Journal Title : Inovasi Kesehatan Global Initials : IKG Frequency : Februari, Mei, Agustus, dan November Print ISSN : 3046-4706 Online ISSN : 3046-4625 Editor in Chief : Nur Arifatus Sholihah, S.KM.,M.Kes DOI : 10.62383 Publisher : Lembaga Pengembangan Kinerja Dosen Inovasi Kesehatan Global, dengan e-ISSN : 3046-4625, p-ISSN : 3046-4706. Inovasi Kesehatan Global ini menyajikan hasil penelitian dan tinjauan pustaka sehingga jurnal ini bermanfaat bagi tenaga ahli kesehatan, apoteker, dokter dan perawat, pengambil kebijakan, tenaga kesehatan, dosen serta mahasiswa yang tertarik dengan publikasi ilmiah terkait Ilmu ilmu Farmasi dan Kesehatan. Jurnal ini terbit 1 tahun 4 kali (Februari, Mei, Agustus, dan November). Indexed by : Journal Sponsors and Partners :
Dilema Bioetika dalam Praktik Biohacking Berbasis RFID
RFID (Radio Frequency Identification)-based biohacking has evolved as a body modification practice that integrates technology directly into human biology. While the practice has historical roots dating back to World War II when RFID was used to identify aircraft, its development toward human implantation began in the late 20th century and has become more widespread with society's increasing reliance on digital technology. Analysis of the principle of beneficence reveals that although RFID implantation can increase user convenience, comfort and security, these benefits are not yet fully supported by adequate scientific evidence regarding long-term safety. Meanwhile, the principle of non-maleficence highlights the risks of infection, tissue damage, interference with radiological examinations, and publications regarding other medical complications resulting from implantation, which is generally performed by non-medical personnel. Through historical, technical, and ethical reviews, this research emphasizes the need for a clearer regulatory framework, increased bioethical literacy, and the involvement of healthcare professionals in implantation to ensure that technological developments do not compromise human safety and well-being
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Pengaruh Edukasi Peer Group terhadap Peningkatan Kepatuhan Konsumsi Tablet Tambah Darah pada Remaja Putri di SMA Negeri 1 Godean
Adolescent girls' adherence to taking iron tablets is still lacking, iron intake is very important to prevent anemia. Based on the 2018 Riskesdas, the coverage rate of iron tablets is 76.2%, but the awareness of adolescent girls of the importance of preventing anemia by consuming iron tablets is still low. One way to increase compliance with taking blood supplement tablets is by utilizing peer group education. This study aims to determine the effect of peer group education in an effort to increase adherence to taking blood tablets for adolescent girls. This is a quantitative pre-experimental study using One-Group Pretest-Posttest Design. The population was all students of class XI SMAN 1 Godean. Simple random sampling technique with a sample size of 58 female students. Education time was 40 minutes with peer educators in each group. Data analysis using the Wilcoxon test with the results of compliance with iron tablet consumption before education in adolescent girls at SMA Negeri 1 Godean in the category of non-compliant as many as 51 people (87.9%) and compliant as many as 7 people (12.1%), compliance with iron tablet consumption after education has increased in the category of compliant as many as 16 people (27.6%) and non-compliant as many as 42 people (72.4%). In the Wilcoxon Test, the results obtained p = 0.013, therefore it was concluded that there was an effect of peer group education on increasing compliance with blood supplementation tablet consumption in adolescent girls of SMA Negeri 1 Godean.
Kondisi Akses Air Bersih dan Dampaknya terhadap Kesehatan Masyarakat
This study aims to describe the condition of clean water access and its impact on public health in Swadaya Village. The research employed a qualitative approach through in-depth interviews with household heads, community leaders, health workers, and local water managers. The findings reveal that access to clean water in Swadaya Village remains very limited. Most residents rely on dug wells and river water for daily needs, while only a small portion use water from the local water utility (PDAM) due to high installation costs and limited pipeline coverage. The water quality often decreases during the dry season, becoming cloudy, odorous, and causing skin irritation. These conditions contribute to the increasing incidence of waterborne diseases such as skin infections, diarrhea, and typhoid fever. Besides infrastructure limitations, the lack of community awareness regarding hygiene and sanitation practices worsens the situation. Although the village government has proposed clean water development programs, their implementation has been hampered by budget constraints. The study concludes that clean water problems in Swadaya Village are not only related to resource availability but also to environmental management and community behavior. Therefore, improving water infrastructure must be accompanied by community education to promote a healthy, safe, and sustainable living environment.
