ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH
ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH | E-ISSN: 2808-5396 focuses on health sciences, including preventive, promotive, curative, and rehabilitative fields, by publishing "original articles" and "review articles." The scientific scope of the Health Scientific Journal include Medical and clinical research, Public health research (health management and policy, health promotion, reproductive health, epidemiology, as well as environmental health and occupational health), Midwifery management research or related to preventive and promotive policies and efforts, Nursing management research or those related to environmental nursing with health promotion efforts, Clinical pharmacy, Nutrition and other studies. In one year this journal will be published 4 times, namely in January, April, July, and October.
PENGARUH BRANDING LAYANAN KESEHATAN TERHADAP CITRA INSTITUSI DAN KEPUTUSAN PASIEN
This study examines the influence of healthcare branding on institutional image and patient decision-making. Branding in the healthcare sector is a key strategy for healthcare institutions to build their identity, enhance trust, and create a positive perception amongst the public. A positive institutional image strengthens the reputation of healthcare services, whilst patients’ decisions regarding service selection are significantly influenced by their perceptions of quality, credibility and experience, which are shaped through branding. This study employs a literature review method, examining various relevant academic sources, such as books, journal articles, and previous research findings. The results of the review indicate that healthcare service branding plays a vital role in shaping a positive institutional image and significantly influences patient decision-making. Therefore, consistent branding management that is oriented towards patient needs is a strategic factor in enhancing the competitiveness of healthcare institutions.
Copyright (c) 2026 ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH
STRATEGI BRANDING RUMAH SAKIT DALAM MENINGKATKAN KEPERCAYAAN DAN LOYALITAS PASIEN
This article discusses hospital branding strategies aimed at enhancing patient trust and loyalty. Amid increasingly fierce competition in the healthcare sector, hospitals are required not only to provide high-quality medical care but also to build a credible, professional and patient-centred image. Strong branding is a key factor influencing public perception of the quality of hospital services. Through consistent, transparent and human-centred branding, hospitals can instil a sense of security and confidence in patients when choosing healthcare services. This article is based on a literature review, examining various sources relating to hospital branding, patient trust and patient loyalty. The findings indicate that patient trust is built through consistent service quality, clear communication, a good reputation and positive service experiences. Furthermore, this trust forms the basis for patient loyalty, which is reflected in the willingness to use the hospital’s services again and to recommend them to others. Thus, hospital branding serves not only as a promotional tool but also as a long-term strategy to strengthen the relationship between the hospital and its patients.
PERLINDUNGAN HUKUM TERHADAP DATA REKAM MEDIS PASIEN DALAM ERA DIGITALISASI LAYANAN KESEHATAN DI INDONESIA
The digitalisation of healthcare services in Indonesia has driven the use of electronic health records as part of efforts to improve efficiency, data integration and the quality of care. However, this development has also raised serious legal issues, particularly regarding the protection of patients’ personal and sensitive medical records. This study aims to analyse the legal protection of patients’ medical records in the era of healthcare digitalisation in Indonesia, examine the challenges and weaknesses of existing regulations, and review efforts to strengthen such data protection. This study employs a literature review using a normative legal approach through the analysis of legislation, academic journals, and relevant literature. The findings indicate that Indonesia already possesses a sufficiently robust legal framework through Law No. 27 of 2022 on the Protection of Personal Data, Law No. 17 of 2023 on Health, and Minister of Health Regulation No. 24 of 2022 on Medical Records. However, implementation still faces challenges in the form of regulatory harmonisation, digital infrastructure readiness, low data security literacy, and sub-optimal oversight. Therefore, there is a need to strengthen technical regulations, enhance human resource capacity, and ensure consistent law enforcement so that the protection of patients’ medical records can function effectively within the digital healthcare system.
TANGGUNG JAWAB HUKUM TENAGA KESEHATAN TERHADAP PELANGGARAN INFORMED CONSENT DALAM PELAYANAN MEDIS
This study aims to analyse the legal liability of healthcare professionals for breaches of informed consent in medical practice through a literature review. Informed consent is a legal and ethical foundation that must be applied prior to any medical procedure, in accordance with Article 293(1) of Law No. 17 of 2023 on Health and Minister of Health Regulation No. 290/Menkes/Per/III/2008. The results of the study indicate that breaches of informed consent can occur in three main forms: failure to provide information, provision of incomplete or misleading information, and obtaining invalid consent. The legal liability of healthcare professionals encompasses four forms: civil liability under Article 1365 of the Civil Code for unlawful acts; criminal liability under Articles 359 and 351 of the Criminal Code; administrative liability in the form of sanctions ranging from a reprimand to the revocation of a practising licence; and professional disciplinary liability under the Indonesian Medical Council (MKDKI). Hospitals, as corporations, are liable under the doctrines of strict liability and vicarious liability in accordance with Article 1367 of the Civil Code and Article 46 of the Hospitals Act. This study recommends strengthening regulations, improving healthcare professionals’ communication skills, and raising awareness of patients’ rights to prevent future breaches of informed consent.
