bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Electronic Medical Record Use on Doctors In Hospitals: Scoping Review
Authors: Amalia Sani Khoirul , Purnami Cahya Tri , Agushybana Farid
Published: February 2025

Electronic medical records (EMR) are an information technology innovation that has been adopted in various health facilities to improve operational efficiency and quality of health services. In addition to its benefits, the use of EMR also presents a number of challenges for doctors in hospitals. This study aims to evaluate the positive and negative impacts of EMR use on doctors in hospitals. This study used a scoping review method using the PRISMA guideline, and produced 13 articles that met the inclusion criteria related to the impact of EMR on doctors in hospitals. The results of the study showed that EMR had a positive impact on improving efficiency, quality of care, and patient safety, but also increased the administrative burden. The use of EMR outside of working hours increases the risk of burnout and decreases satisfaction with work-life balance. In addition, doctor-patient interaction can be reduced, and concerns about data privacy reduce patient openness. Hospitals need to optimize workflows, provide comprehensive and ongoing training, delegate administrative tasks to non-clinical staff and develop more user-friendly EMR systems. This is important to ensure that EMR technology can support improved quality of care without sacrificing doctor well-being and interaction with patients.
Mindfulness Intervention Reduces Care Burden Status of Family Caregivers for the Elderly: A Systematic Review
Authors: Iskandar Syahrani , Rekawati Etty , Kuntarti Kuntarti
Published: February 2025

ABSTRACT
The increasing elderly population in Indonesia poses significant challenges for families acting as caregivers responsible for providing optimal care. Caregivers often experience physical, mental, and emotional stress, commonly referred to as caregiver burden. Mindfulness therapy has emerged as an effective approach to reducing stress by transforming negative thought patterns. Objective: This study aims to evaluate the effectiveness of mindfulness interventions in reducing caregiver burden and enhancing the health and well-being of caregivers for elderly family members through a systematic review. Method: A systematic review was conducted using the PRISMA approach. Data were collected from three databases: PubMed, EBSCOHost, and Scopus, with inclusion criteria focusing on research articles evaluating the effectiveness of mindfulness for caregivers of the elderly, published between 2019–2024. Five studies with a Randomized Controlled Trial (RCT) design were thoroughly analyzed using the Critical Appraisal Skills Programme (CASP). Results: The findings revealed that mindfulness interventions significantly reduced stress levels, depressive symptoms, and anxiety among caregivers. Additionally, improvements in sleep quality and emotional well-being were noted in some studies. While the effect on reducing caregiver burden was inconsistent, most studies demonstrated significant enhancements in mental health and overall well-being. Conclusion: Mindfulness-based interventions have proven effective in supporting the physical and mental health of caregivers for the elderly.
Analysis of the Health Service Quality and Service Innovation of Dokter Muter on Patient Satisfaction
Authors: Reikatiffany Amellia , Sugiyanta Sugiyanta , Wijaya Dodi
Published: February 2025

Dokter Muter (Near by Doctors and other health workers through integrated services) is an innovation of the Lumajang District Health, Population Control and Family Planning Office (Dinkes P2KB). This innovation aims to bring access to health services closer to remote or geographically challenging areas. The purpose of this study was to determine the effect of health service quality and the Doctor Muter service innovation on patient satisfaction in Lumajang District.  The population of this study were patients who had received or were receiving Dokter Muter services in 25 health centers. The data collection method was a questionnaire using Likert scale.  This study used a cross-sectional design with proportional stratified random sampling technique. The number of samples in this study was 384 respondents. Data analysis was done using path analysis. Based on the results of the study, it is known that the path coefficient value of service quality on patient satisfaction β = 0.234 is positive with a p-value of 0.000, so that service quality has an influence on patient satisfaction. The path coefficient value of Dokter Muter’s service innovation on patient satisfaction β = 0.639 is positive with a p-value of 0.000, so Dokter Muter's service innovation has an influence on patient satisfaction. The R-squared value for the patient satisfaction variable is 0.707, which means that 70.7 percent of the patient satisfaction variable is influenced by Dokter Muter's service quality and service innovation, and the remaining 29.3 percent is influenced by constructs outside the model.
Effectiveness of Grow Me Coaching Model Module on Improving Self Efficacy in Laboratory Learning of Nursing Students
Authors: Purwanti Nunik , Isnawati Ayu , Hasina Siti Nur
Published: February 2025

