Teuku Nanta Aulia, Muhammad Iqbal, M irfan Guranda
Spinal cord injury is one of the main reasons for permanent paralysis and immobility till now. Spine injury is usually fatal because it involves more than one component, such as discoligamentous misconfiguration, vascular and spinal cord damage. Spine dislocation fracture at the level of C2-3 is rare and usually affects one or two vertebras. Good functional outcome in spine injury is uncommon in which death almost always happens suddenly or is caused by secondary trauma. Emergency room with a cervical spine injury. The patient was pushed by his friends from the side during playtime, causing the neck to hit the corner of a table. The dislocation fracture at the level of C2-3 and spinal cord compression directly caused tetraplegia. The condition was handled with a decompression procedure, spine fusion at the level of C1-4, and posterior stabilization with pedicle screws. A day after the operation, minimal movements were seen in both arms and legs, with motoric strength of 2/2/2/2. The score improved to 4/4/4/4 after two weeks of meds and physiotherapy. The patient started to write again in week 3. The dislocation fracture in this patient caused spinal cord compression. A retropulsion fracture fragment can be displaced to the spinal canal and potentially cause further spinal cord damage. Displacement towards the anterior horn leads to motoric dysfunction. Dislocation fracture at the level of C2-3 hinders neurotransmitter impulse, causing total paralysis on all extremities with intact sensory function. The patient had temporary external stabilization around the neck area while waiting for the procedure. The management concept in cases like this includes affected spinal cord decompression and internal fixation using pedicle screws to ensure fracture stabilization.
{"title":"Functional Outcome in C2/C3 Fracture Dislocation Managed with Combined Surgical Decompression and Posterior Stabilization","authors":"Teuku Nanta Aulia, Muhammad Iqbal, M irfan Guranda","doi":"10.46799/jhs.v4i5.897","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.897","url":null,"abstract":"Spinal cord injury is one of the main reasons for permanent paralysis and immobility till now. Spine injury is usually fatal because it involves more than one component, such as discoligamentous misconfiguration, vascular and spinal cord damage. Spine dislocation fracture at the level of C2-3 is rare and usually affects one or two vertebras. Good functional outcome in spine injury is uncommon in which death almost always happens suddenly or is caused by secondary trauma. Emergency room with a cervical spine injury. The patient was pushed by his friends from the side during playtime, causing the neck to hit the corner of a table. The dislocation fracture at the level of C2-3 and spinal cord compression directly caused tetraplegia. The condition was handled with a decompression procedure, spine fusion at the level of C1-4, and posterior stabilization with pedicle screws. A day after the operation, minimal movements were seen in both arms and legs, with motoric strength of 2/2/2/2. The score improved to 4/4/4/4 after two weeks of meds and physiotherapy. The patient started to write again in week 3. The dislocation fracture in this patient caused spinal cord compression. A retropulsion fracture fragment can be displaced to the spinal canal and potentially cause further spinal cord damage. Displacement towards the anterior horn leads to motoric dysfunction. Dislocation fracture at the level of C2-3 hinders neurotransmitter impulse, causing total paralysis on all extremities with intact sensory function. The patient had temporary external stabilization around the neck area while waiting for the procedure. The management concept in cases like this includes affected spinal cord decompression and internal fixation using pedicle screws to ensure fracture stabilization.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134922294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Putu A.A.N. Anantasika, Doster Mahayasa, I. Nyoman, Bayu Mahendra, I. Gede, M. Putra, Kadek Fajar, Dpg Jananuraga Maharddhika
Endometrial receptivity is highly correlated with the implantation rate, whereby in Indonesia, the implantation rate among in vitro fertilisation programs is still low, around 19.3%. Antagonist ovarian stimulation protocol can disrupt physiological endocrine milieu by the presence of supra-physiological levels of estrogen and progesterone, both of which are thought to indirectly affect the expression of adhesion molecule cells. Homeobox A 10 (HOXA10) is among one of the biomarkers used to assess endometrial receptivity. The role of HOXA10 is critical during the stage of endometrial development and embryo implantation, both in mice and human. This molecule is thought to work optimally by administering autologous platelet rich plasma (PRP) to the damaged endometrium. The aim of this study was to prove that administration of PRP in an antagonist protocol HOXA10 expression in the endometrium of Wistar rats higher than without PRP. This research was an experimental study. The design for this study was randomized posttest only controlled group, using female Wistar-strain rats type. A total of 40 Wistar rats whose ovary were stimulated by the GnRH antagonist protocol were divided into 2 groups, 20 rats as intervention group in which PRP administration was done and 20 rats as control group. It was found that during the study, there was no significant difference between intervention and control group regarding age and body weight of the Wistar rats, both at the start and at the end of the study. The results of HOXA10 H-score in the intervention group was 3.15 (2.86-3.52) and in the control group was 1.68 (1.43-2.18) (p <0.05). Administration of PRP to ovarian stimulation with an antagonist protocol showed significantly higher expression of endometrial HOXA10 in Wistar rats than without PRP administration.
