https://jurnal.umpar.ac.id/index.php/makes/issue/feedJurnal Ilmiah Manusia Dan Kesehatan2025-05-08T05:25:28+08:00Usmanusman_health@yahoo.co.idOpen Journal Systems<p>Jurnal Ilmiah <strong>MANUSIA DAN KESEHATAN </strong>dengan eISSN : 2614-3151 <em>pISSN : 2614-5073 </em><em>merupakan jurnal ilmiah menyajikan hasil </em><em>penelitian, laporan kasus, </em><em>makalah ilmiah</em><em> atau kajian analitis-kritis di bidang </em><em>manusia dan kesehatan dan artikel dalam bentuk ulasan</em><em>. </em><em>Fokus dan Ruang Lingkup Jurnal, meliputi : Kebijakan dan Manajemen Kesehatan, Gizi Masyarakat, Kesehatan Lingkungan, Epidemiologi, Kesehatan Reproduksi, Promosi Kesehatan dan Keselamatan & Kesehatan Kerja. </em><em>Jurnal Ilmiah MANUSIA DAN KESEHATAN diterbitkan Oleh Fakultas Ilmu Kesehatan Universitas Muhammadiyah Parepare</em></p>https://jurnal.umpar.ac.id/index.php/makes/article/view/3519Pengaruh Intensitas Penggunaan Gadget Sejak Dini terhadap Perkembangan Bicara dan Bahasa pada Balita2025-05-08T05:25:25+08:00Rahmi Dahniarrahmidahniar2001@gmail.comSyarifah Masthuramasthuraazzahir_psik@abulyatama.ac.idNursa’adah Nursa’adahnursaadah_psik@abulyatama.ac.id<p style="font-weight: 400;"><em>Speech and language development is an aspect that is considered important in early childhood. Generally, one of the developmental problems experienced by children under the age of five is speech and language delay. Gadgets can help increase children's creativity, communication skills and social interaction. However, excessive use of gadgets can affect children's speech and language development. The purpose of this study was to determine the effect of the intensity of early gadget use on speech and language development in toddlers. This type of research is quantitative using a crosssectional study approach. The population in this study were all parents of children with speech delay as many as 54 people with the sampling technique of total sampling. The data collection process was carried out using a questionnaire sheet. The research was conducted at the Speech Therapy Observation Park in Banda Aceh City from July 31 to August 12, 2024. Then analyze the data, namely univariate and bivariate analysis using the chi square test. The study obtained the results that there was a significant influence between the intensity of gadget use on speech and language development in toddlers with p value = 0.001 < α (0.05). The conclusion of this study is that the intensity of excessive gadget use from an early age can affect the development of speech and language in toddlers.</em></p> <p style="font-weight: 400;"><em> </em></p> <p style="font-weight: 400;"><em>Keywords : Tooddlers; Gadget; Speech and Language Development</em></p> <p style="font-weight: 400;">ABSTRAK</p> <p style="font-weight: 400;"> </p> <p style="font-weight: 400;">Perkembangan bicara dan bahasa menjadi aspek yang dianggap penting pada anak usia dini. Umumnya salah satu masalah perkembangan yang dialami oleh anak usia di bawah lima tahun yaitu keterlambatan bicara dan bahasa. Gadget dapat membantu menambah kreativitas, kemampuan komunikasi dan interaksi sosial anak. Namun penggunaan gadget yang berlebihan dapat mempengaruhi perkembangan bicara dan bahasa anak. Tujuan penelitian ini yaitu untuk mengetahui pengaruh intensitas penggunaan gadget sejak dini terhadap perkembangan bicara dan bahasa pada balita. Jenis penelitian ini yaitu kuantitatif memakai pendekatan cross sectional study. Populasi dalam penelitian ini yaitu seluruh orang tua anak yang speech delay sebanyak 54 orang dengan teknik pengambilan sampel yaitu <em>total sampling.</em> Proses pengumpulan data dilakukan dengan menggunakan lembar kuesioner. Penelitian dilakukan di Taman Observasi Terapi Wicara Kota Banda Aceh pada tanggal 31 Juli hingga 12 Agustus tahun 2024. Kemudian analisis data yaitu analisa univariat dan bivariat dengan menggunakan uji chi square test. Penelitian memperoleh hasil yaitu secara signifikan ada pengaruh antara intensitas penggunaan gadget terhadap perkembangan bicara dan bahasa pada balita dengan p value = 0,001 < α (0,05). Kesimpulan penelitian ini yaitu intensitas penggunaan gadget berlebih sejak usia dini bisa berpengaruh pada perkembangan bicara dan bahasa pada balita.</p> <p style="font-weight: 400;"> </p> <p style="font-weight: 400;">Kata kunci : Balita; Gadget; Perkembangan Bicara dan Bahasa</p>2025-05-06T11:48:19+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3540Pengaruh Kombinasi Pemberian Air Rebusan Daun Salam dan Aromaterapi Kenangan pada Penderita Hipertensi2025-05-08T05:25:26+08:00Nanda Desrezanandadesreza.psik@abulyatama.ac.idAdrul Nafisadrulnafis69@gmail.comIskandar Iskandariskandar_psik@abulyatama.ac.id<p><em>Hypertension is a condition where a person's blood pressure rises above normal, as detected by the systolic (upper) and diastolic (lower) numbers. Hypertension not only gradually reduces the severity of the condition, but causes organ damage such as stroke, coronary heart disease and heart muscle. The purpose of the study was to analyze the effect of the combination of giving boiled water of salam leaves and kenanga aromatherapy to hypertensive patients. This study used a pre-experiment research design and used a one group pretest-postest research design. The population in this study were 514 people with hypertension. The sample in this study used non-probability sampling, namely purposive sampling, which means that the researcher chose 20 people to be given the intervention. The research was conducted at the working area of the Suka Makmur Community Health Center in Aceh Besar on August 24 to September 03, 2024. Data were analyzed using the t-test. The results of statistical tests on the effect of the combination of giving water decoction of salam leaves and kenanga aromatherapy on reducing systole pressure in hypertensive patients obtained a value of p = 0.000. Then the effect of the combination of giving water decoction of salam leaves and kenanga aromatherapy on reducing distole pressure in hypertensive patients with a value of p = 0.000. Based on the results of the study, it can be concluded that there is an effect of the combination of giving water decoction of salam leaves and kenanga aromatherapy in patients with hypertension.