ANALISIS YURIDIS MALPRAKTIK MEDIS DALAM PERSPEKTIF HUKUM KESEHATAN DAN PERLINDUNGAN PASIEN DI INDONESIA
Cases of alleged medical malpractice in Indonesia have shown a significant upward trend, with 51 complaints of professional disciplinary breaches between 2023 and 2025 and 24 cases resulting in patient deaths. This study aims to analyse medical malpractice from a legal perspective, focusing on health law and patient protection in Indonesia. The research method employs a normative legal approach with a conceptual legislative framework. The findings indicate that medical malpractice constitutes a complex legal offence involving three dimensions—civil, criminal and administrative law—with negligence, medical procedural errors and breaches of professional standards as key elements. Law No. 17 of 2023 on Health, through Articles 440 and 447, introduces a new, more specific framework for criminal liability applicable to healthcare professionals and hospitals based on the doctrine of vicarious liability. Legal protection for patients who are victims of malpractice is still not functioning optimally, even though patients’ rights are guaranteed in law, due to the heavy burden of proof, limited access to medical records, and administrative sanctions that lack a deterrent effect. This study concludes that there is a need for health law reform to strengthen patients’ access to justice, clarify the responsibilities of healthcare professionals, and reinforce professional oversight mechanisms so that the principle of substantive justice is truly realised.
PENGARUH PENYULUHAN TENTANG ANEMIA MELALUI FLIPCHART TERHADAPPENGETAHUAN DAN SIKAP PADA REMAJA PUTRI DI MTs DDI KARYA BARU LOA JANAN
Introduction: Anemia is a medical condition in which the levels of hemoglobin or red blood cells are below normal. In 2019, WHO reported that the prevalence of anemia in women of childbearing age (15-49 years) reached 29.9% globally. According to the World Health Organization in 2020 globally, anemia affects 1.62 billion people, which is equivalent to 24.8% of the population. Iron nutritional anemia can cause a decrease in physical ability, work productivity and thinking ability. Apart from that, nutritional anemia can also cause a decrease in antibodies, making it easier to get sick due to infection. Objective: To determine the effect of counseling about anemia through flipcharts on the knowledge and attitudes of young women at MTs DDI Karya Baru Loa Janan Method: This research is a quantitative research using the Pre Experiment method, research design using a One Group pretest and posttest design, with a sample size of 56 young women at MTs DDI Karya Baru Loa Janan. Sampling used total sampling. Results: The results of the Wilcoxon test showed that 40 people (71.4%) identified the knowledge of young women who were in the good category because before intervention was given, they were in the poor category. Then after being given the intervention, respondents' knowledge increased by 52 people (92.9%). This proves that knowledge after being given the intervention increased, namely before the pretest by (7.1%) and after being given the posttest intervention by (92.9%). The results of identifying attitudes before being given the intervention were in the negative category as many as 41 people (73.2%). Then after being given the intervention, respondents' attitudes increased by 50 people (89.3%). This proves that the attitude after being given the intervention increased, namely before the pretest it was (8.9%) and after being given the posttest intervention it was (89.3%). Conclusion: There is an influence of counseling about anemia through flipcharts on the knowledge and attitudes of teenage girls at MTs DDI Karya Baru Loa Janan.
Copyright (c) 2025 ZAHRA: JOURNAL OF HEALTH AND MEDICAL RESEARCH
EVALUASI PENGGUNAAN ANTIBIOTIK PADA PASIEN ISK DI INSTALASI FARMASI PASIEN RAWAT INAP DI RS EFARINA ETAHAM PEMATANG SIANTAR PERIODE JANUARI-MARET TAHUN 2024
Urinary tract infection (UTI) is the growth of microorganisms in the urinary tract, which is normally sterile. Antibiotics are the most widely used drugs worldwide due to the high incidence of bacterial infections. Women are more prone to UTIs than men because the female urethra is shorter, making it easier for contaminating bacteria to reach the bladder. This study aimed to evaluate the use of antibiotics and the rationality of antibiotic use based on the appropriateness of diagnosis, indication, drug, patient, and dosage. A retrospective descriptive quantitative method was used. The population in this study was all inpatients with a diagnosis of urinary tract infection at Efarina Etaham Pematang Siantar Hospital from January to March 2024. The sample in this study was all medical records and prescriptions of inpatients with a diagnosis of UTI at Efarina Etaham Pematang Siantar Hospital from January to March 2024. The antibiotics used were ceftriaxone and cefixime from the cephalosporin group, and ofloxacin from the quinolone group. The most frequently used antibiotic was cefixime from the cephalosporin group. The results showed that the appropriateness of diagnosis was 100%, indication was 100%, drug was 100%, patient was 100%, and dosage was 100%.