Laboratory practice is a skill, knowledge, and attitude training exercise designed to help students comprehend professional nursing competencies. Students' capacity to learn the content can be impacted by low levels of self-efficacy. Numerous research have demonstrated that student learning strategies can raise self-efficacy. To increase student self-efficacy, a variety of teaching strategies can be employed; in this study, the model Grow Me coaching module. Research methods: The type of research used is quantitative quasi-experimental research with a nonequivalent control group design approach. The population of this study were all D3 Nursing students in the 3rd semester of the 2024 academic year, totaling 58 students. The research used a simple random sampling method, namely using the Slovin equation with a sample size of 50 students. This study was divided into 2 groups, namely the control group and the mediation group. The variables in this study are the Grow Me Coaching Model Learning Module as the independent variable and student self-efficacy during practicum at the health center as the dependent variable. The research instrument was the Grow Me Coaching Model Module given to students and the GSE questionnaire to measure the level of student self-efficacy. Data examination was carried out using the Wilcoxon Sign Rank test with significance <0.05. Result: Examination of the frequency distribution of respondents based on the level of self-efficacy progress using the Wilcoxon Marked Rank Test in the intervention group obtained a significance value (p) = 0.000 smaller than α = 0.05, while in the control group obtained a significance value (p) = 0.317 greater than α = 0.05, meaning that there is a sufficient influence between the Grow Me Coaching Model Learning Module and increased self-efficacy in learning the infusion installation laboratory in nursing students. Conclusions: The results of this study are the implementation of the coaching module based on the GROW ME model, proven effective in improving the self-efficacy of nursing students in laboratory learning.
Identification of Risk Factors Causing Stunting in Children Under Five Years of Age
Authors: Yanti Lindesi , Sari Fermata , Hidayat Aris Teguh , Arafah Masniati
Published: February 2025

Stunting is a global health problem in children that has an impact on increasing morbidity and mortality, developmental disorders (cognitive, motor, language), and increasing the economic burden for the costs of child care and treatment.The aim is to identify risk factors for stunting in children under five years of age. The research method uses a descriptive observational design and a cross-sectional approach, with a sample size of 94 respondents use cluster sampling.  Measuring instruments used Questionnaire which contains a history of exclusive breastfeeding, history of infectious diseases, immunization status and 10 knowledge questions about stunting that have been tested for validity. Correlation data analysis using chi-square, and multiple logistic regression prediction modeling. The results of the study showed a significant relationship between exclusive breastfeeding and the incidence of stunting in toddlers. Toddlers who do not receive exclusive breastfeeding have a 33.139 times greater chance of experiencing stunting compared to toddlers who receive exclusive breastfeeding with a wald value of 14.159. The conclusion is that the factor of exclusive breastfeeding is the factor that plays the most role in influencing the incidence of stunting in toddlers.An important role is needed for cadres, health promoters, and health services to support the government's program on providing exclusive breastfeeding, providing education and providing correct and accurate information regarding stunting and how to prevent it.
Risk Factors Related to the Event of Anaemia in Pregnant Mothers
Authors: Kaniasari Tita Adilla , Rahayuningsih Faizah Betty
Published: February 2025

Anaemia poses a significant health risk for pregnant women, increasing the likelihood of severe complications such as premature delivery, low birth weight, and maternal fatalities. This study investigates risk factors associated with anaemia in pregnancy using a case-control design with a quantitative approach. The participants included 200 medical records of pregnant women including 100 medical records of pregnant women who experienced anaemia during pregnancy and 100 medical records of pregnant women who did not experience anaemia, selected based on specific criteria, inclusion criteria in the study: Medical records of pregnant women at RSUD Dr. Moewardi Surakarta from 2023 to 2024, including maternal age, gestational age, parity, circumference of upper arm status, ANC visits, education level, employment status and haemoglobin values. Exclusion criteria in the study: Incomplete medical records of pregnant women. Secondary data from medical records were analysed using chi-square tests with a significance level of p<0.05. The findings revealed that gestational age (p=0.038), parity (p=0.028), and chronic energy deficiency status or CED (p=0.003) significantly influenced anaemia incidence. Conversely, maternal age (p=0.987), frequency of ANC visits (p=0.190), education level (p=0.537), and occupation (p=0.474) showed no significant associations. The study concludes that gestational age, parity, and CED status are key risk factors for anaemia in pregnancy, emphasizing the need for targeted health interventions to address these determinants and reduce anaemia prevalence.
The Relationship Between Anxiety Level and Sleep Quality in Hypertensive Patients in the Haemodialysis Unit
Authors: Aisah Rosida Nur , Maliya Arina
Published: February 2025

Haemodialysis patients with hypertension often face complex mental and physical health challenges, including impaired anxiety and sleep quality. This has a profound effect on the individual's life. Objective: This study aims to analyse the relationship between anxiety levels and sleep quality in hypertensive patients undergoing haemodialysis. Quantitative with a cross-sectional approach with a total sampling method of 30 hypertensive patients in the haemodialysis unit of PKU Aisyah Boyolali Hospital. This study was conducted in September - November.  The instruments for data collection included the Hamilton Anxiety Rating Scale (HARS) to assess anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to evaluate sleep quality. Spearman's test was used for data analysis due to the non-normal distribution of the data. The results of the Spearman statistical test on hypertensive patients in the Hemodialysis Unit of PKU Aisyah Singkil Boyolali Hospital showed a p value = 0.044 > α = 0.05. the main findings (past tense). The results showed a significant relationship between anxiety levels and sleep quality in hypertensive patients at the Hemodialysis Unit of PKU Aisyah Singkil Boyolali Hospital. Researchers suggest examining other variables that affect sleep quality, such as physical activity, diet, and adherence to medication. Qualitative research methods can also be employed to investigate the personal experiences of patients and a broader range of individuals, allowing for more generalized findings.
The Effect of Exclusive Breastfeeding Module Intervention on the Knowledge and Attitudes of Prospective Fathers about Breastfeeding in Bengkulu City
Authors: Sella Sabrina , Yanuarti Riska , Ramon Agus , Samidah Ida , Pratiwi Bintang Agustina
Published: February 2025

