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INDONESIA
Indonesian Health Journal
Published by Riviera Publishing
ISSN : 29633036     EISSN : 29633044     DOI : https://doi.org/10.58344
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Health : Public Health, Midwifery, Nursing, Pharmacy, Environmental Health, Labor Health, Maternal and Child Health, Health Promotion and Health Service Management. Medicine : Biomedical, Epidermiology, Pharmacology, Herbal, Surgery, Pediatrics, Internal Medicine, Neurology, Psychiatry, Radiology, Forsenics, Allergy and Immunology, Clinical Medicine, Public Medicine, Medical Science Education, Medical Rehabilitation and Sports Medicine.
Arjuna Subject : Ilmu Sosial - Kesehatan (Ilmu Sosial)
Articles 154 Documents
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Relationship Between Sociodemographic and Mental Health Problems in Indonesia’s Deaf Community Mario Warouw Lintuuran, Rivo; Klein, Herbert; Lesmana Wijaya, Laura; Ningsih Moodoeto, Adhesatya; Sophia Williams, Ana
Indonesian Health Journal Vol. 4 No. 4 (2025): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v4i4.815

Abstract

Mental health problems are commonly occurring not just in hearing population but also in deaf community. Currently, there is no publication in Indonesia reporting on mental health problems in deaf individuals. This study aims to determine the sociodemographic characteristics, prevalence of mental problems, and relationship between sociodemographic characteristic and mental health problems in deaf community. This research used cross-sectional design with univariate and bivariate analysis. The sample population was obtained in 20 cities across Indonesia with total respondents of 604 based on inclusion criteria. The results of this study showed 401 participants (66.4%) with mental health problems (anxiety/depression) using Self Reporting Questionnaire-20 (SRQ-20). Bivariate analysis showed significant relationship between gender (p<0.05 and mental health problems while other sociodemographic factors did not. 14 out of 20 cities reported more than 50% participants with mental health problems. As conclusion, this study revealed high prevalence of mental health problems in deaf individuals, which is higher compared to normal hearing population, and age may be one factor related to deaf mental health.
Provincial Analysis of Years of Life Lost and Economic Impact of Heart Disease Among the Working-Age Population in Indonesia (2018-2023) Verdiana, Antokalina Sari; Cerinda, Mitha; Mansur, Rizal; Cahyani, Fentya Yumna
Indonesian Health Journal Vol. 5 No. 1 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i1.829

Abstract

Heart disease is the leading cause of premature death in Indonesia, significantly impacting both health and the economy. In 2023, BPJS Kesehatan allocated IDR 23.52 trillion for heart disease treatment, the highest expenditure among all diseases. This study aims to quantify the burden of heart disease by calculating years of life lost (YLL) and productivity costs, highlighting the need for effective prevention strategies. Using BPJS Kesehatan mortality data from 2018–2023, covering 218,279 individuals, this study identified heart disease-related deaths and calculated YLL using the Burden of Disease framework and World Health Organization (WHO) life expectancy tables. The analysis focused on the working-age population (15–64 years) at national and provincial levels, linking YLL data to provincial minimum wages, with a gender-based analysis. Significant variations in productivity losses due to heart disease were found across provinces. Central Java had the highest loss (IDR 9.39 trillion), followed by East Java (IDR 9.20 trillion). Jakarta, with the highest minimum wage, had a comparatively smaller loss (IDR 7.92 trillion). Males accounted for 65% of productivity losses. These findings underscore the need for targeted health interventions to reduce YLL and mitigate economic burdens through early detection, improved healthcare access, and public health campaigns.
Comparative Effectiveness Of Ramipril Versus Losartan In Adults With Primary Hypertension: A Scoping Review Ngurah Pradnya Wibawa, Putu; Putu Lia Juliantini, Ni; Luh Putu Serly Ekayanti, Ni
Indonesian Health Journal Vol. 5 No. 1 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i1.831