</em></p>2025-05-06T11:53:28+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3537Analisis Pencegahan Dan Pengendalian Penyakit Tidak Menular (Hipertensi) Di UPT Puskesmas Way Halim Tahun 20252025-05-08T05:25:26+08:00Febria Listinafebria@umitra.ac.idDavina Melani Putridavinamelaniputri.student@umitra.ac.idNyoman Erfiyaninyomanerfiyani.student@umitr.ac.idFajar Prasetio Rfajarprasetioramadhan.student@umitra.ac.idVincentius Raldo Avincentiusraldoandrian.student@umitra.ac.id<p><em>Hypertension (high blood pressure) occurs when the pressure in the blood vessels is too high (140/90 mmHg or higher). This condition is common but can become serious if left untreated. People with high blood pressure may not experience symptoms. The only way to find out is to check your blood pressure. One of the diseases currently occurring is the increasing prevalence of PTM. NCDs are a public health issue that causes high rates of disease, disability, death, and increases the financial costs of health. Therefore, mitigation efforts are needed that include prevention, control and treatment in a comprehensive, efficient, effective and sustainable manner. The aim of this research is to prevent and control non-communicable diseases (hypertension) at Way Halim Public Health Center in 2025. This research uses a descriptive analytical approach with a case study method. Primary data was obtained through in-depth interviews with health workers at the community health center. ta seconds taken from the report on the achievements of the Prevention and Control of Non-Communicable Diseases (Hypertension) program at Upt Puskesmas Way Halim in 2025 as well as references from policy documents and official publications.</em> <em>Based on interviews with NGOPI MASEH program holders (Treating Hypertension Patients in Healthy Communities), it shows that the lack of active participation from the community is the main obstacle, as it is still difficult for people to come to POSBINDU for early detection and health promotion by the community health center. Based on information obtained from the 2024 Community Health Center Performance Assessment (PKP) data, semester 1 of the Way Halim Community Health Center UPT, it is known that the results of the coverage/achievement of Hypertension Sufferer Services at the Way Halim Community Health Center UPT are 51.9% so it can be said that 48.1% is still less than 48.1% to achieve target at the end of 2024.</em></p> <p> </p>2025-05-06T11:58:48+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3545Tingginya Rasio Pencabutan Dibandingkan Penambalan di Wilayah Puskesmas Taman Sari2025-05-08T05:25:26+08:00Tiarma Talenta Theresiatiarma@trisakti.ac.idSri Lestaritiarma@trisakti.ac.idAnisa Febryantitiarma@trisakti.ac.idAstrid Charity Joytiarma@trisakti.ac.idDhea Meylanitiarma@trisakti.ac.idNadya Shavitritiarma@trisakti.ac.idRahmawaty Silvianytiarma@trisakti.ac.idSebastian Marcoo Somawihardjatiarma@trisakti.ac.idTimotius William Yusuftiarma@trisakti.ac.idTri Ananda Fadillahtiarma@trisakti.ac.idZahra Alfi Syafilatiarma@trisakti.ac.id<p><em>Background: Oral health is an integral part of general health, directly affecting the quality of life of the community. Untreated oral and dental issues can lead to disruptions in oral functions, such as chewing and speaking, and may impact an individual's psychological well-being. The 2023 Indonesia Health Survey Report indicates that the tooth extraction-to-filling ratio is 4:1 nationally and 2:1 in DKI Jakarta. More than 50% of Indonesia's population experiences oral and dental problems, with cavities and tooth loss being the primary concerns. The high extraction-to-filling ratio is attributed to various factors, including patients' delays in seeking treatment and low awareness of the importance of preventive dental care. Objective: To identify the factors contributing to the high rate of tooth extraction compared to permanent fillings and evaluate interventions aimed at increasing the rate of permanent fillings through dental health education and the improvement of facilities at the Taman Sari District Health Center.Methods: This observational study using secondary data from the Taman Sari District Health Center in 2022-2023. The data collection method used was purposive sampling. Results: The average extraction-to-filling ratio was higher in almost all community health centers in the Taman Sari District. In 2022, the ratio was 1:4, while in 2023, it improved to 1:2.Conclusion: Many people opt for tooth extraction as the first choice due to a lack of understanding about the importance of preserving teeth. At the Taman Sari District Health Center, the high extraction-to-filling ratio is caused by several factors, including limited public knowledge of oral hygiene, lack of motivation and education for teachers on proper toothbrushing, and insufficient communication, information, and education (CIE) media regarding dental care. To address this issue, the Taman Sari Health Center plans several activities, including conducting regular monthly public health education and discussion forums, organizing training and workshops for teachers every three months with certificates of recognition, and developing engaging CIE materials such as infographics and posters to be distributed to auxiliary health centers (Pustu) and schools</em></p>2025-05-06T12:02:33+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3553Analisis Faktor Resiko Terhadap Kejadian Post Operative Nausea and Vomiting Pada Pasien Pasca Operasi Laparatomi Bedah Digestif Di Rumah Sakit Umum Cut Meutia Aceh Utara 20232025-05-08T05:25:26+08:00Muhammad Rahmad Zainalamidhania00@gmail.comMuhammad Sayutisayuti.md@unimal.ac.idAnna Milliziaanna.millizia@unimal.ac.id<p><em>Postoperative nausea and vomiting (PONV) is one of the most common symptoms after surgical procedures. Factors contributing to PONV include age, gender, duration of surgery, ASA status, and the method of anesthesia used. This study aims to identify various factors contributing to the potential for PONV in patients after digestive laparotomy. Methodology: This study applies a cross-sectional design with an observational analysis approach, where data are obtained from medical records of patients undergoing digestive surgical laparotomy at Cut Meutia General Hospital, North Aceh. Sampling was carried out with a total of 40 samples using the total sampling method. Data analysis was carried out through the Chi Square test and logistic regression using statistical applications. The results of the Chi Square analysis showed a significant relationship between age, gender, duration of surgery, ASA status, and anesthetic technique with the incidence of PONV in patients after digestive surgery laparotomy, with a significance value smaller than α = 5% (.