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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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The Relationship Between Physical Activity, Stress And Sleep Duration With Hypertension In Senior High School Adolescents In Palembang City Aisyah, Siti; Kurnianto, Andra; Nita, Sri
Jurnal Health Sains Vol. 6 No. 1 (2025): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i1.1465

Abstract

Hypertension in adolescents is an emerging public health concern, with its prevalence in Indonesia increasing from 3.11%–4.6% in 2005 to 8.3% in 2008, and it is predicted to continue rising annually. Adolescent hypertension often goes undetected, leading to severe health complications in adulthood if left uncontrolled and untreated. Several lifestyle factors, including physical activity, stress levels, and sleep duration, have been identified as potential contributors to the incidence of hypertension in adolescents. This study aims to analyze the relationship between physical activity, stress, and sleep duration with the incidence of hypertension among high school students in Palembang City.This research adopts an analytical cross-sectional study design, with a total sample of 467 high school students selected based on inclusion and exclusion criteria. Data were analyzed using the Chi-Square statistical test to determine associations between variables. The results indicate a significant relationship between physical activity and hypertension (p = 0.008), as well as between stress and hypertension (p = 0.005). However, no significant relationship was found between sleep duration and hypertension (p = 0.054) These findings suggest that low physical activity and high-stress levels contribute to hypertension in adolescents, emphasizing the need for preventive strategies such as promoting regular physical exercise and stress management programs in schools. Future research should explore longitudinal studies to assess the long-term effects of adolescent hypertension, intervention-based research to determine the effectiveness of physical activity programs, and the potential role of sleep quality rather than duration in blood pressure regulation. This study highlights the importance of early lifestyle modifications to prevent hypertension-related complications in adulthood.
Community Perception and Spatial Diaper Waste in Liliba Village, Kupang City Tarigan, Lidia Br; Dukabain, Olga Mariana; Telan, Albina Bare; Sadukh, Johanis J.P.
Jurnal Health Sains Vol. 6 No. 4 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i4.2025

Abstract

The improper management of diaper waste in Liliba Village, Indonesia, poses a serious environmental and public health concern. Currently, diaper waste is often discarded indiscriminately without prior processing, resulting in unpleasant odors and public complaints. This study aims to analyze community perceptions regarding diaper waste and to map its spatial distribution within Liliba Village. Employing an observational research design, the study investigated two main variables: public perception of diaper waste and the spatial distribution of diaper waste. A total of 111 respondents, all of whom were parents of toddlers, were selected as the study sample. Data were collected using structured questionnaires and Geographic Information System (GIS) applications. Analysis was conducted using univariate and bivariate statistical techniques. The results indicate that both gender and occupation significantly influence community perceptions of diaper waste and their views on proper waste management. Spatial analysis revealed that diaper waste is primarily found in temporary disposal sites (TPS) and in various unregulated locations, especially within the buffer zones surrounding residential areas of the respondents. These findings highlight the urgent need for targeted waste management education and infrastructure development to improve sanitation practices in Liliba Village. The integration of spatial data through GIS provides valuable insights for local authorities to implement geographically focused waste intervention strategies.
Comparison of Machine Learning Performance with TIMI and GRACE Score for Cardiovascular Risk Prediction in Acute Coronary Syndrome: Meta-Analysis Pertiwi, Indah; Dewi, Resi Citra
Jurnal Health Sains Vol. 6 No. 4 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i4.2438

Abstract

Acute Coronary Syndrome (ACS) risk stratification relies on TIMI and GRACE scores, which lack accuracy for individual-level predictions. Machine Learning (ML) offers promising alternatives but faces challenges in interpretability and clinical adoption. This meta-analysis compares ML models (DNN, XGBoost, Random Forest, GBDT, SVM) with TIMI/GRACE scores in predicting cardiovascular events, while addressing implementation barriers. Following PRISMA guidelines, we analyzed 50 studies (1,592,034 patients) from PubMed, Scopus, and Web of Science (2015–2025). Performance metrics (AUC, sensitivity, specificity) were pooled using random-effects models, and publication bias was assessed via funnel plots. ML models significantly outperformed conventional scores, with Random Forest (AUC=0.99), XGBoost (AUC=0.98), and DNN (sensitivity=99%) demonstrating superior discrimination. However, heterogeneity in validation (e.g., Asian vs. European cohorts) and "black-box" limitations were identified. The study advocates for explainable AI, multi-center validation, and clinician training to facilitate ML integration into Electronic Health Records (EHRs). These steps could establish ML as the new standard in ACS care, improving outcomes while reducing healthcare costs.
Staphylococcal Scalded Skin Syndrome with Atypical Presentation in nn Infant: A Case Report Fitri, Laila Kurnia; Subagio, Subagio
Jurnal Health Sains Vol. 6 No. 4 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i4.2494

