Publications of the Indonesian Scholars' Alliance
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Comparison of Healing Time in Closed Fractures of the Tibial Diaphysis and Tibial-Fibula after ORIF Plate and Screw at Waled Regional Public Hospital, Indonesia
Full text linkBackground: Fractures are projected to become the fourth leading cause of death by 2030. A fracture is a discontinuity in the bone that is often accompanied by damage to the surrounding tissues. The healing process of fractures is influenced by various factors, the greater the damage to the bone and surrounding tissues, the longer the healing time. In cases of tibia and fibula fractures, the most commonly used surgical procedure in Indonesia is Open Reduction and Internal Fixation (ORIF) using Plates and Screw.
Aims: To compare of healing time in closed fractures of the tibial diaphysis and tibial-fibula after ORIF Plate and Screw at Waled regional public hospital.
Methods: This research uses a cross sectional design. A total of 77 samples were obtained using total sampling. Statistical tests use Mann Whitney.
Results: There were 37 patients with closed fractures of the tibia diaphysis and 40 patients with closed fractures of the tibia-fibula diaphysis. The healing time for closed tibial diaphyseal fractures was ≤ 24 weeks in 12 patients (32.4%), while > 24 weeks was 25 patients (67.6%). In patients with closed fractures of the tibia-fibula diaphysis within ≤ 24 weeks and > 24 weeks, the number was the same, namely 20 patients (50.0%). In the Mann-Whitney test, a significance value of 0.032 (p<0.05) was obtained, indicating a significant difference in the healing time between closed fractures of the tibial diaphysis and tibia-fibula after ORIF Plate and Screw at Waled Regional Hospital, with an average healing of 44.69 weeks for closed fractures of the tibial diaphysis, whereas for fractures closed tibia-fibula diaphysis 33.74 weeks.
Conclusion: The average healing time for closed tibial diaphyseal fractures is longer than for tibia-fibula
The Effects of Self-Efficacy-Based Fall Prevention Program among Elderly in Phibunmangsahan Town Municipality, Ubon Ratchathani Province, Thailand
Full text linkBackground: Falls among the elderly remain a significant public health concern, particularly in rural areas where access to healthcare and fall prevention programs are limited.
Aims: This study aims to evaluate the effectiveness of a self-efficacy-based fall prevention program in improving knowledge, muscle strength, mobility, and balance among elderly individuals at risk of falling in Phibunmangsahan Town Municipality.
Methods: This quasi-experimental study included 60 elderly participants (aged 60-79) who were identified as being at risk of falling using the Thai Falls Risk Assessment Test (Thai-FRAT). Participants were randomly assigned to either an experimental group (n=30) or a control group (n=30). The experimental group received an 8-week fall prevention program based on self-efficacy theory, which included educational sessions, exercise interventions, and confidence-building strategies. Data collection was conducted using pre- and post-intervention questionnaires, physical assessments of muscle strength, mobility, and postural control, and statistical analysis was performed using paired t-tests and independent t-tests to evaluate the effectiveness of the intervention.
Results: The results revealed that participants in the experimental group showed significant improvements in their knowledge of fall prevention (Meanbefore=11.33 (SD.=3.88), Meanafter= 11.90 (SD.=1.88), mobility (Meanbefore=12.63 (SD.=3.88), Meanafter= 10.27 (SD.=3.12), balance (Meanbefore=9.23 (SD.=2.67), Meanafter= 11.43 (SD.=3.19), and muscle strength (Meanbefore=8.97 (SD.=2.94), Meanafter= 11.43 (SD.=3.49), compared to their pre-intervention levels and the control group (p<0.05). The control group showed no significant changes in these variables. Additionally, there were no significant negative results observed during the study.
Conclusion: The self-efficacy-based fall prevention program significant enhanced the knowledge, physical capabilities, and self-confidence of elderly participants, highlighting its potential as an effective intervention for fall prevention in community settings. This study recommends the implementation of similar programs in other rural areas to reduce fall-related injuries among the elderly, emphasizing the importance of integrating self-efficacy theory into fall prevention strategies
Public Knowledge about Wolbachia-Aedes Technology: A Survey among Cirebon City Residents, Indonesia
Full text linkBackground: Wolbachia-Aedes technology is one of the innovations in reducing dengue fever incidence in Indonesia. Its implementation may be limited by insufficient public knowledge, as low awareness can reduce community acceptance and participation in Wolbachia-Aedes technology, both of which are essential for the technology’s effectiveness.
Aims: To determine the public knowledge about Wolbachia-Aedes technology and the associated factors in Cirebon City residents, Indonesia.