<0.05</em><em>). Logistic regression analysis showed that anesthetic technique had the most dominant influence on PONV with the equation y = 4.186 + 0.511 (age) - 2.836 (gender) - 0.676 (duration of surgery) - 3.384 (ASA status) + 3.738 (anesthetic technique). Conclusion: There is a significant relationship between age, gender, duration of surgery, ASA status, and anesthetic technique with the incidence of PONV in patients after digestive surgery laparotomy. Among these factors, anesthetic technique showed the greatest influence on the incidence of PONV.</em></p>2025-05-06T12:06:40+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3554Pengaruh Perlindungan Propolis Terhadap Gambaran Histopatologi Ginjal Tikus Putih (Rattus Norvegicus) Jantan Galur Wistar Yang Diinduksi Ibuprofen2025-05-08T05:25:26+08:00Dira Safanidira210610012@mhs.unimal.ac.idMulyati Sri Rahayumulyati.srirahayu@unimal.ac.idRahmi Surayyarahmisurayya@unimal.ac.id<p><em>The use of ibuprofen in high doses and for a long period of time risks causing kidney damage. Propolis contains active compounds such as flavonoids, phenolics, and phenolic acids which have antioxidant and anti-inflammatory properties. This study aims to determine the effect of propolis protection on the histopathological picture of the kidneys of male white rats (Rattus norvegicus) of the Wistar strain induced by ibuprofen. The research method applied is True Experimental with a Post-Test Only Control Group Design. 30 samples of male Wistar rats were divided into 5 treatment groups. the normal group (N) did not receive treatment, the negative control group (K-) received ibuprofen at a dose of 400 mg/kgBW, treatment group 1 (P1), treatment group 2 (P2), and treatment group 3 (P3) received ibuprofen at a dose of 400 mg/kgBW then propolis was added at a dose of 0.13 ml (P1), 0.26 (P2) ml, 0.52 ml (P3). This study was conducted for 14 days. The results of the Kruskal-Wallis test showed differences in the level of histopathological damage to the kidneys in white rats between groups (p<0.001). The Mann-Whitney post hoc test showed significant differences between the normal group and all treatment groups, as well as between the negative control group and treatment groups 2 and 3. There was no significant difference between the negative control group and treatment group 1. The conclusion of this study is that there is an effect of propolis administration on the histopathological picture of the kidneys of male white rats (Rattus norvegicus) of the Wistar strain induced by ibuprofen.</em></p>2025-05-06T14:48:15+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3523Tingkat Risiko Kanker Payudara pada Wanita Usia Subur di Desa Pusong Kecamatan Banda Sakti Dengan Menggunakan Aplikasi Oncodoc2025-05-08T05:25:26+08:00Haezah Syarafinahaezah.210610014@mhs.unimal.ac.idAdi Rizkaadirizka@unimal.ac.idMauliza Maulizamauliza@unimal.ac.id<p><em>Cancer is a condition characterized by abnormal cell growth that destroys its original form and function.There are several factors that contribute to the increase in breast cancer cases from year to year, such as a lack of socialization about cancer risk reduction activities and a lack of information about early cancer detection.Efforts to detect the level of cancer risk can be done using a smartphone, namely through the oncodoc application.This study aims to determine the risk level of breast cancer in women of childbearing age in Pusong Village, Banda Sakti District by using the oncodoc application.This research is descriptive research, with research methods using cross - sectional design. The total sample was 97 female respondents of childbearing age who met the inclusion and exclusion criteria, and the sampling technique used the Cluster Random Sampling method and also the simple random sampling method. The results of the study showed that the cancer risk level was mostly at a medium risk level 62.9%, followed by a low risk level of 34% and a high risk level of 3.1%.The conclusion of this research is that there is an increase in the risk level of breast cancer so that intervention is needed in the community</em></p>2025-05-06T14:53:37+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3564Pengaruh Aktivitas Fisik Terhadap Massa Tulang pada Mahasiswa Program Studi Kedokteran Universitas Malikussaleh Angkatan 2019-20222025-05-08T05:25:26+08:00Annisa Humairaannisa190610018@mhs.unimal.ac.idCut Sidrah Nadiracut.sidrah@unimal.ac.idWizar Putri Mellaratnawizar.putri@unimal.ac.id<p><em>Bone mass was the total amount of tissue in the bones, bone density refers to how tightly the tissues compile the bones. The peak bone mass was reached at 25-32 ages, achieving a high peak bone mass will made a significant contribution to prevent of osteoporosis. The risk factors of osteoporosis are grouped into two categories, those that can be modified and those that cannot be modified. One of the modifiable factors is physical activity. Physical activity is one of the important activities to optimize human health. Any of physical activity can be beneficial to health if done regularly with sufficient duration and intensity. Currently, a decrease of physical activity can occur because the people have changed their habits during Covid-19 pandemic and a monotonous lifestyle. The aims of this study was to determine the effect of physical activity on bone mass at Medical Study Program in Malikussaleh University class of 2019-2022 based on gender. This non-experimental study used a cross-sectional approach with 195 samples obtained by stratified random sampling technique, the physical activity data obtained by using the GPAQ questionnaire and the percentage of bone mass was measured using Tanita BC-730 balance. The results showed that the majority of respondents carried out moderate physical activity. The abnormal bone mass is more common in female than men. The conclusion of this study was, there is a significant effect between physical activity on bone mass in students of the Medical Study Program in Malikussaleh University, class of 2019-2022. (P-value = 0.000). </em></p>2025-05-06T14:58:17+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3565Rasionalitas Penggunaan Antibiotik terhadap Pengobatan Pneumonia di Rumah Sakit X Utara Tahun 20232025-05-08T05:25:26+08:00Rindi Maudhy May Bella Surbaktirindi.210610055@mhs.unimal.ac.idJuwita