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INDONESIA
Jurnal Sehat Indonesia (JUSINDO)
Published by Publikasi Indonesia
ISSN : 27753077     EISSN : 27750892     DOI : 10.36418
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Ruang lingkup dan fokus penelitian terkait bidang kajian dengan penekanan pada pendekatan, yang meliputi: Kesehatan Masyarakat, Kesehatan dan Keselamatan Kerja (Kesehatan Kerja; Hyperkes), Kebijakan Kesehatan (dan Analis Kesehatan), Ilmu Gizi, Epidemiologi, Teknik Kesehatan Lingkungan, Promosi Kesehatan, Asuransi Jiwa dan Ilmu Kesehatan, Kesehatan Lingkungan, Ilmu Olah Raga, Ilmu Keperawatan, Kebidanan, Administrasi Rumah Sakit, Entomologi (Kesehatan, Fitopatologi), Ilmu Biomedis, Ergonomi, Fisiologi Kerja, Fisioterapi, Analis Medis, Fisiologi (Olahraga ), Reproduksi (Biologi dan Kesehatan), Akupunktur, Rehabilitasi Medis.
Arjuna Subject : Profesi Kesehatan - Menejmen Informasi Kesehatan
Articles 494 Documents
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Acute Fatty Liver of Pregnancy (AFLP): A Case Report Yustisa Sofirina Harahap; Sidharta Kusuma Manggala
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.546

Abstract

Acute fatty liver of pregnancy (AFLP) is a rare but life-threatening obstetric emergency that typically occurs during the third trimester and may lead to acute liver failure in pregnant women. Maternal and fetal mortality rates are substantially increased without prompt diagnosis and treatment; therefore, early recognition and immediate intervention are essential. This case report describes a 34-week pregnant woman who was admitted to the hospital with complaints of nausea, vomiting, heartburn, weakness, and jaundice. Laboratory examinations revealed signs of acute liver failure, including hypoglycemia, elevated liver enzymes, hyperbilirubinemia, severe coagulopathy with disseminated intravascular coagulation (DIC), and thrombocytopenia. The diagnosis of AFLP was established based on the Swansea criteria, with the patient fulfilling ≥6 criteria. The patient was managed in the intensive care unit (ICU), where stabilization was achieved through oxygen therapy, glucose infusion, electrolyte correction, transfusion of blood components, including fresh frozen plasma (FFP) and platelets, to manage DIC, vitamin K administration, and broad-spectrum empirical antibiotic therapy. Once stabilized, an emergency cesarean section was performed at 34 weeks of gestation to prevent further disease progression. The infant was delivered with a birth weight of 2,450 g and Apgar scores of 3 and 5, requiring admission to the neonatal intensive care unit (NICU). Following delivery, the mother’s condition gradually improved, with liver function and coagulation parameters showing improvement within 3–4 days and approaching normal levels within 1 week. Both the mother and infant recovered and were discharged home in good condition.
The Role of Emotional Intelligence and Self-Efficacy in Predicting Academic Achievement of Medical Students Aisya Alya Iqlima Rizfahdilla; Rihadini Pudjo; Gharini Sumbaga Narhadina
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.553

Abstract

Academic achievement among medical students is often measured using the Grade Point Average (GPA), which reflects a student's overall academic performance throughout the course of study. Medical students face substantial academic demands that frequently result in moderate to severe levels of stress. Emotional intelligence, encompassing self-motivation, emotional regulation, empathy, and teamwork, has been shown to influence academic performance, while students with high self-efficacy tend to achieve better academic outcomes. This study aimed to examine the relationships between emotional intelligence, self-efficacy, and GPA, both individually and simultaneously. An analytical observational study with a cross-sectional design was conducted. The participants consisted of 108 medical students from Universitas Muhammadiyah Semarang, selected through purposive sampling. Emotional intelligence was measured using the Trait Emotional Intelligence Questionnaire–Short Form (TEIQue-SF), and self-efficacy was assessed using the Academic Self-Efficacy Scale (TASES). Bivariate analysis was performed using the Mann–Whitney U test, while multivariate analysis was conducted using multinomial logistic regression. The majority of respondents demonstrated high emotional intelligence but low self-efficacy, and most had a high GPA. There was no significant association between emotional intelligence and GPA or between self-efficacy and GPA, and neither variable showed a significant independent effect in the multivariate analysis. However, emotional intelligence and self-efficacy jointly had a significant effect on GPA. In conclusion, emotional intelligence and self-efficacy were not individually associated with GPA; however, together they significantly influenced GPA, although other factors likely also contributed to the academic performance of these medical students.
Suspected Gut-Origin Sepsis Following Pelvic Exenteration for Stage IIIB Cervical Cancer: A Case Report Andreas Robby Susanto; Vera Irawany
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.542