Analisis Faktor yang Memengaruhi Kinerja Perawat Terhadap Pelayanan Kesehatan Penyakit Tidak Menular dan Penyakit Menular di UPT Puskesmas Kuala
Health workers contribute up to 80% to the success of health development. For this reason, effective employee performance management is needed according to service performance for communicable and non-communicable diseases. The aim of this research is to analyze the factors that influence the performance of nurses in health services for non-communicable diseases and infectious diseases at the UPT Puskesmas Kuala, Kuala District, Langkat Regency.The research design used was an analytical survey with a cross sectional approach. The population of this study were all 31 nurses with a sample using a total sampling technique of 31 people. The data analysis used is the binary logistic regression test.The research results show that ability has a sig-p value of 0.025, attitude sig-p 0.014, learning sig-p 0.036, motivation sig-p 0.022, leadership sig-p 0.031 and work environment sig-p 0.048, which means it has an influence on nurse performance , while age sig-p 1.000 and perception sig-p 0.496 have no influence on nurse performance. Attitude is the dominant factor with an OR value of 28.446. In conclusion, ability, attitude, learning, motivation, leadership, and work environment influence nurse performance, while age and perception have no effect. Attitude is the most dominant factor influencing nurse performance.
Deteksi Molekuler Tilapia Lake Virus (TiLV) pada Ikan Nila (Oreochromis niloticus) di Provinsi Kalimantan Timur, Indonesia
Tilapia Lake Virus (TiLV) is an RNA pathogen that causes high mortality rates in tilapia (Oreochromis niloticus), posing a major threat to global aquaculture. This study aimed to detect the presence of TiLV in tilapia populations in East Kalimantan Province, Indonesia, using the Polymerase Chain Reaction (PCR) method. A total of 60 tilapia samples were collected from three main aquaculture areas: Kutai Kartanegara, Samarinda, and Penajam Paser Utara. Molecular analysis revealed that one sample from Penajam Paser Utara was positive for TiLV, with an overall prevalence of 5%, while all samples from other sites tested negative. This finding indicates that TiLV has been molecularly detected in East Kalimantan, albeit at a low prevalence. The overall prevalence of TiLV infection in East Kalimantan was 1.67%. The results provide important baseline data for strengthening disease surveillance, biosecurity implementation, and the development of preventive strategies in tilapia aquaculture systems in Indonesia.
Determinan Perilaku Seks Pranikah pada Remaja Menurut Teori Health Belief Model (HBM)
Premarital sex is sexual intercourse outside of legal or religious marriage. This behavior can cause various problems such as sexually transmitted diseases, unplanned pregnancies, and encourage early marriage. Analyzing the determinants of adolescent premarital sex based on the Health Belief Model. Using a literature review approach, this study analyzes several academic references such as journals, books, encyclopedias, and others that discuss the topic of premarital sex among adolescents based on the Health Belief Model (HBM) Theory. This study uses seven journals, with sources from the last six years. The study began in October-November 2025. Based on the analysis, there is a relationship between perceived susceptibility, perceived severity, perceived benefits, perceived barriers, perceived self-efficacy, cues to action, and premarital sex behavior among adolescents. The conclusion shows that in all seven studies, the main components of HBM are significantly related to this behavior. For adolescents, it is recommended to better understand premarital sex behavior by seeking appropriate information and selecting positive friends and social environments so as not to be influenced by negative things or the urge to engage in premarital sex behavior.
Dampak Produktivitas, Reproduksi, dan Pemulihan pada Remaja dengan Concurrent Stunting–Overweight/Obesity (Cso): Literature Review
Concurrent stunting and overweight/obesity (CSO) in adolescents represents a complex form of the double burden of malnutrition, characterized by linear growth faltering coexisting with excess body fat. This condition poses significant metabolic, cognitive, and reproductive risks that may affect long-term health and productivity. This review employs a narrative literature approach by synthesizing evidence from PubMed, Scopus, Web of Science, Google Scholar, and national journal portals. Included literature comprises studies assessing stunting, overweight/obesity, metabolic risk, cognitive function, and reproductive health among adolescents. Indonesian evidence (Harits et al., 2024) indicates that obese adolescents with a history of stunting exhibit a higher prevalence of metabolic syndrome (18.75%), greater abdominal adiposity, and elevated systolic blood pressure compared to non-stunted obese peers. Biologically, stunting impairs neurocognitive development and reduces muscle mass, while obesity promotes metabolic inflammation; the coexistence of these factors may reduce physical fitness, learning capacity, and overall productivity. CSO also affects reproductive health, including increased risks of ovulatory dysfunction, delayed sexual maturation, and intergenerational nutritional disadvantages. Although linear growth recovery is limited due to epiphyseal closure, functional recovery through improved diet quality and physical activity remains possible. In conclusion, adolescents with CSO experience greater metabolic, cognitive, and reproductive vulnerabilities than those affected by stunting or obesity alone. Interventions emphasizing metabolic function, diet quality, physical fitness, and reproductive health preparation are essential to prevent long-term consequences and break the intergenerational cycle of malnutrition. Further national research is required to map the prevalence and implications of CSO comprehensively.
