Jurnal Kesehatan, Rekam Medis dan Farmasi (JUK-Medifa)

Relationship Between Protein Source Eating Habits and Sleep Duration with the Incidence of Anemia in Female Adolescents in Grade VII Study at SMPN 1 Kelumpang Hilir UPTD Puskesmas Serongga

Suryani Suryani, Rusmini Yanti, Rahmani Rahmani, Yasir Farhat — Tue, 27 Jan 2026 00:00:00 +0000

Anemia is one of the most common nutritional problems among adolescent girls, especially during periods of rapid growth. One of the main factors causing anemia is low intake of animal protein, which contains haem iron and plays an important role in hemoglobin formation. Adolescent girls have higher iron requirements, so they are at greater risk of anemia if their diet is insufficient. 49.7% of adolescent girls experience anemia. The anemia problem at SMPN 1 Kelumpang Hilir is 27.6%. This study used an analytical observational research design with a cross-sectional approach. The population in this study consisted of 171 female adolescents from SMP Negeri 1 Kelumpang Selatan. The study was conducted in November 2025. The sampling technique used was purposive sampling. The test used was the Spearman's rank correlation test. The results of the study showed that most of the adolescent girls had poor protein intake habits (60.0%), insufficient sleep duration (58.6%), and anemia (70.0%). The statistical test results showed a relationship between protein source eating habits and sleep duration with the incidence of anemia in female adolescents in grade VII at SMPN 1 Kelumpang Hilir UPTD Puskesmas Serongga. It is recommended that there be education on the proper consumption of TTD (avoiding tea/coffee) as well as improvements in protein intake and sleep patterns among adolescent girls. Researchers are further recommended to examine the variables of social support and knowledge levels.

Glucostasis Simulator: An Educational Tool for Visualizing Glucose-Insulin Feedback Using the Clinically Accepted Hovorka Model

Haya Noor, Nayyar Ijaz Dar, Syeda Ghina Sahar, Alina Sabeen Khalid — Fri, 27 Feb 2026 00:00:00 +0000

Effective diabetes management requires a fundamental understanding of glucose-insulin dynamics and their regulation through physiological feedback systems. This paper presents an interactive simulation tool, developed in MATLAB App Designer and grounded in the clinically validated Hovorka model, to visualize these complex mechanisms. The simulator was tested across key clinical scenarios including baseline, hyperglycemia, and insulin dosing errors, with results demonstrating physiologically accurate glucose and insulin trajectories that confirm the model's successful implementation. To enhance its educational utility, the tool incorporates myth versus fact flashcards and dynamic visual aids. By bridging theoretical knowledge and practical insight, this work provides a foundational platform for exploring physiological control systems, with potential to inform the future development of personalized diabetes management strategies.

The Effect of Providing Local Plant-Based Herbal Drinks on Glycemic Control in Type 2 Diabetes Mellitus Patients in Tanah Merah Village, Badar District, Southeast Aceh Regency

Herlitawati Herlitawati, Rohani Rohani, Devi Susanti, Taufik Hidayat — Wed, 20 May 2026 00:00:00 +0000

Type 2 Diabetes Mellitus (DM) is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion and insulin resistance. The increasing prevalence of Type 2 DM is influenced by unhealthy lifestyles, lack of physical activity, and changes in people's dietary patterns. One effort to control blood sugar levels is the use of local herbal plants as complementary therapy. This study aims to analyze the effect of providing herbal drinks based on local plants on glycemic control in patients with Type 2 DM in Tanah Merah Village, Badar District, Southeast Aceh Regency. This study used a quantitative method with a quasi-experimental design through a one-group pretest-posttest design. A sample of 60 respondents was selected using a purposive sampling technique. Data collection was carried out by examining blood glucose levels before and after administering the herbal drink based on local plants using a glucometer. Data analysis used a paired t-test with a significance level of 0.05.α= 0.05. The results of the study showed that the average blood glucose level before giving herbal drinks was 238.6 mg/dL and after the intervention decreased to 187.3 mg/dL. The results of the statistical test obtained a p-value = 0.000 (p < 0.05), indicating that there was a significant effect of giving local plant-based herbal drinks on glycemic control in Type 2 DM patients. A decrease in blood glucose levels of 51.3 mg/dL indicates that local plant-based herbal drinks have the potential to help control blood sugar levels in Type 2 Diabetes Mellitus patients. The results of this study are expected to be a source of information for the public and health workers regarding the use of local herbal plants as complementary therapy in controlling Type 2 Diabetes Mellitus.

