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Jurnal Health Sains
Published by Syntax Corporation Indonesia
ISSN : 27236927     EISSN : 27234339     DOI : http://doi.org/10.36418
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Health Sains adalah jurnal yang diterbitkan sebulan sekali oleh Ridwan Institute. Jurnal Health Sains akan menerbitkan artikel ilmiah dalam lingkup ilmu kesehatan. Artikel yang diterbitkan adalah artikel dari penelitian, studi atau studi ilmiah kritis dan komprehensif tentang isu-isu penting dan terkini atau ulasan buku-buku ilmiah.
Arjuna Subject : Profesi Kesehatan - Bimbingan Kesehatan dan Transkripsi
Articles 764 Documents
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Functional Outcome in C2/C3 Fracture Dislocation Managed with Combined Surgical Decompression and Posterior Stabilization Teuku Nanta Aulia; Muhammad Iqbal; M irfan Guranda
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.897

Abstract

Spinal cord injury is one of the main reasons for permanent paralysis and immobility till now. Spine injury is usually fatal because it involves more than one component, such as discoligamentous misconfiguration, vascular and spinal cord damage. Spine dislocation fracture at the level of C2-3 is rare and usually affects one or two vertebras. Good functional outcome in spine injury is uncommon in which death almost always happens suddenly or is caused by secondary trauma. Emergency room with a cervical spine injury. The patient was pushed by his friends from the side during playtime, causing the neck to hit the corner of a table. The dislocation fracture at the level of C2-3 and spinal cord compression directly caused tetraplegia. The condition was handled with a decompression procedure, spine fusion at the level of C1-4, and posterior stabilization with pedicle screws. A day after the operation, minimal movements were seen in both arms and legs, with motoric strength of 2/2/2/2. The score improved to 4/4/4/4 after two weeks of meds and physiotherapy. The patient started to write again in week 3. The dislocation fracture in this patient caused spinal cord compression. A retropulsion fracture fragment can be displaced to the spinal canal and potentially cause further spinal cord damage. Displacement towards the anterior horn leads to motoric dysfunction. Dislocation fracture at the level of C2-3 hinders neurotransmitter impulse, causing total paralysis on all extremities with intact sensory function. The patient had temporary external stabilization around the neck area while waiting for the procedure. The management concept in cases like this includes affected spinal cord decompression and internal fixation using pedicle screws to ensure fracture stabilization.
Analisis Faktor yang Berhubungan dengan Penerapan Budaya Keselamatan Pasien pada Perawat Dewi Kuraesin; Rina Mutiara; Rokiah Kusumapradja
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.899

Abstract

Patient safety culture is a product of values, attitudes, competencies and behavioral patterns of individuals and groups that determine the commitment, style and ability of a health care organization towards patient safety programs. if a health service organization does not have a patient safety culture, accidents can occur resulting in latent errors, psychological and physiological disturbances to staff, decreased productivity, reduced patient satisfaction and cause interpersonal conflicts. leadership, competence and effective communication are important factors for the successful implementation of patient safety culture in hospitals. Analyzing the relationship of leadership, competency and effective communication to the implementation of patient safety culture. This research was conducted on 179 nurses working in the inpatient room of the XX Serang hospital which were taken from 323 nurses, with the research method using cross-sectional research, where data was taken through interviews using questionnaire sheets. In this study the authors used statistical analysis of the Cji Square test and correlation test to determine the strength of the relationship between variables. Statistical test results obtained values for leadership variables 0.001, competence 0.000 and effective communication 0.017 < P value (0.05) so that it can be concluded that there is a significant relationship between leadership, competence and effective communication on the application of patient safety culture to nurses in inpatient rooms of XX hospital Attack. While the results of the correlation test obtained a coefficient value for leadership 0.25, competence 0.043 and effective communication 0.164, of the three independent variables, it is the leadership variable that has a higher value than the others, this shows that leadership plays a very high role in implementing patient safety culture to nurses in the inpatient room of the XX Serang Kata hospital
The Impact of Anemia Prevention Health Counseling on Knowledge of Pregnant Women in Puskesmas Ellen Pesak; Jusuf Kristianto; Bongakaraeng Bongakaraeng; Johana Tuegeh; Jane Annita Kolompoy; Putri Nurul Firdaus
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.904