EVALUASI RASIONALITAS ANTI DIABETIK PASIEN RAWAT JALAN DIABETES MELLITUS TIPE 2 DI RUMKIT TK. IV 01.07.01 PEMATANGSIANTAR PERIODE APRIL – JUNI TAHUN 2024
Type 2 diabetes mellitus is a chronic disease caused by abnormalities in the process of insulin secretion, insulin resistance or due to unhealthy lifestyle factors, so there is a need for therapy to support the patient's quality of life. Rational antidiabetic therapy is one of the parameters of optimal therapy success for diabetic patients. The accuracy of therapy can be seen based on the patient's condition. This research was conducted at RUMKIT TK. IV 01.07.01 PEMATANGSIANTAR on patients with type 2 diabetes mellitus in 2024. The purpose of this study was to assess the profile of diabetic treatment and the rationality of antidiabetic therapy which includes 5 indicators of accuracy, namely the right indication, the right drug, the right dose, the PATIENT RIGHT, and the Exact delivery time. This research is non-experimental with a descriptive approach using prescriptions and medical record data. The results showed that out of 96 samples consisting of 71 women and 25 men, all of whom met the mixture of inclusion and exclusion, and showed that the predominant age prevalence was around 56-65 years (43,75%). In rational analysis recorded as having a potential indication of 100%, 100% correct medication, 100% correct dosage, 100% correct patient, 100% correct Exact delivery time each of which was processed using Microsoft Excel.
TINGKAT PENGETAHUAN TERHADAP OBAT GENERIK PADA MASYARAKAT KECAMATAN SIANTAR BARAT KOTA PEMATANG SIANTAR
Generic drugs are drugs with the official name International Non-Proprietary Names (INN)which have been stipulated in the Indonesian pharmacopoeia or other standard books for the nutritious substances they contain. The problem that occurs in the community so far is that people still think that generic drugs are cheap drugs that are not of high quality. The purpose of this study was to determine the level of knowledge of generic drugs in Pematangsiantar City, Siantar Barat District.This research is included in the type of descriptive observational research with a cross sectional design. The respondents in this study were the people of Pematangsiantar City, Siantar Barat District, aged 17-65 years. The sampling technique used non-random sampling method. The instrument used in the form of a questionnaire, then analyzed descriptively. The data is presented in the form of tables, barcharts, and accompanied by a discussion.The level of knowledge of respondents about the definition of generic drugs, the benefitsof generic drugs, generic drug policies, classification of generic drugs, and the quality of generic drugs is mostly in the good category with the percentages of 73%, 55%, 59%, 69%, 63% respectively.
GAMBARAN PENGGUNAAN OBAT ANTIDIABETIK PADA PASIEN DIABETES MELITUS DI RSUD TUAN RONDAHAIM KABUPATEN SIMALUNGUN PERIODE APRIL – JUNI 2024
Diabetes Mellitus (DM) is a chronic metabolic disorder disease characterized by increased levels of glucose in the blood accompanied by impaired metabolism of carbohydrates, fats and proteins. To insulin. Adherence to treatment in DM patients is very important for the success of this therapy, this is done to prevent complications. The purpose of this study is to find out the description of type 2 DM patients, including gender, age on medication adherence.This study used a descriptive method. The population in this study was all prescriptions for type 2 Diabetes Mellitus patients in the period April – Juny 2024. The secondary samples in this study were all prescriptions for Diabetes Mellitus patients containing oral anti diabetic drugs using purposive sampling technique. Researched all prescriptions containing oral anti diabetic drugs, including drug classes and types of drugs.The results showed that the use of antidiabetic drugs in type 2 DM patients at the RSUD Tuan Rondahaim was Glimepiride 40,7%, Insulin Flexpen 26,4%, Metformin 22,9% and Acarbose 10,1 %.