Abstract

Staphylococcal scalded skin syndrome (SSSS) is a rare, potentially fatal illness caused by Staphylococcus aureus toxins, mainly affecting children under six due to immature immunity and renal function. It presents with fever, rash, blistering, and skin peeling. This report highlights an atypical chronic case with unusual skin presentation. A 7-month-old infant presented with a 3-month history of widespread skin peeling, starting from the face and spreading to the body. No fever or prior drug use was reported. Physical exam showed generalized erythema, desquamation (rough scales), positive Nikolsky sign, and signs of dehydration because of acute diarrhea. Histopathology confirmed Staphylococcal Scalded Skin Syndrome (SSSS). The patient improved after 8 days of hospitalization with supportive and antibiotic therapy. Staphylococcal Scalded Skin Syndrome (SSSS) is caused by epidermolytic exotoxins from certain Staphylococcus aureus strains, leading to skin peeling and large superficial blisters. While often diagnosed clinically, atypical cases may mimic other conditions, making skin biopsy or culture necessary for confirmation.
The Effect of Leadership and Reward System on Patient Safety Culture Mediated by Nurses' Motivation in Satya Negara Sunter Hospital Dharmawan, Hery; Ruswanti, Endang; Kusumapradja, Rokiah
Jurnal Health Sains Vol. 6 No. 5 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i5.2548

Abstract

This study examines the impact of leadership and reward systems on patient safety culture at Satya Negara Sunter Hospital, with nurse motivation serving as a mediating factor. The need for effective patient safety practices in healthcare environments underscores the importance of leadership, rewards, and motivation. This quantitative study used a cross-sectional design and surveyed 120 nurses through a structured questionnaire. Data analysis was performed using Partial Least Squares (PLS) to assess the direct and indirect effects of the variables. The results indicate that both leadership and reward systems significantly influence patient safety culture, with nurse motivation mediating these relationships. The findings emphasize that leadership enhances nurse motivation, while a transparent reward system further boosts motivation and strengthens the patient safety culture. This study contributes to organizational behavior theory by highlighting the interconnections between leadership, reward systems, and motivation in fostering a culture of safety. Practical recommendations include strengthening leadership capabilities, optimizing reward programs, and improving nurse motivation to ensure high-quality healthcare services.
The Impact of Precocious Puberty on Oral Health and Craniofacial Development in Children: A Scoping Review Sari, Nadya Novia; Indriyanti, Ratna
Jurnal Health Sains Vol. 6 No. 5 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i5.2550

Abstract

Precocious puberty is defined as the appearance of developmental characteristics of secondary puberty before the age of 8 years in girls and before the age of 9 years in boys. Hormonal changes related with this condition can influence oral health and craniofacial growth, not only general physical development. Children experiencing precocious puberty may have advanced dental age, expedited skeletal maturation, malocclusion, temporomandibular disorders (TMD), and alterations in oral microbiota. This study aims to identify the current evidence on the structural and functional impacts of precocious puberty on oral health and craniofacial development in children. This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Reviews (PRISMA-ScR) guidelines. A systematic literature search was retrieved using PubMed and EBSCOhost, includes publications from 2015 to 2025. The search focused on oral and craniofacial changes in children with precocious puberty, using specific keywords and the Population, Concepts and Context framework. Total of nine studies conducted from 2015 to 2025 on oral and craniofacial characteristics in children with precocious puberty. The studies used various designs, including cross-sectional, case-control, observational, and systematic review. Main topics included dental development, craniofacial growth, TMD, maloclusion, and oral microbiota changes. Most of the research involved children with precocious puberty and performed in several countries, and majority was in South Korea. Children with precocious puberty have substantial anatomical and functional changes in the oral and craniofacial complex. Dental and craniofacial changes occur earlier and progress more rapidly, necessitating timely diagnosis and interdisciplinary management. Awareness of these manifestations is essential for pediatric dentists, orthodontists, and endocrinologists to ensure optimal treatment planning during the critical growth period.
Craniocervical Posture Improvement Using Twin Block: A Scoping Review Hanifa, Mulia Ayu; Indriyanti, Ratna
Jurnal Health Sains Vol. 6 No. 5 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i5.2551