Bengkulu City has experienced a decline in exclusive breastfeeding coverage over the past three years (2020-2022). Research related to education for prospective fathers in Bengkulu City has not been widely implemented. This study aims to analyze the effect of exclusive breastfeeding module interventions on the knowledge and attitudes of prospective fathers about breastfeeding in Bengkulu City. A quasi-experimental study was conducted in April-September 2024 with a population of prospective fathers who have wives with a gestational age of more than 27 weeks or the third trimester. The sample consisted of 15 people in the control group and 15 people in the intervention group. The sampling method used purposive sampling. The research variables include the knowledge and attitudes of prospective fathers about breastfeeding, as well as the exclusive breastfeeding module. The instrument used was a questionnaire that had been tested for validity and reliability. Data analysis was carried out univariately and bivariately. There were insignificant results from the knowledge variable between the two groups, both pre-test (p = 0.074) and post-test (0.546). While on the attitude variable, significant results were obtained between the two groups, both pre-test (0.001) and post-test (0.044). The exclusive breastfeeding module intervention only affected the attitude variable of prospective fathers about breastfeeding between the intervention group and the control group, both before and after the intervention. While on the knowledge variable of prospective fathers about exclusive breastfeeding, there was no effect between the two groups, both pre-test and post-test.
The Role of Elementary Schools in Dengue Fever Control: A Scoping Review
Authors: Taufik Opik , Budiyono Budiyono , Purnami Cahya Tri
Published: February 2025

This study aims to evaluate the role of elementary schools in controlling Dengue Fever (DF) through education of students as agents of change in the community. This research uses a quantitative approach with survey and experimental designs. Data were collected through questionnaires distributed to students, teachers, and school principals from several elementary schools involved in the DF empowerment program. Data analysis was performed using descriptive statistics and difference tests to evaluate the students' knowledge levels before and after participating in the educational program. The findings show that educational programs involving students in DF prevention activities, such as mosquito larvae monitoring and community outreach, can improve students' knowledge and attitudes toward DF prevention.Activities such as using educational media based on comics and awareness calendars were found to be effective. Elementary schools play a crucial role in DF control by empowering students through health education. Proper educational programs can enhance students' and the community's awareness in DF prevention, supporting broader efforts in disease control.
Autogenic Relaxation is Effective in Reducing Blood Pressure in Elderly People who Experience Hypertension
Authors: Naibaho Risdiana Melinda , Arianti Wiwik Dwi
Published: February 2025

Hypertension in the elderly is a degenerative disease health problem that tends to worsen over time and can increase the risk of various cardiovascular diseases. Autogenic relaxation, which involves deep breathing and self-suggestion to calm the body, is expected to help lower blood pressure. This study aims to explore the effects of autogenic relaxation techniques in lowering blood pressure in the elderly with hypertension. The research method used was pre-experimental with a One Group Pretest-Posttest Design. The population of this study were all active elderly at Posyandu for the elderly of Bintang Village in the working area of UPT Puskesmas Batang Beruh who experienced hypertension 34 samples with purposive sampling technique to collect data with measuring instruments using blood pressure meters according to SOP and observation sheets. The average decrease in blood pressure after intervention was 137.56 mmHg with an average difference in systole reduction of 15.41 mmHg, diastole blood pressure after intervention was 83.41 mmHg with an average difference in diastolic reduction of 9.26 mmHg. Statistical tests using Paired Sample t-test resulted in a p value <0.01, which indicates significance at the 95% level of significance (α = 0.05). Autogenic relaxation is effective in reducing blood pressure in the elderly who experience hypertension.
The Effect of Yoga on Back Pain, Anxiety and Sleep Quality of Pregnant Women: A Systematic Literature Review
Authors: Setyowati Eka , Widyawati Melyana Nurul , Pramana Cipta
Published: February 2025

Pregnant women often experience various physical and psychological discomforts, such as back pain, anxiety, and sleep disorders that adversely affect maternal and fetal health. One approach that has to widely studied is yoga, which is believed to be able to reduce discomfort.Objective: To analyze and evaluate the literature regarding the effects of yoga on back pain, anxiety and sleep quality in pregnant women.Methods: This study used the Systematic Literature Review (SLR) method with the PRISMA approach. The articles analyzed were obtained from the Google Scholar, PubMed, and ResearchGate databases with the keywords "pregnancy, yoga, anxiety, low back pain, and sleep quality." Inclusion criteria used the PICOS framework and resulted in 15 relevant articles.Results: An analysis of 15 articles showed that yoga is consistently effective in reducing back pain, reducing anxiety, and improving sleep quality in pregnant women, especially in the second and third trimesters.Conclusion: Yoga is a safe and effective intervention for pregnant women to reduce back pain, reduce anxiety and improve sleep quality so it can be used as an alternative to improve the overall well-being of pregnant women.
Risk Factors of Disrupted Ectopic Pregnancy in Pregnant Women
Authors: Azizah Anisa Nur , Rahayuningsih Faizah Betty
Published: February 2025

