Jurnal Medika Hutama

THE CORRELATION BETWEEN THE LEVEL OF KNOWLEDGE ABOUT CERVICAL CANCER PREVENTION AND IVA EXAMINATION RESULTS IN THE COASTAL COMMUNITY OF WAAI, CENTRAL MALUKU REGENCY, MALUKU PROVINCE

Debora Hetharia — Thu, 01 Jan 2026 02:08:13 +0000

Cervical cancer remains one of the leading causes of death among women, especially in developing countries such as Indonesia. Visual Inspection with Acetic Acid (VIA) is an effective, simple, and appropriate method of early detection for regions with limited resources. The level of public knowledge about cervical cancer prevention greatly influences the success of IVA screening programs. Coastal communities, including those in Negeri Waai, Central Maluku Regency, face geographical, social, and cultural barriers that can reduce participation in screening. This study aims to determine the relationship between the level of knowledge about cervical cancer prevention and IVA screening results in coastal communities in Negeri Waai, Maluku Province. This study used a quantitative approach with a cross-sectional correlational design. The sample consisted of 40 women who were married or sexually active. Knowledge levels were measured using a standardized questionnaire, while IVA results were obtained from examinations by trained health workers. Data analysis was performed using Pearson's correlation test. The results showed a significant negative correlation between knowledge level and IVA examination results (r = –0.501; p = 0.001). This means that the higher the respondents' knowledge level, the less likely the IVA examination results would indicate precancerous abnormalities. These findings emphasize the importance of increasing community knowledge as an effort to prevent and detect cervical cancer early in coastal areas.

RUPTURED ECTOPIC PREGNANCY PRESENTING AS ACUTE APPENDICITIS WITH A FALSE NEGATIVE URINE PREGNANCY TEST IN A LIMITED RESOURCE SETTING: A CASE REPORT

Nooryanto Mukhamad, Rony Sibuea — Thu, 01 Jan 2026 02:08:35 +0000

Preterm Premature Rupture of Membranes (PPROM), defined as the rupture of membranes before 37 weeks of gestation, can lead to serious complications such as infection. Vaginal probiotics have the potential to serve as a solution by restoring a healthy microbiome balance while reducing the risk of antibiotic resistance when used as adjunctive therapy. This study aims to investigate the effects of vaginal probiotics in normalizing the vaginal microbiota of pregnant women as prophylaxis for PPROM. A review of four Randomized Controlled Trial (RCT) articles from databases such as Google Scholar, PubMed, and ScienceDirect up to January 2025 evaluated the effectiveness of probiotics. The quality of the studies was assessed using the Joanna Briggs Institute (JBI) checklist. Three studies showed that probiotics were effective in improving pregnancy outcomes. One study reported that oral probiotics in healthy pregnant women may reduce the incidence of PPROM. Consistently, probiotic administration was associated with significant improvements, including an increase in gestational age at delivery (ranging from 30.18±2.49 to 34.0±2.0 weeks) and an increase in infant birth weight (from 1,562±450 g to 2,800±440 g). The length of stay in the neonatal intensive care unit (NICU) was also shorter in the probiotic group. It can be concluded that vaginal probiotics, especially when used in conjunction with antibiotics, provide significant benefits as prophylaxis for PPROM and contribute to improved maternal and neonatal health.

COMPARISON OF ERITROCYTE SEDIMENTATION RATE (ESR) RESULTS FROM THE SEDIPLAST ESR SYSTEM WITH AUTOMATED METHODS IN TUBERCULOSIS PATIENTS

Inggit Ismayanti, Enny Khotimah, Dian Rachma Wijayanti — Thu, 01 Jan 2026 02:08:51 +0000

Infection and inflammation in tuberculosis patients are caused by the bacterium Mycobacterium tuberculosis. Increased fibrinogen levels cause erythrocytes to stick together and accelerate the formation of rouleaux, thereby increasing the Erythrocyte Sedimentation Rate (ESR). The Westergren method is recommended by the International Council for Standardization in Haematology (ICSH) for ESR testing. With the advancement of technology, ESR testing can now be performed using modified Westergren methods such as the Sediplast ESR System and automated methods to avoid and reduce the risk of laboratory personnel exposure to infectious agents.The aim of this study was to determine whether there was a difference in ESR results on the Sediplast Esr System using EDTA + 3.8% sodium citrate blood and the automatic method using EDTA blood in patients with active tuberculosis at the Tambora Community Health Center. This study used an analytical observational research design with a cross-sectional approach. The sample in this study consisted of 35 patients with active tuberculosis who were treated at the Tambora Community Health Center pulmonary clinic. The results of the ESR test using the Sediplast Esr System method obtained an average of 57.86 mm/hour, while the automatic method obtained an average of 52.51 mm/hour, with an average difference of 5.34 mm/hour. Statistical analysis using the Paired T Test yielded a sig value (2-tailed) of 0.025. This study shows that there is a difference in the results of the Sediplast Esr System method and the automatic method for measuring erythrocyte sedimentation rate (ESR).