Sahputrijuwita.sahputri@unimal.ac.idYuziani Yuzianiyuziani@unimal.ac.id<p><em>Pneumonia is an acute inflammation of the lung parenchyma from an acute lower respiratory tract infection which can be caused by various infectious agents, namely bacteria, viruses, fungi and parasites. The treatment therapy that is generally used to treat pneumonia is rational administration of antibiotics. By assessing the rationality of antibiotic use, it can support effectiveness both in terms of cost, side effects or toxicity and of course prevent resistance to antibiotic use. The general aim of this research is to determine the rationality of the use of antibiotics for the treatment of pneumonia at X Hospital, North Aceh using the Gyssens method based on the Ministry of Health guidelines. This research is descriptive in nature. Samples were taken using purposive sampling technique. The research results showed that the patient was male, and the patient was elderly (> 60 years). This study found that ceftriaxone was the most frequently prescribed antibiotic, followed by ceftazidime, fosmicin and levofloxacin. For rationality, there is levofloxacin which is classified as category 0, namely antibiotics that are used appropriately and wisely, category III A for ceftriaxone and levofloxacin, namely the use of antibiotics is still inappropriate when the time of administration is too long, category III B for ceftriaxone, namely administration at too short a time interval, and category IV A for ceftriaxone, ceftazidime and fosmicin, which indicates that they are not more effective. The conclusion of this study is that pneumonia patients are male, aged > 60 years and in the elderly category, the most frequently used antibiotic is ceftriaxone, while many of the levels of rationality are still classified as irrational.</em></p>2025-05-06T15:02:49+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3566Karakteristik Pasien Penderita Nodul Tiroid Berdasarkan Usia, Jenis Kelamin, dan Gambaran Histopatologi di Rumah Sakit Umum Cut Meutia Aceh Utara Tahun 2021-20232025-05-08T05:25:26+08:00Mutia Ultsanymutia.210610002@mhs.unimal.ac.idKhairunnisa Z Khairunnisa Zyaa.khairunnisa@unimal.ac.idVera Novaliavera.novalia@unimal.ac.id<p><em>Thyroid nodules are the most common endocrine system disorders and have increased in recent years by around 20-68%. Most occur in women compared to men, especially in old age. To diagnose a thyroid gland lump for sure by performing a histopathological examination, this examination can also determine whether the thyroid nodule is malignant or not. The purpose of this study was to determine the characteristics of thyroid nodule patients at the Cut Meutia General Hospital, North Aceh based on age, gender, and histopathological features in 2021-2023. This study is an observational descriptive study, with a cross-sectional method, by collecting patient medical record data in January 2021 - December 2023 which was taken by total sampling according to the criteria determined in this study and using the SPSS program and presented in the form of tables and narratives. The results of this study obtained 108 medical records that met the inclusion criteria, with the highest frequency based on age in the 41-50 year group of 27.8%. The highest frequency based on gender was in women at 84.3%. The highest frequency based on histopathology results of the non-neoplastic type of Follicular Adenoma was 41.7%% and the neoplasm type of Follicular Carcinoma was 27.8%. The conclusion obtained in this study showed that the majority of thyroid nodule patients were aged 41-50 years, female, and the most histopathology results were benign with the follicular adenoma type and malignant with the follicular carcinoma type. </em></p>2025-05-06T15:07:19+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3567Pengaruh Edukasi Penyakit Skabies terhadap Tingkat Pengetahuan, Sikap Dan Perilaku Melalui Video Animasi Berbasis Pop Up pada Siswa MTsS Ulumuddin Kota Lhokseumawe2025-05-08T05:25:26+08:00Natasya Dewanti Saputrinatasya210610067@mhs.unimal.ac.idMauliza Maulizamauliza@unimal.ac.idRizka Sofiarizka.sofia@unimal.ac.id<p><em>Scabies is a skin infection caused by the mite Sarcoptes scabiei var. hominis, which causes itching in the affected individuals. Scabies can be transmitted directly skin-to-skin contact, indirectly (through objects), poor student hygiene, an unclean environment, and high population density. The purpose of this study is to determine the effect of promotion media in the form of pop-up based animated videos on increasing knowledge, attitudes, and behaviors for scabies prevention among students of MTsS Ulumuddin Lhokseumawe City. The type of research used is a quasi-experiment with a one-group pretest posttest design. The sample used consisted of 100 students using the stratified random sampling technique. Data were collected using questionnaires paper. The statistical test used in this study is the Wilcoxon test, which is used to determine changes in the improvement of knowledge, attitudes, and behaviors towards scabies before and after the intervention. From the research results, it shows that in the good category, there was an increase in knowledge of scabies prevention from 5% to 77%, the attitude variable in the good category increased from 7% to 89%, and the behavior variable in the good category increased from 2% to 90% among students after the intervention. The p-value obtained was < 0.01, indicating an influence on the levels of knowledge, attitude, and behavior of students before and after the intervention. The conclusion of this study is that there is an influence of scabies disease education using animated videos in improvement of knowledge, attitude and behavior.