Disrupted ectopic pregnancy is a serious pregnancy complication that threatens the life of both the fetus and the mother, yet there is limited exploration and analysis of the risk factors associated with disrupted ectopic pregnancy. This study aims to identify the risk factors affecting disrupted ectopic pregnancy. Method: This research is a case-control study with an analytical observational design. The sample used secondary data from medical records of 100 pregnant women with disrupted ectopic pregnancy in the case group and 100 pregnant women without disrupted ectopic pregnancy in the control group at Dr. Moewardi Regional Public Hospital from 2020-2025. Data were analyzed using the Chi-Square test to determine the p-value and odds ratio. The p-values for maternal age, gestational age, parity, abortion history, history of disrupted ectopic pregnancy, contraceptive use, and history of reproductive disease are all 0.000 or 0.003 (<0.05), indicating significant associations between these factors and the occurrence of disrupted ectopic pregnancy. There is a significant relationship between maternal age, gestational age, parity, abortion history, history of disrupted ectopic pregnancy, contraceptive use, and history of reproductive diseases in women with disrupted ectopic pregnancy.
FACTORS Factors Affecting the Incidence of Placental Retention in Pregnant
Authors: Elviana Annur Dian , Rahayuningsih Faizah Betty
Published: February 2025

Placental retention is a critical medical condition where the placenta fails to exit the uterus after childbirth, potentially causing severe bleeding and maternal death. It is identified when the placenta remains inside the uterus 30 minutes after delivery. This study examines factors influencing placental retention at Dr. Moewardi Regional General Hospital, Surakarta. Using a quantitative case-control design, this study compared 200 medical records: 100 with placental retention and 100 without, using a simple random sampling technique. Inclusion criteria were medical records from 2021 to 2024 detailing maternal age, parity, childbirth history, delivery type, uterine contractions, abortion history, and education, while incomplete records were excluded. The analysis of the data was conducted using the chi-square test, applying a significance threshold set at p less than 0.05. Results revealed significant relationships between childbirth history (p=0.000), delivery type (p=0.000), uterine contractions (p=0.000), and placental retention. However, maternal age (p=0.499), parity (p=1.000), abortion history (p=0.078), and education (p=0.091) showed no significant associations. These findings can guide future research using different methodologies.
Clinical Symptoms of Cholelithiasis and Abdominal Ultrasound Findings in the Radiology Installation of RSD
Authors: Darmayanti Dewi , Armaijn Liasari , Supriyatni Nani
Published: February 2025

Cholelithiasis is one of the main causes of abdominal pain morbidity worldwide. The prevalence of cholelithiasis in developed countries is around 10-15% of the adult population, while in Asian countries the epidemiology of cholelithiasis ranges from 3-10%, with the prevalence of cholesterol cholelithiasis. This study aims to determine the relationship between clinical symptoms of cholelithiasis and abdominal USG findings at the radiology installation of Tidore Islands City Hospital. Methods: The type of research is observational with a cross-sectional study design. The research was conducted at the Radiology Installation of RSD Kota Tidore Kepulauan. The research sample consisted of 104 patients, with a total sampling method. Data were collected using secondary data obtained from the medical records of patients showing clinical symptoms of cholelithiasis from January to December 2023. data analysis used the Fisher’s exact test statistical method. Results and Discussions: The results of the study showed that the characteristics of patients aged 46-65 years were 50 people (48.1%), female gender was 66 people (63.5%), the largest patient clinical was cholelithiasis as many as 98 people (94.2%), the largest patient ultrasound findings were cholelithiasis as many as 98 people (94.2%), the results of the correlation between clinical cholelithiasis and ultrasound findings showed that clinical cholelithiasis with ultrasound findings of cholelithiasis was the most with a total of 95 people. The results of the Fisher's exact test obtained a p value = 0.002, which means that there is a correlation between clinical cholelithiasis and ultrasound findings of cholelithiasis.
Evaluation of Pharmacy Service Implementation in Class C Hospitals in Kebumen and Improvement Strategies
Authors: Muchromin Muchromin , Wijayanti Tri , Dewi Lucia Vita Inandha
Published: February 2025

