https://mand-ycmm.org/index.php/phasij/issue/feed Public Health and Safety International Journal 2025-05-13T23:37:50+00:00 Open Journal Systems <p style="text-align: justify;"><span style="font-family: Helvetica, sans-serif;">This journal publishes a wide range of article in this discipline covering all modern trends in clinical and experimental research associated with Public Health, Human Health Safety, Health Education, Health Care System, Health Professional, Health Equity, Health Effects, Health Hazard, Health Risk, Nutrition Policies, Food safety, Hygiene, Safety Programs, Risk Assessment, Chronic Disease, Statistical Significance, Processed Food, Quality of Life, Primary Care, Infectious Diseases, Globalization, Nutrition, Risk Management, Adverse Health Effects, Genetic Factors and creates a platform for the authors to contribute towards the journal. The scope of the journal is not limited to the listed research areas but covers a lot more areas globally. The editorial office promises to peer review the submitted manuscripts and ensures quality.</span></p> <p><strong><span style="font-family: helvetica; font-size: small;">E-ISSN : 2715-5854<br />Prefix DOI : 10.55642<br /></span><span style="font-family: helvetica; font-size: small;">Editor Jurnal Public Health and Safety International Journal (PHASIJ) :</span></strong><span style="font-family: helvetica; font-size: small;"><strong><br /></strong></span><strong><span style="font-family: helvetica; font-size: small;"><strong style="box-sizing: border-box; font-weight: bolder; color: rgba(0, 0, 0, 0.87); font-family: helvetica; font-size: small; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"><span style="box-sizing: border-box; color: #5f6368; font-family: Roboto, RobotoDraft, Helvetica, Arial, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; white-space: nowrap; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; float: none; display: inline !important;"><strong style="box-sizing: border-box; font-weight: bolder; color: rgba(0, 0, 0, 0.87); font-family: helvetica; font-size: small; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Frequency 2 Issue in 1 Years</strong><br /><strong style="box-sizing: border-box; font-weight: bolder; color: rgba(0, 0, 0, 0.87); font-family: helvetica; font-size: small; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;">Published : Vol.1 ( April ) - Vol.2 ( Oktober )</strong></span></strong></span></strong></p> https://mand-ycmm.org/index.php/phasij/article/view/970 The Effect of Compliance in Using Doctor Apps, Time Management, and Teamwork on Operation Timeliness in Tangerang Private Hospitals 2025-03-29T23:18:34+00:00 Chyntia Prieely chyntia.prieely@student.esaunggul.ac.id Andry Andry andry@esaunggul.ac.id Ratna Indrawati ratna.indrawati@esaunggul.ac.id <p><em>The </em><em>t</em><em>imeliness of operations in hospitals is essential for service efficiency, but is often constrained by factors such as compliance with the use of doctor applications. This study analyzes the effect of compliance in the use of Doctor Apps, time management, and teamwork on operation timeliness in private hospitals in Tangerang Regency. The aim is to test compliance in using doctor apps, time management, and teamwork on surgery timeliness in hospitals. This study use</em><em>d</em><em> a quantitative approach with multiple linear regression analysis on questionnaire data from 96 doctors and health workers. Hypothesis testing use</em><em>d</em><em> the t-test, F-test (ANOVA), and coefficient of determination analysis (R²), at a significance level of 0.05. The results of the regression analysis show</em><em>ed</em><em> that only X2 (Time Management) ha</em><em>d</em><em> a significant effect on operation timeliness (significance 0.000), while X1 (Compliance Doctor Apps) and X3 (Teamwork) </em><em>we</em><em>re not significant (significance&gt; 0.05). Regression analysis show</em><em>ed</em><em> that X2 (Time Management) </em><em>affected the punctuality of surgery (significance 0.000, X1 (Compliance Doctor Apps) and X3 (Teamwork) </em><em>we</em><em>re not significant (significance &gt;0.05). This regression model </em><em>wa</em><em>s statistically significant (F=7.480; p=0.000), with a correlation value (R) of 0.443. In conclusion, compliance in the use of doctor applications, time management, and teamwork significantly affect</em><em>ed</em><em> the punctuality of surgery in private hospitals in Tangerang, although their contribution </em><em>wa</em><em>s relatively limited. Optimization of doctor applications, time management, and teamwork is recommended for operational efficiency.