Abstract

Hypertension remains one of the leading global risk factors for cardiovascular morbidity and mortality. Despite the availability of multiple antihypertensive drug classes, achieving optimal blood pressure control continues to be a major clinical challenge worldwide. This research aims to compare the efficacy of Ramipril and Losartan in the management of Primary Hypertension. This scoping review analyzed articles published between January 2006 and January 2026 from PubMed, ScienceDirect, OpenAlex, and DOAJ. Inclusion criteria included English-language observational studies addressing the efficacy of both antihypertensives. Four articles were selected after a rigorous screening process. Ramipril was more effective in reducing SBP and DBP, whereas Losartan was superior for EF and LV remodeling. Ramipril also increased GSH and total antioxidant status, while Losartan was more effective for metabolic and vascular remodeling biomarkers. Ramipril is commonly associated with adverse effects such as cough, whereas dizziness is more frequently reported with Losartan. Losartan has been shown to be more effective in hypertensive patients with left ventricular hypertrophy (LVH) and may also contribute to improvements in insulin resistance. Further head-to-head comparison studies are needed to guide optimal therapy.
Dizziness and Cognitive Impairment in Parkinson's Disease Among HIV Patients: Case Report Lathifatul Fikriyah; Agnes Triana Basja; Safitri Indah Mashitah
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.850

Abstract

Parkinsonism affects approximately 5% of individuals with HIV and represents the most common movement disorder in this population. It often coexists with HIV-associated neurocognitive disorder (HAND), opportunistic infections, or neuroleptic use. Accurate diagnosis of HIV-associated dementia (HAD) is crucial, as it is an AIDS-defining condition that may be reversible with antiretroviral therapy (ART).  This case report aims to describe a patient with HIV who presented with dizziness, progressive cognitive decline, and parkinsonian features, highlighting the diagnostic challenges and the role of ART in management.  A 41-year-old male with known HIV infection presented with progressive memory loss, dizziness, postural instability, bradykinesia, and intention tremors over several months. Neurological examination revealed cognitive impairment (MMSE 22/30) and parkinsonism (UPDRS-III 76/108). Brain MRI showed cerebral atrophy, white matter changes, and an abnormal “swallow tail” sign bilaterally in the substantia nigra, suggestive of Parkinson’s disease. Laboratory tests demonstrated adequate systemic viral suppression (CD4 302 cells/µL).  The patient was diagnosed with HIV-associated dementia and Parkinson’s disease. His ART regimen was modified to enhance CNS penetration (zidovudine, lamivudine, dolutegravir). At two-month follow-up, he showed significant improvement in cognitive function and reduced dizziness, enabling return to work and daily activities. HIV-associated neurocognitive disorder and parkinsonism can occur even with well-controlled systemic HIV infection. A high index of suspicion, comprehensive neuropsychological and neuroimaging assessment, and individualized CNS-targeted ART are essential for optimal outcome.
Low-Pressure Cardiac Tamponade: A Systematic Review of Diagnostic Criteria, Hemodynamic Profiles, and Management Challenges Adam Maulana Yusup
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.853

Abstract

Low-Pressure Cardiac Tamponade (LPCT) is a deceptive subset of pericardial compressive syndromes characterized by tamponade physiology occurring at normal or low intracardiac pressures, primarily due to underlying hypovolemia. The absence of classical signs, such as jugular venous distension and pulsus paradoxus, frequently leads to misdiagnosis and mortality. This review aims to synthesize diagnostic criteria, hemodynamic profiles, and evidence-based management strategies for LPCT. A systematic review was conducted following PRISMA 2020 guidelines. Electronic databases (PubMed, Scopus, Embase) were searched through December 2025. Eighteen studies meeting specific hemodynamic criteria for LPCT and subacute presentations were included. Data regarding demographics, echocardiographic findings, and response to volume expansion were synthesized qualitatively. Analysis indicates that LPCT predominantly affects patients with malignancy, renal failure, or chronic inflammation. Hemodynamically, equilibration of diastolic pressures occurs at <12 mmHg due to critical preload reduction. The most consistent diagnostic profile identified is echocardiographic right atrial/ventricular collapse coexisting with a non-plethoric, collapsing inferior vena cava. Physical examination markers, including Beck’s triad, were unreliable. LPCT represents a "pre-tamponade" state masked by hypovolemia. Reliance on physical examination is insufficient; Point-of-Care Ultrasound (POCUS) is mandatory for diagnosis. We recommend a management algorithm centering on a "fluid challenge" (500–1000 mL) to unmask occult tamponade physiology and optimize preload prior to pericardiocentesis, thereby mitigating the risk of Pericardial Decompression Syndrome.
An Overview of Occupational Health Protection in the Informal Sector Among Female Traditional Textile Artisans in Karangasem, Bali Adi Saputra; Komang Wulan Trisnandari Widyaratri; Ni Putu Ayu Wulan Noviyanti
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.857