Asuhan Kebidanan Komprehensif Pada Ny.N Umur 20 Tahun G1P0A0 Dengan Tinggi Badan 142 cm Di Wilayah Kerja Puskesmas Bantarkawung Tahun 2024
A high-risk pregnancy is a pregnancy that can affect both the pregnancy, delivery, newborn, and postpartum period. There are several high-risk pregnancies, including pregnant women who are <145cm tall, have low birth weight, are too young, and give birth too closely spaced, or what is known as the 4T. Prevention is carried out by conducting comprehensive supervision, this is a way to reduce MMR and IMR. The Central Java government has developed the One Student One Client (OSOC) program, it is hoped that the implementation of this program can reduce MMR in Central Java. MMR according to WHO in 2023 reached 189/100,000 live births, MMR based on ASEAN reached 235/100,000 live births, MMR according to the Indonesian Ministry of Health reached 205/100,000 live births, MMR in Central Java in 2023 has reached 485/100,000 live births, MMR in Brebes in 2023 54/100,000 live births and at the Bantarkawung Community Health Center MMR in 2023 amounted to 2 cases of maternal death. In this study, researchers used Varney and SOAP to document midwifery care comprehensively, with direct qualitative descriptive approach methods such as observation, interviews, and documentation.
Efektivitas Terapi Musik terhadap Penurunan Tingkat Nyeri pada Pasien Pasca Operasi: Scooping Review
Postoperative pain is a common physiological response following surgical procedures, and its suboptimal management can have physiological and psychological effects, including sleep disturbances, decreased functional capacity, increased anxiety, and deterioration in quality of life. This scoping review aims to describe the empirical evidence regarding the effectiveness of music therapy in reducing the intensity of postoperative pain in surgical patients. A systematic search was conducted through four major databases (ScienceDirect, PubMed, Neliti, and Google Scholar) using Boolean operators and keywords such as ‘postoperative pain,’ ‘music therapy,’ and ‘pain scale.’ Inclusion criteria included articles published in the last decade, in English or Indonesian, and available in full text format. In accordance with PRISMA-ScR guidelines, this review analysed 10 articles. The synthesis of results showed that music therapy consistently reduced pain intensity, anxiety, and analgesic requirements through mechanisms such as increased endorphin secretion, decreased stress hormone levels, and activation of the gate control theory. Typically administered for 15–30 minutes, music therapy is a safe, cost-effective, and patient-acceptable non-pharmacological modality. This intervention is recommended as an adjunct component in perioperative pain management in nursing practice, although further standardised research is needed to improve consistency.
Preparation and Molecular Docking of Some Heterocyclic Compounds Containing Nitrogen and Oxygen Atoms
Derivatives of substituted oxazol-5-one (1–3) and substituted oxazolo-isoxazole (4–6) were successfully synthesized through a multi-step reaction process. Initially, glycine was reacted with acetic anhydride to produce acetyl glycine as a key intermediate. This intermediate subsequently underwent a condensation reaction with various substituted benzaldehydes, leading to the formation of oxazol-5-one derivatives (1–3). In the final synthetic step, these oxazol-5-one derivatives were reacted with hydroxylamine hydrochloride to yield the corresponding oxazolo-isoxazole compounds (4–6). The chemical structures of all synthesized compounds were characterized and confirmed using Fourier Transform Infrared (FT-IR) spectroscopy and proton nuclear magnetic resonance (¹H NMR) spectroscopy. Furthermore, molecular docking studies were carried out to evaluate the potential biological interactions of the prepared compounds. Docking simulations were performed using PyRx software, while visualization and interaction analysis were conducted employing PyMOL and Discovery Studio. The combined experimental and computational approaches provide valuable insights into the structural properties and potential biological relevance of the synthesized compounds.
Hubungan Tingkat Pengetahuan Kesehatan terhadap Peningkatan Perilaku Hidup Bersih dan Sehat (PHBS) pada Mahasiswa
Introduction: Clean and Healthy Living Behavior (PHBS) is an important indicator in improving health status, particularly among university students as a productive age group. Health knowledge plays a role as a predisposing factor in the formation of healthy behavior. Individuals with a good level of health knowledge tend to have higher awareness and motivation to implement PHBS. Conversely, a lack of knowledge may lead to behaviors that pose health risks. Objective: This study aimed to determine the relationship between the level of health knowledge and clean and healthy living behavior (PHBS) among students at Universitas Muhammadiyah Semarang. Methods: This study employed a quantitative design with a cross-sectional approach. The sample consisted of 55 students, including students from health-related and non-health-related faculties. Samples were selected using an accidental sampling technique, namely respondents who were encountered and willing to complete the questionnaire at the time of data collection. The research instruments were a health knowledge questionnaire and a PHBS questionnaire. Data analysis was conducted using univariate and bivariate analysis with the Spearman test. Results: The results showed that the majority of respondents had good health knowledge (89.1%) and good PHBS (90.9%). The Spearman test results showed a p-value of 0.001 (p < 0.05), indicating a significant relationship between the level of health knowledge and PHBS. Conclusion: It can be concluded that the better the level of students’ health knowledge, the better the implementation of clean and healthy living behavior.
