Journal Of Health Science (Jurnal Ilmu Kesehatan)

Diagnosing and Managing Intestinal Ascariasis in Vulnerable Communities

Febie Irsandy Syahruddin — 2025-05-31

Ascariasis caused by Ascaris lumbricoides, remains one of the most prevalent parasitic infections globally, particularly in developing regions with poor sanitation. This review focuses on the diagnosis and management of intestinal ascariasis in vulnerable communities, where the burden of the disease is disproportionately high. Despite advances in diagnostic tools, such as ultrasonography, which provides a non-invasive, rapid, and effective modality for identifying intestinal worms, significant challenges persist in these regions due to limited healthcare infrastructure and socioeconomic constraints. lumbricoides highlights the need for prompt diagnosis and intervention, as delays can result in complications like gastrointestinal obstruction and systemic health deterioration. Ultrasonographic findings, such as tubular structures with echogenic features and anechoic canals, have proven reliable for early detection. Case studies, such as pediatric patients from underserved areas, underscore the importance of integrating advanced diagnostic approaches into primary care settings. Effective management includes anthelmintic therapy.

Attitude Of Medical Personnel On The Implementation Of EMR (Electronic Medical Record) In Dental & Oral Hospital of Bhakti Wiyata Health Sciences Institute (RSGM IIK Bhakta) Kediri

Aulia Nuur Ainayah — 2025-05-31

This study explores the implementation of Electronic Medical Records (EMR) at RSGM IIK Bhakti Wiyata Kediri, focusing on medical personnel’s attitudes and the factors influencing adoption, such as knowledge, training, and support. Qualitative research was conducted through structured interviews with four informants (two dentists and two dental nurses) who had experience using the EMR system based on the Health Information Technology System (HINTS) application. The findings indicate that EMR has improved healthcare efficiency by enhancing patient data access and supporting better coordination among medical personnel. However, challenges such as slow internet connections, unstable servers, and occasional system errors hinder its full potential. Resistance to EMR adoption, primarily due to inadequate training, was also noted. Although most medical personnel expressed positive attitudes towards EMR, concerns regarding data security, including potential breaches and input errors, were significant. The study recommends addressing these issues by enhancing network infrastructure, improving server reliability, and providing more comprehensive training and technical support. Additionally, periodic system evaluations are suggested to ensure its effectiveness. These improvements are essential for increasing user confidence and optimizing EMR’s contribution to healthcare quality at RSGM IIK Bhakti Wiyata Kediri, supporting the broader digital transformation of healthcare in Indonesia.

Effectiveness Of Non-Nutritive Sucking and Murottal In Reducing Neonates' Pain Response To Needle-Related Medical Procedures

Andi Hafidzah Qurani Salsabila — 2025-05-31

Neonates are newborns up to 28 days old who are highly vulnerable to infections and organ system disorders, often requiring medical intervention. One of the most common medical procedures performed on neonates is needle-related invasive procedures, such as intravenous catheter insertion and blood sampling, which can cause pain. Neonatal pain management generally avoids the use of pharmacological analgesics due to their various side effects. Therefore, effective non-pharmacological methods, such as Non-Nutritive Sucking (NNS) and Murottal therapy, are needed. This study aims to determine the effects of NNS, Murottal therapy, and their combination on reducing neonatal pain responses during needle-related medical procedures, using a quasi-experimental post-test only control group design. This study was conducted at Lamaddukelleng District General Hospital, Wajo Regency, South Sulawesi, specifically in the perinatology ward from August to October 2024 with a sample size of 92 people. The results indicate that the combination of NNS and Murottal therapy is the most effective in reducing neonatal pain responses during needle-related medical procedures, with an average pain response of 3.78 and a significance value of P > 0.001, compared to neonates who received a single intervention (either NNS or Murottal) or those in the control group.

Thoracal Thoracic Spinal Anesthesia In Mammae Tumors Excision Surgery

Rina Yuliana Yulis — 2025-05-31

Thoracic spinal anesthesia (TSA) is a regional anesthetic technique where the local anesthetic is injected into the thoracic subarachnoid space. It provides rapid onset of sensory and motor block, with segmental anesthesia suitable for surgeries in the thoracic and upper abdominal regions. Compared to general anesthesia (GA), TSA offers various advantages, including hemodynamic stability, decreased stress response, and superior postoperative pain control. We present a case of a 46-year-old female undergoing excision of a left breast tumor under thoracic spinal anesthesia at the T6–T7 level. The procedure was completed successfully without complications, and the patient reported satisfactory intraoperative and postoperative experiences. TSA can be a safe and effective alternative to GA in selected breast surgery cases, with potential benefits including reduced opioid use, stable intraoperative hemodynamics, and faster recovery.