Health is a fundamental human right, and pharmacy services are a vital component of the healthcare system, especially in hospitals. The Ministry of Health Regulation No. 72 of 2016 serves as a guideline for implementing pharmacy services to ensure optimal healthcare delivery. Objective: This study aims to evaluate the implementation of Ministry of Health Regulation No. 72 of 2016 regarding pharmacy services in three class C hospitals in Kebumen Regency and to formulate improvement strategies using the Hanlon method. Method: A descriptive-analytical approach with a cross-sectional design was used. Data were collected through observations and interviews with the heads of pharmacy departments in the three hospitals. Results: The implementation of pharmaceutical supply management and clinical pharmacy services achieved 72.7% of the established standards. Key activities such as prescription review, medication history tracking, and counseling were conducted. However, activities like Drug Use Evaluation, sterile dispensing, and Therapeutic Drug Monitoring were not implemented due to limited facilities and skilled personnel. Hanlon analysis identified priority issues, including drug procurement accuracy, the number of items per prescription, and the lack of Drug Use Evaluation and Therapeutic Drug Monitoring. Conclusions: To improve service quality, recommendations include increasing budget allocation, training medical staff, and improving infrastructure. Addressing these issues is expected to enhance patient safety, drug use efficiency, and overall service satisfaction in the hospitals.
The Effect of Physical Activity Intervention on the Well-Being of Pregnant Women: Literature Review
Authors: Solehati Tetti , Taslam Afni Faddilah , Puspita Nezla , Rismawati Ima , Ramdhona Dinyatul Arba , Salsabila Khalishah , Taslam Afni Faddilah , Samdjaya Lu'lu Nadiyya , Rahayu Yuliana Sri , Kosasih Cecep Eli
Published: February 2025

Physical activity during pregnancy needs to be considered because it will have a positive impact in reducing medical interventions during childbirth, such as: amniocentesis, labor induction, and the risk of cesarean section. Low physical activity in pregnant women causes adverse effects, such as: excess weight during pregnancy, diabetes, and hypertension. This study aimed to identify physical exercise that is effective in improving the welfare of pregnant women. Literature review research design. Literature search assisted by Pubmed, Science Direct, and Ebsco databases using the keywords "Pregnant women" OR "Pregnancy" OR "Pregnant" AND "Exercise" OR "Exercises" OR "Physical Activity" AND "Well-being" OR "Life satisfaction" OR "Life quality" by considering the inclusion criteria including: fultex on physical exercise interventions in pregnant women published from 2014-2024, in English, primary research with Randomized Controlled Trial, Clinical Trial, quasi-experiment designs.This study found 10 articles that met the requirements for analysis, which were then analyzed using JBI. The results of the study found six themes of the influence of physical activity during pregnancy on the welfare of pregnant women, namely: improving sleep quality and maternal-fetal attachment, reducing pain during pregnancy, affecting labor, improving fetal well-being and intrauterine safety, optimal weight gain, and preventing postpartum depression. Based on the results of the study, it was concluded that there are various types of physical exercise in improving maternal well-being during pregnancy, so it is recommended that pregnant women do physical activity during their pregnancy to improve the well-being of the mother and her fetus.
Risk Factors for Pulmonary Tuberculosis in Diabetes Mellitus Patients
Authors: Suwirda Cut , Zakaria Radhiah , Nurjannah Nurjannah , Zahara Meutia , Rani Hafnidar A.
Published: February 2025

Tuberculosis (TB) is a contagious infectious disease that causes major health problems globally. Indonesia is a country with a high burden of TB cases, with an incidence of 312 per 100,000 population. The number of suspected tuberculosis cases in Aceh in 2022 is 85,945 cases. Aceh Besar has the second highest number of tuberculosis cases, namely 3644 people. DM sufferers have uncontrolled glucose levels so they are at risk of developing TB. This research was conducted to analyze the risk factors for the incidence of tuberculosis in DM sufferers at the Aceh Besar. This research is a quantitative research approach case control study. The sample in this study was DM sufferers with a total sample of 104 people with a sample number of 52 people in each group. Sampling in research uses the technique of purposive sampling. Sample selection for the control group was carried out by selecting DM sufferers of the same gender as the case group. Data collection was carried out using questionnaires and data from examination results from community health centers. Data analysis used multiple logistic regression tests with a confidence level of 95%. The results of the study showed that factors associated with the incidence of pulmonary tuberculosis in diabetes mellitus sufferers in Aceh Besar were secondary education (OR=8.84; 95%CI=1.67–46.69), not working (OR=3.12; 95%CI=1.16–8.35), poor lifestyle (OR=4.97; 95%CI=1.68–14.71), underweight nutritional status (OR=4.38; 95%CI=1.14–16.77), smoking (OR=3.19; 95%CI=1.35–7,55), unhealthy house (OR=2.36; 95%CI=1.07 – 5.18), poor quality of health services (OR=0.03; 95%CI=0.01–0.09), family history of TB (OR=9.40; 95%CI=2.57–34.34) and contact directly with TB sufferers (OR=4.71; 95%CI=1.79–12.40). The most dominant factor associated with the incidence of tuberculosis in diabetes mellitus sufferers in Aceh Besar is smoking (OR=12.71; 95%CI=2.07–77.68). It is hoped that the public, especially DM sufferers, will stop smoking to engage in physical activity or consider seeking support or health consultation to help stop smoking. Additionally, it is hoped to not have direct contact with TB sufferers, to and use a mask when interacting with TB sufferers.
Menopausal Status and Lung Function among Female Tobacco Factory Workers
Authors: Karimah Rumman , Tursina Madha Qoyyulledy , Astuti Ida Srisurani Wiji , Aziz Ayu Munawaroh
Published: February 2025