Abstract

Sepsis is a life-threatening condition that may develop after major surgical procedures, particularly in patients who experience massive hemorrhage, prolonged tissue hypoperfusion, and gastrointestinal barrier dysfunction. This case report describes suspected gut-origin sepsis in a 33-year-old woman with stage IIIB cervical cancer who underwent pelvic exenteration after incomplete chemoradiotherapy. The surgical procedure lasted 11.5 hours and was complicated by massive intraoperative blood loss of approximately 5,000 mL, requiring extensive blood transfusion and intensive postoperative support. After surgery, the patient developed septic shock, acute kidney injury, severe metabolic acidosis, and multiple organ dysfunction syndrome. Intensive care management included vasopressor therapy, mechanical ventilation, continuous renal replacement therapy (CRRT), broad-spectrum antimicrobial therapy, fluid management, and nutritional support. Although definitive evidence of bacterial translocation from the gastrointestinal tract was unavailable, the combination of extensive pelvic surgery, prolonged tissue hypoperfusion, elevated lactate levels, and persistent systemic inflammation suggested gastrointestinal barrier dysfunction and possible gut-origin sepsis. Despite aggressive multidisciplinary management, the patient experienced recurrent cardiac arrest and ultimately died on the tenth day of intensive care. This case highlights the importance of early recognition of gastrointestinal barrier dysfunction, timely hemodynamic resuscitation, appropriate source control, antimicrobial therapy, and comprehensive organ support in critically ill postoperative patients at risk of sepsis and multiple organ dysfunction.
Gambaran CBCT Impaksi Gigi 12 dan 13 akibat Complex Odontoma Nina Runting; Tri Agustina
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.544

Abstract

Odontoma merupakan tumor odontogenik jinak yang paling sering ditemukan di rongga mulut, dengan prevalensi mencapai 21-67% dari seluruh kasus tumor odontogenik. Lesi ini umumnya bersifat asimtomatik, tumbuh lambat, dan sering terdeteksi secara insidental pada pemeriksaan radiografik. Odontoma terbagi menjadi dua tipe utama, yaitu compound odontoma dan complex odontoma, yang keduanya dapat menyebabkan hambatan erupsi gigi permanen, impaksi, serta persistensi gigi sulung. Meskipun radiografi panoramik merupakan modalitas diagnostik awal yang umum digunakan, keterbatasannya dalam visualisasi tiga dimensi dan hubungan anatomi seringkali menyulitkan penegakan diagnosis yang akurat, terutama pada kasus dengan lokasi lesi yang kompleks di regio anterior maksila. Penelitian ini bertujuan untuk mendeskripsikan gambaran embedded gigi 12 dan 13 yang disebabkan oleh odontoma complex pada pemeriksaan Cone Beam Computed Tomography (CBCT) 3D. Penelitian ini merupakan studi kasus deskriptif pada seorang pasien laki-laki berusia 15 tahun yang datang ke Departemen Bedah Mulut Rumah Sakit Gigi dan Mulut Soelastri, Surakarta, dengan keluhan gigi depan rahang atas kanan belum erupsi. Pasien menjalani pemeriksaan klinis ekstraoral dan intraoral, kemudian dirujuk ke bagian radiologi untuk pemeriksaan CBCT 3D. Data CBCT dianalisis secara visual pada tiga bidang ortogonal (coronal, sagittal, dan axial) serta rekonstruksi Multi-Planar Reconstruction (MPR) untuk mengevaluasi lokasi, ukuran, dan hubungan lesi dengan struktur anatomi sekitarnya. Pemeriksaan CBCT menunjukkan adanya massa radiopak ireguler dengan batas tegas yang dikelilingi halo radiolusen tipis, yang merupakan gambaran khas complex odontoma, terletak di sekitar gigi 12 dan 13. Gigi 12 dan 13 tampak mengalami impaksi dengan posisi yang tidak normal, di mana apeks akar kedua gigi tersebut bersinggungan dengan kavum nasal dan sinus maksilaris. Gigi 53 masih persistensi, dan odontoma berukuran 13,2 mm × 8,5 mm hingga 13,2 mm × 9,6 mm terdeteksi di sekitar area tersebut. Temuan spesifik menunjukkan adanya dilaserasi akar gigi 13 ke arah inferior serta kedekatan mahkota gigi 12 dengan kanalis insisivus, yang mengindikasikan potensi risiko komplikasi bedah. Kesimpulan: CBCT 3D merupakan modalitas pencitraan yang efektif dan direkomendasikan sebagai standar emas dalam mendeteksi serta mengevaluasi complex odontoma sebagai penyebab impaksi gigi insisivus maksila. Kemampuan CBCT dalam memberikan visualisasi tiga dimensi yang detail, terutama dalam menggambarkan hubungan lesi dengan struktur anatomi kritis, sangat bermanfaat untuk perencanaan perawatan bedah yang aman dan presisi. Penelitian lebih lanjut dengan sampel yang lebih besar diperlukan untuk mengkaji secara kuantitatif karakteristik radiografik odontoma kompleks serta luaran klinis jangka panjang pasca-pembedahan.
Advanced-Stage Retinoblastoma with Systemic Manifestations Due to Delayed Diagnosis of Congenital Leukocoria: A Case Report Alyaa Nabiila; Faliqul Bahar Muhammad; Basuki Rokhmad
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.547