</em></p> 2025-04-16T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/976 Understanding the Link Between Promotion and Work Performance: A Literature Review in the Context of Regional Water Service Companies 2025-04-16T11:50:33+00:00 Ade Suhara ade.suhara@ubpkarawang.ac.id Zaenal Muttaqien 2zamutaqaja@gmail.com Fathan Dewadi fathan.mubinadewadi@mesin.pnj.ac.id <p>This literature review explores the relationship between promotion and employee work performance within the context of regional water service companies. Promotion is often used as a motivational tool in organizational settings, aiming to reward achievements and encourage higher performance. However, the effectiveness of promotion policies varies depending on organizational culture, fairness, and the clarity of performance metrics. Through thematic analysis of existing research, this study finds that while promotion generally has a positive impact on motivation and commitment, its benefits can diminish when the process lacks transparency or objective criteria. The findings highlight the importance of merit-based promotion systems, coupled with training and support, to ensure that employees succeed in their new roles. This review provides insight for regional service organizations aiming to improve employee performance through well-structured human resource strategies.</p> 2025-04-19T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/961 Optimization and Efficiency of Energy Conversion Technology Integration in Hygiene Systems 2025-03-09T16:53:20+00:00 Cahyo Wibowo cahyowibowo@mputantular.ac.id Herbert Hasudungan herbert9an@gmail.com Ojakma Sihar Panalili T ojakmasp@gmail.com Dibyo Setiawan dibyo.setiawan@polban.ac.id Fathan Mubina Dewadi fathan.mubinadewadi@mesin.pnj.ac.id <p style="margin: 0in; text-align: justify; text-indent: .5in;"><em><span style="font-size: 10.0pt;">The integration of energy conversion technologies in hygiene systems plays a crucial role in enhancing energy efficiency and reducing overall power consumption. This study explores various approaches to optimizing energy conversion within hygiene applications, including heat recovery systems, biogas utilization, and solar energy integration. The findings indicate that the use of exhaust heat recovery in HVAC systems can reduce energy consumption by up to 25%, while biogas from organic waste can lower fossil fuel dependence by 30%. Additionally, the integration of solar energy in sterilization processes has been shown to increase efficiency by 40% in industrial settings. Moreover, the study highlights that combining multiple energy conversion technologies results in greater energy savings compared to standalone implementations. A system integrating heat recovery and solar energy, for instance, demonstrated a 50% reduction in energy consumption within industrial sanitation applications. Despite these advantages, challenges such as high initial investment costs and limited regulatory support hinder widespread adoption. The research emphasizes the need for an optimization-based approach that considers technical, economic, and regulatory aspects to maximize efficiency and sustainability. By addressing these factors, industries can enhance hygiene system performance while reducing operational costs and environmental impact. Future research should focus on developing specific optimization models for various industrial and medical sectors and assessing the long-term implications of implementing these technologies at scale.