MANAGEMENT OF MULTIPLE FRACTURES IN OSTEOGENESIS IMPERFECTA PATIENTS IN REGIONAL HOSPITAL OF RURAL AREAS: WHAT AN ORTHOPEDIC SURGEON CAN DO?

zukhruful muzakkie, Doli Mauliate Sitompul — Thu, 01 Jan 2026 02:09:11 +0000

ABSTRACT

Background: Osteogenesis Imperfecta (OI) is a connective tissue disorder characterized by bone fragility and recurrent fractures. Managing fractures in OI patients in rural regions poses challenges due to limited resources and high treatment costs.

Objective: To describe the management of pathologic fractures in a pediatric patient with OI who resides in a remote area.

Case Summary: An 8-year-old girl with known OI presented with pain and deformity of the right lower leg after falling from a stroller. Radiographs confirmed closed fractures of the tibia and fibula. The ideal management is Fassier-Duval intramedullary rodding; however, due to socioeconomic limitations and lack of facility availability, closed reduction and immobilization were performed.

Conclusion: Management of fractures in OI should be individualized. In resource-limited settings, closed reduction and immobilization may be an acceptable alternative.

Keywords: Osteogenesis imperfecta, pediatric fracture, rural hospital, closed reduction, pathologic fracture.

ASSOCIATION OF PARITY AND INTERPREGNANCY INTERVAL WITH BIRTH WEIGHT AT PUSKESMAS MAMBORO

Eunike Syerin Glori Baan — Thu, 01 Jan 2026 02:09:33 +0000

Infant mortality rate (IMR) is a parameter used for measuring a country’s health status, with the majority of deaths occurring during the neonatal period. Low birth weight, which refers to infants weighing under 2500 grams at birth, accounts for approximately 34.5% of a factor contributing to neonatal mortality. Infant birth weight is influenced by maternal factors, including parity and birth spacing. Low birth weight cases at Mamboro Health Center remain a concern, with more than 20 cases in 2024, particularly because the area still includes a rural community. This research aims to analyze the relationship between parity and birth spacing with birth weight at Puskesmas Mamboro in 2024. This study used a quantitative analytical observational design, with 69 samples. The data were then analyzed using the Chi-square test. The result showed a relationship between parity and birth weight (p=0,003), with multiparous mothers having a lower risk of delivering low birth weight. Meanwhile, there was no significant relationship between pregnancy spacing and birth weight (p= 0,226). Although not statistically significant, the proportion of low birth weight cases was more common at too short and too long intervals compared with ideal intervals.

PEMODELAN STRUKTUR LOYALITAS PEL PEMODELAN STRUKTUR LOYALITAS PELANGGAN DI RSUD AWET MUDA NARMADA KABUPATEN LOMBOK BARAT

Sarwan Payanadi — Thu, 01 Jan 2026 02:09:50 +0000

In 2023, Awet Muda Narmada Regional General Hospital experienced a significant increase in customer visits compared to 2022. Outpatient services increased by 68.59 percent, while inpatient visits increased by 76.92 percent. Based on this, the researcher aimed to examine the extent of service quality, hospital customer value, and customer loyalty at Awet Muda Narmada Regional General Hospital. The purpose of this study was to identify the modeling structure of customer loyalty at Awet Muda Narmada Regional General Hospital.

The number of respondents was 150 people. The respondent criteria in this study included: (1) patients registered as inpatients with a minimum length of stay of three days at Awet Muda Narmada Regional General Hospital; (2) patients registered as outpatients who had visited the hospital at least three times previously; (3) male or female patients aged at least 17 years who were registered in either the inpatient or outpatient department; and (4) patients who were conscious and willing to answer the questions.