Abstract

Functional appliances, such as twin block, effectively treat for skeletal class II malocclusion. The twin block exerts a significant influence on mandibular growth, that contributes to the improvement of craniocervical posture. This scoping review aims to systematically map and evaluate the current literature on the effects of twin block appliance treatment on craniocervical posture. A scoping review followed to PRISMA-ScR guidelines.  A comprehensive research conducted in three online databases-Scopus, Pubmed, Springer Link- from 2014-2024. Article selection followed the PCC framework. Studies about the impact of twin block appliance on craniocervical posture were included. A total of 49 articles selected after eliminating duplicates, four articles met the inclusion criteria. The findings from these studies indicate the effect of twin block appliance usage on craniocervical posture. The twin block appliance not only impacts skeletal and dentoalveolar changes, but also craniocervical posture. Evidence suggest that mandibular advancement may induce postural adaptations by altering the craniofacial and cervical spine relationship.
Implementation of the Remuneration System on the Level of Job Satisfaction of Nurses in Hospitals Putra, Erdiansyah; Oktamianti, Puput
Jurnal Health Sains Vol. 6 No. 5 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i5.2554

Abstract

Nurse job satisfaction is critical for healthcare quality, yet existing research often narrowly focuses on remuneration without considering its interplay with organizational culture, leadership, and post-pandemic demands. This study examines how pay systems interact with non-financial factors to influence nurse satisfaction, aiming to identify context-specific strategies for hospitals. A narrative review analyzed 10 years of literature from PubMed, ScienceDirect, and EBSCOhost using keywords like "remuneration," "nurse satisfaction," and "hospital compensation." Competitive wages boost morale and retention, but holistic satisfaction requires supportive leadership, career growth opportunities, and mental health support. Gaps persist in qualitative insights and regional adaptability. Hospitals should adopt flexible, data-driven pay models aligned with nurses' needs, while future research must employ mixed methods and cross-regional comparisons to refine policies.
The Influence of Top Management Team Competencies on Strategic Decision-Making in Hospital Widaya, Theodorus Adrianto; Adisasmito, Wiku
Jurnal Health Sains Vol. 6 No. 5 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i5.2556

Abstract

Top management team (TMT) competencies are pivotal in navigating hospitals’ strategic challenges, yet their collective impact remains underexplored amid evolving healthcare complexities. This narrative review synthesizes 15 studies (2010–2025) to analyze how TMT competencies—leadership, communication, strategic thinking, and adaptability—shape strategic decision-making and identifies gaps in cross-cultural applicability. A systematic search across PubMed, Scopus, and ScienceDirect employed PICO criteria, prioritizing peer-reviewed empirical studies. Data were analyzed thematically, integrating quantitative and qualitative findings. TMT competencies significantly enhance decision-making quality, particularly in resource-limited settings. Key themes include: (1) team synergy outweighing individual prowess, (2) adaptive training as a critical enabler, and (3) unmet needs for context-specific competency frameworks. The study underscores the urgency of developing culturally tailored training programs and leveraging mixed-methods research to optimize TMT effectiveness. Policymakers and hospitals must prioritize competency integration to foster resilient, patient-centered leadership.
Factors Influencing the Utilization of Inpatient Units: Demand, Provision and Policies Comprehensively in Literature Review Sukawati, Sadewa Yudha; Ilyas, Jaslis
Jurnal Health Sains Vol. 6 No. 6 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i6.2558

Abstract

The 2023 expansion of Indonesia's National Health Insurance (JKN) to 95.2% coverage and the rising burden of non-communicable diseases have driven increases in patient length of stay and inpatient visits, yet hospital bed distribution remains uneven across provinces, causing patient backlogs and delays in critical care. To comprehensively review demand, supply, and policy factors affecting inpatient unit utilization, measured by the Bed Occupancy Rate (BOR), in literature published from 2020 to 2025. A Literature Review was conducted using the PEOS framework (Patient, Exposure, Outcome, Studies). Articles were sourced from Science Direct, SpringerLink, and ProQuest, followed by deduplication, title/abstract screening, and full-text selection based on inclusion-exclusion criteria. The PRISMA flowchart guided the screening process to ensure alignment with PEOS. Out of 57 identified articles, 20 met the criteria for full analysis. Findings indicate that patient demand, bed supply capacity, and financing and referral policies significantly influence BOR. However, no study was found that integrates all three aspects comprehensively. Demand, supply, and policy are key determinants of hospital bed utilization. Further research examining their interactions is needed to develop strategic recommendations for capacity management and equitable access to inpatient services.

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