Literature Review: Hubungan Paparan Asap Rokok dengan Gangguan Saluran Napas Atas
Exposure to cigarette smoke is one of the environmental risk factors that is still widely found and has a significant impact on the health of the respiratory system, especially the upper respiratory tract. The irritants and toxic substances in cigarette smoke can trigger mucosal inflammation, interfere with the defenses of the airways, and increase susceptibility to various upper airway disorders. This study aims to systematically analyze the relationship between cigarette smoke exposure and upper airway disorders based on available scientific evidence. The method used is Systematic Literature Review (SLR) with reference to the PRISMA 2020 guidelines. Literature searches were conducted through PubMed, ScienceDirect, Google Scholar, and Garuda databases. Articles were selected based on inclusion and exclusion criteria, resulting in 26 articles that were analyzed narrative-synthesis. The results showed that most studies reported a meaningful association between exposure to cigarette smoke, both in active and passive smokers, and an increased risk of upper respiratory tract disorders such as rhinitis, sinusitis, recurrent upper respiratory tract infections, pharyngitis, and laryngitis. Higher risks are found in passive smokers, especially children, as well as in individuals with long-term, high-intensity exposure. The conclusion of this study confirms that exposure to cigarette smoke is an important and preventable risk factor for upper respiratory tract disorders. Therefore, it is necessary to strengthen the policy of non-smoking areas, public education, as well as promotive and preventive efforts in health services to reduce the impact of exposure to cigarette smoke on the health of the upper respiratory tract.
Tinjauan Sistematis Senyawa Metabolit Bioaktif Buah Pepaya (Carica papaya L.) Karakterisasi Kimia dan Aplikasinya dalam Bidang Kesehatan
Papaya fruit (Carica papaya L.) is a tropical plant widely consumed as food and known to contain various bioactive metabolites with potential health benefits. The increasing interest in natural products as functional resources highlights the importance of reviewing the chemical characterization and health applications of papaya bioactive compounds. This article aims to systematically review the types of bioactive metabolites found in papaya fruit, the chemical characterization methods applied, and their potential applications in the health sector. This review was conducted through a literature study of relevant scientific articles, focusing on metabolite identification and biological activity evaluation. The results indicate that papaya fruit contains diverse bioactive metabolites, including flavonoids, phenolic compounds, alkaloids, saponins, terpenoids, and proteolytic enzymes. These compounds are commonly characterized using chromatographic and spectroscopic techniques. Several studies have reported that papaya bioactive metabolites exhibit biological activities such as antioxidant, antimicrobial, anti-inflammatory, and antidiabetic effects. This review suggests that papaya fruit has promising potential as a functional natural resource for health and pharmaceutical applications.
Profil Fitokimia dan Aktivitas Bioaktif Temulawak (Curcuma xanthorrhiza Roxb.) Berdasarkan Kajian Literatur
Temulawak (Curcuma xanthorrhiza Roxb.) is an indigenous medicinal plant of Indonesia that has been widely used in traditional medicine and shows considerable potential in the health and pharmaceutical fields. This potential is related to its diverse secondary metabolites with bioactive properties. This review article aims to examine the phytochemical profile of temulawak, the analytical methods used to identify bioactive compounds, and their reported biological activities based on literature studies. The method applied was a literature review of scientific articles discussing the chemical composition and biological activities of temulawak. The results indicate that temulawak contains major compounds such as curcuminoids, xanthorrhizol, flavonoids, phenolic compounds, and essential oils, which are commonly identified using chromatographic and spectroscopic techniques. Several studies report that temulawak exhibits antioxidant, anti-inflammatory, antibacterial, hepatoprotective, and potential anticancer activities. These findings indicate that temulawak has significant potential as a source of natural bioactive compounds. In conclusion, temulawak possesses a rich phytochemical profile and promising biological activities, supporting its potential application in the development of natural-based health and pharmaceutical products.
Pengaruh Mobilisasi Dini terhadap Penurunan Nyeri Pasien Post Operasi Bedah: Scoping Review
Postoperative pain is a common clinical condition experienced by patients after surgical procedures and may hinder the recovery process if not properly managed. In addition to pharmacological therapy, safe and effective non-pharmacological interventions are needed, one of which is early mobilization. This study aimed to analyze the effect of early mobilization on pain reduction in postoperative surgical patients. A scoping review method was conducted based on the Arksey and O’Malley framework. Literature searches were performed using ScienceDirect, PubMed, and Google Scholar databases with a PICO strategy, including articles published within the last five years. From a total of 167,948 identified articles, 10 studies met the inclusion criteria and were included in the analysis. The results showed that early mobilization performed gradually and according to patients’ clinical conditions had a significant effect on reducing postoperative pain intensity. In addition, early mobilization was associated with improved comfort, enhanced functional recovery, and faster postoperative rehabilitation without increasing the risk of complications. Although variations were found in the timing and type of mobilization across studies, overall evidence supports that early mobilization is safe and effective. In conclusion, early mobilization can be recommended as an evidence-based nursing intervention for postoperative pain management.
