Medihealth: Jurnal Ilmu Kesehatan dan Sains

THE RELATIONSHIP BETWEEN SOCIAL MEDIA EXPOSURE AND'S EDUCATION REGARDING GIVING HUMAN PAPILLOMA VIRUS IMMUNIZATION

Reysa Lamis — 2026-06-30

Kanker serviks masih menjadi salah satu penyebab utama kematian pada perempuan di seluruh dunia yang sebagian besar disebabkan oleh infeksi persisten Human Papilloma Virus (HPV). Imunisasi HPV merupakan salah satu langkah pencegahan primer yang terbukti efektif dalam mengurangi risiko terjadinya kanker serviks pada anak perempuan usia sekolah. Cakupan pemberian imunisasi HPV dipengaruhi oleh berbagai faktor, termasuk keterpaparan informasi melalui media sosial dan tingkat pendidikan ibu. Penelitian ini bertujuan untuk menganalisis hubungan antara keterpaparan media sosial dan pendidikan ibu dengan pemberian imunisasi HPV pada anak perempuan. Penelitian ini menggunakan metode kuantitatif dengan desain analitik observasional dan pendekatan cross-sectional. Populasi penelitian terdiri atas seluruh ibu yang memiliki anak perempuan kelas V dan VI di SD IT Luqman Al Hakim 02 sebanyak 87 orang, dengan teknik pengambilan sampel menggunakan total sampling. Data dikumpulkan melalui kuesioner dan dianalisis menggunakan uji Chi-Square pada tingkat kepercayaan 95% (α=0,05). Hasil penelitian menunjukkan bahwa 59,8% ibu terpapar media sosial, sebagian besar responden memiliki tingkat pendidikan menengah, dan 73,6% anak perempuan telah menerima imunisasi HPV. Analisis statistik menunjukkan adanya hubungan yang bermakna antara keterpaparan media sosial dengan pemberian imunisasi HPV (p=0,001), serta antara pendidikan ibu dengan pemberian imunisasi HPV (p=0,003). Oleh karena itu, optimalisasi edukasi kesehatan melalui media sosial dan kegiatan penyuluhan perlu terus dilakukan untuk meningkatkan pemahaman ibu dari berbagai tingkat pendidikan serta mendukung peningkatan cakupan imunisasi HPV.

ANALISIS KANDUNGAN BAHAN KIMIA OBAT (BKO) BISAKODIL PADA JAMU PELANGSING YANG BEREDAR DI TOKO OBAT KOTA BATAM MENGGUNAKAN METODE SPEKTROFOTOMETRI UV-VIS

Ditna Alfianingrum — 2026-06-30

Increasingly intense competition in the herbal medicine (jamu) industry has driven the illegal addition of drug chemical adulterants (Bahan Kimia Obat/BKO), including bisacodyl in slimming herbal products, to produce rapid weight-loss effects through a laxative mechanism. According to a BPOM press release from December 2025, 32 illegal natural medicine products containing BKO were identified, including bisacodyl in slimming jamu. This study aimed to determine the presence and level of bisacodyl BKO in slimming jamu sold at drugstores in Batam City. This descriptive-analytic laboratory-based study used six slimming jamu samples obtained through purposive sampling from drugstores around Pasar Penuin and Pasar Jodoh, analyzed qualitatively using Thin Layer Chromatography (TLC) for initial screening and quantitatively using UV-Vis Spectrophotometry for confirmation, with the method validated for linearity, LOD/LOQ, precision, and accuracy. UV-Vis analysis revealed that only sample S4 exhibited an absorption peak at 264 nm, close to the maximum wavelength of the bisacodyl standard (263.6 nm), with a bisacodyl content of 4.03%. The method validation parameters met the required criteria, with a correlation coefficient of 0.9979, %RSD below 2%, and percent recovery ranging from 100.55–104.80%. It can be concluded that of the six slimming jamu samples circulating in drugstores in Batam City, one sample (S4) was confirmed positive for bisacodyl BKO, indicating a persistent safety risk in slimming jamu products.