Abstract

Background: Retinoblastoma is the most common primary intraocular malignancy in children, with leukocoria as its hallmark clinical sign. Delayed diagnosis may lead to advanced disease, extraocular extension, and a poor prognosis. Case Presentation: A 2-year-4-month-old girl presented to the emergency department with recurrent vomiting, weakness, and decreased activity. Leukocoria of the left eye had been noted since birth but had never been medically evaluated. Ophthalmologic examination revealed no light perception, proptosis, leukocoria, a mid-dilated nonreactive pupil, and restricted extraocular movements in the left eye. B-scan ultrasonography demonstrated a solid intraocular mass suggestive of retinoblastoma. Computed tomography revealed a calcified intraorbital mass with irregular thickening of the left optic nerve and mild cerebral edema, raising suspicion of optic nerve invasion. The patient was classified as Group E retinoblastoma according to the International Intraocular Retinoblastoma Classification and as stage III according to the International Retinoblastoma Staging System. Discussion: This case highlights how nonspecific systemic manifestations may obscure the diagnosis of retinoblastoma and contribute to delayed recognition. Persistent leukocoria that remains unevaluated may progress to advanced disease with possible extraocular extension and a high risk of metastasis. Conclusion: Early recognition of leukocoria and routine red reflex screening are essential for preventing delayed diagnosis and disease progression in children with retinoblastoma.
Topical Fluorometholone versus Dexamethasone for Postoperative Inflammation Control following Phacoemulsification : A Systematic Review Melisa Maharani; Euis Eva Masruroh
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.548

Abstract

Control of postoperative inflammation is a critical component of clinical management following phacoemulsification surgery, and topical corticosteroids remain the standard of care for this purpose; however, the comparative efficacy and safety profiles of fluorometholone (FML) versus dexamethasone (DEX) remain incompletely characterized due to the limited number of direct head-to-head clinical trials available in the literature. This systematic review screened studies comparing topical FML 0.1% against DEX 0.1% for the management of postoperative inflammation following phacoemulsification in adult patients without pre-existing ocular inflammatory conditions, with outcomes assessed including anterior chamber cell and flare grading, intraocular pressure (IOP) changes, incidence of cystoid macular edema (CME), and visual acuity, with data systematically extracted from both randomized controlled trials and observational studies. Direct comparative data between the two agents were limited; two independent network meta-analyses consistently ranked DEX as superior to FML for CME prevention, with DEX demonstrating the highest SUCRA probability [3,4], while one RCT reported that FML was associated with early IOP elevation, with 4.98% of patients experiencing a rise of ≥10 mmHg, whereas DEX showed no comparable elevation [1]. A separate meta-analysis comparing standard versus soft steroids demonstrated significantly lower anterior chamber flare with standard steroids (including DEX) at day 7 (SMD 0.26, 95% CI 0.05–0.47), though this difference did not persist at day 28 [5], and pharmacokinetic analyses revealed that FML achieves peak aqueous humour concentrations approximately 130-fold lower than prednisolone and substantially lower than DEX [6], with one study finding no significant difference in aqueous flare between FML and no steroid treatment at all [7]. These findings indicate that DEX demonstrates superior anti-inflammatory efficacy, particularly in preventing CME, likely attributable to its greater intraocular penetration capacity, whereas FML appears to offer a more favourable IOP safety profile across most available studies, although one contradictory trial reported higher IOP spikes associated with FML use, carrying the clinical implication that DEX is more effective for managing intraocular inflammation while FML may be adequate for mild ocular surface inflammation or as a step-down maintenance agent following initial DEX therapy. In conclusion, dexamethasone 0.1% demonstrates greater efficacy than fluorometholone 0.1% in controlling postoperative intraocular inflammation and preventing CME after phacoemulsification, albeit with a potentially elevated IOP risk in susceptible patients, and based on current evidence, fluorometholone should not be employed as first-line monotherapy for intraocular inflammation control following cataract surgery.
The Relationship Between Independence in Daily Activities and Quality of Life Among The Elderly at Budi Mulia 1 Senior Living Facility Sari Putri Yanti; Purnama Betty Rosalyna Sitorus; Ayleen Alicia Kosasih
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.554