Methods: This is an observational study with a cross-sectional approach that was conducted in Cirebon City Health Centers (Puskesmas) between June and July 2024, using a cluster random sampling technique. Cirebon City residents who visited Puskesmas and met the inclusion and exclusion criteria were recruited as samples. Data were collected through self-administered validated questionnaires.
Results: There were 600 respondents, consisting of female (68%) who participated in the study. Most of the sample were senior high school graduates (68.2%). The results showed that 39.5% of respondents had poor knowledge, while 51.5% had moderate knowledge and 9% had good knowledge. Age [adjusted OR 1.86 (95%CI 1.32-2.63)] and education level [adjusted OR 2.12 (95%CI 1.38-3.27)] were the factors that related to public knowledge about Wolbachia-Aedes technology in Cirebon City, Indonesia.
Conclusion: Most Cirebon City residents had moderate knowledge, with a substantial proportion still having poor knowledge regarding Wolbachia-Aedes technology. Older age and lower education levels were associated with poorer knowledge. The government needs to improve public knowledge about Wolbachia-Aedes technology before implementation through targeted health promotion, particularly for older populations and those with lower education levels
The Relationship between Characteristics with Medication Adherence and Quality of Life among the Pulmonary Tuberculosis Patients at the Cirebon City Community Lung Health Center, Indonesia
Full text linkBackground: Tuberculosis (TB) is one of the top ten causes of death worldwide, caused by the Mycobacterium tuberculosis germ. Adherence to medication is a key factor in successful treatment and efforts to improve the quality of life of TB patients.
Aims: Analyzing the relationship between characteristics with medication adherence and quality of life of pulmonary TB patients at the Cirebon City Community Lung Health Center.
Methods: This study used an analytic observation method with a Cross Sectional design. The measuring instruments used were medical records and questionnaires that had been tested for validity and reliability, with a total of 131 respondents of pulmonary TB patients at the Cirebon City Community Lung Health Center (BKPM).
Results : The most common characteristics were adult age 90.8%, female gender 56.5%, secondary education 50.4%, student 28.2%, length of treatment at the advanced stage 59.5%, adherent to taking medication 87.0%, good quality of life 54.2%. Based on the Chi-Square test, the relationship between characteristics and drug compliance from age p-value=0.189, gender p-value=0.320, education p-value=0.447, occupation p-value=0.594, length of treatment p-value=0.014. The relationship between characteristics and quality of life from age p-value=0.688, gender p-value=0.550, education p-value=0.838, occupation p-value=0.519, length of treatment p-value=0.604. Based on the logistic regression test, the relationship between characteristics and drug compliance from age p-value=0.058, length of treatment p-value=0.006.
Conclusion: There is no relationship between age, gender, education, and occupation with medication adherence (p>0.05). Whereas in the length of treatment there is a relationship with adherence to taking medication. There is no relationship between characteristics and quality of life of pulmonary TB patients (p>0.05). The characteristic most associated with adherence to taking medication is length of treatment (p=0.006). Future researchers are advised to explore other factors that may be related to medication adherence and quality of life in patients with pulmonary TB
For the Love of Sisi: Peer Support and Friendship in Navigating Health Adversity
Full text linkHealth adversity, whether due to chronic illness, disability, or severe medical conditions, often leads to emotional, social, and psychological challenges. While much research has focused on clinical care, growing attention is paid to peer support and friendship as crucial non-clinical resources. The experience of Sisi, a person living through health adversity, offers an illustrative case of how love and social connection can play a transformative role in coping and resilience, even if it is for a short while. This paper explores the importance of peer support and friendship in enhancing empowerment, maintaining personal identity, and encouraging meaning-making during health-related adversity. It seeks to contribute knowledge on how social relationships function as sources of emotional comfort and as mechanisms that enable individuals to reframe their experience and maintain a strong sense of self in times of illness. The narratives show that peer support and friendship are essential facilitators of psychological empowerment, assisting individuals in feeling more in control and competent even in the face of adversity. Relationships with peers protect identity by affirming personal narratives beyond the illness. Furthermore, they act as informal support systems that augment medical interventions, frequently improving quality of life and psychological resilience. Peer connection can assist individuals in viewing illness not merely as a medical experience but as a collective human experience characterized by connection and meaning. The insights underscore the necessity for more comprehensive, person-centered strategies in health care that acknowledge love, friendship, and social connection as vital elements of recovery and resilience
Soul Stunting in Higher Education: Four Case Narratives from the Campus Counseling Room in Indonesia
Full text linkBackground: Soul stunting is a term used by the researcher to describe the arrested growth of a student’s inner life, characterized by difficulties in managing emotions, building healthy relationships, and responding wisely to life’s challenges. As both researcher and counselor, the author engaged directly with the participants in a real counseling setting, allowing for an authentic observation and intervention in their soul development. This condition often originates in family upbringing patterns and can persist into university years, affecting academic engagement, social relationships, and career readiness. While conceptual discussions on emotional intelligence and student development are abundant, most remain theoretical or survey-based, with limited impact on real behavioral change. The present study addresses that gap through an action-oriented, practice-based approach. The aim of the present study is to explore the phenomenon of soul stunting among university students through four real case narratives from the campus counseling room, focusing on five dimensions of soul development: emotional maturity, empathy, the ability to build healthy relationships, reflective rather than reactive thinking, and effective problem-solving. It also demonstrates how emotionally intelligent communication can serve as an effective strategy for restoring and strengthening these aspects of students’ soul development.