</em></p>2025-05-06T16:23:58+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3584Perbedaan Faktor Risiko Stroke Iskemik dan Stroke Hemoragik di Ruang Rawat Inap Saraf Rumah Sakit Umum Cut Meutia Aceh Utara Tahun 2021-20232025-05-08T05:25:26+08:00Winda Apriliawinda.210610081@mhs.unimal.ac.idMeutia Maulinameutia.maulina@unimal.ac.idMaulana Ikhsanmaulana.ikhsan@unimal.ac.id<p><em>Stroke is a neurological deficit disease caused by blockage or bleeding. Stroke is the second leading cause of death worldwide and the third in Indonesia. Types of stroke are divided into ischemic stroke and hemorrhagic stroke. The risk factors that play a role in the occurrence of stroke are age, gender, history of hypertension, history of diabetes mellitus, and history of hypercholesterolemia. This study aims to determine the differences in risk factors for ischemic stroke and hemorrhagic stroke in Neurology Ward of Cut Meutia General Hospital, North Aceh, from 2021 to 2023. This study is an observational analytical research using cross-sectional method with a sample of 412 patients. The research results found 282 patients with ischemic stroke and 130 patients with hemorrhagic stroke. The majority of ischemic stroke patients were aged 61-75 years (42%), male (54%), had a history of hypertension (85%), did not have a history of hypercholesterolemia (60%), and had a history of diabetes mellitus (50.4%). The majority of hemorrhagic stroke patients are aged 61-75 years (38%) and 31-45 years (24%), are male (58%), have a history of hypertension (95%), do not have a history of hypercholesterolemia (65%), and have a history of diabetes mellitus (85%). The conclusion of this study indicates a difference in risk factors for ischemic stroke and hemorrhagic stroke regarding age, history of hypertension, and history of diabetes mellitus (p-value <0.05). Hemorrhagic stroke tends to be more at risk for younger age, history of hypertension, and history of diabetes mellitus compared to ischemic stroke.</em></p>2025-05-06T16:28:10+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3585Kontaminasi Bakteri Staphylococcus Aureus pada Uang Kertas : Perbandingan Berbagai Nominal yang Diperolah dari Pedagang Ikan di Pasar Inpres, Lhokseumawe2025-05-08T05:25:27+08:00Jauzaa’ Taqwajauzaa.210610052@mhs.unimal.ac.idJuwita Sahputri Zjuwita.sahputri@unimal.ac.idCut Asmaul Husnacut.asmaul@unimal.ac.id<p><em>Staphylococcus aureus is a pathogenic bacterium that can cause serious infections in humans. One of the media for spreading this bacterium is paper money, which is often exposed to various sources of contamination, particularly in traditional markets. Factors such as traders' habits of handling money without washing their hands after touching fish are known to play a significant role in increasing bacterial contamination. This study aims to analyze the differences in the levels of S. aureus contamination on paper money returned by fish vendors at the Inpres Traditional Market in Lhokseumawe based on its denomination. This study is an analytical observational study with a cross-sectional design. Data were obtained from 60 paper money samples collected from 15 fish vendors using simple random sampling techniques. The results showed that 54 paper money samples (90%) were contaminated with S. aureus, distributed as 15 bills of Rp2.000, 15 bills of Rp5.000, 13 bills of Rp10.000, and 11 bills of Rp20.000. Statistical analysis using the Chi-Square test showed a p-value < 0.05, indicating a significant difference in S. aureus contamination levels based on the denominations of paper money. The study concluded that smaller denominations of paper money are more prone to contamination. Therefore, education for traders and the public regarding the importance of hygiene in handling paper money is necessary to reduce the risk of bacterial transmission through paper money.</em></p>2025-05-06T16:33:38+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3591Hubungan Antara Lokasi Awal Tumor Dengan Tipe Histopatologi Pada Pasien Kanker Payudara di Rumah Sakit Umum Cut Meutia Aceh Utara2025-05-08T05:25:27+08:00Adi Rizkarehani.210610036@mhs.unimal.ac.idMulyati Sri Rahayumulyati.srirahayu@unimal.ac.idRehani Husna Lubisrehani.210610036@mhs.unimal.ac.id<p><em>Breast cancer is the abnormal, rapid and uncontrolled growth and development of cells in the breast tissue. The most common symptom is characterized by a lump or thickening in the breast called the initial site of the tumor. This abnormal cell growth can start in the ductal or lobular epithelium of the breast and becomes the histopathologic type of the cancer. The clinicopathological characteristics of breast cancer, including the initial location of the tumor and the histopathological type, are both factors in the prognosis of breast cancer. This study intends to ascertain the correlation between the tumor's original location and the type of breast cancer histopathology in patients with breast cancer at Cut Meutia General Hospital, North Aceh. This type of research is quantitative analytic using crossectional method which was conducted in October 2024 - November 2024. The number of samples was 72 breast cancer patients with purposive sampling technique that met the inclusion and exclusion criteria. The results showed that the initial location of the most tumors was in the upper outer quadrant (51.4%) and the most histopathological type was invasive ductal carcinoma (73.6%). The results of the chi square test showed that the p value <0.05 (p = 0.010). According to the study's findings, patients with breast cancer at Cut Meutia General Hospital North Aceh have a correlation between the kind of histology and the tumor's original location</em></p>2025-05-06T16:38:49+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3595Gambaran Faktor Risiko Kematian Ibu di Kabupaten Aceh Utara Tahun 2019-20232025-05-08T05:25:27+08:00Teuku Yudhi Iqbalnora.maulina@unimal.ac.idNora Maulinanora.maulina@unimal.ac.idGhaitsa Nabillaghaitsa.210610032@mhs.unimal.ac.idCut Alia Natashanora.maulina@unimal.ac.idNazaruddin Nazaruddinnora.maulina@unimal.ac.id<p><em>Maternal Mortality Rate (MMR) is one of the indicators to see the health status of women and also a strategic indicator of health development that reflects the health status and quality of the population. North Aceh District is one of the districts in Aceh province that has the highest maternal mortality cases. The purpose of this study was to determine the description of risk factors for maternal mortality in North Aceh District in 2019-2023. This research method is descriptive quantitative with a cross-sectional approach. The sampling method in this study used a total sampling technique totaling 64 cases during 2019-2023. The data collected were secondary data obtained from archived maternal mortality data at the North Aceh District Health Office. The results of this study indicate an overview of the risk factors for maternal mortality in North Aceh Regency. The results of this study obtained a maternal mortality rate (MMR) of 157 per 100,000 live births in 2019, 112 per 100,000 live births in 2020, 154 per 100,000 live births in 2021, and 125 per 100,000 live births in 2023 with the characteristics of the most parity, namely multipara (59,3%), the most age is the age group 20-30 years (76,6%). Based on risk factors, the most common cause of death was bleeding (57,8%), and the most common place to die was in the hospital (95,3%).