Health Frontiers: Multidisciplinary Journal for Health Professionals

The Effective of FlashCard Media for Vulcano Disaster Response and Preparedness Knowlegde

Adinda Agus Riwayanti — 2024-12-31

Volcanic eruption guidance is one of the effective strategies in enhancing community preparedness against volcanic eruptions. This guidance involves students of sdn 04 tumpang in grades 3 and 4 as part of a dynamic and strategic disaster mitigation program. The purpose of this guidance is to increase the knowledge and skills of sdn 04 tumpang students in facing volcanic eruptions, as well as to reduce casualties and losses that may occur. During the guidance, students are introduced to the concept of disasters, their impact, the causes of volcanic eruptions, disaster mitigation steps, and the pre-disaster stages of volcanic eruptions. This guidance enhances students' preparedness in facing volcanic eruptions, therefore reducing the negative impacts of this volcanic eruption. The media used in this guidance is flashcards. The materials in the flashcards include the concept of disasters, their impact, the causes of volcanic eruptions, disaster mitigation steps, and the pre-disaster stages of volcanic eruptions, which will be explained by the guidance team or promoters. This activity uses the ADDIE development model (analysis, design, development, implementation, evaluation).

Children’s Motor Skills Development After Puzzle Play Therapy

Eko Sari Wahyuni — 2025-12-31

Development at preschool age is a basic stage that influences subsequent development, at this time children often experience delays in fine motor development, the impact that often occurs is a lack of stimulation so that children experience obstacles in the learning process at school. One game that improves fine motor development is puzzles. The aim of this research is to identify fine motor development after being given a puzzle game. This research uses a descriptive observational case study on 2 subjects using a modified KPSP observation sheet. The research results before being given the puzzle subject 1 were moderate (10) subject 2 was poor (8) after being given the puzzle both subjects were good (21) and (19). It is recommended that both subjects optimize puzzle games to improve their fine motor development. For future researchers, it is recommended to condition puzzle games simultaneously and not to stimulate separately and it is recommended to involve parents and teachers in conducting research.

Acupressure as a Complementary Nursing Intervention for Muscle Trauma Rehabilitation in Rural Farmers: A Quasi-Experimental Study

Evy Aristawati — 2025-12-15

Musculoskeletal pain is one of the most prevalent health conditions among adults, frequently leading to reduced functional capacity and diminished quality of life. Non-pharmacological interventions such as soft tissue manipulation have gained increasing attention as strategies to reduce analgesic dependence and promote functional recovery. This study aimed to evaluate the effectiveness of soft tissue manipulation in reducing pain and improving functional activity in patients with muscle trauma. A quasi-experimental pretest–posttest control group design was employed, involving 100 participants allocated into an intervention group (n = 50) and a control group (n = 50). Pain intensity was assessed using the Visual Analog Scale (VAS), while functional ability was measured using the Patient-Specific Functional Scale (PSFS). Data were analyzed using appropriate parametric and non-parametric tests, with Odds Ratio (OR) calculated to determine the likelihood of clinically meaningful improvement. The intervention group demonstrated a substantially greater reduction in pain (?VAS = 3.4) compared with the control group (?VAS = 1.1). A total of 76% of participants in the intervention group achieved clinically significant improvement, yielding an OR of 6.09, indicating a six-fold higher likelihood of improvement relative to controls. Functional scores also increased significantly following the intervention. These findings highlight soft tissue manipulation as an effective non-pharmacological approach for reducing musculoskeletal pain and enhancing functional activity, supporting its integration into clinical rehabilitation practice.

The Use of Booklet Media in Earthquake Natural Disaster Mitigation Socialization Activities on the Knowledge of Students of Public Elementary School

Iftitah Hanim Tarisa Fitrah Tarisa Fitrah — 2025-12-31

Mitigation is a series of activities carried out to reduce disaster risk and is included in the initial stages of natural disaster management. Activities to provide information and mitigate disasters are one of our responsibilities as academics who are aware of this problem to the general public, one of the targets being PAUD or Elementary School students. In recent years, the Central Board of Education's move to revise the curriculum to include disaster prevention into subjects is fully underway. Therefore, we are carrying out community service to mitigate natural earthquake disasters which will be held on Friday 3 May 2024 at SDN 4 Tumpang, Tumpang District, Malang Regency, which is one of the schools that includes prevention as a subject in its school. The results of this research indicate that the use of booklet media can be an effective method in increasing students' knowledge regarding earthquake natural disaster mitigation at the elementary school level. This can be seen from students who took part in the socialization showing a significant increase in understanding after being given material and information through print media. Booklet media designed with animation and attractive images can attract students' attention and make it easier for them to understand the material presented. Apart from that, the pre-test and post-test conducted before and after socialization also showed a significant increase in student knowledge.