EVALUASI PENGELOLAAN OBAT PROGRAM HIV DI UPTD INSTALASI FARMASI DINAS KESEHATAN KOTA PEMATANGSIANTAR TAHUN 2024
Drug management includes planning, storage and distribution is one of the important tasks of the UPTD Pharmacy Installation of the Pematangsiantar City Health Office. Drug management includes planning, storage and distribution is one of the important tasks of the UPTD Pharmacy Installation of the Pematangsiantar City Health Office. Poor drug management will have a negative impact on service quality. The purpose of this study was to evaluate the management of program drugs for Human Immunodefeciency Virus (HIV) in 2023 at the UPTD Pharmacy Installation of the Pematangsiantar City Health Office. The research was conducted in July - August 2024. This research is descriptive with data obtained retrospectively and concurrently. The data obtained were analyzed using indicators and compared with the results of the study. The results showed that the planning, storage and distribution of HIV program drugs at the UPTD Pharmacy Installation of the Pematangsiantar City Health Office had not fully met the standard indicators. This is indicated by 3 indicators that have not met the standards, namely the level of drug availability; percentage of expired drugs; average drug vacancy time and 1 indicator has met the standards, namely the drug storage system. The conclusion of this study is that drug planning at the UPTD Pharmaceutical Installation of the Pematangsiantar City Health Office is planned based on the average use of drugs for 3 months. Drug storage uses the First In First Out (FIFO) / First Expired First Out (FEFO) system. The distribution of drugs at the UPTD Pharmaceutical Installation of the Pematangsiantar City Health Office is based on requests made by the person in charge of drugs at Puskesmas, Clinics and Hospitals through the SIHA 2.1 application. The destruction of drugs at the UPTD Pharmacy Installation of the Pematangsiantar City Health Service will be carried out in 2021 and at this time there are no known plans for the further destruction of drugs.
EVALUASI PENGGUNAAN OBAT ASMA PASIEN RAWAT JALAN DI RUMAH SAKIT TK. IV. 01.07.01 PEMATANGSIANTAR PERIODE APRIL - JUNI TAHUN 2024
Asma adalah penyakit kronis saluran pernapasan yang ditandai dengan inflamasi, peningkatan reaktivitas terhadap berbagai stimulus, dan penyempitan saluran napas yang bisa kembali secara spontan atau jika mengkonsumsi obat yang tepat. Data dari Word Health Organization tahun 2019 menyatakan bahwa jumlah penderita asma didunia mencapai 300 juta orang penyebab kesakitan (morbiditas) bersama-sama dengan bronkitis kronik. Penelitian ini merupakan jenis penelitian observasional dengan menggunakan rancangan penelitian secara deskriptif dengan pengambilan data secara retrospektif pada pasien ASMA di Rumah Sakit Tk. Iv. 01.07.01 Pematang Siantar. Penelitian ini bertujuan untuk mengevaluasi penggunaan obat pada pasien ASMA di Rumah Sakit Tk. Iv. 01.07.01 Pematang Siantar. Sampel penelitian ini adalah resep pasien ASMA dan rekam medis. Resep yang akan teliti disesuaikan dengan rekam medik. Data yang diperoleh diolah dengan sistem komputer Ms Excel kemudian disajikan dalam distribusi frekuensi. Berdasarkan dari hasil penelitian yang dilakukan diperoleh hasil evaluasi ketepatan penggunaan obat pada pasien asma yaitu tepat obat 96 pasien mencapai 100%, tepat pasien 96 pasien mencapai 100%, tepat indikasi96 pasien mencapai 100%, tepat dosis 96 pasien mencapai 100% dan tepat cara pemberian 96 pasien mencapai 100%. evaluasi penggunaan obat asma mendapatkan 2 jenis golongan obat asma yakni bronkodilator dan kortikosteroid
EVALUASI PENGGUNAAN ANTIBIOTIK PADA PASIEN INFEKSI SALURAN KEMIH RAWAT JALAN DI RSUD PERDAGANGAN KABUPATEN SIMALUNGUN PERIODE JANUARI - MEI TAHUN 2024
Urinary Tract Infection (UTI) is an infection of the kidney, ureter, bladder, or urethra. UTI is more common in women than men due to anatomical differences, while in men it is often associated with factors such as an enlarged prostate or catheter use. Antibiotics are used to kill or inhibit the bacteria that cause the infection. This study aims to assess the pattern of rational antibiotic use, including appropriate therapy, appropriate patient, appropriate indication, appropriate drug, appropriate dose, and appropriate optimal treatment duration. This research method is observational with a descriptive design and retrospective data collection. This study was conducted on 50 patients with urinary tract infections. The results of this study show an evaluation of the appropriateness of antibiotic drug use obtained, namely appropriate patients with a percentage of 100%, appropriate indications 100%, appropriate drugs 100%, appropriate doses 100% and appropriate duration of treatment with a percentage of 100%.
