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Characteristics Of Patients With Lymphoma Diagnosis At Gunung Jati Cirebon Hospital In 2022-2024
Full text linkABSTRACT
Background: Lymphoma is a malignancy of the lymphoid system that can involve lymph nodes and extranodal sites and remains a public health problem with an increasing incidence. Data on the characteristics of lymphoma patients in regional hospitals are still limited. Objective: To describe the characteristics of patients diagnosed with lymphoma at Gunung Jati Regional Hospital, Cirebon. Methods: This was a retrospective descriptive study using medical record data of lymphoma patients treated at Gunung Jati Regional Hospital during the period 2022–2024. Total sampling was applied. The variables analyzed included age, sex, clinical manifestations, tumor location, histopathological and immunohistochemical findings, treatment, and recurrence. Results: Of the 90 patients, most were male and belonged to the older age group. The most common clinical manifestation was a lump or mass, with predominant extranodal involvement. Most patients were diagnosed with Non-Hodgkin Lymphoma, with Diffuse Large B-Cell Lymphoma as the most frequent immunohistochemical subtype. Chemotherapy was the most commonly administered treatment, and no recurrence data were found during the observation period. Conclusion: Lymphoma patients at Gunung Jati Regional Hospital, Cirebon, during 2022–2024 were predominantly older males with extranodal involvement and Non-Hodgkin Lymphoma, particularly Diffuse Large B-Cell Lymphoma. These findings are important as a basis for clinical mapping and planning of lymphoma services in regional hospitals
Factors Associated with Shoulder Pain in Office Workers
Full text linkBackground:Shoulder pain is a common musculoskeletal complaint among office workers due to monotonous work activities, static postures, and long work hours. Factors such as age, tenure, daily work hours, and work posture are thought to contribute to shoulder pain.Objective:This study aims to analyze the relationship between age, length of service, length of work, and work posture with the incidence of shoulder pain in office workers.Method:This research is a quantitative analytical study with a cross-sectional design. The sample consisted of 40 office workers at Kesdam II Sriwijaya who experienced shoulder pain, selected using a total sampling technique. Data collection was conducted using a structured questionnaire to obtain data on age, length of service, daily work hours, shoulder pain complaints, and work posture assessment based on respondents' self-reports. Data analysis was performed bivariately using the chi-square test to determine the relationship between variables..Results:As many as 75% of respondents reported complaints of shoulder pain.The results of the bivariate analysis showed a significant relationship between age (p = 0.023), length of service (p = 0.012), and length of service (p = 0.041) with shoulder pain. However, no significant relationship was found between work posture and shoulder pain (p > 0.05), either individually or after combining the p-values (p = 0.507).Conclusion:There was a significant association between age, length of service, and length of work with the incidence of shoulder pain in office workers, while work posture did not show a statistically significant association. Preventive measures through ergonomic interventions, work duration management, and increased awareness of work posture are still needed to reduce the risk of shoulder pain in office workers
Analysis Of The Management Of Essential Care In Newborn
Full text linkEssential care in newborns is an important intervention to prevent complications and lower neonatal mortality. This study aims to analyze the implementation of essential care procedures for newborns at H. Adam Malik Hospital Medan City in 2025, including skin contact measures, umbilical cord care, infant bathing, vitamin K, eye ointment, and Hepatitis B (HB-0) immunization. : The study used a cross sectional design with a quantitative approach and involved 76 samples taken using the Slovin technique from a total population of 329 infants. Data were collected through observation, document analysis, and questionnaires on health workers, then analyzed univariately. The results showed that all essential care measures had been carried out with 100% coverage, except for HB-0 immunization which was only given to 90.8% of infants due to several clinical factors such as low birth weight. The implementation of essential care in general is in accordance with the Standard Operating Procedures (SOP) and WHO guidelines. There is a need to increase consistency in the administration of HB-0 immunization as well as continuous education for health workers and parents to improve the quality of neonatal services
Relationship Between Spousal Support And Exclusive Breastfeeding In Mothers Of 0-6 Month Old Infant