Abstract

Female workers in the informal sector, such as traditional weavers, are vulnerable to occupational health and safety risks due to the lack of implementation of occupational health and safety (OHS), unsuitable working environments, and limited access to social security. Weak regulations and low participation of BPJS employment insurance have exacerbate this situation, so requiring a special attention to improve occupational health protection in the informal sector. This study aims to describe occupational health protection in the informal sector of traditional weavers in Karangasem, Bali. This was a descriptive study with a quantitative research method that involving 65 samples that selected by accidental sampling. The result showed that OSH aspects have not been optimally implemented, as evidenced by the lack of occupational safety and health training, the use of PPE, and noisy and non-ergonomic work environments.  In addition, social protection is still lacking, as indicated by the low enrollment in BPJS employment insurance and insufficient concern for occupational health at the workplace. This study concludes that occupational health protection among the informal sector for female traditional weavers in Karangasem, Bali is still low, so that making the workers more vulnerable to occupational accidents and diseases. Therefore, it is recommended that workers be more proactive in understanding occupational risks and the importance of social protection. The owner, the government, and the agency of BPJS employment insurance need to collaborate in implementing OSH and expanding social security coverage for the informal workers.
Factors Associated with Medical Waste Management at Haji Saeful Anwar General Hospital in Pagaden, Subang Regency, in 2026 Muslimin; Rokhmatul Hikhmat; Teten Rustendi; Muhidin; Warsa Agung Nugraha
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.859

Abstract

The results of a preliminary study conducted on February 20, 2026, in the field, including observations and interviews with the sanitation department, revealed dissatisfaction among nurses and sanitation staff regarding medical waste management at Haji Saeful Anwar Pagaden General Hospital, Subang Regency. The purpose of this study was to determine factors related to medical waste management at Haji Saeful Anwar Pagaden General Hospital, Subang Regency, in 2026. The study used a descriptive analytical method with a cross-sectional design. The population in this study consisted of all 74 nurses and sanitation staff at Haji Saeful Anwar Pagaden General Hospital, Subang Regency. The sampling technique employed was total sampling, using bivariate and univariate analysis of the independent and dependent variables, with a questionnaire as the data collection instrument. The results of the study showed that of the 74 respondents, the majority (58 respondents, 78.4%) had good knowledge of medical waste management; the majority (69 respondents, 72.2%) had good attitudes toward medical waste management; the majority (65 respondents, 87.8%) had good infrastructure for medical waste management; the majority (65 respondents) implemented the rules properly for medical waste management; and the majority (55 respondents) had good supervision of medical waste management. Statistically, the relationship between the variables of medical waste management factors and medical waste management implementation showed a significant association, with a Chi-Square test result of 10.503 and ? < 0.05, yielding a P-value of 0.00.
Clinical Spectrum of Adult Henoch-Schönlein Purpura: Diagnostic Challenges and Long-Term Prognostic Considerations Gede Padmawijaya; Ketut Suardamana
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.860