The revolution in health monitoring is characterised by the utilisation of digital technologies, including mobile apps and wearable devices, which enable real-time health monitoring. These technologies help individuals track various health indicators such as physical activity, nutritional intake, and sleep quality, and provide medical professionals with valuable data for more precise diagnosis and treatment. In addition, telemedicine expands healthcare access through remote consultations and improves adherence to treatment plans with reminders and early alerts. Overall, these innovations give individuals more control over their own health and strengthen interactions with healthcare providers.
HUBUNGAN PENGETAHUAN DAN SIKAP DENGAN KEPATUHAN DIET DIABETES MELLITUS TIPE II DI RT 02 KAMPUNG TENUN SAMARINDA
Introduction: Diabetes Mellitus is a non-communicable disease that is one of the chronic diseases caused by insufficient insulin production by the pancreas that cannot be used effectively by the body. According to WHO 2020, there are 422 million people with Diabetes Mellitus in the world, while the prevalence in Indonesia reaches 10.6% of the total population of 179.2 million. East Kalimantan Province has a prevalence of Diabetes Mellitus of 2.26% and Samarinda city has a prevalence of 3.04%. Objective: This study was to determine the relationship between knowledge and attitudes with dietary compliance of Type II Diabetes Mellitus in RT 02 Kampung Tenun Samarinda. Methods: This study used quantitative research with an analytic design with a cross-sectional approach. The population in this study were all patients with Type II Diabetes Mellitus in RT 02 Kampung Tenun Samarinda as many as 35 respondents. The sample used is from the calculation of the Total Sampling technique, which is 35 respondents. Data analysis used in the variables of knowledge, attitude and compliance is the Gamma test. Results: The results of the Gamma test show that there is a relationship between knowledge and Type II Diabetes Mellitus diet compliance with a p-value = 0.003 (<0.005) which means there is a significant relationship. While the results of the relationship between attitude and Type II Diabetes Mellitus diet compliance get a p-value = 0.010 (<0.005) which means there is a significant relationship between attitude and Type II Diabetes Mellitus diet compliance in RT 02 Kampung Tenun Samarinda. Conclusion: There is a relationship between knowledge and attitude with dietary compliance of Type II Diabetes Mellitus in RT 02 Kampung Tenun Samarinda. Suggestion: It is hoped to increase knowledge and attitudes about Type II Diabetes Mellitus diet compliance by adjusting eating patterns to manage blood sugar levels in the body and prevent complications from Type II Diabetes Mellitus.
PENGARUH PENDIDIKAN KESEHATAN MENGGUNAKAN METODE DEMONSTRASI TERHADAP PENGETAHUAN, SIKAP DAN KETERAMPILAN CUCI TANGAN PAKAI SABUN (CTPS) SEBAGAI UPAYA PENCEGAHAN DIARE SISWA SDN 022 BALIKPAPAN
Backgorund : According to the World Health Organization (WHO), 100 thousand children die from diarrhea, 25.5% of deaths in children aged 4-11 years are caused by diarrhea. 40 to 60% of children's diarrhea is caused by rota virus contamination by not washing their hands. WHO states that washing hands with soap can reduce diarrhea rates by up to 47% (WHO, 2018). Efforts to prevent diarrhea can be done by implementing the habit of washing hands with soap (CTPS) for elementary school age children. Objective : The main aim of this research is to determine the effect of health education using the demonstration method on CTPS knowledge, attitudes and skills among students at SDN 022 Balikpapan. Methods : This research uses a one group pretest-posttest design. The location of this research was SDN 022 Balikpapan. The respondents in this research were 29 students. Result : The results of this study show that there are differences in knowledge, attitudes and skills after being given the intervention with the Wilcoxon test p-value 0.000 (<0.05). Conclusion : So it can be concluded that there is a significant influence on the knowledge, attitudes and skills of respondents between before and after being given research intervention using the demonstration method.
3D PRINTING DALAM PEMBUATAN PROSTETIK DAN IMPLAN KESEHATAN
3D printing technology has revolutionised healthcare, particularly in prosthetics and implants. This research examines the role and impact of 3D printing in developing medical solutions tailored to individual patient needs. The method used included a literature review. Results show that 3D printing enables more accurate, efficient and aflordable prosthetics and implants. The technology also oflers high design flexibility, enabling the creation of complex structures that are difficult to achieve with conventional methods. In addition, the integration of biocompatible materials and sensor technology opens up opportunities for more functional and responsive implants. Despite challenges such as regulation and standardisation, 3D printing has the potential to change the paradigm in healthcare, improve patients' quality of life, and pave the way for future medical innovations. Further research is needed to optimise materials, improve manufacturing precision, and address ethical and accessibility issues.