This study used a quantitative approach with the Structural Equation Modeling method using Partial Least Squares analysis. The results of the study concluded that service quality has a significant positive effect on customer loyalty; service quality also has a significant positive effect on customer value; customer value has a significant positive effect on customer loyalty; and the effect of service quality on customer loyalty can be mediated by customer value. The findings of this study can serve as a reference for the hospital in improving its services, which in turn can increase patient loyalty to the hospital

HUBUNGAN ANTARA IMT DENGAN TEKANAN DARAH PADA PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS SIKO

Ayu Novira — Thu, 01 Jan 2026 02:10:09 +0000

Peningkatan tekanan darah diastolik ≥90 mmHg atau tekanan darah sistolik ≥140 mmHg merupakan indikasi hipertensi. Hipertensi adalah penyebab paling sering dari kondisi kardiovaskular seperti gagal jantung, infark miokard, dan stroke. Penelitian ini bertujuan untuk mengetahui hubungan antara tekanan darah dan indeks massa tubuh (IMT) pada pasien hipertensi di wilayah kerja Puskesmas Siko. Metode pada penelitian ini adalah studi korelasional dengan pendekatan cross-sectional. Penelitian ini menggunakan pemilihan acak untuk memilih 85 partisipan hipertensi yang berada di wilayah kerja Puskesmas Siko. Analisis bivariat antara IMT dan tekanan darah sistolik menghasilkan p=0.122 (p>0.05) r=0.169 berdasarkan 85 subjek, sedangkan analisis antara IMT dan tekanan darah diastolik menghasilkan p=0.527 r=0.070. Kesimpulan yang didapat tidak ditemukan korelasi yang bermakna antara tekanan darah dan indeks massa tubuh pada pasien hipertensi di Puskesmas Siko.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN MENINGKATNYA PERSALINAN SECARA SECTIO CAESAREA (SC) DI RUMAH SAKIT BAKTI TIMAH KOTA PANGKALPINANG TAHUN 2024

Fitri Napisa — Thu, 01 Jan 2026 02:10:27 +0000

Background: Caesarean section (CS) is the delivery of a baby through an abdominal incision (laparotomy) and an incision in the uterus (hysterotomy) to remove the baby. According to WHO, the indicator for caesarean section deliveries in each country is between 10% and 15%. Based on medical records from Bakti Timah Hospital, there were 196 caesarean section procedures in 2021, 226 in 2022, and 319 in 2023. Methods: This study uses a quantitative design with a cross-sectional approach. The population is all mothers giving birth at Bakti Timah Hospital from January to December 2024, totaling 1,100 people. The sample consists of 400 respondents. This study uses non-random sampling, in which sampling is based more on practical considerations than on probability, with purposive sampling applied. Results: The results of the bivariate analysis show a significant relationship between prolonged labor and CS (p=0.000), fetal distress and CS (p=0.000), previous CS history and CS (p=0.000), and premature rupture of membranes and CS (p=0.028). Data analysis used the Chi-Square test. Conclusion: This conclusion shows that there is a significant relationship between prolonged labor, fetal distress, previous CS history, and premature rupture of membranes with the incidence of caesarean section at Bakti Timah Hospital, Pangkalpinang City, suggesting early detection and proper management to reduce non-medically indicated caesarean deliveries.

Keyword:

SC, Prolonged Labor, Fetal Distress, History of cesarean section, Premature Rupture of Membranes

HUBUNGAN USIA, LAMA MENDERITA DAN TINGKAT DEPRESI TERHADAP KUALITAS HIDUP PADA PASIEN STROKE DI RUMAH SAKIT BAKTI TIMAH PANGKALPINANG TAHUN 2025