</em></p>2025-05-06T16:44:35+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3589Tingkat Pengetahuan dan Sikap Tenaga Kesehatan terhadap Triase START2025-05-08T05:25:27+08:00Febilla Kencaliamidhania00@gmail.comWheny Utariningsihwhenyutari@unimal.ac.idBaluqia Iskandar Putribaluqiaiskandar@unimal.ac.id<p><em>The START (Simple Triage and Rapid Treatment) triage method is a patient classification system based on the severity of injury to determine the priority of treatment in the Emergency Department (ED). The understanding and attitudes of healthcare workers in applying this method impact the effectiveness of care. This study aims to provide an overview of the knowledge and attitudes of healthcare workers in the ED of RSU Cut Meutia Aceh Utara regarding the START triage method. This study is a descriptive survey approach using questionnaires covering aspects of knowledge and attitudes. The respondents are healthcare workers in the ED of RSU Cut Meutia Aceh Utara who meet the inclusion criteria. The data were analyzed univariately and presented in the form of frequency distributions. The results show that the majority of healthcare workers have good knowledge (84.3%), while 9.8% have adequate knowledge, and 5.9% have poor knowledge. Regarding attitudes, 90.2% of healthcare workers have a positive attitude towards the application of the START triage method, while 9.8% have a negative attitude. Additionally, healthcare workers aged 26-35 years (early adulthood), female workers, workers with more than five years of work experience, and those with a Bachelor's degree showed better knowledge and positive attitudes towards the application of triage compared to other groups. In conclusion, healthcare workers at the ED of RSU Cut Meutia Aceh Utara have good knowledge and attitudes towards the START triage method, but continuous training is needed to improve understanding for those with less optimal knowledge and attitudes.</em></p>2025-05-06T16:50:33+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3594Gambaran Derajat Keparahan Stroke Iskemik Berdasarkan Skor National Institute of Health Stroke Scale (NIHSS) di Ruang Rawat Inap Saraf RSUD Cut Meutia Aceh Utara2025-05-08T05:25:27+08:00Cut Zuhra Maghfirahcut.210610005@mhs.unimal.ac.idMaulana Ikhsanmaulana.ikhsan@unimal.ac.idTischa Rahayu Fonnatischa@unimal.ac.id<p><em>Stroke is the leading cause of disability and the second leading cause of death worldwide, with ischemic stroke being the most common type. Assessing stroke severity is essential for determining prognosis and guiding patient management. This study aimed to describe the severity of ischemic stroke using the National Institute of Health Stroke Scale (NIHSS) score in patients at RSUD Cut Meutia Aceh Utara during the period of September to November 2024. This research employed a quantitative descriptive design with a cross-sectional approach. Data were obtained from medical records of ischemic stroke patients meeting the inclusion criteria. Stroke severity was assessed using the NIHSS score at two observation points: 24 hours and 3 days after hospital admission. Data analysis was conducted using frequency distribution and percentage methods. The results showed that among the 77 ischemic stroke patients studied, the majority were in the productive age group (15–65 years), accounting for 72.7% of cases, and males were more affected (63.6%) than females (36.4%). The main risk factors were hypertension (84.4%), followed by smoking (39%) and diabetes mellitus (36.4%). The NIHSS assessment after 24 hours revealed that most patients experienced severe stroke (64.9%). However, after 3 days, improvement was observed, with the majority experiencing moderate stroke (84.4%). Age, gender, and the number of risk factors significantly influenced the severity and recovery of stroke patients.</em></p>2025-05-06T16:56:44+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3626Hubungan Harapan Dan Kemampuan Memecahkan Masalah Dengan Resiliensi Akademik Pada Mahasiswa2025-05-08T05:25:27+08:00Jihan Syifa Dilad Anianjihandiladanian@gmail.comVira Sandayantijihandiladanian@gmail.comSupriyati Supriyatijihandiladanian@gmail.com<p><em>In the challenging academic world, resilience is the key to the success of students, especially final semester students, to survive and thrive. Hope reflects an individual's belief in a better future, while problem-solving ability is an essential skill to face obstacles with effective strategies. In this case, hope and problem-solving ability help final semester students to be able to have resilience in facing academic challenges. This study aims to determine the relationship between hope and problem-solving ability with academic resilience in final semester students. This research design is a quantitative study conducted on 420 students who are working on their thesis at Malahayati University. Research data were taken using the Academic Resilience Scale (ARS-30), Adut Dispotional Hope Scale (ADHS), and Problem Solving Inventory (PSI). The data collected were then analyzed using multiple regression techniques. The results of the analysis indicated that there was an effect of 25.2%. Hope was found to be a stronger predictor of academic resilience. Referring to the research findings, it is important for final semester students to be able to have hope while going through the education period that is being undertaken</em></p>2025-05-06T17:01:15+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3647Pengaruh Self-Acceptance Dan Social Comparison terhadap Kecenderungan Body Dissatisfaction pada Mahasiswa Pengguna Sosial Media Tiktok2025-05-08T05:25:27+08:00Intan Rahmawatiintanrahmawati981@gmail.comAsri Mutiara Putriintanrahmawati981@gmail.comPrida Harkinaintanrahmawati981@gmail.comDewi Lutfianawatiintanrahmawati981@gmail.com<p><em>This study aims to determine the effect of self-acceptance and social comparison on the tendency of body dissatisfaction in students who use TikTok social media. The hypothesis of this study is that there is a significant influence between self-acceptance and social comparison on the tendency of body dissatisfaction in students who use TikTok social media. The subjects