PENERAPAN TEKNOLOGI NANOMEDISIN DALAM PENGOBATAN PENYAKIT KRONIS
The application of nanomedicine technology in the treatment of chronic diseases shows a very promising potential to revolutionise conventional therapeutic approaches. Through their ability to improve drug bioavailability, more precise targeting, and controlled drug delivery, nanomedicines open up new opportunities in the management of chronic diseases such as cancer, diabetes, and cardiovascular diseases. The advantages of nanomedicines in overcoming biological barriers, improving drug efficacy, and reducing side eflects provide new hope for patients suflering from chronic diseases that have been difficult to treat with conventional methods. However, despite its great potential, the application of nanomedicines still faces significant challenges. Long-term safety issues, complexity in production and regulation, and high development costs are still major barriers to the widespread adoption of this technology. Further research, multidisciplinary collaboration, and the development of a comprehensive regulatory framework are required to overcome these challenges. With continued eflorts in overcoming the existing barriers, nanomedicine has the potential to transform the landscape of chronic disease treatment, oflering more eflective and personalised solutions to millions of patients worldwide.
PREPARING THE YOUNGER GENERATION TO BECOME ENVIRONMENTAL HEALTH AMBASSADORS
This article discusses the importance of preparing young people as environmental health ambassadors through education and active involvement in activities that support environmental sustainability. Formal education in schools serves as the main foundation in raising environmental awareness, while the role of community and family strengthens the application of environmental values in daily life. In addition, support from the government and non-governmental organisations (NGOs) through training programmes and campaigns is crucial to provide a platform that enables the younger generation to contribute to environmental conservation. With a comprehensive and synergistic strategy, young people can be empowered to become agents of change dedicated to maintaining and improving environmental health.
KECERDASAN BUATAN DALAM PENGELOLAAN PASIEN COVID-19
Artificial intelligence (AI) has become a significant tool in the management of COVID-19 patients, with applications ranging from initial diagnosis, disease progression monitoring, to hospital logistics management. Machine learning and deep learning technologies have enabled rapid and accurate analysis of radiological images and patient data, while AI predictive applications facilitate more personalised and eflective treatment planning. However, the application of AI in this context is faced with challenges such as data privacy, information security, and integration with existing health systems. While oflering great potential, the use of AI must be carefully regulated to ensure its safe and ethical use, as well as its acceptance by medical personnel and the public.
INOVASI BIOTEKNOLOGI UNTUK TERAPI PENYAKIT GENETIK
Genetic diseases have long been a major challenge in the medical world, often difficult to treat with conventional methods. However, rapid developments in biotechnology have opened up new opportunities for more eflective therapies. The review in this study uses the literature method. The results showed that the latest biotechnology innovations applied in the therapy of genetic diseases can be done by gene therapy, genome editing using CRISPR-Cas9, stem cell therapy, and pharmacogenomic approaches. These techniques ofler the potential to repair or replace defective genes, regenerate aflected tissues, and optimise treatment based on an individual's genetic profile. With that, biotechnological innovations open a new era in the treatment of genetic diseases, oflering hope for patients and the potential to change the paradigm in the management of genetic conditions.
PENGETAHUAN IBU HAMIL TENTANG PENTINGNYA PEMENUHAN KEBUTUHAN VITAMIN D UNTUK MENCEGAH PREEKLAMSIA DAN DIABETES GESTASIONAL SETELAH DIBERIKAN EDUKASI
Vitamin D deficiency is associated with the risk of preeclampsia and gestational diabetes in pregnant women. Insufficient level of knowledge affects the adequacy of mother's vitamin D needs during pregnancy. The aim of the research was to analyze differences in mothers' levels of knowledge before and after being given education. Quantitative research method, pre-experimental design, one group pretest posttest on 50 pregnant women for 6 days. The research results showed differences in the level of knowledge of pregnant women before and after being given education with a p value of 0.000 <0.05. In conclusion, the level of knowledge of pregnant women about the importance of meeting vitamin D needs to prevent preeclampsia and gestational diabetes has increased after being given education.