Full text linkBackground: Breast milk is the best life-giving fluid that is essential for babies up to 6 months of age because it has the most complete and ideal nutritional composition for the growth and development of babies, which can meet their nutritional needs during the first 6 months. However, only 39 percent of all babies in the world are exclusively breastfed. Breastfeeding is a natural process, but many mothers are still unable to breastfeed or stop breastfeeding early. Many reasons are cited by mothers who do not breastfeed their babies, including being busy with work, fear of gaining weight, and insufficient milk production (Damanik, 2020). A study proved that husband’s support was an important aspect of exclusive breastfeeding (DelCoreetal. 2018). Purpose: To determine correlation between husband’s support and exclusive breastfeeding mothers at Siti Hajar Clinic Medan Marelan. Methods: The type of research used was quantitative with a cross sectional approach. The study population consisted of 30 mothers who were breastfeeding their children aged 0-6 months at husband’s exclusive breastfeeding assistance center at Siti Hajar Clinic od Medan Marelan. Data analyisis using chi-square. Results: From a survey of 30 breastfeeding mothers, 83.3% of respondents were suppored by their husband’s and 16.7% were not supported by their husband’s. 100% of mothers brestfeed their babies exclusively. This, it means that the p-value = 0.000, p-value <0.05 between the husband’s support for exclusive breastfeeding. Conclusion: Based on the research, it can be seen that there was correlation between husband’s support for exclusive breastfeeding and the behavior of the husband’s to spport, encourage and support the practice of ecxlusive breastfeeding for mothers during breastfeeding
The Relationship Between Nutritional Status (BMI) and Age at Menarche Among Junior High School Adolescent Girls
Full text linkMenarche is the first menstrual period experienced by adolescent girls. In recent decades, the age of menarche has tended to occur earlier, which may negatively affect health. Nutritional status, measured by Body Mass Index (BMI), is considered an important factor influencing the age of menarche. This study aimed to determine the relationship between nutritional status (BMI) and age at menarche among adolescent girls at SMPN 3 Sungai Penuh. This quantitative study used a cross-sectional design and was conducted from July to August 2025. A total of 97 adolescent girls were selected using proportional random sampling. Data were collected through measurements of height and weight and questionnaires, and analyzed using the Chi-square test. The results showed that most respondents had a normal age of menarche (81.4%) and normal nutritional status (63.9%). Statistical analysis indicated a significant relationship between BMI and age at menarche (p = 0.000). In conclusion, nutritional status is significantly associated with age at menarche among adolescent girls. Maintaining normal nutritional status is important to support healthy reproductive development
The Role of Physical and Rehabilitation Medicine in Preventing Musculoskeletal Complications in Pediatric Hemophilia
Full text linkBackground: Pediatric hemophilia is a hereditary bleeding disorder that leads to progressive musculoskeletal complications due to recurrent hemarthrosis, thereby increasing the risk of long-term disability and reduced quality of life. Objective: To examine the role of medical rehabilitation in preventing musculoskeletal complications in pediatric hemophilia. Methods: This study was conducted as a narrative literature review by searching articles through PubMed, Scopus, and Google Scholar using keywords related to pediatric hemophilia, musculoskeletal complications, hemarthrosis, hemophilic arthropathy, and preventive rehabilitation and management. The selected literature included original research articles, clinical guidelines, and systematic reviews relevant to children and adolescent populations. A descriptive-synthesis approach was used to integrate findings related to musculoskeletal complications and phase-based preventive rehabilitation strategies. Results: Complications include hemarthrosis, chronic hemophilic synovitis, hemophilic arthropathy, joint deformities, and muscle hematomas, which contribute to decreased muscle strength, limited joint range of motion, chronic pain, activity restriction, and reduced quality of life. Preventive rehabilitation integrated with coagulation factor prophylaxis includes functional assessment (HJHS and FISH), the acute-phase RICE protocol, hydrotherapy, isometric strengthening exercises, range of motion exercises, joint protection education, and the use of orthoses and mobility aids. Conclusion: Medical rehabilitation represents an essential non-pharmacological prophylactic pillar in preventing musculoskeletal complications in pediatric hemophilia
The Effect of Website-Based Information on Pregnant Women’s Knowledge of High-Risk Conditions and Birth Preparedness
Full text linkBackground Childbirth readiness and complication readiness are strategies to encourage the timely use of skilled maternal and infant health services. The low rate of early detection is a challenge, which is suspected to be influenced by the level of knowledge. Website media provides health information that is easily accessible anywhere and anytime. Purpose: This study aims to analyze the influence of information through websites on maternal knowledge about high risk in pregnancy and childbirth preparation. Methods: This type of research is a quantitative research using a pre-experimental approach with one group pre-post design. The population in this study is all pregnant women who are at risk in pregnancy at the Ringinarum Health Center. The study was conducted in August 2022, the number of pregnant women who are at risk is 36 people. Sampling uses the total sampling technique. Independent variables are the interventions provided, namely the provision of information about pregnancy risks and childbirth preparations submitted on the website media. The dependent variable is the knowledge of pregnant women. The analysis was carried out bivariate test using the Wilcoxon Test. Results: The results of the wilcoxon statistical test obtained a P-value of 0.000 or < 0.05 this shows that there is a significant influence of information through the website on the level of knowledge of pregnant women facing childbirth in the Ringinarum Health Center area. Conclusion: Providing education to pregnant women using website media to increase pregnant women's knowledge about high risk and childbirth preparation. It is hoped that pregnant women who experience a high risk of pregnancy can increase the knowledge that can be obtained through internet media
