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Exploring the Challenges and Opportunities in Mental Health Care for Adolescents in Urban Indonesia Cikita, Rafeni Bunga
Jurnal Health Sains Vol. 6 No. 2 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i2.2728

Abstract

Mental health issues among adolescents in urban Indonesia are a growing concern, exacerbated by urbanization and socio-cultural factors. This research explores the challenges and opportunities in mental health care for adolescents in urban settings, specifically in cities like Jakarta, Surabaya, and Bandung. The study employs a mixed-methods approach, combining quantitative surveys of 300 adolescents and qualitative interviews to identify the prevalence of mental health disorders and the barriers to accessing care. The findings reveal a high prevalence of anxiety, depression, and stress, with significant gender differences—females reporting higher rates of anxiety and depression. The study also identifies key barriers, including cultural stigma, lack of awareness, and limited access to services, particularly for those from lower socioeconomic backgrounds. While existing interventions show promise, they are insufficient in addressing the specific needs of adolescents. The research emphasizes the importance of gender-sensitive, community-based mental health programs and the potential role of digital solutions in improving accessibility and reducing stigma. The study concludes with actionable recommendations for policymakers, mental health professionals, and educators to enhance adolescent mental health care in urban Indonesia.
ALLOPLASTIC IMPLANTS FOR RHINOPLASTY: A SYSTEMATIC REVIEW AND META-ANALYSIS OF CLINICAL OUTCOMES AND COMPLICATIONS Cikita, Rafeni Bunga; Nataadmaja, Beta Subakti
Folia Medica Indonesiana Vol. 61, No. 1
Publisher : Folia Medica Indonesiana

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Abstract

Alloplastic implants emphasize the importance of a comprehensive understanding of both clinical and histological aspects, which are attributed to enhancing patient satisfaction and surgical success rates. The study aims to assess the viability of different implant materials and their related risks over time. A systematic literature search was conducted across multiple databases, including PubMed, Cochrane, and EBSCOhost, to identify 79 records. After eliminating duplicates and applying specific inclusion and exclusion criteria, four new studies were included for evaluation, focusing on postoperative outcomes related to alloplastic implants in rhinoplasty. Late-onset inflammation in non-healthy capsules required removal and showed histological damage. One study also found increased infection rates in soft implants and aesthetic adjustment concerns with firm implants. Other research reported Medpor implants’ long-term durability, but malposition and infection. Silicone implants had a 10% infection rate and 30% displacement rate, while Medpor(R) had contracture and contour difficulties. Overall, complications vary based on implant type and patient factors. The review emphasizes the importance of using the right implant materials and surgical methods to reduce problems. It advocates for further research into alternative materials and personalized approaches to enhance patient outcomes in rhinoplasty procedures.