Abstract

Immunoglobulin A vasculitis (IgAV) or Henoch–Schönlein purpura (HSP) is an immune complex-mediated systemic vasculitis that primarily affects small blood vessels in the skin, joints, gastrointestinal tract, and kidneys. Although more common in children, IgAV in adults tends to present with more severe symptoms and a higher risk of long-term kidney disease. IgAV is diagnosed based on clinical and histopathological criteria, with emphasis on non-thrombocytopenic palpable purpura, arthralgia/arthritis, abdominal pain, and/or kidney involvement, along with findings of leucocytoclastic vasculitis with IgA deposition on biopsy. Case Illustration: This case report describes a 20-year-old woman with palpable purpura on the lower legs and hands, arthralgia, a history of prior sore throat, and bronchial asthma with markedly elevated IgE. Laboratory findings showed elevated ESR and CRP; urinalysis was negative; skin biopsy revealed leucocytoclastic vasculitis. The patient was taking hormonal medication, methylprednisolone, and loratadine. This case demonstrates a typical presentation of IgAV in young adults, supported by a history of previous upper respiratory tract infection and atopic predisposition (bronchial asthma with high IgE). Clinical manifestations of palpable purpura on the extremities and arthralgia are highly consistent with IgAV. The leucocytoclastic vasculitis findings on skin biopsy are highly suggestive, although confirmation of IgA deposition remains ideal for definitive diagnosis. Management with corticosteroids and antihistamines aims to alleviate skin and joint inflammation. Long-term prognosis depends on close monitoring for potential development of IgAV nephritis.
Conjunctival Inclusion Cyst Following Closed-Globe Blunt Ocular Trauma: A Rare Complication with Spontaneous Resolution - A Case Report Sekar Rahadisiwi; Damaryati Widyastuti
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.861

Abstract

Secondary conjunctival inclusion cyst is most commonly caused by ocular surgery, inflammation, and penetrating trauma. Its occurrence following closed globe blunt injury remains rarely reported. This case report aims to describe a rare presentation of a secondary conjunctival inclusion cyst developing after closed-globe blunt trauma and its successful non?surgical management with corticosteroids. A 75-year-old female on antiplatelet therapy presented with blurred vision following blunt ocular trauma from a bicycle handlebar. Examination revealed grade I traumatic hyphema, severe subconjunctival haemorrhage, and intraocular pressure of 7.6 mmHg with a negative Seidel test. Two weeks later, a 9 × 6 mm translucent cystic nodule appeared at the superior bulbar conjunctiva. Secondary conjunctival inclusion cyst was diagnosed based on clinical morphology and temporal relationship to the trauma. Complete resolution of the cyst was achieved with systemic and topical corticosteroids alone, without surgical intervention.  Conjunctival inclusion cyst is a rare but possible complication of closed-globe blunt trauma. In the early post-traumatic inflammatory phase, a trial of corticosteroid therapy may represent an effective non-surgical first-line option..
The Effect of Perceived Usefulness, Trust, and Digital Literacy on Acceptance of Clinical Decision Support Systems Among Healthcare Workers Filipo David Tamara
Indonesian Health Journal Vol. 5 No. 2 (2026): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v5i2.866

Abstract

Clinical Decision Support Systems (CDSS) are increasingly used to support clinical reasoning, patient management, and healthcare quality. However, their successful implementation depends not only on technical performance but also on acceptance among healthcare workers. This study aimed to analyze the effect of perceived usefulness, trust, and digital literacy on the acceptance of CDSS among healthcare workers. A quantitative analytical study with a cross-sectional design was conducted among healthcare workers involved in clinical services, including physicians, nurses, and midwives. Data were collected using a structured questionnaire measuring perceived usefulness, trust, digital literacy, and CDSS acceptance. The data were analyzed using univariate analysis and bivariate analysis with Fisher’s Exact Test and odds ratio estimation. The findings showed that most respondents had good perceived usefulness, good digital literacy, and good acceptance of CDSS, while trust was also generally positive but had a larger moderate proportion compared with other variables. Perceived usefulness significantly influenced CDSS acceptance, with respondents who perceived CDSS as useful being more likely to show good acceptance. Trust was also significantly associated with acceptance, as all respondents with good trust demonstrated good acceptance of CDSS. Digital literacy significantly influenced acceptance as well, indicating that healthcare workers with stronger digital capability were more prepared to accept CDSS in clinical practice. These findings suggest that improving CDSS acceptance requires clear practical benefits, reliable and transparent system performance, and adequate digital readiness supported by training and technical assistance.

Page 13 of 16 | Total Record : 154

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