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Zidnal Falah
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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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Rethinking Academic Hospital Remuneration Through Value Chain-Based Hybrid Gainsharing: A Scoping Review Lowly Cania Armys; Wiku Bakti Bawono Adisasmito
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/-.v8i2.572

Abstract

Academic hospitals integrate clinical care, education, research, and innovation; however, conventional remuneration systems often prioritize clinical productivity while undervaluing academic contributions. This study aimed to map the existing evidence on remuneration models and propose an integrated framework aligning professional contributions with institutional value creation. A scoping review was conducted using PubMed to identify English-language publications from 2010 through August 2026, supplemented by reference list screening and targeted source verification. Records were screened using Rayyan, relevant data were extracted into a structured matrix, and findings were synthesized thematically in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Of the 142 records identified, 29 studies published between 2008 and 2026 were included. Four thematic domains emerged: academic remuneration, hybrid gainsharing, value-based payment, and organizational performance. Existing remuneration models addressed educational contributions, efficiency gains, quality accountability, and institutional sustainability separately, without comprehensively integrating these dimensions across the academic hospital value chain. The proposed framework incorporated fixed remuneration, individual clinical and academic performance incentives, team-based gainsharing, and organization-wide gainsharing, supported by safeguards for healthcare quality, patient safety, equity, academic responsibilities, financial affordability, and institutional sustainability. These findings suggested that multidimensional incentive structures could strengthen alignment between professional performance and institutional missions while reducing excessive dependence on clinical productivity metrics. The proposed framework provided a conceptual foundation for remuneration reform in Indonesian academic hospitals; however, stakeholder consultation, empirical validation, and financial simulations were necessary before its practical implementation.
An In-Depth Understanding of The Pathophysiology and Therapeutic Approaches to Chronic Bullous Disease of Childhood (CBDC) Tassa Nasirah; Cut Putri Hazlianda
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/-.v8i2.580

Abstract

Chronic bullous disease of childhood (CBDC), also known as childhood linear IgA bullous dermatosis, is a rare autoimmune blistering disorder characterized by subepidermal blister formation and linear immunoglobulin A (IgA) deposition along the basement membrane zone. Its heterogeneous clinical presentation and similarities to other autoimmune blistering disorders pose diagnostic and therapeutic challenges. This study aimed to synthesize current evidence regarding the pathophysiology, clinical manifestations, diagnostic approaches, and therapeutic management of CBDC. A descriptive literature review was conducted using relevant original research articles, case reports, review articles, and clinical guidelines. The literature was organized thematically and comparatively evaluated to identify consistent findings, variations in clinical presentation, and limitations in the available evidence. The reviewed studies identified IgA autoantibodies targeting components of the dermal–epidermal junction, particularly BP180 (type XVII collagen), as important contributors to inflammatory responses and subepidermal blister formation. Clinical manifestations included tense vesicles and bullae, frequently exhibiting a characteristic "string of pearls" arrangement, with variable mucosal involvement. Direct immunofluorescence (DIF) examination of perilesional skin remained essential for diagnostic confirmation because clinical and histopathological features could overlap with those of other blistering disorders. Dapsone was identified as a first-line treatment, while systemic corticosteroids and alternative therapeutic agents were considered according to disease severity, treatment response, and tolerability. However, the predominance of observational evidence limited definitive comparisons of treatment effectiveness and safety. In conclusion, CBDC requires a comprehensive diagnostic approach and individualized therapeutic management. Further prospective pediatric studies are needed to strengthen the evidence regarding treatment efficacy, safety, recurrence, and long-term clinical outcomes in affected children.
Obsessive-Compulsive Disorder with Sexual Obsessions and Severe Depressive Episodes with Psychotic Symptoms Rizky Silvianingrum
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/-.v8i2.582

Abstract

Sexual orientation-related obsessions in adolescents with obsessive-compulsive disorder (OCD) may be overlooked when compulsive behaviors intended to neutralize distressing thoughts resemble problematic sexual behavior. Religious guilt and comorbid depression may further complicate diagnostic recognition. This case report aimed to describe the clinical phenomenology, differential diagnosis, management, and short-term clinical course of sexual orientation-related obsessions accompanied by a severe depressive episode with psychotic symptoms. A descriptive clinical assessment was conducted involving a 15-year-old boy through psychiatric interviews, mental status examinations, collateral information from family members, and repeated assessments using the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS). Treatment included sertraline, aripiprazole, psychoeducation, supportive psychotherapy, exposure and response prevention (ERP), and behavioral activation. The patient experienced recurrent, unwanted, ego-dystonic sexual thoughts and engaged in masturbation three to five times daily as a compulsive behavior intended to alleviate anxiety and seek reassurance about his sexual orientation. His CY-BOCS score decreased from 34 at admission to 17 on the fourth day of hospitalization but subsequently increased to 26 at the one-month postdischarge follow-up. Compulsive behaviors persisted, and the patient had not resumed school attendance despite reported adherence to medication. This clinical course suggested that environmental restrictions during hospitalization might have influenced the observed reduction in symptom severity, although a causal relationship could not be established. The case underscored the importance of assessing the psychological function of repetitive behaviors, identifying comorbid depressive symptoms, and evaluating suicide risk. Continued psychiatric follow-up and contextual assessment are essential for monitoring recovery, while the findings from this single case cannot establish treatment effectiveness or be generalized to broader adolescent populations.
Karakteristik Obesitas pada Pasien Rawat Inap Di RSUD Dr. Chasan Boesoirie, Ternate Eko Sudarmo Dahad Prihanto; Abdul Azis Manaf; Nindi Tari; Eni Anggarini Kisman; Asyifa Asdar
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/-.v8i2.590

Abstract

Obesitas dan obesitas sentral merupakan masalah kesehatan pada pasien rawat inap karena dapat menyertai penyakit kronis dan meningkatkan kompleksitas penanganan klinis. Penelitian ini bertujuan menggambarkan karakteristik obesitas serta mengidentifikasi hubungan jenis kelamin dengan obesitas dan obesitas sentral pada pasien rawat inap Penyakit Dalam RSUD Dr. Chasan Boesoirie, Ternate. Penelitian observasional dengan desain potong lintang dilaksanakan pada Januari–April 2026 dengan melibatkan 126 pasien yang memiliki data variabel lengkap dan kondisi klinis stabil. Data yang dikumpulkan mencakup demografi, berat badan, tinggi badan, indeks massa tubuh, lingkar pinggang, dan penyakit yang mendasari perawatan. Analisis univariat digunakan untuk menggambarkan karakteristik pasien, sedangkan hubungan antarvariabel diuji menggunakan uji chi-square melalui SPSS versi 27. Hasil deskriptif menunjukkan proporsi obesitas sebesar 34,9% dan obesitas sentral sebesar 50,0%. Kedua kondisi proporsional lebih banyak ditemukan pada perempuan. Namun, jenis kelamin tidak berhubungan bermakna dengan obesitas (p = 0,520) maupun obesitas sentral (p = 0,094). Obesitas memiliki hubungan bermakna dengan obesitas sentral (p = 0,001). Temuan tersebut mendukung penggunaan kedua ukuran antropometri sebagai informasi yang saling melengkapi dalam penilaian pasien. Disimpulkan bahwa obesitas dan obesitas sentral banyak ditemukan pada sampel penelitian. Pengukuran indeks massa tubuh dan lingkar pinggang bersamaan diperlukan, sementara penelitian longitudinal dibutuhkan untuk menjelaskan hubungannya dengan luaran klinis.

Page 50 of 50 | Total Record : 494

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