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Antecedent Hospital Environment, Communication and Responsiveness in Hospitals during the Covid-19 Pandemic According to Patient Perceptions of Willingness to Recommend Hendsun Hendsun; Hendra Achmadi
Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences Vol 5, No 1 (2022): Budapest International Research and Critics Institute February
Publisher : Budapest International Research and Critics University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33258/birci.v5i1.4384

Patient recommendations are the most basic form of marketing. However, hospitals often face patient reluctance to recommend them. This study uses independent variables in the form of the hospital environment, communication with patients, and responsiveness to patient needs, which are components of the HCAHPS questionnaire to measure the overall rating of the hospital as a mediating variable. The independent variable will be tested for its effect on willingness to recommend the hospital. This type of research is quantitative research with hypothesis testing (hypothesis test). This study obtained 164 respondents willing to survey from January to February 2022 and processed using PLS-SEM. The dependent variable hospital environment, communication with patients, and responsiveness to patient needs gave an R2 value of 0.675 to the overall rating of the hospital mediating variable. The mediating variable succeeded in showing a strong positive influence on willingness to recommend with R2 0.624 and mediated the independent variable's influence. The hospital environment, communication with patients, and responsiveness to patient needs have a significant positive effect on the overall rating of the hospital, which then describes a significant positive effect on willingness to recommend.

Kegiatan Pengabdian Masyarakat dalam Edukasi Penyakit Dislipidemia serta Komplikasinya terhadap Penyakit Kardiovaskular Catharina Sagita Moniaga; Jasmine Syabania Noviantri; Giovanno Sebastian Yogie; Yohanes Firmansyah; Hendsun Hendsun
Jurnal Kabar Masyarakat Vol. 1 No. 2 (2023): Mei : JURNAL KABAR MASYARAKAT
Publisher : Institut Teknologi dan Bisnis Semarang

Coronary heart disease occurs when the blood vessels that supply blood to the heart are blocked by plaque build up in the walls of the blood vessels. Uncontrolled dyslipidemia can lead to faster plaque build up and a higher risk of having a heart attack. Community service activities are important to increase public awareness of dyslipidemia and coronary heart disease for early detection before complications occur. Community service activities were carried out at the Kalam Kudus II Jakarta Foundation involving 52 respondents. Activities carried out in the form of community education, physical and supporting examinations, and counseling. The results showed that 6 (11.5%) respondents had high total cholesterol and high LDL levels, 37 (71.2%) respondents had low HDL levels, 8 (15.4%) respondents had high triglyceride levels, and 8 (15.4%) of respondents diagnosed with suspected coronary heart disease based on examination of the electrocardiogram. Early detection is an effort to detect the presence of cardiovascular disease and dyslipidemia at an early stage so that action can be taken immediately to prevent more serious conditions. Education and early detection of cardiovascular disease and dyslipidemia are very important to prevent more serious diseases from occurring in the future. Through appropriate counseling and early detection, it is hoped that the public will be more aware of the importance of maintaining health and preventing cardiovascular disease and dyslipidemia.

KORELASI ADIKSI SMARTPHONE/GADGET TERHADAP INDEKS MASSA TUBUH PADA SISWA SEKOLAH MENENGAH ATAS SEKOLAH KALAM KUDUS II JAKARTA Ravenska Theodora; Hendsun Hendsun; Yohanes Firmansyah; Sukmawati Tansil Tan; Ernawati Ernawati; Alexander Halim Santoso
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 1 (2023): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i1.1106