Abstract

The World Health Organization (WHO) estimates that 35-70% of pregnant women in developing countries are anemic. Indonesia is one of the developing countries with the highest incidence of anemia, which is around 70% in pregnant women. One of the causes of anemia during pregnancy is that many pregnant women do not know the prevention of anemia during pregnancy. The purpose of this study was to determine the effect of health counseling on the prevention of anemia on the knowledge of pregnant women. The research design used was pre-experimental with a one-group pretest-posttest method where the characteristics of this design were no comparison group (control). The study population was all pregnant women at the Minanga Health Center which amounted to 46 people. The sample technique used was simple random sampling, which was as many as 35 people. Analysis with Wilcoxon signed rank test. The test results have a significant influence of health counseling on anemia prevention on the knowledge of pregnant women (α ≤ 0.05, namely p-value = 0.000). The conclusion is that health counseling on the prevention of anemia increases the knowledge of pregnant women. Suggestions are expected by the puskesmas to increase counseling or education about anemia during pregnancy so that pregnant women's knowledge about anemia increases.
the Effect of Knowledge, Motivation, Organizational Culture on Medical Record Compliance Compliance in Hospitals Suriviana Suriviana; Rokiah Kusumapradja; Lily Widjaya
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.905

Abstract

Every health service facility is required to make medical records made by doctors and health workers related to the services that have been provided. The completeness of the information provided by health workers shows that the quality of the health services provided can be proven to be following related health service standards. This study was to analyze the influence of knowledge, motivation, and organizational culture simultaneously on compliance with medical record filling at Mitra Medika Hospital Pontianak using 83 respondents using the mixed methods sequential explanatory designs. From the results of the quantitative research, it was found that the Knowledge and Organizational Culture variables influenced compliance with medical record filling with beta values ​​of 0.567 and 0.416; as well as the significance of both variables 0.000; Meanwhile, motivation does not affect compliance with medical record filling with a beta value of 0.003 and a significance of 0.940; Knowledge is the variable that has the most dominant influence on compliance with medical record filling. From the results of qualitative research, it was found that motivation does not affect the value of the dimensions of motivation. Where knowledge and organizational culture influence the filling of medical records by the values ​​of the dimensions of knowledge and organizational culture.
Modified Foam Stability Test (Fs-50) as Predictor of Fetal Lung Maturity in Preterm Premature Rupture of Membrane Patients Given Dexamethasone Therapy Olivia Listiowati Prawoto; Tjokorda Gde Agung Suwardewa; I Made Darmayasa; Putu Doster Mahayasa; I Nyoman Bayu Mahendra; Evert Solomon Pangkahila
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.906

Abstract

This study aims to determine the ability of the Modified Foam Stability (FS-50) test to predict fetal lung maturity in preterm premature rupture of membranes treated with Dexamethasone. The study sample included pregnant women with PROM at a gestational age of 24 to less than 34 weeks in the ER and Obstetrics Ward of Sanglah Central General Hospital, Denpasar. The patient underwent a vaginal speculum examination to collect fluid pooled in the vagina or from the outer cervical opening. Fluids are checked with the Modified Foam Stability (FS-50) test and graded from 0 to +4 to estimate fetal lung maturity. The first test was performed before Dexamethasone, followed by serial examinations at 12-hour intervals for 48 hours. Before dexamethasone injection, all patients got 0 scores as a baseline. There were statistically significant differences in FS-50 values before and after injection of the first, second, third, and fourth doses of Dexamethasone in PPROM patients. Fetal lung maturity was reached after the third dose of dexamethasone injection (36 hours after the first injection), characterized by an FS-50 value of > +3 and no asphyxia in the newborn. Spearman's rank analysis showed a significant correlation (p=0.005) between infants' maximum FS-50 value and asphyxia status. The FS-50 value > +3 is associated with the absence of asphyxia in infants born to PPROM patients who were given Dexamethasone for lung maturation. FS-50 can predict fetal lung maturity in preterm premature rupture of membranes given dexamethasone therapy.
C-Reactive Protein/Albumin (Crp/Alb) Ratio as a Predictor of Ovarian Cancer Budian Budiana; Bayu Mahendra; Putra Wiradnyana; Darmayasa Darmayasa; Fajar Marta; Suwanpramana Suwanpramana
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.913