Abstract

Older adults experience various physical, psychological, and social changes associated with the aging process, which may reduce their ability to perform daily activities and subsequently affect their quality of life. Independence in Activities of Daily Living (ADL) is an important indicator of functional ability, particularly among older adults living in residential care facilities. This study aimed to examine the relationship between independence in daily activities and quality of life among older adults at PSTW Budi Mulia 1. This research employed a quantitative analytical design with a cross-sectional approach. The instruments used were the Barthel Index to assess independence in ADL and the Short Form-36 (SF-36) Health Survey to measure quality of life across eight domains. The sample consisted of 61 older adults who met the predetermined inclusion and exclusion criteria at PSTW Budi Mulia 1. Data were analyzed using Pearson’s correlation test. The results showed a strong, positive, and significant relationship between independence in daily activities and quality of life among older adults at PSTW Budi Mulia 1, with a correlation coefficient of r = 0.639 and a significance value of p = 0.000. Higher levels of independence in performing daily activities were associated with better quality of life among older adults. These findings may serve as a basis for developing occupational therapy interventions aimed at improving functional ability, participation, and well-being among older adults in residential care settings.
The relationship between improved quality of life in patients undergoing aesthetic surgery and cosmetic procedures Puguh Riyanto; Lydia Eryana Triastuti; Leoni Agnes; Nurmaliannysa Dwinandia Harahap; Cagar Irwin Taufan Pamungkas
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.563

Abstract

Aesthetic procedures are increasingly performed worldwide and are associated with improved appearance satisfaction and quality of life. The success of aesthetic procedures is no longer measured solely by objective clinical outcomes but is increasingly evaluated using patient-reported outcomes. This study aimed to evaluate changes in quality of life before and after facial aesthetic surgery and non-surgical cosmetic procedures. This online survey-based pre-post analytical observational study used a structured questionnaire administered to adults aged 18 years or older who had undergone surgical or non-surgical facial cosmetic procedures within the previous 3–12 months. Quality of life was assessed using three FACE-Q domains: Appearance (23 items), Health-Related Quality of Life (10 items), and Adverse Effects (6 items), with each domain scored on a scale ranging from 0 to 100. Data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. A total of 180 patients were included in the analysis (mean age, 30.26 ± 8.24 years; 53.9% underwent non-surgical procedures, and 46.1% underwent surgical procedures). Appearance scores improved from 52.48 ± 7.97 to 83.89 ± 8.02, Health-Related Quality of Life scores improved from 51.22 ± 8.74 to 84.12 ± 7.62, and Adverse Effects scores improved from 47.73 ± 8.79 to 80.92 ± 8.74 (all p < 0.001). Improvements in the non-surgical group were +32.23, +33.75, and +32.81 points, respectively, whereas the surgical group demonstrated improvements of +30.46, +31.90, and +33.61 points, respectively (all p < 0.001). Post-treatment scores were comparable between the non-surgical and surgical groups for Appearance (84.81 vs. 82.81; p = 0.094), Health-Related Quality of Life (85.08 vs. 82.99; p = 0.066), and Adverse Effects (80.49 vs. 81.41; p = 0.485). Overall, both surgical and non-surgical facial cosmetic procedures resulted in substantial and comparable improvements in appearance satisfaction and quality of life, supporting patient-reported outcomes as a key indicator of successful aesthetic treatment.
The Relationship Between Smartphone Addiction and Sleep Quality Among 2016 Freshmen in The Faculty of Medicine at Pelita Harapan University Jeanette Rachel Audrey Leo; Michael Tanaka; Stevent Sumantri; Irma Lusiana Tantri
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.568