Kemajuan ilmu pengetahuan khususnya di bidang teknologi membuat gaya hidup anak dan remaja menjadi berubah. Hal ini tentu saja menyebabkan berbagai masalah, salah satunya adalah munculnya adiksi terhadap penggunaan smartphone/gadget. Hal ini tentu saja berdampak buruk terhadap kesehatan remaja dikarenakan adiksi smartphone/gadget menyebabkan aktivitas fisik cenderung berkurang serta berdampak terhadap peningkatan angka kejadian obesitas. Penelitian kali ini bertujuan untuk melihat bagaimana korelasi adiksi smartphone/gadget terhadap indeks massa tubuh pada siswa Sekolah Menengah Atas Sekolah Kalam Kudus II Jakarta. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional. Sampel pada penelitian ini berupa remaja SMA Kalam Kudus II Jakarta. Kriteria inklusi pada penelitian ini adalah pelajar berusia 15-18 tahun. Kriteria eksklusi adalam penelitian ini adalah responden yang menolak ikut serta dan tidak kooperatif. Variabel penelitian berupa smartphone addiction scale – long version (SAS-LV) dan indeks Massa Tubuh (IMT). Hasil penelitian ini menurut Uji korelasi Spearman didapatkan bahwa terdapat korelasi positif yang amat lemah antara adiksi smartphone dengan nilai IMT (r : 0,018) dan belum bermakna secara statistik (p-value = 0,809). Saran lebih lanjut untuk penelitian selanjutnya adalah untuk mempertimbangkan penelitian cohort agar dapat memiliki data yang lebih akurat.

Impact of Acupoint Specificity on Cardiovascular Outcomes: A Systematic Review and Meta-Analysis Hedi Suanto Tjong; Hendsun Hendsun; Guo Xinyu; Hitoshi Tanaka
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 7 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i7.1322

Background: Acupuncture, a cornerstone of Traditional Chinese Medicine (TCM), is increasingly utilized for cardiovascular diseases (CVDs). A central tenet is acupoint specificity – the hypothesis that stimulating specific acupoints yields distinct therapeutic effects compared to non-specific points or sham interventions. However, the empirical evidence supporting acupoint specificity for cardiovascular outcomes remains debated. This systematic review aimed to evaluate the current evidence regarding the impact of acupoint specificity on clinically relevant cardiovascular outcomes. Methods: A systematic search was conducted in major biomedical databases (PubMed, Embase, Cochrane Library, Scopus) for randomized controlled trials (RCTs) published between January 2014 and December 2024. Studies were included if they compared acupuncture at specific, predefined acupoints relevant to cardiovascular conditions against a control group involving sham acupuncture (non-penetrating, superficial needling at non-acupoints, or needling at irrelevant acupoints) or minimal acupuncture. The primary outcomes included changes in blood pressure (systolic and diastolic), heart rate variability (HRV) parameters, angina frequency/severity, and major adverse cardiovascular events (MACE). Study quality was assessed using the Cochrane Risk of Bias tool. Results: Seven RCTs involving 850 participants met the inclusion criteria, addressing hypertension (n=3), stable angina (n=2), heart failure support (n=1), and HRV modulation in healthy subjects (n=1). Three studies (one hypertension, one angina, one HRV) suggested statistically significant benefits of specific acupoint stimulation (such as PC6, ST36, LR3) over sham controls for primary outcomes (such as greater reduction in systolic blood pressure, reduced angina frequency, specific HRV modulation). Heterogeneity was substantial across studies, even within the same condition, particularly concerning acupoint selection, stimulation parameters, and control group design. Conclusion: The evidence supporting clinically significant acupoint specificity for cardiovascular outcomes remains inconclusive and inconsistent. While some studies suggest potential benefits of stimulating specific points like PC6 or ST36 compared to sham interventions, others fail to demonstrate superiority. High-quality, rigorously designed RCTs with standardized protocols, appropriate sham controls, and adequate sample sizes are imperative to clarify the role of acupoint specificity in acupuncture's cardiovascular effects.