Abstract

Ovarian cancer is a type of cancer with a high incidence and mortality rate in Indonesia and worldwide. C-reactive protein (CRP) is an inflammatory marker meanwhile albumin is an indicator of nutritional deficiencies in ovarian cancer. This study is a diagnostic test for ovarian cancer in women aged >18 years and without previous history of ovarian cancer who underwent laparotomy or laparoscopy at Prof. Ngoerah General Hospital, Denpasar. Samples were taken by consecutive sampling. CRP examination was carried out in the laboratory by immunoturbidimetry method using the CRP Latex Kit (Roche) and measured using a Cobas integra 501 at a wavelength of 552 nm. The gold standard to diagnosed ovarian cancer was according to histopathological examination. A total of 69 women with ovarian tumors were recruited into the study which consisted of 40 ovarian cancers and 29 benign ovarian tumors. A significantly higher median CRP/Albumin ratio was found in ovarian cancer patients compared to benign ovarian tumors (6.9 vs 0.45; p=0.001). The optimal CRP/albumin ratio cut-off value was 1.34. The diagnostic capability of the CRP/Albumin ratio was found to be the best in diagnosing cancer at an advanced stage with a sensitivity of 86.9%, specificity of 68.9%, PPV of 68.9%, NPV of 86.9%, accuracy of 76.9%, positive likelihood ratio 2.8 and negative likelihood ratio 0.2. CRP/Albumin ratio can a potential diagnostic tool for ovarian cancer especially in advanced stage.
Autologus Platelet Rich Plasma (PRP) in Vitro Fertilization Antagonist Protocol Caused Homeobox A 10 (HOXA10) Expression in the Endometrium of Wistar Strained Rats Higher Than Without Autologous PRP A.A.N. Anantasika A.A.N. Anantasika; Putu Doster Mahayasa; I Nyoman Bayu Mahendra; I Gede Mega Putra; Kadek Fajar Marta; D.P.G. Jananuraga Maharddhika
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.919

Abstract

Endometrial receptivity is highly correlated with the implantation rate, whereby in Indonesia, the implantation rate among in vitro fertilisation programs is still low, around 19.3%. Antagonist ovarian stimulation protocol can disrupt physiological endocrine milieu by the presence of supra-physiological levels of estrogen and progesterone, both of which are thought to indirectly affect the expression of adhesion molecule cells. Homeobox A 10 (HOXA10) is among one of the biomarkers used to assess endometrial receptivity. The role of HOXA10 is critical during the stage of endometrial development and embryo implantation, both in mice and human. This molecule is thought to work optimally by administering autologous platelet rich plasma (PRP) to the damaged endometrium. The aim of this study was to prove that administration of PRP in an antagonist protocol HOXA10 expression in the endometrium of Wistar rats higher than without PRP. This research was an experimental study. The design for this study was randomized posttest only controlled group, using female Wistar-strain rats type. A total of 40 Wistar rats whose ovary were stimulated by the GnRH antagonist protocol were divided into 2 groups, 20 rats as intervention group in which PRP administration was done and 20 rats as control group. It was found that during the study, there was no significant difference between intervention and control group regarding age and body weight of the Wistar rats, both at the start and at the end of the study. The results of HOXA10 H-score in the intervention group was 3.15 (2.86-3.52) and in the control group was 1.68 (1.43-2.18) (p <0.05). Administration of PRP to ovarian stimulation with an antagonist protocol showed significantly higher expression of endometrial HOXA10 in Wistar rats than without PRP administration.
High Serum Ratio of Soluble Fms-Like Tyrosine Kinase 1 (sFlt-1) to Placental Growth Factor (PIGF) and High Level of Low-Density Lipoprotein (LDL) as Risk Factors of Preeclampsia A.A.N. Jaya Kusuma; Endang Sri Widiyanti; I Wayan Megadhana; Putu Doster Mahayasa; Ryan Saktika Mulyana; Kevin Agastya Duarsa
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.920