</span></em></p> 2025-04-19T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/954 Evaluation of The User Experience of A Healthtech Application And Its Impact on Patient Satisfaction 2025-02-28T09:23:49+00:00 Moh Khoirul Anam mohkho0593@gmail.com <p><em>The digital transformation in healthcare services has increased the role of HealthTech applications in enhancing efficiency and patient satisfaction. However, adoption remains challenging due to suboptimal user experience. This study examines the user experience of HealthTech applications and its impact on patient satisfaction at Ayu Siwi Eye Clinic, Nganjuk. This quantitative research adopts a case study design, collecting primary data through questionnaires from 30 employees and 30 patients, while secondary data were sourced from patient satisfaction forms and relevant documents. Simple random sampling was applied, and data were analyzed using SPSS, including descriptive analysis, validity and reliability tests, simple regression, and classical assumption tests. Findings reveal a significant relationship (p = 0.034) between user experience and patient satisfaction, where better user experience characterized by ease of use, usability, and effectiveness correlates with higher satisfaction. The R-squared value (0.151) indicates that user experience explains 15.1% of patient satisfaction variance, with other factors influencing the rest. To improve satisfaction, Ayu Siwi Eye Clinic should refine application design and provide regular staff training. This study underscores the importance of user experience in HealthTech adoption, recommending future research to increase the sample size and explore additional variables like digital literacy and social media influence.</em></p> 2025-04-22T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/982 Optimalisasi Kompetensi Tenaga Kesehatan dalam Penerapan Sistem Informasi Manajemen Kesehatan 2025-04-23T23:46:17+00:00 Christin Santy Madu christinsanty@gmail.com Arifin Tahir christinsanty@gmail.com Sudarsono christinsanty@gmail.com <p>Penelitian ini bertujuan untuk menganalisis optimalisasi kompetensi tenaga kesehatan dalam penerapan Sistem Informasi Manajemen Kesehatan (SIMK) di RSUD XYZ, Kabupaten Bone Bolango. Pendekatan kualitatif dengan jenis studi kasus digunakan untuk menggali peran kompetensi tenaga kesehatan dalam mendukung keberhasilan SIMK. Data diperoleh melalui observasi partisipatif dan dokumentasi dari laporan kinerja rumah sakit. Hasil penelitian menunjukkan bahwa tingkat kompetensi tenaga kesehatan dalam memanfaatkan SIMK bervariasi. Sebagian tenaga kesehatan yang telah mengikuti pelatihan mampu menggunakan SIMK dengan baik, namun beberapa lainnya masih menghadapi kendala teknis, yang mengurangi efisiensi sistem. Selain itu, dokumentasi menunjukkan bahwa pemanfaatan SIMK baru mencapai 70% dari potensi optimalnya, yang disebabkan oleh kurangnya pelatihan intensif dan pembaruan sistem. Strategi peningkatan kompetensi tenaga kesehatan meliputi pelatihan berkala, penguatan infrastruktur teknologi, dan pengembangan modul pelatihan berbasis daring. Penelitian ini menekankan pentingnya kolaborasi antara tenaga kesehatan, pengelola rumah sakit, dan pengembang teknologi untuk mengoptimalkan SIMK dalam meningkatkan kualitas pelayanan kesehatan. Dengan langkah strategis tersebut, RSUD XYZ diharapkan mampu menghadirkan pelayanan yang lebih efisien, akurat, dan responsif terhadap kebutuhan pasien</p> 2025-04-23T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/968 Optimalisasi Manajemen Persediaan Produk Jadi Berbasis Business Intelligence untuk Mendukung Keamanan Pangan di CV. XYZ 2025-03-24T06:20:54+00:00 A Shalihin ahmad@usu.ac.id <p><em>Manajemen persediaan merupakan elemen krusial dalam operasional industri pangan, terutama dalam menjaga kontinuitas pasokan dan menjamin keamanan produk. Pada industri makanan beku seperti sosis, pengelolaan persediaan yang tidak efisien dapat berdampak langsung pada kualitas dan keamanan pangan akibat potensi kedaluwarsa, penyimpanan tidak sesuai suhu, atau keterlambatan distribusi. CV. XYZ, sebuah perusahaan yang bergerak di bidang produksi sosis beku, menghadapi tantangan dalam proses pencatatan persediaan yang masih bersifat manual dan hanya dilakukan saat produk akan dijual. Keterlambatan pembaruan data ini menyebabkan tidak tersedianya informasi real-time terkait stok produk, sehingga perusahaan kesulitan merespons lonjakan permintaan secara cepat. Akibatnya, perusahaan terpaksa membeli dari pihak ketiga, yang berisiko terhadap ketelusuran produk dan menurunkan margin keuntungan serta kepercayaan pelanggan. Penelitian ini bertujuan untuk merancang sistem manajemen persediaan produk jadi berbasis Business Intelligence (BI) guna meningkatkan efisiensi operasional sekaligus mendukung upaya pemenuhan standar keamanan pangan. Sistem ini dibangun menggunakan Microsoft Visual Basic for Application (VBA) dan divisualisasikan melalui dashboard pada Microsoft Excel. Dashboard yang dikembangkan mampu menampilkan