Impact of Acupoint Specificity on Cardiovascular Outcomes: A Systematic Review and Meta-Analysis Hedi Suanto Tjong; Hendsun Hendsun; Guo Xinyu; Hitoshi Tanaka
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 7 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i7.1322

Background: Acupuncture, a cornerstone of Traditional Chinese Medicine (TCM), is increasingly utilized for cardiovascular diseases (CVDs). A central tenet is acupoint specificity – the hypothesis that stimulating specific acupoints yields distinct therapeutic effects compared to non-specific points or sham interventions. However, the empirical evidence supporting acupoint specificity for cardiovascular outcomes remains debated. This systematic review aimed to evaluate the current evidence regarding the impact of acupoint specificity on clinically relevant cardiovascular outcomes. Methods: A systematic search was conducted in major biomedical databases (PubMed, Embase, Cochrane Library, Scopus) for randomized controlled trials (RCTs) published between January 2014 and December 2024. Studies were included if they compared acupuncture at specific, predefined acupoints relevant to cardiovascular conditions against a control group involving sham acupuncture (non-penetrating, superficial needling at non-acupoints, or needling at irrelevant acupoints) or minimal acupuncture. The primary outcomes included changes in blood pressure (systolic and diastolic), heart rate variability (HRV) parameters, angina frequency/severity, and major adverse cardiovascular events (MACE). Study quality was assessed using the Cochrane Risk of Bias tool. Results: Seven RCTs involving 850 participants met the inclusion criteria, addressing hypertension (n=3), stable angina (n=2), heart failure support (n=1), and HRV modulation in healthy subjects (n=1). Three studies (one hypertension, one angina, one HRV) suggested statistically significant benefits of specific acupoint stimulation (such as PC6, ST36, LR3) over sham controls for primary outcomes (such as greater reduction in systolic blood pressure, reduced angina frequency, specific HRV modulation). Heterogeneity was substantial across studies, even within the same condition, particularly concerning acupoint selection, stimulation parameters, and control group design. Conclusion: The evidence supporting clinically significant acupoint specificity for cardiovascular outcomes remains inconclusive and inconsistent. While some studies suggest potential benefits of stimulating specific points like PC6 or ST36 compared to sham interventions, others fail to demonstrate superiority. High-quality, rigorously designed RCTs with standardized protocols, appropriate sham controls, and adequate sample sizes are imperative to clarify the role of acupoint specificity in acupuncture's cardiovascular effects.

KORELASI ADIKSI SMARTPHONE/GADGET TERHADAP INDEKS MASSA TUBUH PADA SISWA SEKOLAH MENENGAH ATAS SEKOLAH KALAM KUDUS II JAKARTA Ravenska Theodora; Hendsun Hendsun; Yohanes Firmansyah; Sukmawati Tansil Tan; Ernawati Ernawati; Alexander Halim Santoso
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 1 (2023): Maret : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i1.1106

Kemajuan ilmu pengetahuan khususnya di bidang teknologi membuat gaya hidup anak dan remaja menjadi berubah. Hal ini tentu saja menyebabkan berbagai masalah, salah satunya adalah munculnya adiksi terhadap penggunaan smartphone/gadget. Hal ini tentu saja berdampak buruk terhadap kesehatan remaja dikarenakan adiksi smartphone/gadget menyebabkan aktivitas fisik cenderung berkurang serta berdampak terhadap peningkatan angka kejadian obesitas. Penelitian kali ini bertujuan untuk melihat bagaimana korelasi adiksi smartphone/gadget terhadap indeks massa tubuh pada siswa Sekolah Menengah Atas Sekolah Kalam Kudus II Jakarta. Penelitian ini merupakan penelitian analitik dengan desain penelitian cross sectional. Sampel pada penelitian ini berupa remaja SMA Kalam Kudus II Jakarta. Kriteria inklusi pada penelitian ini adalah pelajar berusia 15-18 tahun. Kriteria eksklusi adalam penelitian ini adalah responden yang menolak ikut serta dan tidak kooperatif. Variabel penelitian berupa smartphone addiction scale – long version (SAS-LV) dan indeks Massa Tubuh (IMT). Hasil penelitian ini menurut Uji korelasi Spearman didapatkan bahwa terdapat korelasi positif yang amat lemah antara adiksi smartphone dengan nilai IMT (r : 0,018) dan belum bermakna secara statistik (p-value = 0,809). Saran lebih lanjut untuk penelitian selanjutnya adalah untuk mempertimbangkan penelitian cohort agar dapat memiliki data yang lebih akurat.