Hubungan Penggunaan APT dan Faktor Pekerja dengan Gangguan Pendengaran Akibat Bising pada Pekerja PT HMK II Kota Palembang
One of the most common occupational health risk factors found in industrial areas is noise, and long-term exposure ≥85 dB(A) for more than 8 hours has the potential to cause progressive and permanent Noise-Induced Hearing Loss (NIHL). The risk of NIHL increases if workers do not use Ear Protection Equipment (APT) optimally and have certain individual factors such as age, working period, and length of exposure. This study aims to determine the relationship between the use of APT and worker factors with hearing loss due to noise in PT HMK II Palembang City in 2025. This study uses an analytical quantitative design with a cross sectional approach. A sample of 55 respondents was selected through purposive sampling technique. Data was collected using a questionnaire and analyzed by chi-square test. The results showed that there was a significant relationship between the use of APT (p=0.000) and there was no significant relationship between, the age of workers (p=0.838), working time (p=0.290), and length of work (p=0.172) and noise-induced hearing loss. The use of APT has been shown to be associated with a reduced risk of noise-induced hearing loss, although age, length of employment, and length of work did not show a significant relationship.
Efektivitas Kompres Dingin dalam Menurunkan Intensitas Nyeri pada Pasien Fraktur: Scoping Review
Cold compresses or cryotherapy are one of the non-pharmacological therapies often used in nursing practice to help reduce pain, especially in patients with fractures. Fractures are often accompanied by acute pain that can inhibit mobilization, prolong recovery time, and reduce patient comfort. Therefore, a safe, effective, and easy-to-use pain management method is needed. This article was compiled with the aim of identifying and mapping scientific evidence regarding the effectiveness of cold compresses in reducing pain intensity in fracture patients. This study used the Arksey and O'Malley model in conducting the analysis, with articles searched through PubMed, ScienceDirect, and Google Scholar for the 2021–2025 publication period. The article selection process followed the PRISMA flow. A review of ten articles showed that most studies used quantitative designs, both experimental and quasi-experimental. The results of the analysis of 11 articles consisted of 8 quantitative articles with experimental and quasi-experimental designs, while 2 articles were case studies. These articles generally discuss the effectiveness of cold compresses in reducing pain intensity in fracture patients using various measurement instruments, such as NRS, VAS, Wong-Baker Faces Scale, and Bourbanis Pain Scale. In addition to reducing pain, several studies also reported that cold compresses can reduce edema, increase mobility, and improve patient comfort. However, variations in the duration, frequency, and method of cold compress application were still found, so there is a need to develop a more standardized protocol in nursing practice.
Biokimia Etnofarmasi Aplikasi dalam Kehidupan Masyarakat Suku Anak Dalam
Ethnopharmacy is a field of study that examines traditional medicinal practices based on local knowledge along with their underlying biochemical foundations, and it is increasingly recognized for its role in preserving local wisdom while contributing to the development of modern healthcare solutions. Among the Suku Anak Dalam community, the use of medicinal plants has been practiced for generations as a means of preventing and treating various diseases, reflecting a deep empirical understanding of the therapeutic properties of natural remedies available in their surrounding environment. This study aims to examine the biochemical basis of ethnopharmaceutical practices applied by the Suku Anak Dalam community and to analyze their application in daily life. Data were collected through direct field observations, structured interviews with community members knowledgeable about traditional medicine, and literature reviews related to the bioactive compound content of the most commonly used medicinal plants. The results indicate that many of the plants utilized contain active compounds with anti-inflammatory, antimicrobial, and antioxidant properties, which play an important role in supporting community health. These findings highlight the complexity and scientific value of traditional knowledge and emphasize the importance of integrating ethnopharmaceutical practices with modern biochemical research to develop natural medicines, preserve cultural heritage, and sustainably improve public health quality.
Pengaruh Ekstrak Daun Jarak (Jatropha curcas) terhadap Peradangan
Inflammation is a biological response that occurs as a defense mechanism of the body against tissue damage, infection, or exposure to harmful stimuli. Excessive or prolonged inflammation can lead to various chronic diseases and negatively affect overall health. Natural compounds derived from medicinal plants have gained attention as alternative anti-inflammatory agents due to their relatively lower side effects compared to synthetic drugs. Jatropha curcas is a plant traditionally used in herbal medicine and is known to contain various bioactive compounds. This study aims to examine the effect of Jatropha curcas leaf extract on inflammatory responses. The research method used was an experimental laboratory approach with extract preparation through maceration techniques. The anti-inflammatory effect was evaluated based on changes in inflammatory indicators observed during the treatment process. The results showed that Jatropha curcas leaf extract demonstrated potential anti-inflammatory activity, which was indicated by a reduction in inflammatory signs. The presence of secondary metabolites such as flavonoids, tannins, and saponins is suspected to contribute to this effect. These findings suggest that Jatropha curcas leaf extract has promising potential as a natural anti-inflammatory agent. Further research is recommended to explore dosage optimization and toxicity levels for safe therapeutic use.