{"title":"Autologus Platelet Rich Plasma (PRP) in Vitro Fertilization Antagonist Protocol Caused Homeobox A 10 (HOXA10) Expression in the Endometrium of Wistar Strained Rats Higher Than Without Autologous PRP","authors":"Putu A.A.N. Anantasika, Doster Mahayasa, I. Nyoman, Bayu Mahendra, I. Gede, M. Putra, Kadek Fajar, Dpg Jananuraga Maharddhika","doi":"10.46799/jhs.v4i5.919","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.919","url":null,"abstract":"Endometrial receptivity is highly correlated with the implantation rate, whereby in Indonesia, the implantation rate among in vitro fertilisation programs is still low, around 19.3%. Antagonist ovarian stimulation protocol can disrupt physiological endocrine milieu by the presence of supra-physiological levels of estrogen and progesterone, both of which are thought to indirectly affect the expression of adhesion molecule cells. Homeobox A 10 (HOXA10) is among one of the biomarkers used to assess endometrial receptivity. The role of HOXA10 is critical during the stage of endometrial development and embryo implantation, both in mice and human. This molecule is thought to work optimally by administering autologous platelet rich plasma (PRP) to the damaged endometrium. The aim of this study was to prove that administration of PRP in an antagonist protocol HOXA10 expression in the endometrium of Wistar rats higher than without PRP. This research was an experimental study. The design for this study was randomized posttest only controlled group, using female Wistar-strain rats type. A total of 40 Wistar rats whose ovary were stimulated by the GnRH antagonist protocol were divided into 2 groups, 20 rats as intervention group in which PRP administration was done and 20 rats as control group. It was found that during the study, there was no significant difference between intervention and control group regarding age and body weight of the Wistar rats, both at the start and at the end of the study. The results of HOXA10 H-score in the intervention group was 3.15 (2.86-3.52) and in the control group was 1.68 (1.43-2.18) (p <0.05). Administration of PRP to ovarian stimulation with an antagonist protocol showed significantly higher expression of endometrial HOXA10 in Wistar rats than without PRP administration.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123161548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yuni Asmilawati, Ida Ayu Made Mahayani, Halia Wanadiatri, Adib Ahmad Shammakh
Atonia uteri is a state of weak tone or uterine contraction, which causes the uterus to be unable to close open bleeding from the site of placental implantation after the baby and placenta are born. Maternal mortality in Indonesia is still relatively high, one of the causes is postpartum bleeding, especially caused by uterine atonia. This study aims to find out the relationship of prolonged labor and anemia in pregnancy with the incidence of uterine atonia in women giving birth at the NTB Provincial Hospital. This study is observationally analytical using case-control design. The sampling technique is total sampling. The research sampel consisted of 60 samples with each case and control 30 samples that fit the inclusion and exclusion criteria. The data obtained were analyzed with the chi-square correlation test. The result of his study were obtained prolonged labor are 18(71,7%) and who were not prolonged labor 43 (71,7%). While respondents with anemia 34 (56,7%) and who were not anemia 26 (43,3%).There is relationship between prolonged labor with incidence of uterine atony in women giving birth with p-value 0,010 and with OR 4,971 more at risk of uterine atony and there is relationship between anemia in pregnancy with the incidence of uterine atony in women giving birth with p-value 0,037 and with OR 3,051more at risk of uterine atony. There is significant relationship between prolonged labor and anemia in pregnancy with the incidence of uterine atony in women giving birth in the NTB Provincial Hospital.