Methods: This qualitative case study was conducted through real counseling experiences in diverse natural settings, including campus counseling rooms, cafés, practice fields, public spaces, social media, and WhatsApp conversations. The counselor, bringing more than two decades of cultivating emotionally intelligent communication skills, particularly through emotional discernment, served as the primary instrument for data collection and interpretation. Data were gathered through participant observation, in-depth interviews, and reflective field notes. Ethical considerations included concealing participant identities and omitting formal informed consent to preserve the natural flow of interactions and avoid behavioral manipulation.
Results: Analysis of four authentic counseling narratives revealed that emotional discernment, as a form of tacit knowledge, plays a pivotal role in identifying, addressing, and transforming soul stunting.
Conclusion: Findings offer practical implications for campus counseling services, policy-making, and family-based interventions
Factors Related to Personal Hygiene of Traditional Jamu Handler in Bantul District, Indonesia
Full text linkBackground: Foodborne disease is the contamination of pathogenic bacteria that multiply in drinks. Traditional jamu handlers, people who process conventional jamu, need to implement and understand the importance of personal hygiene to avoid bacterial contamination.
Aims: This study aimed to determine the relationship between knowledge, attitude, sanitation facilities and infrastructure, participation in counseling, and level of education with personal hygiene in traditional jamu handlers in Kiringan Village, Bantul District, Yogyakarta Province, Indonesia.
Methods: This study used a quantitative approach with a cross-sectional design, involving 73 traditional jamu handlers who were selected by simple random sampling from a population of 90 handlers. The dependent variable was the personal hygiene of jamu handlers, measured using an observation checklist and categorized as "appropriate" or "not appropriate" based on an average score of 7.12. Independent variables included knowledge, attitudes, sanitation facilities and infrastructure, participation in counseling, and education level, which were assessed using questionnaires and observation sheets. Statistical analysis included identification of respondent characteristics to describe the sample and bivariate analysis to evaluate the relationship between independent and dependent variables.
Results: The finding of this study showed that the level of knowledge, attitude, availability of sanitation facilities, participation in food safety counseling, and education level had a significant relationship with personal hygiene practices in traditional jamu handlers. Higher education levels had the most significant impact on improving good hygiene practices.
Conclusion: Personal hygiene of handlers was influenced by knowledge, attitudes, sanitation facilities and infrastructure, participation in food safety counseling, and level of education. It is suggested to increase awareness and implementation of personal hygiene when processing traditional jamu and routinely attend food safety counseling to increase knowledge.
Received: 24 December 2024 | Reviewed: 28 December 2024 |
Revised: 13 January 2025 | Accepted: 23 January 2025
Medical Students’ Perception on the Ideal Lecturer Attributes in Problem-Based Learning on the Onion Model Theory
Full text linkBackground: The success of Problem-Based Learning (PBL) is closely related to an effective discussion process. A good PBL will affect the success of the learning process. In addition, an effective teaching process from lecturers to students is very influential in producing a qualified doctor. Korthagen's Onion Model is a theory that emphasizes layered aspects in communication and can provide an in-depth view of the relationship between lecturers and students in the context of learning, such as PBL.
Aims: To identify what is the ideal lecturer attributes in Problem Based Learning based on the onion model theory according to medical faculty students.
Methods: This study uses a descriptive method. Respondents were selected using stratified random sampling techniques, resulting in 98 respondents. This study uses primary data with univariate analysis.
Results: From the 98 analyzed samples, it was found that level 1 students gave the highest average score on the identity aspect, with the following average scores: Level 1 (14.4167), Level 2 (13.1111), Level 3 (12, 6667), and Level 4 (12.7826). The behavioral aspect also showed similar results, with the highest score at Level 1 (14.0417) followed by Level 2 (13.5926), Level 3 (13.2083), and Level 4 (13.1739).