Uji Aktivitas Jahe (Zingiber officinale) terhadap Metabolisme dan Pencernaan
This study aims to examine the activity of ginger (Zingiber officinale) on metabolism and digestion through a laboratory experimental approach. Metabolism and the digestive system play a crucial role in maintaining physiological balance, and disturbances in these systems can affect nutrient utilization and overall health. Ginger has long been used as a traditional herbal remedy and is known to contain bioactive compounds such as gingerol, shogaol, and zingerone, which are believed to support digestive and metabolic functions. The research was conducted using ginger extract prepared through an extraction process under controlled laboratory conditions. Observations focused on changes in metabolic responses and digestive activity following the administration of ginger extract. The study employed a descriptive experimental design to provide an objective overview of ginger’s biological activity. The results indicated a gradual improvement in digestive activity and metabolic responses after treatment with ginger extract. These changes suggest that ginger extract has the potential to enhance digestive efficiency and support metabolic processes. The findings provide scientific support for the traditional use of ginger as a natural ingredient in maintaining metabolic and digestive health and may serve as a preliminary reference for further research using quantitative and clinical approaches.
Pengaruh Menyusui Dini dan Mobilisasi Dini terhadap Tinggi Fundus Uteri Ibu Post Sectio Caesarea di Ruang Amarylis SMC RS Telogorejo
A decrease in the height of the uterine fundus is an important indicator of a normal uterine involution process after childbirth. Delayed reduction of fundal height may lead to uterine subinvolution, which increases the risk of postpartum hemorrhage, particularly in post–cesarean section mothers. Early breastfeeding and early mobilization are recommended interventions to support uterine contraction, prevent vaginal bleeding, and accelerate uterine involution. This study aimed to examine the effect of early breastfeeding and early mobilization on reducing the height of the uterine fundus in post–sectio caesarea mothers treated in the Amaryllis SMC Room at Telogorejo Hospital. The study employed a quasi-experimental design with a one-group pretest–posttest approach. The population consisted of 523 post–cesarean section mothers hospitalized at SMC Telogorejo Hospital between January and November 2023. Data were collected using structured observation sheets to measure fundal height before and after the interventions. The results showed that the average uterine fundal height before early breastfeeding and early mobilization was 19.74 cm above the symphysis, while after the interventions it decreased to an average of 12.49 cm above the symphysis. Statistical analysis indicated a significant effect of early breastfeeding and early mobilization on the reduction of uterine fundal height (p = 0.000). These findings highlight the importance of implementing early breastfeeding and mobilization as part of postpartum nursing care to support uterine involution and reduce the risk of complications in post–cesarean section mothers.
Pengaruh Guided Imagery terhadap Penurunan Intensitas Nyeri pada Pasien Pasca Operasi
Postoperative pain is a prevalent condition encountered by patients after surgical interventions and may negatively influence physical recovery as well as psychological well-being when inadequately managed. Conventional pain management strategies that primarily depend on pharmacological agents may lead to undesirable side effects, thereby emphasizing the importance of complementary non-pharmacological approaches. One intervention increasingly applied in nursing care is guided imagery. This review aimed to systematically evaluate the effectiveness of guided imagery in alleviating pain intensity among postoperative patients. A scoping review methodology was employed, with article identification guided by the PICO framework across national and international academic databases. Eligible studies included full-text research articles published within the past five years, written in either Indonesian or English, and specifically examining the use of guided imagery in postoperative settings. A total of ten studies met the inclusion criteria and were subjected to in-depth analysis. The results consistently demonstrated a significant reduction in pain intensity following the implementation of guided imagery across various surgical procedures, including cesarean delivery, appendectomy, fracture surgery, cholelithiasis, and abdominal operations. The intervention, delivered for 10–20 minutes per session, effectively reduced pain levels from moderate to severe to mild, with statistically significant outcomes (p < 0.05). Moreover, guided imagery was found to enhance patient relaxation, comfort, and psychological stability. These findings indicate that guided imagery represents a safe and effective non-pharmacological nursing intervention that can be integrated into evidence-based postoperative pain management.
Hubungan antara Konsumsi Makanan Ultra-Processed Food (UPF) dengan Asupan Zat Besi dan Risiko Anemia: Tinjauan Naratif
The consumption of ultra-processed foods (UPF) has been increasing among various age groups, including children and adults. UPF is generally low in iron content and can interfere with iron bioavailability, thereby increasing the risk of anemia. Additionally, the high calorie content of UPF contributes to the development of degenerative diseases. This study aims to analyze the relationship between UPF consumption, iron intake, and the risk of anemia. The study employs a narrative review method. Literature search was conducted using PubMed, Google Scholar, and Scopus databases, using controlled terms. The results showed that high UPF consumption had a negative impact on iron intake and increased the risk of anemia. Similar effects were found in high fat and sodium consumption. Some studies showed varying results regarding protein intake, fiber, and micronutrients such as sodium and calcium. In general, it can be concluded that excessive UPF consumption negatively impacts the quality of nutrient intake, both macro and micro, and contributes to the occurrence of anemia. These findings highlight the need for public health strategies to limit UPF consumption, particularly among vulnerable populations, as a preventive effort against anemia.