Tobacco factory workers face significant occupational health risks, particularly with respect to respiratory function. Female workers may be especially vulnerable to physiological factors, including hormonal status. Objective: To investigate differences in forced expiratory volume in 1 s (FEV1) between menopausal and reproductive-aged women working in tobacco factory production sectors and assess associated risk factors. Methods: This cross-sectional study involved 30 female tobacco factory workers (15 menopausal and 15 reproductive) in Jember, Indonesia. Pulmonary function was assessed via spirometry to measure FEV1. Participant characteristics, including age, work duration, and use of respiratory protective equipment, were collected. The data were analyzed via independent t tests and risk assessment calculations. Results: Menopausal women had significantly lower FEV1 values (67.33 ± 14.351%) than reproductive-age women did (79.13 ± 6.346%; p = 0.007). Overall, 60% of the participants exhibited varying degrees of airway obstruction. Compared with reproductive-aged workers, menopausal workers had a threefold greater risk (OR = 3.143) of developing lung obstruction. Notably, 76.67% of workers reported never using respiratory protective equipment. Conclusions: Menopausal status significantly affects respiratory function among female tobacco factory workers, with a combination of occupational exposure and hormonal changes potentially accelerating lung function decline. These findings emphasize the need for enhanced occupational health measures, particularly for menopausal workers in tobacco production facilities.
Nesting Technique as A Simple Method for Optimal Outcomes in Premature Infant Care: A Literature Review
Authors: Indartik Indartik , Khasanah Nopi Nur , Wahyuni Sri
Published: February 2025

Preterm birth accounts for up to two-thirds of total cases worldwide. Premature infants often face challenges in adapting to life outside the womb due to immature organ development. Nesting is a method designed to create an environment resembling conditions in the womb by positioning the infant's body in a flexed posture and surrounding it with rolled cloth. This study aims to identify the physiological and psychological benefits of nesting while also providing evidence-based implementation guidelines for neonatal clinical practice. This study utilized a literature review design guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Article searches were conducted through electronic databases, including PubMed, Google Scholar, Crossref, OpenAlex, and Semantic Scholar. The search keywords used the Boolean operator (AND): "nesting AND preterm". Based on the review of 16 articles, the findings suggest that the nesting technique significantly contributes to improving physiological and behavioral parameters in premature infants. This technique provides numerous benefits, including enhanced vital stability, sleep quality, and neurobehavioral development. Overall, the nesting technique is an effective, safe, and easy-to-implement non-pharmacological method for improving the quality of care for premature infants. This intervention holds great potential to support physiological stability, sleep quality, and overall infant development.
Description of the Quality of Life in Elderly at Nursing Home
Authors: Fajari Salsabila , Sumarni Nina , Mulya Adelse Prima
Published: February 2025

The quality of life among the elderly is prone to decline due to physical, mental, and social deterioration. Assesing the quality of life in the elderly is essential to measure the effectiveness of care in nursing homes, ensuring that residents live safely and comfortable. This study aims to describe of the quality of life among the elderly at UPTD Pusat Pelayanan Sosial Griya Lansia (PPSGL) Ciparay. Method: This research is a quantitative descriptive study. The sample consisted of 60 elderly individuals selected using purposive sampling technique. Data were collected through the WHOQOL-OLD questionnaire which has been translated into Indonesian and has been tested for validity using the Rasch Model and its reliability with the results of the Cronbach's Alpha value of 0.75. Data were analysis using univariate analysis. The results showed that 55% of the elderly had a good quality of life, with 80% at a good level in the death and dying domain and 48.3% at a poor level in the sensory abilities domain. Good quality of life is something that needs to be maintained. However, almost half of the elderly at the UPTD Pusat Pelayanan Sosial Griya Lansia (PPSGL) Ciparay are at a poor level in the past, present and future activity and sensory abilities domain.
A Deadly Electrocardiography Shark Fin Sign in ST Elevation Myocardial Infarction: A Case Report
Authors: Inayasari Syahwina , Pribadi Luhur , Suwandi Margono Gatot
Published: February 2025