PENGARUH PEMBERIAN JUS JERUK MANIS PACITAN (CITRUS SINENSIS) TERHADAP NILAI VO2MAX PADA ATLET FUTSAL DI SEKOLAH MENENGAH ATAS NEGERI 16 BATAM

Miftah Asyra — 2026-06-30

Low aerobic capacity in futsal athletes, reflected by poor VO2Max levels, impairs performance during training and matches. VO2Max measures the body's maximum oxygen consumption during intense physical activity (ml/kg/min), where higher values indicate superior aerobic energy production. Baseline data revealed that most futsal athletes had poor-to-moderate VO2Max, reducing endurance and highlighting the need for effective, safe, and practical nutritional interventions. Pacitan sweet orange (Citrus sinensis) contains glucose, vitamin C, and potassium, which support energy, reduce oxidative stress, and maintain muscle and heart function. This study aims to analyze the effect of Pacitan sweet orange juice on VO2Max levels in futsal athletes. A quasi-experimental pretest–posttest without control group design was conducted using total sampling (n = 15 athletes). The intervention consisted of consuming 300 ml of sweet orange juice once daily for 7 days. VO2Max was measured using the Balke Test before and after the intervention. Data normality was assessed with the Shapiro-Wilk test, followed by a paired t-test to evaluate VO2Max differences. The results showed a significant increase in VO2Max from 45.27 ± 4.81 ml/kg/min to 52.59 ± 3.16 ml/kg/min, with a mean difference of 7.32 ± 2.93 ml/kg/min (p = 0.001, p < 0.05). In conclusion, consuming Pacitan sweet orange juice for 7 days effectively improves aerobic capacity in futsal athletes, demonstrating potential as a practical, affordable natural beverage to support physical performance.

FERRITIN AS A BIOMARKER OF INFLAMMATION AND IRON METABOLISM IN PEOPLE LIVING WITH HIV: CURRENT CLINICAL EVIDENCE

Sri Tati Rukiyani — 2026-06-30

Ferritin is a widely used biomarker of iron storage and has an important role in the assessment of iron metabolism. However, ferritin is also an acute-phase protein whose concentration may increase in response to inflammation, infection, and immune activation. These characteristics are particularly relevant in people living with human immunodeficiency virus, who may experience persistent immune activation and chronic inflammation even in the presence of effective antiretroviral therapy. This review examines the current
evidence regarding the role of ferritin as a biomarker of inflammation and iron metabolism in people living with human immunodeficiency virus. This narrative review was conducted through literature searches in PubMed/MEDLINE and Scopus using keywords related to HIV, ferritin, inflammation, iron metabolism, hepcidin, anemia, and antiretroviral therapy. Relevant publications were screened based on their relevance to ferritin, inflammation, and iron homeostasis in people living with HIV. A total of 14 relevant articles were included in the narrative synthesis. Current evidence indicates that ferritin concentrations may reflect a complex interaction between iron stores, inflammation, immune activation, nutritional status, and treatmentrelated factors. Therefore, elevated ferritin should not be interpreted solely as evidence of increased iron stores, particularly in the presence of chronic inflammation. Understanding the biological context of ferritin measurement may improve its interpretation and support more appropriate assessment of iron status and inflammatory conditions in people living with human immunodeficiency virus.

FORMULASI DAN EVALUASI SEDIAAN CLEANSING OIL MINYAK BIJI BUNGA MATAHARI (HELIANTHUS ANNUS L.) DENGAN VARIASI KONSENTRASI DECYL GLUCOSIDE

Nurul Husna — 2026-06-30

Skin cleanliness is an important factor in preventing skin disorders, and cleansing oil is one of the commonly used facial cleansers. This study aims to determine the effect of varying concentrations of decyl glucoside on the physical stability and irritation potential of sunflower seed oil-based cleansing oil preparations. The research was conducted experimentally with five formulas containing decyl glucoside at concentrations of 2%, 4%, 6%, 8%, and 10% with a fixed oil composition. The preparations were evaluated based on organoleptic properties, pH value, homogeneity, viscosity, stability (cycling test), cleansing power, and irritation potential. The research results show that the increase in surfactant concentration affects the pH value, viscosity, and organoleptic stability of the preparation. The pH value increased with the concentration of surfactant up to 8.7 at the highest concentration (10%), while the viscosity value increased from the range of 315.32–400.46 cP to 321.47–456.97 cP after stability testing due to the weakening of surfactant strength and the formation of droplet aggregates. All formulas showed good cleansing power and did not show any signs of irritation based on the human patch test method conducted. Formula F1 with a concentration of 2% decyl glucoside shows the best stability because it does not experience changes in color, odor, phase separation, or sediment formation during the stability test. In conclusion, the surfactant concentration affects the pH value, viscosity, and stability of the cleansing oil preparation, and the use of decyl glucoside is considered not to have the potential to cause skin irritation in the applied testing method. It is recommended to conduct further research to optimize the formulation and evaluate the safety and effectiveness of long-term use.