informasi real-time terkait jumlah persediaan, pergerakan barang masuk dan keluar, nilai biaya dan harga, grafik tren stok, serta peringatan dini terhadap stok minimum dan potensi kedaluwarsa. Penerapan BI ini diharapkan tidak hanya mempercepat pengambilan keputusan, tetapi juga menjadi alat pendukung dalam menjaga kualitas dan keamanan pangan produk sosis beku secara menyeluruh</em><em>. </em></p> 2025-04-30T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/986 Analisis Proses Produksi Produk Makanan Daging di Fasilitas Manufaktur Australia Barat 2025-04-30T16:01:13+00:00 Fadylla Ramadhani Putri Nasution fadyllanasution@usu.ac.id <p>Setiap bisnis menghadapi beberapa masalah spesifik dalam aktivitas produksi mereka. Dalam bisnis kecil, kegagalan dalam mengelola masalah akan menyebabkan kerugian bisnis dan membahayakan keberadaan mereka. Penelitian ini bertujuan untuk menguji proses produksiproduk daging di fasilitas manufaktur di Australia Barat karena usaha tidak dapat memenuhi permintaan pasar akan bakso. Metodologi penelitian ini adalah studi kasus yang melibatkan berbagai pekerja dari berbagai posisi dan latar belakang pendidikan. Hasilnyamenunjukkan bahwa terdapat beberapa kekurangan dan masalah dalam produksi bakso terkaitperencanaan produksi, manajemen makanan, manajemen produksi, serta standar dan pelatihan untuk supervisor keamanan pangan. Selama perencanaan produksi, para pekerja hanya fokuspada tanggung jawab mereka sendiri dan tidak saling membantu. Para pekerja hanya menerima pelatihan dalam instruksiteoritis tentang bekerja di bagian produksi; oleh karena itu, mereka tidak diberikan sertifikatpelatihan dan pengetahuan yang sah. Selain itu, kurangnya pelatihan yang memadai dapatmeningkatkan risiko cedera pada pekerja. Akibatnya, hal ini dapat menimbulkan biaya medistambahan dan penggantian pekerjaan bagi usaha untuk menjaga kelancaran alur kerja.Untuk mengatasi masalah dan kekurangan tersebut, rekomendasi telah dibuat.</p> <p><strong>Kata kunci</strong>: Usaha Kecil, Manufaktur makanan, Produksi bakso</p> 2025-04-30T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/987 Penilaian Cyfra 21-1 dan Cd8 pada NSCLC: Implikasi untuk Kemoterapi dan Prognosis di Medan 2025-04-30T17:10:01+00:00 Muhammad Faiz Tanjung faizcc@yahoo.com Noni Novisari Soeroso faizcc@yahoo.com Setia Putra Tarigan faizcc@yahoo.com <p>Kanker paru, khususnya Kanker Paru Non-Small Cell (NSCLC), merupakan penyebab utama kematian akibat kanker di seluruh dunia. NSCLC stadium lanjut sering kali diobati dengan kemoterapi, sehingga pemahaman tentang biomarker sangat penting untuk prognosis dan respons pengobatan. Biomarker seperti CYFRA 21-1 dan CD8 sangat penting dalam menilai karakteristik tumor, respons imun, dan prognosis secara keseluruhan pada pasien NSCLC. Penelitian ini mengevaluasi implikasi klinis CYFRA 21-1 dan CD8 pada pasien NSCLC yang menjalani kemoterapi di Medan, Indonesia. Penelitian deskriptif observasional dilakukan terhadap 20 pasien NSCLC dari RSUP H. Adam Malik, RSUP Prof. Chairuddin P. Lubis, dan RS St. Dengan menggunakan total sampling, kadar CYFRA 21-1 dan CD8 dinilai. Analisis data dilakukan dengan menggunakan SPSS versi 26. Hasil: Penelitian ini menemukan bahwa semua peserta adalah laki-laki, dengan 55% berusia di atas 60 tahun. Adenokarsinoma adalah subtipe yang paling umum (60%), dan 70% pasien didiagnosis pada stadium IV A. Kadar CD8 menunjukkan rentang yang luas, yang menunjukkan respons imun yang bervariasi. Sebaliknya, tingkat CYFRA 21-1 menyoroti potensinya dalam memprediksi perkembangan penyakit. Studi ini menggarisbawahi pentingnya CYFRA 21-1 dan CD8 dalam menilai tingkat keparahan penyakit dan memandu strategi terapeutik, yang berpotensi meningkatkan hasil klinis dalam pengobatan NSCLC.