purine food intake.
Copyright (c) 2025 Yusron Amin, Haswita Haswita https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Audiovisual Media vs Leaflets in Improving Mothers' Knowledge of Diphtheria in Toddlers in Mojo Health Center, Surabaya
Diphtheria is a contagious disease that can lead to airway obstruction and death. Maternal knowledge about diphtheria is crucial for preventing the disease, and health education is essential in increasing this knowledge. This study aims to compare the effectiveness of health education through audiovisual media and leaflets in improving maternal knowledge about diphtheria in children under five years of age in the working area of Mojo Health Center, Surabaya.This research used a quasi-experimental design with a two-group pretest-posttest approach. The sample consisted of 198 mothers of children aged 1-5 years at Posyandu Kartini 12 Jojoran, selected through cluster random sampling. The independent variables were the type of health education delivered through audiovisual media and leaflets, while the dependent variable was maternal knowledge regarding diphtheria, measured using a questionnaire. The data were analyzed using the Wilcoxon and Mann-Whitney tests. The mothers' knowledge before receiving health education using audiovisual media was mostly inadequate 60%. However, after the education, there was a significant improvement, with 76% showing good knowledge, with a p-value of 0.000. Similarly, before health education using leaflets, the majority 58% had inadequate knowledge, but after the education, most 59% showed sufficient knowledge, with a p-value of 0.000, as analyzed using the Wilcoxon test. The results showed that audiovisual media was more effective in improving mothers' knowledge compared to leaflets, with a p-value of 0.000 in the Mann-Whitney test. Health education using audiovisual media and leaflets significantly improves maternal knowledge. Audiovisual media proved to be more effective in enhancing maternal knowledge about diphtheria in children under five years of age at Mojo Health Center, Surabaya.
Copyright (c) 2025 Enung Mardiyana Hidayat, Zakiyyatus Salsabilah, Miadi, Adin Mu`'afiro https://creativecommons.org/licenses/by-sa/4.0
Effect Of Snake Ladder Media Health Education On Behavioral Improvement In PHBS In Elementary School Students
Clean and Healthy Living Behavior (PHBS) is an important indicator in the achievement of health as stated in the Sustainable Development Goals (SDGs) 2015-2030 program. However, the implementation of the PHBS program in the community is still not optimal. One effective educational method is to use snake and ladder media. This study aims to analyze the influence of snake and ladder media on improving PHBS behavior in elementary school children. This study uses a quasi-experimental design with a one group pre-test post-test with control group design. Sampling using the Simple Random Sampling Technique, the sample consisted of 52 students in grades 3-6. The independent variable is health education using snake and ladder media, while the dependent variable includes knowledge, attitudes, and actions. The research instruments include snake and ladder boards, questionnaires, and observation sheets. Data analysis used the Wilcoxon test and the Mann-Whitney test with a value of α<0.05. The results of the study showed an increase in knowledge, attitudes, and actions in PHBS, with a p-value of <0.001 (α<0.05) each, meaning that there was an influence of snake and ladder media health education on knowledge, attitudes, and actions in PHBS. In addition, there were differences in knowledge, attitudes, and actions between the intervention and control groups with a p<0.001 value. This shows that education using snake and ladder media is effective in improving PHBS behavior in elementary school children
Copyright (c) 2025 Shofiatuz Zahro, Sri Utami, Rini Ambarwati, Miadi https://creativecommons.org/licenses/by-sa/4.0
Effect of Health Education Using Audiovisual Media on Increasing Adolescent Knowledge in Preventing Vape Use at SMPN 6 Surabaya
ABSTRACT Teenagers are vulnerable to smoking habits, including the trend of using vapes which is attractive because of its various flavors and designs. However, vaping is at risk of causing lung disease, heart disease, brain development disorders, and nicotine addiction. Prevention is carried out by increasing adolescent knowledge through health education using audiovisual media . This study is a quasi-experimental study with one group pretest-posttest design, the research population was adolescents at SMPN 6 Surabaya. The research sample was 186 adolescents with random sampling technique. Data collection using a questionnaire on the level of knowledge, attitudes, and actions while data analysis using the Wilcoxon test . The results of the study of knowledge before being given health education showed that adolescents had sufficient behavior in preventing vape use . While knowledge after being given health education showed that adolescents had good knowledge in preventing vape use . There is a significant difference between adolescent knowledge in preventing vape use before and after being given education with audiovisual media. This should be the main focus of health workers who of course need to be assisted by schools and families in providing education regarding the dangers of vape use for adolescents. Likewise, adolescents are expected to become individuals who are more aware of the importance of maintaining health and are able to make decisions. KEYWORDS Health Education, Audiovisual Media, Knowledge Level, Prevention of Vape Use , Adolescents
Copyright (c) 2025 Zhafilla Claudia, Siti Nur Kholifah, Irfany Nurul Hamid Luthfiyah, Joko Suwito Luthfiyah https://creativecommons.org/licenses/by-sa/4.0
Audiovisual and Roleplay Education Improves Hand Washing Knowledge and Skills in School-Age Children
Hand washing with soap is essential in preventing infections among school-aged children. Engaging educational methods such as audiovisual media and roleplay can improve children's knowledge and skills in proper hand hygiene. This study aimed to compare the effectiveness of audiovisual and roleplay-based education on hand washing knowledge and skills. A quasi-experimental design with a two-group pre-test post-test was conducted on 48 students at MINU Lumpur Gresik, selected by simple random sampling. Results showed significant improvement in both groups after the intervention (p < 0.05). Audiovisual education improved knowledge, while roleplay enhanced practical skills. No significant difference was found between the two methods overall. Both methods are effective in promoting hand washing behavior among children. This implies that either method can be integrated into school health programs to support hygiene education.