FOOD QUALITY ASSESSMENT AND ITS ASSOCIATION WITH VEGETABLE PLATE WASTE IN THE FREE NUTRITIOUS MEAL PROGRAM AT SMP NEGERI 30 BATAM

Laras Endah Wuriani — 2026-06-30

The Free Nutritious Meal Program (Program Makan Bergizi Gratis/MBG) is an initiative to provide meals for students in order to meet their nutritional needs in accordance with health standards and local dietary habits. One of the challenges in implementing this program is the high level of food waste. Food quality is one of the factors that may influence the amount of food waste generated. Preliminary findings showed that the highest percentage of food waste came from vegetable dishes, reaching 81.5%, which exceeded the recommended maximum limit (<20%). This study aimed to analyze the effect of food quality on vegetable dish food waste in the Free Nutritious Meal Program at SMPN 30 Batam. A cross-sectional study design was employed with a sample of 92 students selected through simple random sampling. Data were collected using a food quality assessment questionnaire and food waste measurements using the food weighing method. Data were analyzed using logistic regression. The results showed a significance value of 0.352 (p>0.05), indicating that there was no significant effect of food quality on vegetable dish food waste. The Odds Ratio (OR) value of 0.580
indicated a tendency for good food quality to reduce the likelihood of food waste; however, the association was not statistically significant. Food quality had no significant effect on vegetable dish food waste in the Free Nutritious Meal Program at SMPN 30 Batam. Nutrition education and evaluation of other factors potentially influencing food waste are recommended to improve students' vegetable consumption.

ASUHAN KEPERAWATAN JIWA PADA PASIEN SKIZOFRENIA PARANOID DENGAN MASALAH RISIKO PERILAKU KEKERASAN MELALUI PENERAPAN RELAKSASI NAPAS UNTUK MENGONTROL EMOSI

Stevani Oktaviany Siagian — 2026-06-30

Skizofrenia paranoid dapat menyebabkan gangguan emosi dan perilaku, salah satunya risiko perilaku kekerasan. Salah satu intervensi nonfarmakologis yang dapat membantu mengontrol emosi adalah teknik relaksasi napas dalam. Karya ilmiah ini bertujuan mendeskripsikan penerapan asuhan keperawatan jiwa pada Ny. M dengan masalah risiko perilaku kekerasan melalui penerapan relaksasi napas dalam untuk mengontrol emosi di Yayasan Rehabilitasi Sosial Alfateh Batam. Metode yang digunakan adalah studi kasus dengan pendekatan proses keperawatan selama empat hari, yaitu 08–11 Juli 2026. Hasil pengkajian menunjukkan Ny. M mudah marah, mudah tersinggung, afek labil, mengepalkan tangan, serta memiliki riwayat perilaku agresif. Intervensi dilakukan melalui relaksasi napas dalam yang diperkuat dengan latihan fisik, komunikasi asertif, pendekatan spiritual, dan kepatuhan minum obat. Setelah empat hari, Ny. M mampu mengenali tanda kemarahan, melakukan relaksasi napas dalam secara mandiri, mengontrol emosi, berkomunikasi secara asertif, dan tidak menunjukkan perilaku agresif. Masalah risiko perilaku kekerasan dinyatakan teratasi. Penerapan relaksasi napas dalam dapat menjadi salah satu intervensi nonfarmakologis untuk membantu pasien mengontrol emosi dan mencegah perilaku kekerasan.

ANALYSIS OF INTERVENTION RECOMMENDATIONS TO IMPROVE WEIGHT AND SLEEP QUALITY OF PREMATURE INFANTS IN THE HOSPITAL: LITERATURE REVIEW

Aulia Dwi Saraswati — 2026-06-30

Premature infants are at high risk for developmental disorders, including low body weight and poor sleep quality. Intensive care in the NICU often focuses on medical approaches, but non – medical intervensions such as infant massage, kangaroo mother care (KMC), and nesting techniques have been shown to be effective improving weight gain and sleep quality in premature infants. This study is a literature review study of 20 experimental articles published in 2019-2025, which were obtained from the PubMed and Google Scholar databases with specific inclusion criteria. The results show that infant massage therapy can stimulate the vagus nerve system, thereby accelerating metabolism and increasing infant appetite. Kangoroo care support weight gain and sleep quality by providing warmth from skin to skin. Nesting techniques, by positioning the baby’s body in a stable and comfortable position, can significantly improve infant sleep quality. Nursing intervetions such as infant massage, KMC, and nesting are effective and simple approaches to improving weight gain and sleep quality in premature infants during NICU care.

