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Hamid Mukhlis
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INDONESIA
Majalah Kesehatan Indonesia
Published by Utan Kayu Institute
ISSN : 27456498     EISSN : 27458008     DOI : https://doi.org/10.47679/makein
Core Subject : Humanities, Health,
Humanities Health Professions Medicine & Pharmacology Nursing Public Health
Majalah Kesehatan Indonesia (MAKEIN) with registered ISSN 2745-6498 (Print) and ISSN 2745-8008 (online), is an interdisciplinary journal that publishes material on all aspects of public health science. This MAKEIN provides the ideal platform for the discussion of more sophisticated public health research and practice for authors and readers worldwide. The priorities are originality and excellence. The journal welcomes high-impact articles on emerging public health science that covers (but not limited) to nursing and midwifery, epidemiology, biostatistics, nutrition, family health, infectious diseases, health services research, gerontology, child health, adolescent health, behavioral medicine, rural health, chronic diseases, health promotion, evaluation and intervention, public health policy and management, health economics, occupational health and environmental health.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 102 Documents
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Case Report: A Protracted Journey to Diagnosis of Systemic Sclerosis – A Call for Enhanced Clinical Vigilance Abbas, Sana
Majalah Kesehatan Indonesia Vol. 7 No. 2 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026284

Abstract

To illustrate features of diagnostic delay in systemic sclerosis (SSc) and underscore the value of multisystem integration in primary care. It also highlights cognitive and system factors that prolong recognition of rare autoimmune disease in resource-limited settings, including delayed referral. A 37-year-old female healthcare professional in Pakistan underwent a 13-year diagnostic odyssey marked by persistent xerosis/photosensitivity, recurrent ectopic pregnancies, Raynaud’s phenomenon, profound weight gain, fatigue, and later inflammatory symptoms. Severe COVID-19 (Delta variant) in July 2021 precipitated acute hypoxemic respiratory failure and prompted imaging that revealed interstitial lung disease (ILD). Autoimmune testing showed antinuclear antibodies (ANA) 1:320 with a nucleolar pattern and anti–topoisomerase I (anti–Scl-70) positivity. High-resolution computed tomography demonstrated bilateral basal ground-glass opacities with traction bronchiectasis consistent with a non-specific interstitial pneumonia (NSIP) pattern, supporting SSc-associated ILD. The patient was started on mycophenolate mofetil (2 g/day) with a tapering course of prednisolone, leading to clinical stabilization and preserved pulmonary function on follow-up. Persistent Raynaud’s phenomenon with subtle skin changes should trigger early ANA screening; recurrent obstetric complications may signal systemic vasculopathy; and anchoring bias can delay diagnosis when symptoms are treated in isolation rather than as a unified syndrome.
Determinant Factors Influencing the Performance of Health Workers at Karang Rejo Primary Health Center, Tarakan City Ekowati, Sri Wahyu; Suhita, Byba Melda; Kusumawati, Prima Dewi
Majalah Kesehatan Indonesia Vol. 7 No. 2 (2026)
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/makein.2026310

Abstract

Run optimally. The calculation of the need for health workers is usually based on several things, such as the type of disease that is widely encountered in the community, the number and burden of services that must be handled, the availability of health facilities, and certain ratios or standards that have been set. The purpose of this study is to analyze the influence of reinforcement, competence and workload on the performance of health workers at the Karang Rejo Health Center, Tarakan City. The design of this study is an observational quantitative research with a cross sectional approach. The total population was 146 respondents while the sample of 107 respondents was taken using the Simple Random Sampling technique. Based on the results of the Ordinal Regression analysis, it is known that the variables of reinforcement, competence, and workload partially have a significant influence on the performance of health workers at the Karang Rejo Health Center, Tarakan City, which is shown by the p-value of 0.016 for reinforcement, 0.007 for competence, and 0.016 for workload (p < 0.05), so that the null hypothesis (H0) is rejected and the alternative hypothesis (H1) is accepted. These findings show that the better the implementation of reinforcement provided by the leadership, the higher the level of competence that health workers have, and the more appropriate the workload management, the performance of health workers tends to increase. Thus, the performance of health workers is not only influenced by individual factors such as competence, but also by organizational factors in the form of reinforcement and workload, which together play an important role in supporting the improvement of the quality of health services at the Karang Rejo Health Center, Tarakan City.

Page 11 of 11 | Total Record : 102

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