Conclusion: Most students of the Faculty of Medicine, Universitas Swadaya Gunung Jati, have a good perception of the attributes of ideal lecturers in Problem-Based Learning based on the Onion Model Theory
Correlation between Types of Bleeding Brain Lesion with Glasgow Coma Scale in Head Injury Patients at Gunung Jati Regional Hospital, Cirebon, Indonesia
Full text linkBackground: Head injuries were a leading cause of morbidity and mortality worldwide, often resulting in bleeding brain lesions such as epidural hematoma, subdural hematoma, subarachnoid hemorrhage, and intracerebral hematoma. The Glasgow Coma Scale (GCS) was a widely used tool to assess the level of consciousness in head injury patients. Understanding this relationship was essential for guiding clinical management and predicting patient outcomes, especially in regions with high incidences of traumatic brain injuries, such as Cirebon, Indonesia.
Aims: To analyze the relationship between bleeding brain lesions and the Glasgow Coma Scale in head injuries at Gunung Jati Regional Hospital, Cirebon, Indonesia.
Methods: This study used an analytical observational method with a cross-sectional approach. Data collection was conducted using total sampling with a sample size of 28. The inclusion criteria were patients with CT-confirmed brain hemorrhages (epidural, subdural, subarachnoid, or intracerebral hematomas). Data were obtained from medical records in 2023 at Gunung Jati Regional Hospital. The analysis was performed using the Spearman rank correlation test to evaluate the relationship between the type of brain hemorrhage and GCS scores.
Results: The total sample of 28 included 21 patients (75%) with Intracerebral Hematoma, 3 patients (10.7%) with Subdural Hematoma, 2 patients (7.1%) with Epidural Hematoma, and 2 patients (7.1%) with Subarachnoid Hematoma. The level of consciousness in these patients was as follows: 15 patients (53.6%) with mild injuries, 8 patients (28.6%) with moderate injuries, and 5 patients (17.9%) with severe injuries. Spearman correlation analysis showed no significant relationship between Bleeding Brain Lesions and Glasgow Coma Scale in head injuries (p =0.645). The absence of correlation might have been due to unaccounted factors in this study, such as hemorrhage volume, lesion location, midline shift, and injury mechanism.
Conclusion: There is no significant relationship between types of bleeding brain lesions and Glasgow Coma Scale in head injury patients. The study's limitations included a small sample size and the exclusion of variables such as hemorrhage volume and location, which could affect the level of consciousness. Future research was recommended to involve larger sample sizes and additional clinical factors to better understand the dynamics between types of brain hemorrhages and patients' levels of consciousness, potentially improving clinical management strategies
Predictors of Intensive Care Unit Admission in Red Code Patients in the Emergency Department: A Single-Center Retrospective Observational Study
Full text linkBackground: Red code patients in the emergency department require urgent medicalcare because they present with life-threatening medical conditions. Optimal resource distribution together with better patient results depends on finding ICU admission predictors for critical patients who need immediate medica treatment.
Aims: This research evaluated both clinical and biochemical factors along with demographic characteristics which determine ICU admission for red code patients at the Esenyurt Necmi Kadıoğlu State Hospital Emergency Medicine Department from 2023 to 2024.
Methods: The research conducted a single-center retrospective observational study that used 5,000 red code patient data documented by the hospital information management system during January 2023 to December 2024. The research team evaluated patient demographics and vital signs and laboratory parameters and clinical outcomes from 5,000 patients who had an average age of 64.2 ± 18.5 years and consisted of 52% male patients. The study used univariate analysis together with multivariate logistic regression analysis to identify ICU admission predictors. The ROC curve analysis evaluated model predictive power by presenting AUC with confidence interval values.
Results: The analysis included 4,880 patients who fulfilled the study criteria from the total 5,000 screened patients. ICU admission occurred in 30.1% of the total patients. The univariate analysis showed that CRP and WBC and lactate measurements and low blood pressure (systolic BP <90 mmHg) were factors associated with ICU admission. The multivariate analysis confirmed CRP (OR: 1.0007 per mg/L increase, 95% CI: 1.00001–1.0014, p = 0.043), WBC (OR: 1.017 per unit increase, 95% CI: 1.003–1.032, p = 0.014) and hypotension (OR: 2.48, 95% CI: 1.96–3.13, p < 0.001) as independent risk factors. The model demonstrated an AUC of 0.74 (95% CI: 0.71–0.77) which indicates moderate predictive accuracy.Research findings showed that both CRP and lactate demonstrated increased strength in predicting ICU admission when testing patients with septic conditions.
Conclusion: The combination of elevated CRP levels with WBC count and high lactate values and hypotension functions as predictive indicators for ICU admission in patients who receive a red code. The available parameters serve as useful risk assessment tools during the first stages of patient care. The implementation of these parameters through triage protocols will improve both emergency clinical decisions and ICU resource management