RISK FACTORS FOR MALARIA IN THE WORKING AREA OF THE KALIORANG HEALTH CENTER IN EAST KUTAI REGENCY IN 2023
This observational study with a case-control design aims to analyze risk factors for the incidence of Malaria in the Kaliorang Health Center Working Area, East Kutai Regency in 2023. The population in this study is all malaria patients recorded at the Kaliorang Health Center, East Kutai Regency for the period from January to November 2023 as many as 85 people as a group of cases. The population of the control group is also 85 people. The results showed that work and the existence of resting places had a significant relationship with the incidence of malaria. The chi-square analysis showed a p-< value of 0.001 for both variables. The odds ratio for employment is 0.150, which means respondents with at-risk jobs have a 0.150 times greater risk of developing malaria. Meanwhile, the Odds Ratio for resting places was 6,295, indicating that respondents whose environments had resting places such as shrubs and shrubs were 6,295 times more likely to develop malaria than those who did not.
Irfansyah Baharuddin Pakki, Iwan M. Ramdan
THE RELATIONSHIP BETWEEN HEALTH SERVICES AND BPJS HEALTH MEMBERSHIP IN THE PANDAN PUBLIC HEALTH CENTER WORK AREA, SINTANG REGENCY
Background: The social health insurance system is based on the principle of solidarity between workers and employers, and guarantees access to healthcare services for the entire population. While coverage is high, the level of participant contribution activity still needs to be increased, with a target of at least 75% active participants. The aim: The purpose of this study is to explain the relationship between health services and BPJS Health membership in the Pandan Community Health Center Working Area, Sintang Regency, West Kalimantan. Method: The quantitative research method with a cross-sectional approach uses chi-square test analysis with a 95% confidence level and a 5% error rate, so the number of samples needed is around 100 respondents. The results: The results of the study showed that there was a relationship between health services (p value = 0.008 and OR = 5.179) and BPJS Health participation. Conclusion: there is a relationship between health services and BPJS health membership.
EFFEKTIVITAS INTERVENSI BACK MASSAGE TERHADAP PENURUNAN ANXIETY PADA PASIEN CONGESTIVE HEARTFAILURE (CHF) : A SYSTEMATIC REVIEW
Background: Congestive Heart Failure (CHF) is a clinical syndrome caused by functional or structural heart abnormalities that interfere with ventricular filling or ejection of blood into the systemic circulation. Objective: To determine the effectiveness of back massage intervention in reducing anxiety in Congestive Heart Failure (CHF) patients. Physiologically, back massage is a relaxation technique that affects the body physically and psychologically. Back massage provides a relaxing effect by stimulating the release of endorphins in the brain which have the effect of suppressing sympathetic nerve activity and stimulating parasympathetic nerve activation. Method: This type of study is a systematic review, a strategy for searching articles using the PICOS framework. Inclusion criteria: Articles from 2013 to 2023; Not pay; Full text; In English language. The literature search in this systematic review was carried out through three databases of medium to high reputation, including ProQuest, Cochrane and PubMed. Results: There were Selecting the title, abstract and keywords for the articles resulted in only 52 articles that matched the title, abstract and keywords of the article with the researcher's theme. The next stage was reading the entire text of the articles that met the inclusion criteria, totaling 9 articles, then assessing the quality of the articles and the risk of bias using the JBI critical appraisal tools, namely an assessment based on research studies. So only 4 articles were assessed using JBI critical appraisal. Conclusion: showed that back massage was effective in reducing state anxiety, cortisol levels, blood pressure and HR, as well as improving sleep quality in patient caregivers.
PEMANFAATAN LIMBAH PADAT KELAPA SAWIT DI PTPN X
Background: The oil palm is the superior commodity of Indonesia, which plays an important role to produce crude palm oil or crude plam oil (CPO) and palm oil or palm oil (KPNO) pilgrimated obtained based on the processing of fresh fruit bunnch (TBS) of oil palm. In addition to increased production and the projection of the palm industrial market, the palm plant factory resulted in a problem of the increase of waste volume. Judging from the Joint Data Organizer of Indonesian Palm Older Business Own Indonesia, Indonesia's palm oil production amounted to 4.95 million tons in October 2023. The number rose 9.17% compared to a month before 44 million tons. Objective: This study aims to regulate the benefits of solid waste and wastewater liquid in PTPN X. Research method; The method is descriptive research using qualitative method. Information is obtained by informants, including 2 major informants and 2 person's informants. Dara is collected based on further interviews, observation and document review. Conclusion: The results showed on this PKS there were several solid waste which was produced from the process of oil palm oil management. Where, the company in its operation produces solid waste in the form of fiber, shell, empty bandage, solid and ash boiler.