Hubungan Keragaman Media Sosial dengan Perilaku Fear of Missing out (FoMO) pada Remaja
The diversity of social media used by teenagers today can influence Fear of Missing Out (FoMO) behavior, a condition where someone feels left out of information, trends, or activities carried out by others. This condition is characterized by fear, anxiety, difficulty controlling the desire to stay connected, and a tendency to compare oneself with others on social media. Teenagers are the group most vulnerable to FoMO due to their high intensity of social media use and their still-developing social needs. This reseach seeks to examine the association between scial media diversity and FoMO behavior among eleventh-grade student at SMAN 4 Tuban. The study employed a quantitative analytic design using a cross-sectional approach. The research population consists of all 11th grade students, totaling 157 respondents, selected using simple random sampling. The instruments used are a social media diversity questionnaire and a FoMO behavior questionnaire. Data analysis uses the Chi-Square test with a significance level of α = 0.05. The results of the study show a p-value of 0.000, which means p < 0.05, so H1 is accepted. This shows that there is a significant relationship between social media diversity and FoMO behavior in adolescents. The more diverse the social media platforms used, the higher the tendency for adolescents to experience FoMO. Based on these results, it can be concluded that social media diversity influences FoMO behavior among 11th grade students at SMAN 4 Tuban.
Faktor-Faktor yang Berhubungan dengan Kelelahan Kerja pada Petugas Pengamanan Lingkungan Pelabuhan Ferry Mulia Raja Napitupulu Kota Balige
Work fatigue is one of the occupational health problems that may affect productivity, concentration, and increase the risk of workplace accidents. Security officers at Ferry Mulia Raja Napitupulu Port, Balige, are at high risk of experiencing fatigue due to shift work systems, physical and mental workload, and poor sleep quality. This study aims to identify factors associated with work fatigue among security officers. A quantitative method with a cross-sectional design was applied. The sample consisted of 45 security officers selected using total sampling technique. Data were collected through questionnaires on individual characteristics, nutritional status, sleep quality, workload, and environmental temperature, and analyzed using bivariate tests. The results revealed significant relationships between age, nutritional status, sleep quality, workload, and temperature with work fatigue levels (p<0.05). It can be concluded that both individual and work environment factors contribute to fatigue among security officers. The study recommends that port management pay more attention to shift arrangements, rest patterns, and occupational health interventions to reduce fatigue risk and enhance officers’ productivity.
Hubungan Tingkat Asupan Sarapan Pagi dan Kualitas Tidur dengan Prestasi Belajar Siswa SMP Negeri 31 Medan
Breakfast and sleep quality are important factors that can influence students’ concentration and academic achievement. This study aims to analyze the relationship between breakfast consumption levels and sleep quality with the learning achievement of students at SMP Negeri 31 Medan. This research used a quantitative method with a cross-sectional design. The study population consisted of all 192 eighth-grade students, with a sample of 88 respondents selected through simple random sampling. Breakfast intake was measured using a 3x24-hour food recall (breakfast time only), sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, while learning achievement was obtained from semester exam scores in Indonesian Language and Mathematics subjects. Data analysis was carried out using the Chi-Square test with a significance level of 0.05. The results showed a significant relationship between breakfast intake and learning achievement in Indonesian Language (p=0.003) and Mathematics (p=0.000). Sleep quality was also proven to be associated with learning achievement in Indonesian Language (p=0.001) and Mathematics (p=0.000). The conclusion of this study is that having breakfast with adequate nutritional intake and maintaining good sleep quality contribute positively to improving students’ learning achievement.
Forensic entomology is a branch of forensic science that utilizes insects and other arthropods as biological indicators in death investigations. This discipline plays a crucial role, particularly in cases of advanced decomposition, where conventional forensic methods often face limitations. One of the key contributions of forensic entomology is estimating the post-mortem interval (IPM), or time since death, which can assist investigators in reconstructing the chronology of events. Furthermore, entomological analysis can provide information regarding the location of death, possible movement of the body, and environmental conditions surrounding the crime scene. Common approaches include analyzing insect succession patterns that appear according to the stages of decomposition of the body and determining the age of larvae based on their developmental stage and growth rate. Environmental factors, particularly temperature, humidity, and microhabitat conditions, significantly influence insect development and therefore must be carefully considered in the analysis. This literature review aims to discuss the basic concepts, functions, and role of forensic entomology in law enforcement. Furthermore, this review emphasizes the importance of accurate insect species identification to improve the validity and reliability of the resulting time-of-death estimates.
Pengetahuan dan Sikap Ibu Hamil Tentang Risiko 4T di Poskesdes Matua Wilayah Kerja Puskesmas Dompu Barat
The maternal mortality rate (MMR) in Dompu Regency is still relatively high. Directly, this is caused by hypertension, COVID-19, etc., while indirectly, it is caused by reproductive status or four too (4T), namely too young, too old, too close together, and too many children. This research focuses on indirect causes that are often not overlooked, namely, to describe the knowledge and attitudes of pregnant women about 4T at the Matua Village Health Post in the Dompu Barat Health Center working area. This research is a quantitative research with a descriptive design. The population in this study were all pregnant women who had their pregnancies checked at the Matua Village Health Post in the Dompu Barat Health Center working area. Samples were taken using a total sampling technique from June to August 2023 with 40 people. Data collection techniques in this research were through interviews and filling out questionnaires. This research showed that the respondents' knowledge about 4T risks was mainly in the poor category. Namely, 18 respondents (46%), and the least was in the good and sufficient category, namely 11 respondents (27%) each. Respondents' attitudes about the risks of 4T mainly were in the harmful category, namely 31 respondents (78%). Meanwhile, nine respondents (22%) showed negative attitudes. Based on the research results, it was concluded that the knowledge of pregnant women at the Matua Health Post in the Dompu Barat Health Center working area was mostly in the poor category. Meanwhile, most mothers' attitudes are in the harmful category.