{"title":"Hubungan Partus Lama dan Anemia dalam Kehamilan dengan Kejadian Atonia Uteri pada Ibu Bersalin","authors":"Yuni Asmilawati, Ida Ayu Made Mahayani, Halia Wanadiatri, Adib Ahmad Shammakh","doi":"10.46799/jhs.v4i5.882","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.882","url":null,"abstract":"Atonia uteri is a state of weak tone or uterine contraction, which causes the uterus to be unable to close open bleeding from the site of placental implantation after the baby and placenta are born. Maternal mortality in Indonesia is still relatively high, one of the causes is postpartum bleeding, especially caused by uterine atonia. This study aims to find out the relationship of prolonged labor and anemia in pregnancy with the incidence of uterine atonia in women giving birth at the NTB Provincial Hospital. This study is observationally analytical using case-control design. The sampling technique is total sampling. The research sampel consisted of 60 samples with each case and control 30 samples that fit the inclusion and exclusion criteria. The data obtained were analyzed with the chi-square correlation test. The result of his study were obtained prolonged labor are 18(71,7%) and who were not prolonged labor 43 (71,7%). While respondents with anemia 34 (56,7%) and who were not anemia 26 (43,3%).There is relationship between prolonged labor with incidence of uterine atony in women giving birth with p-value 0,010 and with OR 4,971 more at risk of uterine atony and there is relationship between anemia in pregnancy with the incidence of uterine atony in women giving birth with p-value 0,037 and with OR 3,051more at risk of uterine atony. There is significant relationship between prolonged labor and anemia in pregnancy with the incidence of uterine atony in women giving birth in the NTB Provincial Hospital.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124253077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patient safety culture is a product of values, attitudes, competencies and behavioral patterns of individuals and groups that determine the commitment, style and ability of a health care organization towards patient safety programs. if a health service organization does not have a patient safety culture, accidents can occur resulting in latent errors, psychological and physiological disturbances to staff, decreased productivity, reduced patient satisfaction and cause interpersonal conflicts. leadership, competence and effective communication are important factors for the successful implementation of patient safety culture in hospitals. Analyzing the relationship of leadership, competency and effective communication to the implementation of patient safety culture. This research was conducted on 179 nurses working in the inpatient room of the XX Serang hospital which were taken from 323 nurses, with the research method using cross-sectional research, where data was taken through interviews using questionnaire sheets. In this study the authors used statistical analysis of the Cji Square test and correlation test to determine the strength of the relationship between variables. Statistical test results obtained values for leadership variables 0.001, competence 0.000 and effective communication 0.017 < P value (0.05) so that it can be concluded that there is a significant relationship between leadership, competence and effective communication on the application of patient safety culture to nurses in inpatient rooms of XX hospital Attack. While the results of the correlation test obtained a coefficient value for leadership 0.25, competence 0.043 and effective communication 0.164, of the three independent variables, it is the leadership variable that has a higher value than the others, this shows that leadership plays a very high role in implementing patient safety culture to nurses in the inpatient room of the XX Serang Kata hospital