</p> 2025-04-30T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/985 Developing Strategic Planning Through Organizational Performance Evaluation: A Qualitative Balanced Scorecard Analysis Based on Secondary Data 2025-04-30T00:26:57+00:00 Zaenal Muttaqien zamutaqaja@gmail.com Shomiyatul Aziza shomiyatul@gmail.com <p>Strategic planning is a critical process that enables organizations to align their goals with performance outcomes in a dynamic operational environment. This study explores how strategic planning can be developed through organizational performance evaluation using the Balanced Scorecard (BSC) framework. Employing a qualitative approach based on secondary data analysis, the research investigates the strategic relevance of four BSC perspectives—financial, customer, internal business processes, and learning and growth—by examining organizational reports, performance audits, and planning documents. Findings indicate that while the financial and internal business process perspectives are well-integrated into strategic decision-making, the learning and growth perspective remains underutilized. The results highlight the value of secondary data in extracting actionable insights and underscore the importance of a balanced approach to performance evaluation. This study contributes to the literature by demonstrating how the BSC can be applied qualitatively to support strategic development without the need for primary data collection.</p> 2025-05-02T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/988 Hubungan Tingkat Kepatuhan Pengobatan Antidiabetes Terhadap Kualitas Hidup Pasien Diabetes Melitus Tipe 2 Rawat Jalan di Salah Satu Rumah Sakit di Kabupaten Bandung 2025-05-03T09:41:20+00:00 Akhmad Priyadi akhmad.priyadi@bku.ac.id Jajang Japar Sodik akhmad.priyadi@bku.ac.id Mamay Maulana Sobandi akhmad.priyadi@bku.ac.id Rizki Siti Nurfitria akhmad.priyadi@bku.ac.id Cecep Sabarudin akhmad.priyadi@bku.ac.id Imam Riyadi akhmad.priyadi@bku.ac.id <p>Diabetes Melitus tipe 2 merupakan penyakit metabolisme kronik, yang tidak dapat disembuhkan namun hanya dapat dikontrol dengan terapi farmakologi dan non farmakologi, Jika manajemen kesehatan tidak dilakukan dengan baik maka dapat menyebabkan komplikasi dan mempengaruhi kualitas hidup penderita. Tujuan penelitian ini untuk mengetahui hubungan kepatuhan minum obat dengan kualitas hidup pasien diabetes melitus tipe 2 di salah satu Rumah Sakit di Kabupaten Bandung. Penelitian ini menggunakan metode observasional analitik dengan desain cross sectional yang diambil secara Non-probability sampling. Pengambilan data dilakukan pada bulan Maret – April 2024 terhadap 95 responden diabetes melitus tipe 2. menggunakan kuesioner MMAS-8 (Eight-item Morisky Medication Adherence Scale) dan EQ-5D-5L (Euro-Quality of Life-5 Dimension-5 level). Hasil menunjukkan pasien diabetes melitus tipe 2 memiliki tingkat kepatuhan minum obat sedang (44,2%) dan kualitas hidup tinggi (62,1%). Terdapat hubungan signifikan yang kuat dan searah antara kepatuhan minum obat antidiabetes dan kualitas hidup pasien Diabetes melitus tipe 2 rawat jalan disalah satu Rumah Sakit di Kabupaten Bandung dengan nilai p&nbsp; 0,000 (p &lt; 0,05) dengan tingkatan koefisien korelasi cukup kuat.</p> 2025-04-20T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/981 Diabetes Mellitus Tipe 2: Prevalensi, Etiologi, dan Penatalaksanaannya 2025-04-18T03:34:58+00:00 Maulana Isman Naki ismannaki@gmail.com Ayu Brenda Sumariangen ayubrenda7@gmail.com Rizkhy Agung Tambengi agungtambeng05@gmail.com <p style="font-weight: 400;"><em>Non-Communicable Diseases (NCDs), such as Diabetes Mellitus (DM), are chronic conditions not transmitted between individuals, often caused by unhealthy lifestyles, poor environmental factors, or genetics. With 536.6 million cases globally, DM is a significant health concern, particularly in Indonesia, due to its serious complications if left unmanaged. This literature review examines scientific articles, textbooks, and official publications to explore the prevention and treatment of DM, particularly Type 2 Diabetes Mellitus (T2DM). T2DM, also known as Non-Insulin Dependent Diabetes Mellitus (NIDDM), results from impaired insulin secretion by pancreatic β-cells and reduced tissue sensitivity to insulin. The condition poses a significant risk for complications such as cardiovascular disease, nephropathy, and retinopathy. Despite its prevalence, diagnosis often goes unnoticed due to mild or absent symptoms and relies on blood glucose and HbA1c levels. Effective management includes lifestyle modifications like increased physical activity and healthy dietary patterns, along with tailored pharmacological treatments. New drug classes, including SGLT2 inhibitors and GLP-1 receptor agonists, offer additional benefits, such as weight loss and cardiovascular protection, highlighting advancements in treatment options.