Systematic Literature Review: Effectiveness of Laparoscopic Cholecystectomy on Service Efficiency and Length of Hospitalization

Duratul Fahlia, Dewi Purnamawati — Tue, 09 Jun 2026 00:00:00 +0000

Gallstone disease is one of the most common gastrointestinal conditions requiring surgical intervention worldwide. Over the past few decades, laparoscopic cholecystectomy (LC) has replaced open cholecystectomy (OC) as the gold standard in gallbladder surgical management. Although its clinical advantages have been widely recognized, a systematic evaluation of its impact on hospital operational efficiency and resource optimization through length of stay is still needed. This study aims to evaluate the effectiveness of laparoscopic cholecystectomy in improving healthcare efficiency and shortening patient length of stay compared with open surgical procedures. This study used a Systematic Literature Review (SLR) method through a literature search in various scientific databases, such as PubMed, Scopus, and Google Scholar. The literature analyzed included meta-analyses, randomized clinical trials, and cohort studies comparing the outcomes of laparoscopic cholecystectomy and open cholecystectomy. A total of eight key journals were selected for further analysis, focusing on mortality, postoperative complications, length of stay, and healthcare cost-efficiency. The study showed that laparoscopic cholecystectomy significantly reduced mortality by 84% (RR 0.16) and reduced the risk of postoperative complications by 54% compared to open surgical procedures. In terms of service efficiency, this procedure was also shown to shorten the average length of stay by 4.08 days compared to open cholecystectomy. In several healthcare centers, the average length of stay for patients undergoing laparoscopic cholecystectomy was only around 2.1 days, compared to 5.6 days for open procedures. Furthermore, the implementation of ambulatory laparoscopic cholecystectomy has been proven safe, provides significant hospital cost savings, and improves patient satisfaction through a faster recovery process. Based on the study results, it can be concluded that laparoscopic cholecystectomy is more effective than open cholecystectomy in improving healthcare efficiency. The significant reduction in length of stay and the potential for outpatient procedures make this method an important strategy in optimizing hospital bed utilization and reducing healthcare system costs. Therefore, investment in infrastructure and development of laparoscopic services is highly recommended to increase accessibility of more efficient, safe, and high-quality surgical services.

Pituitary Tumors: What Are They and How Are They Treated?

Wed, 10 Jun 2026 00:00:00 +0000

The pituitary gland (hypophysis) is a very small, pea-sized gland located inside the skull, specifically beneath the brain and above the back of the nasal cavity. However, if the gland grows beyond its normal size (tumor), it can compress and damage the brain and nerves, leading to hormonal disorders and even blindness. Most pituitary tumors are benign. Their symptoms vary depending on the type of tumor and the areas around the pituitary gland that are affected. Many patients present with visual disturbances or even blindness. Although benign, progressive growth can cause symptoms that significantly affect the patient's quality of life. Management of pituitary tumors may include radiotherapy, medication, and surgery. Surgery is the primary treatment for pituitary tumors. Currently, the Endoscopic Skull Base Surgery (ESBS), Transsphenoidal Approach (TSA), has become one of the techniques that offers advantages such as shorter stays in the ICU and hospital ward, reduced risks and minimal bleeding during surgery, faster recovery, and no facial incisions (better cosmetic outcome).

Effect of Trust and Satisfaction on Outpatient Loyalty at Sundari Hospital in 2025

Muhammad Adiul Ilham, Ribka Panjaitan, Julita Arnis, Dermawan Syah Putra Gulo — Sat, 13 Jun 2026 00:00:00 +0000

Service quality is a critical determinant of patient satisfaction and loyalty in healthcare settings, as it reflects the extent to which services meet patient expectations. This study aimed to examine the effects of trust and patient satisfaction on outpatient loyalty at Sundari Hospital in 2025. A quantitative descriptive approach was employed, involving 99 outpatient respondents who completed structured questionnaires. Data were analyzed using univariate and bivariate techniques, with the chi-square test applied to assess the associations between variables. The results indicated that 63.6% of respondents reported high levels of trust, 60.6% reported high satisfaction, and 56.6% demonstrated loyalty toward the hospital. Chi-square analysis revealed that both trust (p = 0.003) and satisfaction (p = 0.012) significantly influenced outpatient loyalty. The findings confirm that enhancing patient trust and satisfaction can strengthen loyalty, which is essential for sustaining patient engagement and promoting repeat visits. These results provide practical insights for healthcare managers seeking to improve service quality and patient-centered strategies, highlighting the importance of fostering trust and satisfaction to achieve better patient retention and long-term institutional performance.