in this study were female students who use TikTok social media aged 18 to 25 years, taken from six universities in Bandar Lampung with a total of 180 subjects. The research data were taken using the Body Dissatisfaction Scale (BDS), Berger Self Acceptance Scale (BSAS) and The Upward and Downward Apperance Comparison Scale (UDACS). The collected data were analyzed using multiple linear regression analysis techniques. The results of the analysis showed that there was a significant influence between self-acceptance and social comparison on the tendency of body dissatisfaction in students who use TikTok social media (p <0.05). The body dissatisfaction variable can be explained by the self-acceptance and social comparison variables by 14%. The self-acceptance variable makes a greater contribution than the social comparison variable to the tendency of body dissatisfaction in students who use TikTok social media</em></p>2025-05-06T17:06:23+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3657Pengaruh Media Audiovisual terhadap Pengetahuan Ibu tentang Status Gizi Lebih Pada Balita2025-05-08T05:25:27+08:00Khairatunnisa Khairatunnisakhairatunnisa.190610091@mhs.unimal.ac.idMardiati Mardiatikhairatunnisa.190610091@mhs.unimal.ac.idNoviana Zarakhairatunnisa.190610091@mhs.unimal.ac.id<p><span style="font-weight: 400;">Malnutrition is a disease that can be life-threatening, so it is a health problem that must be treated immediately. Around 2.8 million people die every year, Aceh is in the top 10 provinces that have children with more nutritional status in Indonesia and Lhokseumawe City is in 8th position at the Regency/City level. This problem can be overcome by increasing mothers' knowledge of using audiovisual media, this media involves the senses of sight and hearing which are able to provide optimal results.The purpose of this study is to determine the effect of audiovisual media against Mother's knowledge of more nutritional status in toddlers in the Lhokseumawe Puskesmas. The research method used is a quasi experiment using the design of One Group pretest-posttest design. The population in this study were 93 mothers who had children with more nutritional status and taken total sampling. Data was collected using the questionnaire sheet. The results of this study showed the increased knowledge of the mother's majority in the category either after the intervention. The use of audiovisual media affects knowledge based on the Wilcoxon test with a value of 0.000 (p <0.05). The conclusion of this study was that there is an influence of audiovisual media on mothers' knowledge about the nutritional status of toddlers at the Lhokseumawe City Health Center.</span></p>2025-05-06T17:12:09+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3666Gambaran Masalah dan Gangguan Kesehatan Mental Maternal pada Masa Kehamilan di Wilayah Yogyakarta2025-05-08T05:25:27+08:00Yovy Mesa Monika Iyovymesa7@gmail.comCesa Septianacesaseptianapratiwi@unisayogya.ac.idEvi Wahyuntarievi.wahyuntari@unisayogya.ac.id<p><em>Mental health disorders in pregnant and postpartum mothers can have an impact on maternal welfare and child development. This study aims to determine the level of mental health disorders in pregnant mothers at the MCH Clinic of Puskesmas (Public Health Centre). This study used a quantitative descriptive design with a cross-sectional approach to 94 respondents. Data were collected using the SRQ-20 questionnaires. The results showed that the majority of pregnant mothers were aged 20-35 years, had more than two parities, gave birth normally, breastfed exclusively, and had a pregnancy gap of more than two years. Most of them had secondary education, were unemployed, and had incomes below minimum. Mental health disorders were found in 16 pregnant women (17.0%), with risk factors including age, parity, employment status, and economy. The conclusion of this study shows that socioeconomic and employment factors have an influence on the mental health of pregnant and postpartum mothers. Therefore, more attention is needed, such as providing easy access to counseling or psychological services for pregnant and postpartum mothers, providing sufficient maternity leave and holding educational programs for pregnant women and families regarding mental health, stress management and social support in efforts to prevent and treat mental health disorders in pregnant and postpartum mothers</em></p>2025-05-06T17:16:33+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3725Efektivitas Penggunaan Gym Ball dan Teknik Rebozo Terhadap Intensitas Nyeri dan Lama Persalinan pada Ibu Bersalin Kala 1 Fase Aktif di TPMB Ota Kabupaten Lampung Selatan Lampung Tahun 2025 2025-05-08T05:25:27+08:00Komariah Komariahjulia.nanda60@yahoo.comShinta Mona Liscashintamona@gmail.comAgeng Septa Riniagengseptarini06@gmail.com<p><em>Labor pain is one of the factors that can hinder the progress of the labor process. The mother's inability to manage pain during labor has the potential to cause uterine contractions to become uncoordinated, which has an impact on prolonging the duration of the first stage and increasing the risk of disruption to the fetal condition. Various nonpharmacological methods have been applied to accelerate labor and reduce pain intensity, including the use of gym ball and rebozo (pelvic rocking) techniques. This study aims to evaluate the effectiveness of using gym ball and rebozo techniques on pain intensity and duration of active phase I in laboring women at the Ota Independent Midwife Practice Site (TPMB), South Lampung, in 2025. The research used a case study approach to two participants who were in the active phase of labor. Primary data were obtained through direct observation of the interventions provided, namely the use of gym ball and rebozo techniques. The results showed that laboring women who received the gym ball intervention experienced a decrease in pain intensity from the moderate category to mild, with a duration of labor of 5 hours. Meanwhile, mothers who received the rebozo technique showed no change in pain intensity, with a duration of labor of 6 hours. It can be concluded that the use of gym ball is more effective in reducing pain intensity and shortening labor time in active phase I compared to the rebozo technique. Therefore, the use of gym ball can be recommended as an alternative nonpharmacological method to support a more comfortable and efficient labor process.