</em></p> 2025-05-04T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/989 Pemberian Massage Tengkuk dan Massage Ototpectoralis Mayor Terhadap Pengeluaran Asi pada Ibu Menyusui 2025-05-07T00:47:09+00:00 Eneng Pupun Padillah padilahpupun@gmail.com Meinasari Kurnia Dewi padilahpupun@gmail.com Milka Anggraeni K padilahpupun@gmail.com <p><em>Exclusive breastfeeding is one of the world's efforts to prepare healthy successors froman early age. The World Health Organization (WHO) and the United Nation Children'sFund (UNICEF) advise every mother who gives birth to be able to provide exclusivebreastfeedingto her baby.The cause of failure to provide exclusive breastfeedingBasedon a survey in Indonesia,the lack of breast milk production produced, 38%of mothersstopped breastfeeding their babies. The aim of this case study is to provide neck massageand pectoralis major muscle massage to breastfeeding mothers in the work area of theMunjul Health Center UPT, Pandeglang Regency in 2024. The method in this case studyis to use a qualitative study, with a case study approach that is carried out directlyon2breastfeeding mothers. The breastfeeding mothers are divided into 2, namely: thefirsbreasfeeding mother is given a neck massage. And the second breastfeeding mother isgiven a pectoralis muscle massage. The instruments used in this study were informedconsent, observation sheets and breast pumps as measuring tools. after a neck massagefor 10 minutes, 35 ml of breast milk production was obtained. while on the 14th dayafter the nape massage, the results of breast milk production were 40 ml, and on the 27thday, breast milk production increased and was smooth, namely 60 ml. In the 2nd respondent, namely the breastfeeding mother, on the 14th day, breast milk production was 30ml. while on the 27th day, breast milk production was still 44 ml.</em></p> 2025-04-11T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/990 Hubungan Antara Pola Kuman dengan Mortalitas pada Pasien Pneumonia di IPI RS. HAM Medan 2025-05-08T02:55:38+00:00 Agnes Nadia Agnesnadias@gmail.com Syamsul Bihar syamsul.bihar@usu.ac.id Fajrinur Syarani fajrinur_syarani@gmail.com <p><em>Pneumonia is one of the leading causes of morbidity and mortality, partIPIlarly in hospital settings. Identifying bacterial patterns and antibiotic resistance is essential to determine appropriate therapy and reduce mortality rates. This study aimed to examine the association between bacterial patterns, antibiotic resistance, and mortality in pneumonia patients. A retrospective design was used by analyzing medical record data of pneumonia patients treated in 2022. A total of 66 patients who met the inclusion criteria were included in the analysis. Data included sputum culture results, antibiotic resistance profiles, and patient mortality status. The results showed that the most commonly found bacteria were Klebsiella pneumoniae (31.8%), followed by Acinetobacter baumannii (25.8%) and Pseudomonas aeruginosa (16.7%). The highest resistance rates were observed for meropenem (31.8%) and levofloxacin (28.8%). Statistical analysis revealed a significant association between antibiotic resistance and patient mortality (p = 0.017). However, no significant association was found between the type of causative bacteria and mortality (p = 0.414). These findings indicate that antibiotic resistance plays a major role in clinical outcomes of pneumonia patients. Therefore, regular monitoring of bacterial and resistance patterns and the implementation of rational antibiotic use policies are essential to reduce pneumonia-related mortality in hospitals.</em></p> 2025-04-11T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/991 Pengaruh Ekstrak Daun Kelor dan Buah Pepaya Terhadap Peningkatan Produksi Asi 2025-05-08T04:01:49+00:00 Yayu Yuliasari yayuyuliasari75@gmail.com Milka Anggraeni K yayuyuliasari75@gmail.com Meinasari Kurnia Dewi yayuyuliasari75@gmail.com <p><em>Breast milk (ASI) is the most important and best natural food for babies. The cause of low milk production can be from poor balanced nutritional factors, mental health problems such as stress or depression so that you feel anxious, trauma after using hormonal contraceptives and breast care that is not done properly. Low milk production is also caused by a lack of stimulation of the hormone oxytocin on the first day after delivery. The impact of low milk production is that mothers do not give exclusive breastfeeding to their babies. Management of low milk production