Hubungan Peran Orangtua dengan Penanganan Awal Diare pada Balita Usia 1-5 Tahun
According to the latest data from WHO (World Health Organization) in 2024, there were around 1.7 billion cases of diarrhea in children worldwide which resulted in 443,832 deaths in children under 5 years of age each year, and an additional 50,851 children aged 9 years, while the country with the most diarrhea in children in the United States was 350 million cases each year and 48 million of them were caused by bacteria in food. The purpose of this study was to determine the relationship between the role of parents and the initial handling of diarrhea in toddlers aged 1-5 years. This type of research is quantitative analytical with a cross-sectional study approach. The independent variable in the study is the role of parents, while the dependent variable is the initial handling of diarrhea in toddlers aged 1-5 years. The population in this study were all children suffering from diarrhea at the Gedang Village Health Center in 2024 as many as 283 people with a sample of 74 people. The sampling technique used was the Accidental Sampling technique. This study was conducted in the Working Area of ​​the Gedang Village Health Center, Sungai Penuh City, in January-June 2025. The results showed that most 47 (63.5%) respondents had poor parental roles, and most 42 (56.8%) respondents had poor initial handling of diarrhea in toddlers aged 1-5 years, with the results of the statistical test (Chi-Square) obtained a value of p = 0.005 (p <0.05). The conclusion of the study shows that there is a relationship between the role of parents and the initial handling of diarrhea in toddlers aged 1-5 years. The researcher's suggestion from the results of the study is that it can be applied in daily nursing practice, such as providing health education regarding the first handling of diarrhea, so that the role of parents will be even better.
Hubungan Pengetahuan Gizi dan Ketahanan Pangan Rumah Tangga dengan Kualitas Diet pada Wanita Post-Partum di Kecamatan Semampir Kota Surabaya
Background: The postpartum period is a critical phase requiring optimal nutritional intake for maternal recovery and ensuring the quality of breast milk. In densely populated urban areas such as Semampir District, dietary quality is often influenced by the level of nutrition knowledge and household economic conditions. Objective: This study aims to analyze the relationship between nutrition knowledge and household food security with dietary quality among postpartum mothers in Semampir District, Surabaya. Methods: This was an observational analytical study with a cross-sectional design. A total of 340 postpartum mothers were selected using simple random sampling. Nutrition knowledge was measured through a structured questionnaire, food security was assessed using the Household Food Insecurity Access Scale (HFIAS), and dietary quality was measured using the 3-level Balanced Diet Index derived from 24-hour food recall data. Data were analyzed descriptively and through the Chi-Square correlation test. Results: The findings indicated that the majority of respondents possessed a good level of nutrition knowledge (average correct answers >75%), with the highest score in anemia prevention (81.2%) and the lowest in the functional role of Vitamin A (75.9%). Dietary quality assessment revealed that most respondents were in the [Select: Moderate/Poor] category based on IGS scores. Bivariate analysis showed a significant relationship (p < 0.05) between both nutrition knowledge and household food security with the dietary quality of postpartum mothers. Conclusion: Good nutrition knowledge and stable food security contribute positively to the dietary quality of postpartum mothers. Targeted nutritional education regarding micronutrients and strengthening food access at the household level are essential to optimize maternal health during the postpartum period in urban settings.
Pengaruh Pendidikan Kesehatan Tentang Kanker Serviks Terhadap Perilaku Deteksi IVA Wanita Usia Subur di Desa Bilutan Rejosari
Background: Cervical cancer remains a major health problem among women dueto low awareness of early detection. The Visual Inspection with Acetic Acid (IVA) test is a simple and effective screening method. Health education is needed to improve understanding and encourage early detection behavior. Therefore, this study aimed to determine the effect of health education about cervical cancer on IVA detection behavior among women of reproductive age in Bilutan Rejosari Village. Method: This study employed a Quasi-Experimental design with a Pretest–Posttest Group Design. The study population consisted of 150 women of reproductive age (15–49 years). Samples were selected using purposive sampling, resulting in a total of 66 respondents. Result: a significant difference between IVA detection behavior scores before and after the intervention (p-value = 0.000). A p-value < 0.05 indicates that the health education provided regarding cervical cancer significantly improved IVA detection behavior among women of reproductive age in Bilutan Rejosari Village. Conclusion: Health education has a significant effect on improving early detection behavior of cervical cancer through the IVA examination.