Copyright (c) 2025 Maulidya Aisyah Kusuma Dewi, Indriatie, S.Kp., M.M.Kes., Sari Luthfiyah, S.Kp.,M.Kes., Dr. Joko Suwito, S.Kp., M.Kes. https://creativecommons.org/licenses/by-sa/4.0
The Effect of the Combination of Dysmenorrhea Gymnastics and Warm Compresses with Warm Water Zak on Reducing the Intensity of Dysmenorrhea Pain
A common problem experienced by almost all women of childbearing age is dysmenorrhea. This is caused by hormonal changes as well as factors such as unhealthy lifestyle, smoking, and family history. The conjunction of dysmenorrhea gymnastics and warm compresses has been demonstrated to effectively reduce the intensity of pain. This study seeks to investigate the impact of the combination of dysmenorrhea gymnastics and warm compresses alongside Warm Water Zak (WWZ) on alleviating the intensity of dysmenorrhea pain among level 4 students enrolled in the Bachelor of Applied Nursing program. The research methodology employed was quasi-experimental, utilizing a pretest-posttest design paired with a nonequivalent control group design. Sampling was conducted through probability sampling, specifically employing the simple random sampling method, resulting in a total of 32 samples distributed across four groups. The research instruments utilized included a Numeric Rating Scale (NRS) pain questionnaire, Standard Operating Procedures (SOP) for dysmenorrhea gymnastics and warm compresses with WWZ, observation sheets, and informational leaflets. The statistical assessment of normality was performed using the Shapiro-Wilk test wilk. A multivariate analysis was conducted employing the One-Way ANOVA Test and Bonferroni's post hoc test. The results of the One-Way ANOVA test indicate a significance value of 0.000, which is less than 0.050. Furthermore, the Bonferroni post hoc test results reveal a significant difference (p < 0.05) across several groups. This finding demonstrates that the combination of dysmenorrhea gymnastics and warm compresses with warm water zak (WWZ) has a notable effect on reducing the intensity of dysmenorrhea pain among level 4 students of the Bachelor of Applied program Nursing.
Copyright (c) 2025 Minarti, Nurmalaya Farzana Silmi, Sari Luthfiyah, Joko Suwito https://creativecommons.org/licenses/by-sa/4.0
Effect of Animated Video Education on Knowledge and Compliance of Fe Tablet Consumption in the Prevention of Anemia in Adolescents
Anemia is a major health problem in adolescent girls that can have an impact on learning achievement, productivity, and overall health. One of the interventions carried out to reduce the prevalence of anemia is the administration of blood supplement tablets (TTD). However, the compliance rate of TTD consumption among adolescent girls is still low. This study seeks to examine the impact of educational interventions utilizing animated video media on the awareness and adherence to Fe tablet consumption for the prevention of anemia among adolescent girls at SMP Negeri 3 Bojonegoro. The research employs a pre-experimental methodology characterized by a one-group pre-test post-test design. The sampling technique implemented was cluster sampling, with a total of 55 adolescents serving as participants. The results showed that education with animated video media significantly increased knowledge and compliance with TTD consumption with a p-value of 0.000 and 0.004. Before being educated, most of the respondents had a low level of knowledge and compliance with TTD consumption. After being educated, there was an increase in the knowledge aspect by 69% and an increase in the compliance aspect by 62%. Thus, education using animated video media has proven to be effective in increasing the knowledge and adherence of young women to TTD consumption and can be used as a good learning medium for young women at junior high school age. While the findings are promising, the single-group design and limited setting highlight the need for future studies using more rigorous experimental methods and broader population coverage.