Shark fin ECG pattern, also known as 'giant R waves', or 'triangular QRS-ST-T waveform' is a high-risk ECG pattern associated with ST-elevation myocardial infarction (STEMI). Shark fin ECG is typically accompanied by occlusion of the left main coronary artery and the left anterior descending artery, and it is considered to be related to a high risk of death through cardiac arrest and cardiogenic shock. Objective: This case report aims to present a case study of a patient with acute coronary syndrome st-elevation myocardial infarction with a shark fin ECG pattern. Methods: The method used is a descriptive case report design conducted on one subject. Data were collected by conducting interviews, assessments, and therapy for one patient with a shark fin ECG sign in ST-Elevation myocardial infarction. Data analysis compared the results with the theory and previous study. Results: The result of this study indicated that Mr. X aged 44 years, was in cardiac arrest and unstable hemodynamic, and experienced a return of spontaneous circulation (ROSC) after he was given 45 minutes of cardiopulmonary resuscitation (CPR), and the electrocardiography result showed shark fin sign and extensive anterior st elevation, the patient then underwent primary percutaneous intervention and the coronary catheterization showed total occlusion in left anterior descending artery (LAD), proximal stenosis 20% in the left circumflex artery (LCx), and proximal stenosis 30% in the right coronary artery (RCA). The drug-eluting stent was finally placed in the LAD. Conclusions: Shark fin sign ECG pattern indicates total occlusion and a large area of transmural ischemia, and predicts high mortality, early recognition and prompt aggressive treatment can reduce the risk of more serious complications and mortality.
The Relationship of Dietary Knowledge Level and Blood Sugar Levels in Type 2 Diabetes Mellitus Patients
Authors: Rismawati Wiji , Purwanti Okti Sri
Published: February 2025

Type 2 diabetes mellitus patients often do not understand a balanced diet. This lack of knowledge has an impact on the high blood sugar of patients with type 2 diabetes mellitus. This study aims to analyze the relationship between dietary knowledge and blood sugar levels in patients with type 2 diabetes mellitus. This study used a quantitative approach with a cross-sectional design and applied the total sampling method, involving 40 respondents who were patients with type 2 diabetes mellitus at the Kartasura Health Center. This study was conducted in December 2024-January 2025. Data collection was carried out by distributing questionnaires to respondents who conducted examinations at the Kartasura Health Center Prolanis Clinic. Pearson test was used for data analysis because the data distribution was normal. The results of the Pearson statistical test on type 2 diabetes mellitus patients at the Kartasura Health Center showed a p-value = 0.001. The results revealed a relationship between dietary knowledge and blood sugar levels in patients with type 2 diabetes mellitus at the Kartasura Community Health Center. Researchers suggest exploring other variables that affect blood sugar levels, such as physical activity, and diet. Qualitative research methods can also be used to investigate patients taking routine medication and the influence of the surrounding environment, allowing for more generalized findings.
The Effect of Website-Based Education on Knowledge, Attitude and Compliance with Consumption of Blood Supplement Tablets in Adolescent Girls: Systematic Review
Authors: Qodri Hafidz Al , Hartiti Tri , Aisah Siti
Published: February 2025

Anemia is a significant global health issue, especially among adolescent girls, caused by insufficient iron intake needed for hemoglobin synthesis. This study aims to explore the impact of ePuskesmas-based detection methods and website-based EDUMA on knowledge and adherence to iron tablet consumption among adolescent girls in Indonesia, as an effort to reduce the prevalence of anemia. Method: This study employs a literature review methodology by searching scientific articles through Google Scholar, Proquest, and PubMed platforms. Inclusion criteria encompass quantitative and qualitative articles published between 2019-2024, focusing on the use of ePuskesmas and EDUMA to enhance knowledge and adherence to iron tablet consumption among adolescent girls. Results: Initial identification yielded 622 potential articles, from which 18 articles were selected after inclusion and exclusion criteria. These articles indicate that technology-based approaches, such as Android applications, web platforms, and adherence monitoring systems, are effective in improving knowledge and adherence of adolescent girls to iron tablet consumption. Conclusion: These findings affirm that the integration of information technology in healthcare systems, such as ePuskesmas and website-based EDUMA, can be an effective strategy to enhance understanding and adherence of adolescent girls to iron tablet consumption to address anemia.
The Influence of Music Therapy and Mindfulness Meditation in Reducing Anxiety in Elderly Individuals Undergoing Hemodialysis: A Systemic Review
Authors: Al Djuwardi Aminah Soemadi , Rekawati Etty , Kurnia Dikha Ayu
Published: February 2025

Approximately 40-50% of hemodialysis patients are elderly who experience chronic health conditions such as end-stage renal disease. Routine medications, lifestyle changes, and side effects of treatment often cause anxiety. Anxiety is described as a disturbing feeling as a situation of fear or threat. The sensation of anxiety can consist of palpitations, tremors, nervousness, and shortness of breath, interfering with the procedure. hemodialysis. Long duration of treatment and physical discomfort caused by it cause anxiety. Therefore, appropriate and safe non-pharmacological therapy is needed in the elderly. Objective to reduce anxiety in the elderly undergoing hemodialysis. The search was conducted through journal sources from ScienceDirect, ProQuest, EBSCO, and Pubmed (2019-2024) with keywords using medical subject headings (MeSH) "older adults" OR "elderly" OR "geriatrics" AND "music therapy" AND "acoustic therapy" OR "mindfullness" OR "Meditation" from 2899 article, 3 articles reviewed consisting of 1 quasi-experimental article 2 RCT articles it was proven that music therapy has a positive effect and increases satisfaction during hemodialysis as well as mindful meditation has been shown to reduce anxiety. Music therapy as an intervention that is cheap, easy and safe for the elderly can reduce anxiety levels, as well as mindful meditation although more research is still needed to see the evidence base.
Socio-Economic Relations and Patriarchal Culture with the Incident of Unmet Need
Authors: Fitriyan Nursafira , Hasrida Hasrida
Published: February 2025