Alya Suwayya, Khairunnisa Gultom, Mutiara Faizah, Putri Syahrani, Zuhrina Aidha
PERKEMBANGAN SISTEM MANAJEMEN K3 DALAM INDUSTRI KONSTRUKSI: SEBUAH SYSTEMATIC LITERATURE REVIEW
The construction industry is one of the sectors with the highest risk of workplace accidents. This study aims to review the development of Occupational Health and Safety Management Systems (OHSMS) in the Indonesian construction industry through a systematic literature review. The method used is a qualitative descriptive literature study of five national and international journals related to OHSMS in construction. The results show an increase in awareness and commitment to OHSMS, especially among large construction companies. However, there is still a gap between commitment and practical implementation. Key challenges include lack of communication, improper use of PPE, lack of training, and particularly the absence of a safety culture. The study concludes that despite progress, significant efforts are still needed to translate policies into practice, build a strong safety culture, and ensure all parties, especially contractors, take full responsibility for safety.
Asila Tiara Putri, Hafizza Salsabilla Tarigan, Sri Hajijah Purba
URGENSI AYAT AYAT AS SYIFA’ DALAM PENGOBATAN MODERN
This research aims to explore the urgency of I'jaz al-Qur'an contained in the verse as syifa' which is often used as a form of modern treatment that is increasingly familiar everywhere. Even though this type of treatment has actually been around since the time of the Prophet Muhammad SAW, now many people are doing it. In this context, this research aims to understand the context of the verse as syifa which is often used in modern medicine The type of research used is Library Research, using primary data sources books and secondary data sources in the form of books, journals and other related articles. Then analyze it with content analysis techniques using reduction, presentation and conclusion methods. Analysis results shows that the understanding of I'jaz al-Qur'an regarding the verses as syifa' can not only be understood from the perspective of verses from the Qur'an, but also as healing. This research contributes to a deeper understanding of phenomena and events that the verses of the Qur'an can be healing and provides examples that have occurred. The implications of this research are expected to strengthen understanding of the Al- Qur'an as a book that not only has linguistic, literary, historical and social dimensions that are important to study and understood holistically but is really needed by our spirit in physical and material terms to become a healer.
HUBUNGAN PENGETAHUAN REMAJA PUTRI TENTANG PERUBAHAN FISIK PUBERTAS DENGAN SIKAP MENGHADAPI PUBERTASDI UNIVERSITAS MUHAMMADIYAH BANJARMASIN
Background: Puberty is a period of change or developmental stage from childhood to adulthood which includes biological changes, psychological changes, and psychosocial changes in the way they think, make decisions, and interact with the world around them. Objective: To Relate Knowledge of Adolescent Girls About Physical Changes in Puberty With Attitudes Facing Puberty at University of Muhammadiyah Banjarmasin. Research Method: This type of research is descriptive analytical, with a cross-sectional approach. Data analysis technique using Kendall Tau correlation. Research Results: From this study, the results obtained were significant values between knowledge and attitudes with a p- value of 0,255 > 0,05. Conclusion: There is no relationship between adolescent girls' knowledge of physical changes in puberty during puberty with attitudes towards puberty. Good adolescent knowledge and attitudes towards physical changes during puberty should be maintained and improved again to understand health, especially reproduction in adolescents, which allows someone to adapt to their environment and be able to solve the problems they face.
Bardiati Ulfah, Noor Anisa, Suryati, Mutia Aura Nazwa Assyfa
BIG DATA ANALYSIS FOR DISEASE PREDICTION AND PREVENTION
Big Data analytics in the context of disease prediction and prevention stands out as a critical issue in today's digital age, given its unique capacity to process and analyze massive volumes of health data with unprecedented speed and precision. Through the collection of extensive data from various sources, including electronic medical records, wearable devices, and other digital inputs, Big Data analysis enables researchers and healthcare practitioners to identify patterns and trends before diseases develop, forecast outbreaks, and respond proactively to potential health crises. Its ability to integrate and map health data at scale opens up opportunities for smarter prevention and personalized approaches to disease management, significantly shifting the landscape of disease prevention from reactive to proactive, which in turn could save millions of lives and reduce the economic burden on the global health system. The study in this research uses the literature research method. The results show that the use of Big Data and machine learning has great potential in strengthening health systems through disease prediction and prevention. Key findings show that the integration of extensive health data enables more effective identification of disease patterns and trends. With these technologies in place, the ability to diagnose and forecast diseases becomes faster and more accurate, which in turn, can help in designing appropriate and evidence-based interventions. In addition, improved machine learning methods continue to push the boundaries of predictiveness, providing new insights into proactive disease management and prevention.