Copyright (c) 2025 Nadifa Salsa Andriyani, Siti Nur Kholifah, Sari Luthfiyah, Dwi Adji Norontoko https://creativecommons.org/licenses/by-sa/4.0
Automated Detection of Histological Hallmarks in Frontotemporal Lobar Degeneration Using Deep Learning
Frontotemporal lobar degeneration (FTLD) is a progressive neurodegenerative disease marked by distinct histological hallmarks, including Pick bodies. Manual identification is time-consuming, subjective, and requires expert neuropathologists. This study developed a convolutional neural network (CNN) for the automated detection of Pick bodies in histological images of FTLD. The model achieved 86.3% accuracy, 89.0% recall, and 0.91 ROC AUC, demonstrating its potential for objective and scalable identification of FTLD-related histopathological features, with applications for clinical diagnosis. Inference time per image was 0.042 seconds. Pixel density analysis revealed a significant difference between positive (mean 59.8) and negative (mean 47.3) regions. These findings support the feasibility of deep learning in neuropathology, enabling objective and scalable identification of FTLD-related changes. This approach offers potential for clinical integration, accelerated diagnosis, and expansion to other neurodegenerative disorders.
Copyright (c) 2025 Salma Abdel Wahed, Mutaz Abdel Wahed https://creativecommons.org/licenses/by-sa/4.0
An Analysis of the Effectiveness of Abdominal Stretching and Effleurage Massage in Alleviating Dysmenorrhea Among Female Adolescents at Muhammadiyah 10 Senior High School Surabaya
Dysmenorrhea is a common menstrual pain complaint experienced by adolescent girls and can interfere with learning activities and overall quality of life. The management of dysmenorrhea encompasses not only pharmacological interventions but also non-pharmacological strategies, which are regarded as safer alternatives with minimal adverse effects. Among such approaches, physical therapy including abdominal stretching and effleurage massage has garnered attention. This study aims to evaluate the efficacy of abdominal stretching and effleurage massage in alleviating dysmenorrhea among adolescent girls. The research design employed was a pre-experimental method utilizing a two-group pretest-posttest framework, consisting of two intervention groups without a control group. A total of 32 female students from Muhammadiyah 10 Senior High School Surabaya who experienced dysmenorrhea were selected using purposive sampling. The results showed a significant decrease in pain scale before and after the intervention in both groups. The group receiving effleurage massage showed a faster reduction in pain intensity compared to the abdominal stretching group. The average pain scale after treatment decreased significantly in both groups. Respondents reported feelings of relaxation and comfort after the intervention. No side effects were found during or after the therapy. Effleurage massage yielded more effective results in a shorter time. In conclusion, abdominal stretching and effleurage massage are effective in reducing dysmenorrhea in adolescent girls. These therapies can serve as safe and practical non-pharmacological treatment alternatives. This study is expected to be a reference for healthcare professionals and educators in providing education and holistic management of menstrual pain in adolescents.
Copyright (c) 2025 Rifania Fathmala https://creativecommons.org/licenses/by-sa/4.0
Effect Of Rheumatic Exercises On Pain Levels In Rheumatic Patients In The Working Area Of Kalijudan Public Health Center Surabaya
Rheumatism is a condition marked by joint inflammation, swelling, and pain, often causing limitations in daily activities and decreasing productivity. Prolonged symptoms, especially over 10 years, may lead to joint damage, making patients reliant on others and impacting their social and economic functioning. This study aims to examine the effect of rheumatic exercises on pain levels among rheumatic patients in the Kalijudan Public Health Center area, Surabaya. The research employed a pre-experimental one-group pretest-posttest design involving 31 participants selected through purposive sampling. Rheumatic exercises were the independent variable, while pain levels were the dependent variable, measured using the Numeric Rating Scale (NRS). The data were analyzed using the Wilcoxon test with a significance level set at p<0.05. The results showed a Wilcoxon test value of 0.000, indicating a statistically significant difference in pain levels before and after the intervention. These findings demonstrate that rheumatic exercises effectively reduce pain in rheumatic patients. The study concludes that implementing rheumatic exercise programs can be a beneficial non-pharmacological intervention to manage pain in patients with rheumatism, particularly in community health settings like the Kalijudan Public Health Center.