can be done by fulfilling sufficient nutrition in breastfeeding mothers. This type of research is to determine the effect of moringa leaf and papaya fruit extracts on increasing breast milk production at the Munjul Health Center in 2024. Qualitative with a case study approach. There was an increase in breast milk production in breastfeeding mothers who were given moringa leaf extracts and young papaya fruits. The administration of moringa leaf extract is 10 ml more than that given by young papaya fruits.There is an effect of giving moringa leaf extract and young papaya fruit on increasing breast milk production in breastfeeding mothers at the Munjul Health Center. It is hoped that breastfeeding mothers can implement the administration of moringa leaf extract and young papaya fruits to increase breast milk production.</em></p> 2025-04-11T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/997 Analisis Faktor yang Mempengaruhi Kualitas Hidup pada Pasien Penderita Kanker Payudara di Rumah Sakit 2025-05-08T17:03:18+00:00 Akhmad Priyadi akhmad.priyadi@bku.ac.id Jajang Japar Sodik akhmad.priyadi@bku.ac.id Mamay Maulana Sobandi akhmad.priyadi@bku.ac.id Siti Saidah Mutmainah akhmad.priyadi@bku.ac.id Cecep Sabarudin akhmad.priyadi@bku.ac.id Andira Aqila Fadia akhmad.priyadi@bku.ac.id <p>Breast cancer ranks top of all types of cancer experienced by women with an average prevalence of 56.5 per 100,000 female populations in the world. In Indonesia, less than 68,858 cases (16.6%) of a total of 396,914 cases were recorded and more than 22,000 cases ended in death. (Sung et al., 2021). The life of a patient diagnosed with breast cancer will experience many changes in their physical and psychological condition, which will then affect the quality of life of the patient and will be a long-term problem if not treated. Individuals with good quality of life will have physical and mental health, which will enable them to live socially in society according to their role. T The research was conducted quantitatively using cross sectional designs. The sample was used by 75 respondents who met the inclusion criteria of the population at the Hospital. The dependent variable is the quality of life of breast cancer patients, while the independent variables are age, marital status, lifestyle, body mass index, and stage of cancer. Data is collected using EORTC QLQ-C30 questionnaire, which are then analyzed by validating SPSS with an ordinal regression test. The results of the study showed that there was no influence between age (p=0.891), lifestyle (p =0.247), body mass index (p_0.294), and stage of cancer (p−0.268). Whereas for marital status(p=0,000) there was influence on the quality of life of patients with breast cancer.&nbsp;</p> 2025-04-20T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal https://mand-ycmm.org/index.php/phasij/article/view/999 Pengaruh Konsumsi Buah Pisang Ambon dan Kurma Terhadap Peningkatan Kadar Hemoglobin pada Ibu Hamil Trimester III di Puksesmas Tahun 2025 2025-05-13T23:37:50+00:00 Mami Yusriah mamyyusriah@gmail.com Intan Minatul Hayati mamyyusriah@gmail.com Reva Nisa Nabela mamyyusriah@gmail.com Dini Hera Andriyani mamyyusriah@gmail.com Hera Andriyani mamyyusriah@gmail.com Mamay Firda Handayani mamyyusriah@gmail.com Aminah mamyyusriah@gmail.com Elah mamyyusriah@gmail.com Milka Anggreni K mamyyusriah@gmail.com Uci Ciptiasrini mamyyusriah@gmail.com <p>Prevalesi wanita hamil yang mengalami kekurangan darah sebesar 25%-75%, yang telah mempengaruhi hamper setengah dari wanita hamil yg mengalami anemia di dunia di mana 52% dinegara berkembang, dan 23% di neagar maju dan kondisi ini terus meningkat. Metode penelitian ini menggunakan Study Care Literatur (SCLR) dengan pendekatan study kasus. Setelah diberikan pisang ambon selama 7 hari dan dilakukan pemantauan sebnayak 3 kali kadar hemoglobin pada ibu hamil anemia mengalami kenaikan 2,1 gr/dl dan keluhan yang dirasakan berkurang. Mnurut peneliti karna pisang ambon matang mengandung 116 kalori, 1,60gr protein, 0,20 gr lemak, 25,80 gr karbohidrat, 8,0 mg kalsium, 32,0 mg posfor,0.50 mg zat besi, dan 72,90 gr air. Diharapkan asuhan pemberian buah pisang ambon dapat diterapkan oleh ibu hamil sehingga kadar hemoglobin ibu hamil lebih cepat naik dan keluhan lebih cepat berkurang.</p> 2025-04-11T00:00:00+00:00 Copyright (c) 2025 Public Health and Safety International Journal