{"title":"Analisis Faktor yang Berhubungan dengan Penerapan Budaya Keselamatan Pasien pada Perawat","authors":"Dewi Kuraesin, Rina Mutiara, Rokiah Kusumapradja","doi":"10.46799/jhs.v4i5.899","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.899","url":null,"abstract":"Patient safety culture is a product of values, attitudes, competencies and behavioral patterns of individuals and groups that determine the commitment, style and ability of a health care organization towards patient safety programs. if a health service organization does not have a patient safety culture, accidents can occur resulting in latent errors, psychological and physiological disturbances to staff, decreased productivity, reduced patient satisfaction and cause interpersonal conflicts. leadership, competence and effective communication are important factors for the successful implementation of patient safety culture in hospitals. Analyzing the relationship of leadership, competency and effective communication to the implementation of patient safety culture. This research was conducted on 179 nurses working in the inpatient room of the XX Serang hospital which were taken from 323 nurses, with the research method using cross-sectional research, where data was taken through interviews using questionnaire sheets. In this study the authors used statistical analysis of the Cji Square test and correlation test to determine the strength of the relationship between variables. Statistical test results obtained values for leadership variables 0.001, competence 0.000 and effective communication 0.017 < P value (0.05) so that it can be concluded that there is a significant relationship between leadership, competence and effective communication on the application of patient safety culture to nurses in inpatient rooms of XX hospital Attack. While the results of the correlation test obtained a coefficient value for leadership 0.25, competence 0.043 and effective communication 0.164, of the three independent variables, it is the leadership variable that has a higher value than the others, this shows that leadership plays a very high role in implementing patient safety culture to nurses in the inpatient room of the XX Serang Kata hospital","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136345122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Olivia Listiowati Prawoto, Tjokorda Gde, Agung Suwardewa, Putu Made Darmayasa, Doster Mahayasa, I. Nyoman, Bayu Mahendra, Evert Solomon, P. D. Mahayasa, Solomon Pangkahila
This study aims to determine the ability of the Modified Foam Stability (FS-50) test to predict fetal lung maturity in preterm premature rupture of membranes treated with Dexamethasone. The study sample included pregnant women with PROM at a gestational age of 24 to less than 34 weeks in the ER and Obstetrics Ward of Sanglah Central General Hospital, Denpasar. The patient underwent a vaginal speculum examination to collect fluid pooled in the vagina or from the outer cervical opening. Fluids are checked with the Modified Foam Stability (FS-50) test and graded from 0 to +4 to estimate fetal lung maturity. The first test was performed before Dexamethasone, followed by serial examinations at 12-hour intervals for 48 hours. Before dexamethasone injection, all patients got 0 scores as a baseline. There were statistically significant differences in FS-50 values before and after injection of the first, second, third, and fourth doses of Dexamethasone in PPROM patients. Fetal lung maturity was reached after the third dose of dexamethasone injection (36 hours after the first injection), characterized by an FS-50 value of > +3 and no asphyxia in the newborn. Spearman's rank analysis showed a significant correlation (p=0.005) between infants' maximum FS-50 value and asphyxia status. The FS-50 value > +3 is associated with the absence of asphyxia in infants born to PPROM patients who were given Dexamethasone for lung maturation. FS-50 can predict fetal lung maturity in preterm premature rupture of membranes given dexamethasone therapy.