Association Between Nutritional Status and Anemia Incidence Among High School Adolescent Girls
Full text linkAnemia remains a critical global health issue among adolescent girls, often theoretically linked to underweight nutritional status; however, the phenomenon of hidden hunger indicates that micronutrient deficiencies are not always reflected in anthropometric parameters, thus the actual correlation between nutritional status and anemia incidence needs to be empirically demonstrated. This study aimed to analyze the relationship between nutritional status and the incidence of anemia among adolescent girls at SMA Negeri 20 Pangkep. This observational analytic study employed a cross-sectional design and was conducted in December 2025. A total of 92 adolescent girls from grades X-XII were selected using the total sampling technique. Data were collected through anthropometric measurements to determine Body Mass Index for Age (BMI-for-Age) and capillary hemoglobin testing using a POCT device, then analyzed using the Chi-Square test (α = 0.05). The findings revealed an anemia prevalence of 23.9%, classifying it as a significant public health problem. Statistical analysis showed that the proportion of anemia in underweight adolescent girls (31.3%) was not significantly different compared to adolescent girls with normal nutritional status (22.4%). The bivariate test confirmed no significant relationship between nutritional status and the incidence of anemia (р = 0.449). Macro-nutritional status (BMI) is not a primary determinant of anemia in this population, implying that adolescent girls with proportional bodies share an equal risk of iron deficiency; therefore, anemia prevention programs and Iron Supplementation Tablet (TTD) distribution must target all adolescent girls evenly, accompanied by continuous education
Association of Consumption Patterns and Eating Habits with Household Nutritional Status in Mountainous and Coastal Areas of Banyuwangi
Full text linkFamily nutritional status remains a major public health concern, particularly in regions with diverse geographical characteristics that influence food availability and dietary behavior. Variations in dietary patterns and eating habits between mountainous and coastal areas may contribute to differences in nutritional outcomes at the household level. This study aimed to examine the association between dietary patterns and eating habits with family nutritional status and to identify regional differences in these associations in Banyuwangi Regency, Indonesia. A quantitative cross-sectional study was conducted from August to September 2025 involving 110 families selected using multistage sampling. Data were collected through a locally adapted Food Frequency Questionnaire (FFQ), structured eating habit questionnaires, and anthropometric measurements based on WHO standards. Statistical analyses included descriptive statistics, Chi-Square tests, and multivariate logistic regression. The results indicated that a substantial proportion of families exhibited inadequate dietary patterns and unhealthy eating habits, alongside significant differences in nutritional status between mountainous and coastal regions. Both dietary patterns and eating habits were significantly associated with family nutritional status after adjusting for potential confounders, with inadequate dietary patterns emerging as the strongest determinant. Stratified analysis revealed regional-specific determinants, where dietary patterns were more influential in mountainous areas, while eating habits played a greater role in coastal areas. In conclusion, improving family nutritional status requires region-specific nutrition interventions that address local food systems and promote balanced dietary practices through targeted nutrition education
Effectiveness of a Digital Pocketbook in Improving Knowledge of Long-Acting Contraceptive Methods among Women of Reproductive Age
Full text linkBackground: Limited understanding among women of reproductive age regarding Long-Acting Reversible Contraceptive (LARC) methods, particularly implants and intrauterine devices (IUDs), remains a major barrier to the success of family planning programs. Objective: This study aimed to improve the knowledge of women of reproductive age regarding long-acting contraceptive methods, especially implants and IUDs, through digital pocket book-based education. Methods: This study employed a quantitative approach using a pre-experimental one-group pretest-posttest design involving 15 women of reproductive age at Mutiara Hati Clinic. The intervention was conducted through participatory educational counseling using an Android-based digital pocket book, beginning with a pre-test, followed by material delivery, interactive discussion, and ending with a post-test. Data analysis using the Shapiro-Wilk test indicated that pre-test data were normally distributed (p = 0.600), while post-test data were not normally distributed (p = 0.002); therefore, the Wilcoxon Signed Ranks Test was applied. Results: The results showed that all respondents (100%) experienced an increase in post-test scores compared to pre-test scores, with a Z value of -3.450 and a significance level of p < 0.001. Participants’ knowledge levels improved from predominantly moderate and low categories at baseline to entirely good after the intervention. Conclusion: The findings show that digital pocket books are effective educational media for increasing knowledge of women of reproductive age regarding implant and IUD long-acting contraceptive methods