Rheumatic Exercises, Pain, Rheumatism, NRS
Copyright (c) 2025 Rindi Antika Putri, Mohammad Najib, Irfany Nurul Hamid, Sari Luthfiyah https://creativecommons.org/licenses/by-sa/4.0
The Effect Of Hydrotherapy (Drinking Water) On The Reduction Of Blood Glucose Levels In Type 2 Diabetes Mellitus Patients
a chronic metabolic illness marked known as type 2 diabetes mellitus (DM) is characterised by persistent hyperglycemia brought on by either insulin resistance or inadequate insulin production. This study examines the effect of hydrotherapy—specifically the daily consumption of plain water—on blood glucose levels in individuals with DM. Utilizing a one-group pretest-posttest pre-experimental design, 51 randomly selected participants consumed 1.5 liters of plain water each morning for seven consecutive days, no later than 15 minutes before breakfast. The study aims to evaluate water intake as a potential supportive intervention in managing blood glucose. Data examined with the Wilcoxon Signed Rank Test showed a substantial drop in blood glucose levels following the hydrotherapy session (p-value = 0.000 < α = 0.05). The outcomes of this study show that the incorporation of plain water consumption within the framework of hydrotherapy demonstrates a significant potential in minimizing blood glucose levels among individuals diagnosed with type 2 DM. This suggests that hydrotherapy, when complemented by adequate water intake, may serve as an effective, non-pharmacological intervention for managing glycemic control in diabetic patients. As such, it may serve as an independent nursing intervention to help prevent complications associated with the condition.
Copyright (c) 2025 Endang Soelistyowati, Mohammad Najib, Nur Hasanah, Dilla Illiyin Saffanatul Hikmih https://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Puppetry in Delivery Oral Health Education Among Preschool Children
Dental caries affects 60-90% of children globally. 70% of children suffer from dental caries in Malaysia. Early childhood oral education is crucial to lifelong oral hygiene habits. Traditional educational methods may not capture the attention and interest of preschool children. Thus, puppetry can be an engaging and creative learning tool to enhance comprehension and retention of oral health messages among preschool children. We aim to inculcate oral health knowledge among preschool children. A cross-sectional study was conducted at Ar Rayyan Integrated Smart Caliph Melaka, Malaysia, among 51 preschool children aged 4 to 6 years old using the purposive sampling method. A questionnaire was used to identify the oral health knowledge score in 4 intervals (before and after on day 1, day 7, and day 14). A live puppet show was performed on day 1 after the pre-test questionnaire was completed, followed by a video recording of the puppet show played daily for the preschool children after day 1 till day 14. Results showed significant improvement of mean oral health knowledge scores of 2.71 and 3.53 (pre- and post-test) on day 1 with a p-value of <0.0015. Subsequently, the mean knowledge score was 4.00 on day 7 and 4.27 on day 14. All five knowledge areas showed sustained improvement (p<0.001) over the spaced time. This indicates promising retention of oral health messages. Puppetry proved effective in the delivery and retention of oral health knowledge of preschool children. The significant and sustained increase in mean knowledge scores highlights its potential as an innovative tool in early childhood oral health education.
Copyright (c) 2025 Mai Ting Seah, Manreenajit Kaur https://creativecommons.org/licenses/by-sa/4.0
The Effect of Tahajud Prayers on the EQ (Emotional Quotient) of New Santriwati at At-Tauffiqiyah Islamic Boarding School Sumenep
New students at boarding schools often experience culture shock which can affect their EQ (Emotional Quotient). Tahajud prayer as a sunnah worship is believed to have an influence on increasing EQ (Emotional Quotient) through deeper spiritual habituation. A new santri who makes tahajud prayer a routine worship will have a good EQ (Emotional Quotient). In line with the purpose of this study to determine the effect of tahajud prayer on the EQ (Emotional Quotient) of new female santri at Pondok Pesantren At-Taufiqiyah Sumenep. This study used a cross- sectional observational design with a sample of 43 new female santri selected using simple random sampling technique. The results of the analysis of this study using the ordinal regression analysis test obtained a p-value of 0.01 <0.05 which means that there is an effect of tahajud prayer on the EQ (Emotional Quotient) of new female santri at the At-Taufiqiyah Islamic Boarding School Sumenep. The implementation of tahajud prayer can affect the EQ (Emotional Quotient) of new female santri, because by regularly implementing tahajud prayer and parenting factors from parents and administrators tend to have a better level of self-awareness, emotional control, motivation, empathy, and social skills compared to those who rarely do it.
Copyright (c) 2025 Asyila Aulia Putri, Sari Luthfiyah, Miadi Miadi, Sri Utami https://creativecommons.org/licenses/by-sa/4.0
Comment on: Family roles and the incidence of wasting in toddlers: A Study at Pulo Lor Health Center, Jombang Regency
This letter to the editor addresses the significant findings and limitations of the study on the impact of family roles on toddler nutrition. While the research reveals a crucial link between family dynamics and the incidence of wasting, it is constrained by its cross-sectional design and dependence on self-reported data, potentially obscuring causal relationships. The letter advocates for the inclusion of longitudinal studies and qualitative methods to better understand family influences on nutritional outcomes. It also emphasizes the importance of culturally informed approaches and the alignment of research with public health policies to develop effective interventions for improving toddler nutrition across diverse communities.
Family roles; toddler; nutritional problem; supplementary food
Copyright (c) 2025 Triwiyanto Triwiyanto https://creativecommons.org/licenses/by-sa/4.0