Overcoming Barriers to Electronic Referral Systems: A Multidisciplinary Approach to Enhancing Global Healthcare Delivery

Indi Dwi Shofi Yanti — 2025-12-31

The integration of electronic referral (e-referral) systems into healthcare ecosystems offers significant potential to enhance care coordination, reduce inefficiencies, and improve patient outcomes. However, challenges persist across legal, technological, and social dimensions. A PRISMA-based Systematic Literature Review (SLR) highlights jurisdictional barriers, such as GDPR-HIPAA mismatches, with 40% of EU organizations facing hurdles in sharing data with U.S. partners. Stringent data localization laws in countries like Russia and China further complicate interoperability. Ethical frameworks, including beneficence and non-maleficence, are critical for trust in sensitive care areas. Technological gaps include uneven HL7 FHIR adoption, infrastructure limitations, and underutilization of AI and blockchain innovations. Estonia’s X-Road system demonstrates blockchain’s role in reducing referral wait times by 30%, while India’s e-Sanjeevani platform serves remote areas offline. Clinician resistance and digital literacy gaps necessitate tailored solutions. Escalating cyber threats demand robust measures like zero-trust architectures. Public-private partnerships, open-source platforms, and measurable outcomes (?80% clinician adoption, <48-hour approval times) are vital. Pandemic-resilient systems and sustainable cloud solutions further emphasize scalability and equity. Harmonized policies and inclusive stakeholder engagement are essential for global success.

Disaster Preparedness in Elementary Schools: An Analysis of the Level of Knowledge and Preparedness of Students towards Flood Disaster

Aisha Diansasnita — 2025-12-31

Indonesia is one of the 4,444 disaster-prone countries, both in terms of natural and man-made disasters. Indonesia is one of the countries prone to flooding because it has high rainfall. Flood is a natural disaster where drainage cannot accommodate excessive water that occurs in an area so that it can cause inundation that is detrimental to the area. Floods can occur in all regions including Malang Regency. The Regional Disaster Management Agency (BPBD) of Malang Province recorded 71 natural disasters in 2018, most of which were floods and landslides. Disaster drills or preparedness are fundamental training to build a safe and strong culture, especially for children. Disaster preparedness measures can be taken early on through socialization conducted at SDN 4 Tumpang, Malang Regency. The purpose of this research is that the students are expected to understand how the steps of disaster preparedness including flood disaster. The type of research used in this study is experimental with pre-experimental research methods. This data comes from primary data obtained from pre-test and post-test scores. The population in this study were some students of SDN 4 Tumpang from class 3 as many as 7 people and class 4 as many as 10 people, with a total population of 17 respondents. The results of this study were obtained data that the average value of student knowledge before being given education was 53.74 and after being given education increased to 66.35. It shows that there is an increase in knowledge after being given education.

Behavior of Adolescent Girls in Taking Blood Suplement Tablet

Ainin Zain Zahro — 2025-12-31

Anemia remains a significant health challenge for adolescent girls in Indonesia. Although a nationwide blood supplementation program has been implemented, the compliance rate of blood supplement consumption is still low. This study aimed to describe the behavior of adolescent girls in consuming TTD at SMA NU Gresik and MAN Sidoarjo, and identify supporting and inhibiting factors, including the role of schools and health center. This study used a qualitative approach with interviews, questionnaires, and Focus Group Discussion (FGD) methods. The results showed that differences in school policies, inaccurate understanding, negative perceptions, and unhealthy lifestyles were the main factors for low TTD consumption compliance. An attractive and consistent educational approach, as well as collaboration between schools, health centers, and parents are needed to increase awareness and compliance of adolescent girls in consuming TTD regularly.