Abstract

Preeclampsia is an obstetric disease that is a health problem worldwide, including in Indonesia. Several studies have shown that changes in the maternal spiral arteries are thought to lead to preeclampsia. Preeclampsia in this decade has been associated with changes in angiogenesis regulatory proteins originating from the placenta and circulating in the mother's blood circulation, namely soluble FMS-like tyrosine kinase 1 (sFlt-1) and placental growth factor (PlGF). The author was interested in examining the ratio of sFlt-1/PIGF and low-density lipoprotein (LDL) to the incidence of preeclampsia in pregnant women. This study used a case control analytic observational design. The research sample was selected by consecutive sampling of 20 cases and 20 controls. Univariate analysis was used to describe patient characteristics descriptively, and bivariate analysis was used to determine the relationship between the 2 variables There is no significant difference in the characteristics of the research subjects. Low PIGF levels are a risk factor for preeclampsia (OR 4.33; p 0.0302) with a cut-off value of 24.5. High sFlt-1 levels are a risk factor for preeclampsia (OR 4.33; p 0.027) with a cut-off value of 869.5. A high sFlt-1/PIGF ratio is a risk factor for preeclampsia (OR 4.33 p 0.030) with a cut-off value of 38. High LDL levels are a risk factor for preeclampsia (OR 6.0; p 0.013) with a cut-off value of 150 ,2. Low placental growth factor (PIGF), high levels of soluble FMS-like tyrosine kinase 1 (sFlt-1), and high levels of LDL are risk factors of preeclampsia in pregnant women.
ACCURACY OF CANCER ANTIGEN 125 AND ALBUMIN BEFORE OPERATION TO PREDICT THE OPERATION OUTCOME IN PATIENTS WITH ADVANCED STAGE EPITHELIAL TYPE OVARIAN CANCER Budiana Budiana; Bayu Mahendra; Mega Putra; Harry Wijaya; Artana Putra; Nathassa Karisma
Jurnal Health Sains Vol. 4 No. 5 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i5.928

Abstract

Ovarian cancer is a malignancy that grows and develops in the ovaries with a high mortality rate. Primary debulking surgery (P.D.S.) is diagnostic and therapeutic and has become the standard option. CA-125 levels were increasing with the worsening disease conditions in ovarian cancer. In addition, preoperative albumin levels were strongly associated with worse ovarian cancer outcomes. This study assessed the prediction of CA-125 markers and albumin levels on P.D.S. outcomes. This research is a diagnostic test conducted at Prof. Dr I.G.N.G. Ngoerah Hospital. The study sample consisted of 50 women aged 18 and over who underwent P.D.S. from 2018 to 2020 with P.A. results of advanced stage (III-IV) epithelial-type ovarian cancer. CA-125 and albumin levels were assessed before surgery and compared with the findings of P.D.S., which were grouped into suboptimal debulking and optimal debulking. There were no significant differences in the characteristics of the two groups. The accuracy of CA-125 levels on the outcome of P.D.S. surgery with a sensitivity of 75.6%, specificity of 55.6%, PPV of 88.6%, N.P.V. of 35.3% and accuracy of 72%. While the accuracy of albumin levels on the outcome of P.D.S. surgery with a sensitivity of 55.6%, specificity of 51.2%, PPV of 20%, N.P.V. of 84% and accuracy of 52%. CA-125 levels were higher in the suboptimal group but not statistically significant, but the sensitivity (70%) and specificity (80%) were still high, so they still have diagnostic value for ovarian cancer. The relationship between albumin levels and ovarian cancer is multifactorial, so it cannot be used to predict surgical outcomes
Sleep Disorders In Children With Epilepsy And Factors Affecting It Praevilia M Salendu; Dwi Putro Widodo; Rini Sekartini
Jurnal Health Sains Vol. 4 No. 8 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Sleep disorders often occur in epilepsy with diverse properties and complex etiologies. Epilepsy causes sleep disorders that result in decreased quality of life. The purpose of this study was to determine the prevalence of sleep disorders in children with epilepsy as well as risk factors that influence sleep disorders in children with epilepsy.Research Methods: Analytical research with cross sectional approach. The research site at the Kiara Children's Polyclinic at Cipto Mangunkusumo Jakarta Hospital involved 99 subjects suffering from epilepsy. Determination of the sample using consecutive sampling. Data analysis used chi square test and logistic regression.Results: In the study of 99 subjects, the highest age range was 7 - 12 years (46.5%), women (50.5%) and men (49.5%). Common types of seizures (64.6%). The frequency of seizures per month ≥ 5 times (15.2%), the frequency of seizures <5 times (28.3%) and never had seizures (56.5%). Politerapi (63.6%) and the use of non-benzodiazepine drugs (88.9%). Intractable epilepsy (22.2%), cerebral palsy (28.3%) and abnormal EEG (51.5%). The prevalence of sleep disorders is 71.7% and the most common types of sleep disorders are disorders starting and maintaining sleep (62%). There was a relationship between seizure type, polytherapy, OAE type, intractable epilepsy, cerebral palsy and EEG images with sleep disorders in children with epilepsy (p <0.005).Conclusion: the prevalence of sleep disorders at 71.7% with factors that affect sleep disorders in children with epilepsy such as; generalized seizures, polytherapy, non-benzodiazepine drugs, intractable epilepsy, cerebral palsy and abnormal EEG images

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