Tazkia Nur Imani — Thu, 01 Jan 2026 02:10:40 +0000

Stroke merupakan salah satu penyebab utama disabilitas yang berdampak signifikan terhadap kualitas hidup penderitanya. Penurunan kualitas hidup pasien stroke dipengaruhi oleh berbagai faktor, baik fisik maupun psikologis. Penelitian ini bertujuan untuk mengetahui hubungan antara usia, lama menderita stroke, dan tingkat depresi dengan kualitas hidup pasien stroke Di Rumah Sakit Bakti Timah Pangkalpinang Tahun 2025. Penelitian ini menggunakan metode deskriptif kuantitatif dengan pendekatan cross sectional dan uji chi square. Populasi penelitian adalah pasien stroke sebanyak 351 orang, dengan sampel 87 responden yang diambil secara purposive sampling dari poli saraf dan ruang rawat inap Melati. Penelitian dilaksanakan pada 17–26 Juli 2025. Instrumen yang digunakan adalah Stroke Specific Quality of Life (SSQOL) untuk mengukur kualitas hidup dan Beck Depression Inventory (BDI) untuk mengukur tingkat depresi. Hasil penelitian menunjukkan dua faktor yang berhubungan signifikan dengan kualitas hidup pasien stroke, yaitu usia (p = 0,000 ≤ α) dan tingkat depresi (p = 0,000 ≤ α). Sementara itu, lama menderita stroke tidak menunjukkan hubungan yang signifikan (p = 0,081 ≥ α). Disarankan agar pasien stroke meningkatkan pengetahuan, keterampilan, dan kemampuan dalam melakukan perawatan mandiri serta mengembangkan aktivitas yang mendukung peningkatan kualitas hidup.

Kualitas hidup, lama menderita, stroke.

THE EFFECT OF EXCESSIVE CAFFEINE THE EFFECT OF EXCESSIVE CAFFEINE CONSUMPTION ON THE STUDY FOCUS OF THIRD-YEAR MEDICAL STUDENT AT CIPUTRA UNIVERSITY

Melisa Grace Giovani Giovani — Wed, 14 Jan 2026 23:26:43 +0000

Abstract Third-year medical students face intensive academic demands, often relying on caffeine consumption to sustain study hours and enhance concentration. As an adenosine receptor antagonist, caffeine is known to reduce drowsiness and increase alertness; however, excessive intake may lead to sleep disturbances and diminished study focus quality. This study aims to identify caffeine consumption patterns among third-year medical students and analyze their relationship with study focus quality. A quantitative correlational approach was employed using a questionnaire covering demographic data, sleep habits, formal study hours, caffeine consumption patterns, consumption purposes, dependency levels, and study focus indicators. The sample consisted of active students consuming caffeine at least three times per week. Results showed that the majority of respondents were female, aged 19–21 years, with an average sleep duration of 5–6 hours per night and formal study hours of 9–12 hours per day. Coffee was the primary source of caffeine, with an average intake of 1–2 cups per day, while energy drinks and caffeine tablets were consumed by a small proportion of respondents. The main purposes of consumption were to reduce drowsiness and improve focus, with dependency levels ranging from low to moderate. Study focus indicators were predominantly at moderate scores (2–3), with variations influenced by sleep patterns and caffeine consumption. These findings highlight that excessive caffeine intake does not fully enhance study focus quality, underscoring the need for education on safe caffeine consumption limits and non-pharmacological strategies for academic stress management.

Keywords: caffeine; medical students; sleep; study focus

INFEKSI PADA PENDERITA LUPUS ERITEMATOSUS SISTEMIK: SEBUAH TINJAUAN LITERATUR

Isra Alfisyahri Gunawan — Wed, 14 Jan 2026 23:29:11 +0000

Patients with SLE are highly susceptible to infections, varying from bacterial and viral infections to opportunistic infections with normal or abnormal symptoms. To date, infection is one of the main causes of morbidity and mortality in SLE patients. Objective: to determine the types of infections and pathogens that often invade SLE patients while discussing infection risk factors and infection prevention strategies in SLE patients. Methods: literature search using Publish or Perish, PubMed, Google Scholar, Research Gate, ScienceDirect, and Springer Link databases. The keywords used were “infection” AND “Systemic Lupus Erythematosus”. Results: A total of 1,064 SLE patients with infection were reported in all included studies. Respiratory tract infection was the most common type of infection. Bacteria were the main pathogens of infections reported in all studies. Herpes Zoster was the most common viral infectious disease in all studies. Conclusions: Infection remains a serious complication in SLE patients. Optimizing therapy, vaccination, and infection screening can reduce the risk of infection.