</em></p>2025-05-06T18:33:46+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3734Hubungan Kadar HbA1c Dengan Derajat Kulit Kering Pada Pasien Diabetes Melitus Tipe 2 di RSU Cut Meutia Aceh Utara2025-05-08T05:25:27+08:00Ainil Marhamahainilm22@gmail.comZubir Zubirzubir@unimal.ac.idMohammad Mimbar Topikdrmimbar@unimal.ac.id<p><em>Dry skin is the most common noninfectious disorder found in patients with type 2 diabetes mellitus. Dry skin that is not treated properly will have a high risk of diabetic foot complications. The purpose of this study was to determine the relationship between HbA1c levels and the degree of dry skin in patients with type 2 DM at Cut Meutia General Hospital, North Aceh in 2023. This research is an analytic observational study with a cross sectional approach to 63 respondents. Data were collected using SRRC score assessment and medical records. The results of this study showed that the majority of respondents were female, aged 46-55 years, uncontrolled HbA1c levels (>7%) with degrees of scuma, roughness and erythema lesions at grade 2, and fissure lesions at grade 1. Based on the Spearman correlation test, a significant relationship was found between HbA1c levels and the degree of dry skin based on scales, roughness and fissure lesions, while there was no significant relationship with erythema lesions.</em></p>2025-05-06T18:38:03+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3771Gambaran Status Gizi Balita Berdasarkan Antropometri Di Desa Blang Naleung Mameh Kecamatan Muara Satu Kota Lhokseumawe Tahun 20232025-05-08T05:25:27+08:00Mardiati Mardiatimardiati@unimal.ac.idTengku Mutiara Saidinatengku.190610057@mhs.unimal.ac.idAnita Syafridahanita@unimal.ac.id<p><em>Nutritional status is a measure of success in fulfilling nutrition for children which is indicated based on the child's weight and height which is then recorded as health status. Blang Naleung Mameh Village has the highest number of nutritional status problems compared to other villages in the Muara Satu Subdistrict, data on toddlers aged 12-59 months in 2021 shows that there were 17 cases of toddlers experiencing malnutrition, 23 cases of toddlers experiencing malnutrition, 21 cases of toddlers experiencing risk of excess nutrition, and 5 cases of toddlers experiencing excess nutrition. The study was conducted to describe the nutritional status of under-fives based on anthropometry in Blang Naleung Mameh Village, Muara Satu District, and to identify children who are at risk of failing to thrive without waiting for the child to suffer from nutritional problems. This research uses an observational method and descriptive with a quantitative approach. The research was conducted by measuring weight and length/height. The sample for this study was toddlers aged 12-59 months in Blang Naleung Mameh Village, Muara Satu District, Lhokseumawe City, with a total of 61 toddlers. The results of this study majority of the nutritional status of children under five were based on the BB/U index, namely normal weight, namely 43 toddlers (70.5%), based on the PB/U index namely normal height, namely 36 toddlers (59,0%) and based on the BB/PB or BB/TB index, it was found that the majority of toddlers had good nutritional status, namely 56 toddlers (91.8%).</em></p> <p> </p>2025-05-06T18:41:57+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3612Gambaran Pengetahuan dan Sikap dalam Kesiapan Tenaga Kesehatan Terhadap Manajemen Bencana Di Rumah Sakit Arun Lhokseumawe2025-05-08T05:25:27+08:00Fakhri Bonatua Manurungfakhri.210610092@mhs.unimal.ac.idWheny Utariningsihwhenyutari@unimal.ac.idAhmad Fauzanahmad.fauzan@unimal.ac.id<p><em>Disasters are events that can disrupt community activities and welfare. In dealing with disasters, effective management is very dependent on the readiness of health workers, which includes aspects of knowledge and attitude. This research aims to describe the level of knowledge and attitudes of health workers in preparedness for disaster management at Arun Lhokseumawe Hospital. The research method used is descriptive with a cross-sectional approach. The sample consisted of 70 respondents selected using a stratified random sampling technique based on the Slovin formula. Data collection was carried out through a structured questionnaire that measured the level of knowledge and attitudes of health workers towards disaster management. The results showed that the majority of health workers had a good level of knowledge (61.4%), while 32.9% had sufficient knowledge, and 5.7% had insufficient knowledge. In terms of attitude, 98.6% of respondents showed a positive attitude, while only 1.4% had a negative attitude. It is hoped that health workers can maintain and improve their readiness through ongoing training held by relevant agencies to strengthen understanding and preparedness in facing disasters in health service facilities.</em></p>2025-05-06T18:46:25+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatanhttps://jurnal.umpar.ac.id/index.php/makes/article/view/3611Gambaran Kadar Hemoglobin pada Pasien dengan Mioma Uteri di Rumah Sakit Umum Cut Meutia Aceh Utara 2022-20242025-05-08T05:25:27+08:00Maulana Habieb Zulfikarmaulana.210610041@mhs.unimal.ac.idZubir Zubirzubir@unimal.ac.idTeuku Yudhi Iqbaldr.teukuyudhiqbal@unimal.ac.id<p><em>Bleeding due to uterine myoma is a frequent occurrence in uterine myoma patients, and is the main indication for hysterectomy. The prevalence of uterine myomas in the world is quite large, namely 20-35% of women in the world suffer from uterine myomas. Every year, in Indonesia there are at least 49,598 women who experience uterine myoma. This study aimed to describe hemoglobin levels in patients with uterine myoma at the Cut Meutia General Hospital, North Aceh during the 2022-2024 period. This study uses a descriptive design with a cross-sectional approach. Data was taken from patient medical records and variables analyzed included patient characteristics and hemoglobin levels. The results showed that the majority of patients with uterine myoma were aged 41-50 years (52.8%), married (92.5%), had blood transfusions (66.0%), had surgical procedures (81.1%), and severe anemia (22.6%). This study concluded that the majority of patients experience severe to life-threatening anemia, which is often caused by heavy menstrual bleeding (HMB), and require blood transfusions and surgery as definitive therapy.</em></p>2025-05-06T19:47:45+08:00Copyright (c) 2025 Jurnal Ilmiah Manusia Dan Kesehatan