EVALUASI SISTEM PENDISTRIBUSIAN SEDIAAN FARMASI DAN ALAT KESEHATAN DI PBF MILLENNIUM PHARMACON INTERNATIONAL (MPI) KOTA BATAM

Firlina Hia — 2026-06-30

The distribution of pharmaceutical preparations and medical devices is an essential component in ensuring product quality, safety, and effectiveness until they reach end users. pharmaceutical wholesalers are required to implement good distribution practices for pharmaceuticals and medical devices to ensure proper distribution processes. this study aims to evaluate the distribution system of pharmaceutical preparations and medical devices at pbf millennium pharmacon international in batam city and to assess its compliance with good distribution practices for pharmaceuticals and medical devices standards. the research method used was descriptive with a qualitative approach, conducted through observation, interviews, and document review, involving 25 respondents. the results showed that the distribution system at pharmaceutical wholesalers millennium pharmacon international batam city has generally been implemented well. this is indicated by the scores in each aspect, namely identification of distribution implementation at 87% (very good), suitability of the distribution system at 74.7% (good), analysis of operational constraints at 71% (good), evaluation of human resources and facilities at 80.4% (very good), and improvement recommendations at 78.4% (good). overall, the distribution system has met the good distribution practices for pharmaceuticals and medical devices standards, although improvements are still needed in several aspects to achieve more optimal and consistent implementation.

PENGARUH PENDAMPING CONTINUITY OF CARE (COC) TERHADAP KEBERHASILAN GIZI BALITA

Feby Purnamasari — 2026-06-30

Speech and language development is a critical aspect of early childhood development that influences children's Nutritional status is an important indicator for assessing a child's health, growth, and well-being. Through nutritional status, various nutritional problems such as stunting, underweight, wasting, and overweight can be detected early. Successful management of toddler nutrition through Continuity of Care (COC) assistance is expected to break the intergenerational cycle of malnutrition. This research project examined the impact of Continuity of Care (COC) assistance on toddler nutritional success using a post-test-only control group design. The sample was all 22 mothers with children aged 0-5 years at the Seruni Integrated Health Post (Posyandu) in Sentosa Hamlet, Lekopaccing Village, Maros Regency in 2026. The results showed an effect of Continuity of Care assistance on toddler nutritional success, with a ρ value of 0.004 < 0.005. This activity is expected to assist parents and health workers in preventing and reducing stunting, wasting, malnutrition, and overnutrition in toddlers.

CULTURAL BELIEFS AND DELAYED RECOGNITION OF SPEECH AND LANGUAGE DEVELOPMENT AMONG PARENTS OF YOUNG CHILDREN: A QUALITATIVE EXPLORATION

Renny Adelia Tarigan — 2026-06-30

Speech and language development is a critical aspect of early childhood development that influences children's cognitive, social, emotional, and communication abilities. Early recognition of developmental delays is essential for timely intervention; however, parents' recognition of speech and language problems is often influenced by cultural beliefs and social norms. This study aimed to explore cultural beliefs contributing to delayed recognition of speech and language development among parents of young children. A qualitative exploratory study was conducted among parents of children under five years of age in coastal communities in Batam City, Indonesia. Data were collected through in-depth interviews using purposive sampling. Additional perspectives were obtained from midwives and community health volunteers involved in child developmental monitoring. Data were analyzed using thematic analysis to identify recurring patterns and meanings related to parental beliefs and developmental recognition. Five major themes emerged: (1) speech delay perceived as a normal developmental variation, (2) belief that children will eventually speak without intervention, (3)
influence of family traditions and intergenerational advice, (4) limited awareness of speech and language developmental milestones, and (5) delayed healthcare-seeking behavior. These beliefs often reduced parental concern regarding developmental delays and contributed to delayed utilization of developmental screening and health services. Cultural beliefs play an important role in shaping parents' understanding of speech and language development. Misconceptions regarding normal developmental patterns may hinder early recognition and intervention. Strengthening culturally sensitive parent education and empowerment programs is necessary
to improve awareness of developmental milestones and promote timely access to developmental screening services.