The Relationship between Clean Water Facilities and Latrine Use with the Incidence of Diarrhea in Toddlers in KB Bagan Percut Village, Percut Village, Deli Serdang

Meutia Nanda — 2025-05-31

Diarrhea is an environmental-based disease, the factors that cause this disease are influenced by clean environmental sanitation and the use of latrines, because if these two facilities are contaminated, there is a risk of being infected with diarrhea. The aim of this research is to determine the relationship between clean water facilities and the use of latrines with the incidence of diarrhea in toddlers in the KB village of Percut Village. This research was carried out in KB Bagan Percut Village, Percut Village, Percut Sei Tuan District. This type of research is quantitative with the nature of an analytical description with a cross-sectional method. The population in this study was all 256 mothers with toddlers registered at the health center and the total sample in the study was 72 toddlers. Based on the results of the analysis using statistical tests, the data showed that there was a correlation between clean water facilities (p = 0.003) < 0.05 and latrine use (p = 0.000) < 0.05 with the incidence of diarrhea in toddlers in KB Bagan Percut Village, Percut Village, District Percut Sei Tuan. Based on the results of the research, it was concluded that there was a significant relationship between clean water facilities and the use of toilets on the incidence of diarrhea in toddlers in the KB Bagan Percut village in Percut Village, Percut Sei Tuan District. It is recommended that Village Officials and Health workers carry out outreach, outreach and supervision in the procurement and use of clean water facilities and types of toilets that meet the requirements.

Healthy Community Movement (GERMAS) Education on Behavior and Knowledge of STIKes Bhakti Mulia Students

Liya Ni’matul Maula — 2025-05-31

Healthy Community Movement (GERMAS) is included in promotive and preventive efforts to the community which aims to reduce the burden Infection-related and chronic non-infectious diseases, reduce population productivity can be avoided, and health services can be reduced. The purpose of the study was to determine the effectiveness of GERMAS education on student behavior and knowledge. A quasi-experimental framework with a single group pre- and post-intervention evaluation was adopted in this study. The research sample was STIKes Bhakti Mulia students totaling 40 respondents. The experimental variable in this research is education, the dependent variable in the study is the behavior and knowledge of students. Measurement was carried out using a questionnaire that had been confirmed to be valid and reliable. Data analysis using Wilcoxon test. The research results confirmed that there was an effectiveness of GERMAS education on the behavior (p=0.000) and knowledge (p=0.000) of students. The conclusion of the study is that healthy behavior during adolescence can reduce the risk of chronic diseases in adulthood. Behavior and knowledge must be comprehensively owned by adolescents on several health issues, including nutrition, environmental health, infectious diseases, and health problems.

A Implementation Of Fulfillment Of Personal Hygiene Needs In Elderly Dementia In Social Institutions Tresna Werdha Budhi Mulia 01 Cipayung East Jakarta

Ahmad Fahri — 2025-06-21

Elderly or elderly is a term commonly used for someone who is starting to enter the final stage of development. According to the Regulation of the Minister of Social Affairs of the Republic of Indonesia Number 5 of 2018, elderly is when they are over 60 years old (Ministry of Health of the Republic of Indonesia, 2016). General Objectives Able to carry out direct and comprehensive gerontic implementation covering biopsychosocial aspects with a nursing process approach to patients with dementia at the Budhi Mulia 01 Cipayung East Jakarta Social Welfare Home. This case study uses a descriptive case study design. A descriptive case study is an attempt to systematically and accurately describe a situation or a certain population area that is factual. In this case study, the author will systematically describe the nursing care of puzzle therapy for elderly with dementia and the fulfillment of personal hygiene needs for the elderly at the Tresna Werdha Budhi Mulia 01 Social Home in Cipayung, East Jakarta. The research subjects in this case study were 30 elderly people with dementia who provided personal hygiene needs and lived at the Budhi Mulia 01 Cipayung Social Home for the Elderly, East Jakarta. The assessment was conducted on Monday, July 25, 2024 at 08.00 WIB at Wisma Kenanga Panti Tresna Werdha Budhi Mulia 01 Cipayung East Jakarta (PSTW) data was obtained by interviewing patients, friends of patients in the same guesthouse, PSTW clinic nurses, and from medical records. The results of the assessment were obtained Mrs. R, 85 years old, female, Muslim, widow status, last education elementary school, from RT 005 / RW 010 Kalisari, Pasar Rebo District, East Jakarta. The person in charge of Mrs. R who lives at RT 004 / RW 010 Kalisari, Pasar Rebo District, East Jakarta, who is the biological child of the patient. Conclusion: The implementation of nursing care that has been carried out has been effective and has been carried out according to the established plan, namely puzzle therapy. This can be said to be effective because puzzles can train concentration and according to the expectations of the outcome criteria in the theory decreased while the self-care deficit according to expectations also increased. This is due to the cooperation between nurses and patients.