Unmet need is a condition when women of childbearing age have a need to use contraception but it is not met. This condition can occur in women who do not want to have any more children or want to space out pregnancies, but do not use contraception. This study aims to analyze the relationship between socio-economic and patriarchal culture and the incidence of unmet need for family planning. Method: Uses a cross-sectional design with quantitative methods. The population consists of fertile couples (PUS) at the Siti Khadijah Clinic, with a sample of 60 respondents taken using a purposive sampling technique. Data were collected using a Standard questionnaire and analyzed using the chi-square test. Results: The analysis shows that Respondents with a low economic level are more vulnerable to experiencing unmet need, as shown by the significant value between socioeconomic (p=0.001) and patriarchal culture (p=0.000) with the incidence of unmet need. Conclusions: Socio-economic and patriarchal culture play a significant role in the incidence of unmet need for family planning. Cultural-based interventions and economic empowerment programs are needed to increase access and participation of fertile couples in family planning service programs as well as assistance and guidance to prospective family planning participants.
The Relationship between Knowledge, Attitudes and Behaviors of Hemodialysis Nurses Towards Preventing Risk of Catheter Infection Doube Lumen Tunneling at X Jakarta Hospital
Authors: Verawati Yuli , Natalia Lia
Published: February 2025

Infection in Catheter Double Lumen (CDL) tunneling is a complication that often occurs in patients with hemodialysis.The prevention of infection in tunneling CDL can be achieved through nurses' possession of adequate knowledge, attitudes, and behaviors regarding the care of tunneling CDL access, as well as the provision of proper information to patients and families.The objective of this study is to ascertain the relationship between nurses' knowledge, attitudes, and behaviors regarding the prevention of infection in tunneling CDL at Hospital X Jakarta. The research method employed is quantitative, utilizing a descriptive correlation research design with a cross-sectional approach.The sample collection technique employed total sampling of 46 hemodialysis nurses. The results of univariate analysis indicated that the majority of respondents were female (93.5%), aged 31-40 years (47.8%), had a Diploma 3 education level (69.6%), exhibited good category knowledge (65.2%), good category attitude (65.2%), and good category behavior (69.6%). The results of Kendal's Tau B analysis demonstrated a relationship between nurses' knowledge and attitude regarding the prevention of CDL infection (p-value 0.014) and a relationship between nurses' behavior and the prevention of CDL infection (p-value 0.004). The knowledge, attitudes, and behaviors of nurses have been identified as a crucial component in the prevention of infection in the context of CDL tunneling. Hospitals are expected to implement training programs, disseminate Standard Operating Procedures on infection control in CDL, and conduct ongoing monitoring and evaluation to mitigate the risk of CDL infection.
Strategic culture as a tool of hybrid warfare
Authors: Musienko Tamara , Lukin Vladimir , Hill-Artamonova Elena
Published: February 2025

The article is an analytical review of domestic and foreign studies of strategic culture as a tool of hybrid warfare for the formation of identity in the interests of the political elite and as an analytical tool for the study of security problems.
The aim of the project is to systematize the scientific results of relevant research works, generalize the main conceptual and methodological solutions in the study of strategic culture as a tool of hybrid warfare.
Methodology. The principles of the methodology of the systematic approach and comparative analysis are used, the analysis and generalization of the studied objects are carried out in order to determine the leading trends in the development of scientific knowledge in the field of the theory of strategic culture.
Results. The article shows that within the framework of the fourth generation of strategic culture research, most researchers rely on the definition of the main elements of Johnston's strategic culture concept as a set of common beliefs, assumptions and behaviors based on common experiences and accepted beliefs (both oral and written) that form collective identity and relationships with other groups, and which define the appropriate goals and means to achieve security objectives.
The search for new approaches by a number of modern researchers to the conceptualization of strategic culture and modeling of its components is reflected.
The importance of the theoretical development of the problem, which appears as one of the most important research tasks, is emphasized, which is confirmed by the increased attention to the study of strategic culture, especially during crisis periods of historical and political development.
It is shown that at time in Russia the importance of this tool and its effectiveness were not appreciated, especially in relation to the post-Soviet space, in relation to which the United States and the West conducted systematic work to transform the consciousness of national elites and public consciousness through the promotion of distorted historical narratives through the education system, at the first stage, and through the unleashing of information wars and other instruments of hybrid warfare, and ultimately, by creating real threats to national security at the second stage of changing the strategic cultures of these countries.
Currently, an empirical research base remains in demand and is actively being formed as a basis for further development of the main provisions of the theory of strategic culture.
An analytical review of the scientific literature confirms the gradual formation of an appropriate conceptual and methodological basis for the study of the problem.