Abstract

The proliferation of smartphone use among university students has raised concerns about addiction and its potential consequences on sleep health, with medical students representing a particularly vulnerable population due to their demanding academic schedules, high stress levels, and extensive use of digital devices for learning purposes; despite growing evidence linking smartphone addiction to sleep disturbances globally, limited research has examined this relationship specifically among Indonesian medical students while controlling for important confounding factors such as anxiety. This study aims to determine the relationship between smartphone addiction and sleep quality among 2016 cohort medical students at Universitas Pelita Harapan, while also identifying the most dominant factors affecting sleep quality in this population. A cross-sectional analytic study was conducted involving 52 medical students selected through simple random sampling, with data collected using four standardized instruments: a demographic questionnaire, the Generalized Anxiety Disorder 7-Item (GAD-7), the Smartphone Addiction Scale-Short Version (SAS-SV), and the Pittsburgh Sleep Quality Index (PSQI); bivariate analysis employed Chi-Square or Fisher Exact tests, followed by multivariate logistic regression using SPSS version 22 to identify the most dominant predictors of poor sleep quality. The results revealed that 56% of respondents (n=29) had high smartphone addiction, while 62% (n=32) experienced poor sleep quality. Bivariate analysis demonstrated a significant association between smartphone addiction and poor sleep quality (p=0.003; OR=6.626; 95% CI 1.760–19.725), with anxiety showing an even stronger association (p=0.000; OR=15.443; 95% CI 3.106–76.644). Multivariate logistic regression confirmed that both smartphone addiction (p=0.017) and anxiety (p=0.001) were independent predictors of poor sleep quality, with anxiety being the more dominant factor, while lifestyle factors including smoking, alcohol consumption, caffeine intake, and medication use showed no significant associations with sleep quality (p>0.05). The high prevalence of poor sleep quality among medical students underscores the urgent need for institutional interventions, and medical education institutions should implement educational programs addressing smartphone usage management and anxiety reduction to promote better sleep health, with future research employing longitudinal designs and objective sleep measures needed to establish causal relationships and evaluate intervention effectiveness.
Optimizing Environmental Sanitation Management at The Perawang Container Terminal to Achieve A Healthy Port Resty Indria; Sofyan Husein Siregar; Bayhakki Bayhakki
Jurnal Sehat Indonesia (JUSINDO) Vol. 8 No. 2 (2026): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/-.v8i2.570

Abstract

Environmental sanitation management in port areas has become increasingly important amid the growing intensity of global logistics activities. Perawang Container Terminal (PCT), one of the major ports in Riau Province, continues to face several unresolved sanitation issues, including the absence of a waste segregation system, temporary waste storage facilities that do not meet technical standards, irregular monitoring of clean water quality, management of hazardous and toxic waste (Bahan Berbahaya dan Beracun [B3]) without the required permits, and the absence of a disease vector control program. These conditions indicate a gap between current practices and healthy port standards as stipulated in Indonesian Ministry of Health Regulation No. 44 of 2014. This study aimed to assess the existing condition of environmental sanitation management at PCT, identify supporting and inhibiting factors, and formulate optimization strategies to achieve a sustainable healthy port. A qualitative case study approach was employed, involving 10 key informants selected through purposive sampling from PCT management, the Class I Health Quarantine Office of Pekanbaru, and the surrounding port community. Primary data were collected through observations using the Healthy Port Self-Assessment Form, semi-structured interviews, and document review, while secondary data were obtained from relevant institutional records. Existing conditions were analyzed descriptively, followed by SWOT analysis and the Analytic Hierarchy Process (AHP) to determine priority optimization strategies. These strategies were integrated with the Triple Bottom Line framework, encompassing environmental, social, and economic dimensions, to support the development of a sustainable healthy port.

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