Cross-Sectional Study of Efficacy, Effectiveness, and Safety of Combination Creams (Tretinoin 0.05%, Clindamycin 3%, and Dexamethasone 0.05%) Anti-Acne – An Online Study Tan, Sukmawati Tansil; Yohanes Firmansyah; Hendsun Hendsun; Alicia Sarijuwita; William Gilbert Satyanegara; Joshua Kurniawan; Dean Ascha Wijaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.956

Background: Acne vulgaris is a common skin condition that causes blackheads, whiteheads, and pimples. It is caused by a number of things, like too much oil, clogged pores, and inflammation. Topical combination creams are an alternative treatment for acne. They can help reduce inflammation, kill bacteria that cause acne, and stop the skin from making too much oil. Topical combination creams like retinoids, antibiotics, and steroids are all mixed together in a single cream or gel. This study talks about the effectiveness and side effects of using combination creams (tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05%) to treat acne in the short and long term (local and systemic). Methods: This study is a survey that was done at the Sukma clinic with data from 2022 patients who were diagnosed with acne vulgaris. The survey was done on Google Forms, which is a website. In this study, different factors were looked at, such as demographics, efficacy (like reducing acne severity, making the skin brighter, getting rid of blackheads on the face, getting rid of acne scars, improving skin texture, hiding scars, minimizing facial pores, getting rid of wrinkles and dark spots), local adverse events (like burning, itching, stinging, eruptive papules, hypopigmentation, hyperpigmentation, erythema, scaling, and other), and systemic adverse events. Results: The results of this study show that a combination of tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05% is very effective and has minimal side effects. Local symptoms only show up during the first week of taking the drug (the "sensitization phase"), and then they tend to get less common over time. The only exceptions are hyperpigmentation and hypopigmentation, which show up later because they are caused by healing acne lesions. Conclusion: There was no direct link between the use of anti-acne combination cream drugs and the number of systemic side effects. This is because the patient had often had this happen before (constipation, GERD, and others).

Cross-Sectional Study of Efficacy, Effectiveness, and Safety of Combination Creams (Tretinoin 0.05%, Clindamycin 3%, and Dexamethasone 0.05%) Anti-Acne – An Online Study Tan, Sukmawati Tansil; Yohanes Firmansyah; Hendsun Hendsun; Alicia Sarijuwita; William Gilbert Satyanegara; Joshua Kurniawan; Dean Ascha Wijaya
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 8 No. 4 (2024): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v8i4.956

Background: Acne vulgaris is a common skin condition that causes blackheads, whiteheads, and pimples. It is caused by a number of things, like too much oil, clogged pores, and inflammation. Topical combination creams are an alternative treatment for acne. They can help reduce inflammation, kill bacteria that cause acne, and stop the skin from making too much oil. Topical combination creams like retinoids, antibiotics, and steroids are all mixed together in a single cream or gel. This study talks about the effectiveness and side effects of using combination creams (tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05%) to treat acne in the short and long term (local and systemic). Methods: This study is a survey that was done at the Sukma clinic with data from 2022 patients who were diagnosed with acne vulgaris. The survey was done on Google Forms, which is a website. In this study, different factors were looked at, such as demographics, efficacy (like reducing acne severity, making the skin brighter, getting rid of blackheads on the face, getting rid of acne scars, improving skin texture, hiding scars, minimizing facial pores, getting rid of wrinkles and dark spots), local adverse events (like burning, itching, stinging, eruptive papules, hypopigmentation, hyperpigmentation, erythema, scaling, and other), and systemic adverse events. Results: The results of this study show that a combination of tretinoin 0.05%, clindamycin 3%, and dexamethasone 0.05% is very effective and has minimal side effects. Local symptoms only show up during the first week of taking the drug (the "sensitization phase"), and then they tend to get less common over time. The only exceptions are hyperpigmentation and hypopigmentation, which show up later because they are caused by healing acne lesions. Conclusion: There was no direct link between the use of anti-acne combination cream drugs and the number of systemic side effects. This is because the patient had often had this happen before (constipation, GERD, and others).

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