HUBUNGAN SKOR INTELLIGENCE QUOTIENT (IQ) DENGAN CAPAIAN AKADEMIK TAHUN PERTAMA PADA MAHASISWA KEDOKTERAN UNIVERSITAS YARSI ANGKATAN 2023

Muhammad Brian Satria Pratama — Fri, 30 Jan 2026 00:00:00 +0000

Penelitian ini bertujuan untuk menganalisis hubungan antara skor Intelligence Quotient (IQ) dengan Indeks Prestasi Kumulatif (IPK) mahasiswa kedokteran tahun pertama Universitas YARSI Angkatan 2023. Penelitian ini dilatarbelakangi oleh data rendahnya rata-rata skor IQ Indonesia yang berada pada angka 78,49. Dalam
Pendidikan kedokteran mahasiswa dituntut untuk memiliki kemampuan intelektual yang tinggi. Penelitian ini melibatkan 282 responden yang telah memenuhi kriteria inklusi. Data tidak terdistribusi normal maka dianalisis menggunakan uji korelasi Spearman. Hasil penelitian didapatkan hubungan positif yang signifikan namun lemah antara IQ dan IPK, baik itu di semester 1 (r = 0,219; p = 0,000) maupun semester 2 (r = 0,197; p = 0,001). Temuan lainnya adalah adanya korelasi yang sangat kuat antara IPK semester 1 dan semester 2 (r = 0,971; p = 0,000). Simpulan penelitian ini adalah keberhasilan akademik dalam lingkungan kedokteran tidak hanya bergantung pada kapasitas intelektual semata, tetapi juga oleh konsistensi, motivasi belajar, dan kemampuan adaptasi mahasiswa setelah memasuki Pendidikan kedokteran.

RELATIONSHIP BETWEEN BODY MASS INDEX AND LIPID PROFILE IN PATIENTS AT IBNU SINA HOSPITAL MAKASSAR.

Putri Handayani — Fri, 30 Jan 2026 00:00:00 +0000

Background: Body Mass Index (BMI) is commonly used as an indicator of nutritional status to assess the risk of metabolic and cardiovascular diseases. Abnormal lipid profiles, including elevated total cholesterol, LDL, triglycerides, and reduced HDL levels, are known contributors to cardiovascular disease. However, the association between BMI and lipid profile may vary across populations. Objective: This study aimed to determine the relationship between Body Mass Index and lipid profile among patients at Ibnu Sina Hospital, Makassar, in 2024. Methods: This study employed an observational analytic design with a cross-sectional approach. Data were obtained from medical records of adult patients who underwent BMI and lipid profile examinations in 2024. A total of 83 patients were included using total sampling. The association between BMI and lipid profile was analyzed using the Chi-square test with a significance level of 0.05. Results: Most respondents had a normal BMI. The majority of patients showed normal total cholesterol and triglyceride levels, while low HDL and high LDL levels were still frequently observed. Chi-square analysis showed no significant association between BMI and total cholesterol (p=0.173), HDL (p=0.417), LDL (p=0.769), or triglycerides (p=0.677). Conclusion: There was no significant relationship between Body Mass Index and lipid profile among patients at Ibnu Sina Hospital, Makassar. Other factors beyond BMI may influence lipid profile abnormalities.

Medical Students’ Perceptions of Anatomy and Histology Learning in The Era of Modern Medical Education

Anugrah Ramadhan — Fri, 30 Jan 2026 00:00:00 +0000

Background: Anatomy and histology are fundamental components of medical education; however, students frequently perceive these subjects as difficult and heavily reliant on memorization. The increasing use of digital learning tools, including virtual microscopy (VM) and three-dimensional (3D) anatomical models, offers new opportunities to enhance student engagement and conceptual understanding. Objectives: This study aimed to describe medical students’ perceptions of anatomy and histology learning in the context of modern medical education and to identify potential implications for curriculum improvement. Methods: A descriptive cross-sectional study was conducted among 341 undergraduate medical students. Data were collected using a validated structured questionnaire distributed via Google Forms. Descriptive statistical analysis was performed to summarize students’ perceptions of anatomy and histology learning. Results: Most students reported positive perceptions of anatomy (97.9%) and histology (94.4%) learning, predominantly within the “good” and “very good” categories. Female students constituted the majority of respondents (82.1%), and most participants were aged 20–21 years. The findings indicate that learning strategies integrating clinical relevance and digital educational tools were perceived as effective in supporting student understanding. Conclusion: Medical students demonstrated predominantly positive perceptions of anatomy and histology learning, reflecting the effective implementation of clinically integrated and technology-enhanced teaching approaches. Continuous student feedback, balanced blended learning models, and ongoing faculty development are recommended to maintain and further improve the quality of undergraduate medical education.