本研究旨在确定改良泡沫稳定性(FS-50)试验对地塞米松治疗的早产儿胎膜早破胎儿肺成熟度的预测能力。研究样本包括登巴萨Sanglah Central General Hospital急诊室和产科病房24至34周的胎龄为早舞会的孕妇。患者行阴道窥镜检查，收集阴道内或宫颈外开口积液。用改良泡沫稳定性(FS-50)测试检查液体，并从0到+4分级，以估计胎儿肺成熟度。在使用地塞米松之前进行第一次检查，随后每隔12小时进行连续检查，持续48小时。注射地塞米松前，所有患者均以0分为基线。PPROM患者注射第1、2、3、4次地塞米松前后FS-50值差异有统计学意义。第三次地塞米松注射后(第一次注射后36 h)胎儿肺成熟，FS-50值> +3，新生儿无窒息。Spearman秩次分析显示，婴儿最大FS-50值与窒息状态之间存在显著相关(p=0.005)。FS-50值> +3与给予地塞米松促进肺成熟的PPROM患者所生婴儿无窒息相关。FS-50可以预测地塞米松治疗的早产胎膜早破胎儿肺成熟度。
{"title":"Modified Foam Stability Test (Fs-50) as Predictor of Fetal Lung Maturity in Preterm Premature Rupture of Membrane Patients Given Dexamethasone Therapy","authors":"Olivia Listiowati Prawoto, Tjokorda Gde, Agung Suwardewa, Putu Made Darmayasa, Doster Mahayasa, I. Nyoman, Bayu Mahendra, Evert Solomon, P. D. Mahayasa, Solomon Pangkahila","doi":"10.46799/jhs.v4i5.906","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.906","url":null,"abstract":"This study aims to determine the ability of the Modified Foam Stability (FS-50) test to predict fetal lung maturity in preterm premature rupture of membranes treated with Dexamethasone. The study sample included pregnant women with PROM at a gestational age of 24 to less than 34 weeks in the ER and Obstetrics Ward of Sanglah Central General Hospital, Denpasar. The patient underwent a vaginal speculum examination to collect fluid pooled in the vagina or from the outer cervical opening. Fluids are checked with the Modified Foam Stability (FS-50) test and graded from 0 to +4 to estimate fetal lung maturity. The first test was performed before Dexamethasone, followed by serial examinations at 12-hour intervals for 48 hours. Before dexamethasone injection, all patients got 0 scores as a baseline. There were statistically significant differences in FS-50 values before and after injection of the first, second, third, and fourth doses of Dexamethasone in PPROM patients. Fetal lung maturity was reached after the third dose of dexamethasone injection (36 hours after the first injection), characterized by an FS-50 value of > +3 and no asphyxia in the newborn. Spearman's rank analysis showed a significant correlation (p=0.005) between infants' maximum FS-50 value and asphyxia status. The FS-50 value > +3 is associated with the absence of asphyxia in infants born to PPROM patients who were given Dexamethasone for lung maturation. FS-50 can predict fetal lung maturity in preterm premature rupture of membranes given dexamethasone therapy.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132249411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meningitis Tuberkulosis (Meningitis TB) merupakan salah satu jenis TB ekstra paru yang sangat mematikan karena menginfeksi sistem saraf pusat. Oleh karena itu terapi farmakologi pasca ditegakkannya diagnosis sangat diperlukan untuk mempertahankan dan meningkatkan kualitas hidup pasien. Berdasarkan hal tersebut didapatkan 210 artikel yang berkaitan dengan kata kunci dan 15 artikel yang memenuhi kriteria inklusi. Terapi farmakologi utama untuk pasien dengan meningitis tuberkulosis diantaranya rifampisin, isoniazid, pirazinamid, etambutol, deksametason, dan antibiotik golongan sefalosporin golongan ketiga.
{"title":"REVIEW ARTICLE: TERAPI FARMAKOLOGI MENINGITIS TUBERKULOSIS","authors":"Adira Rahmawaty","doi":"10.46799/jhs.v4i5.892","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.892","url":null,"abstract":"Meningitis Tuberkulosis (Meningitis TB) merupakan salah satu jenis TB ekstra paru yang sangat mematikan karena menginfeksi sistem saraf pusat. Oleh karena itu terapi farmakologi pasca ditegakkannya diagnosis sangat diperlukan untuk mempertahankan dan meningkatkan kualitas hidup pasien. Berdasarkan hal tersebut didapatkan 210 artikel yang berkaitan dengan kata kunci dan 15 artikel yang memenuhi kriteria inklusi. Terapi farmakologi utama untuk pasien dengan meningitis tuberkulosis diantaranya rifampisin, isoniazid, pirazinamid, etambutol, deksametason, dan antibiotik golongan sefalosporin golongan ketiga.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127315482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suriviana Suriviana, Rokiah Kusumapradja, L. Widjaya
Every health service facility is required to make medical records made by doctors and health workers related to the services that have been provided. The completeness of the information provided by health workers shows that the quality of the health services provided can be proven to be following related health service standards. This study was to analyze the influence of knowledge, motivation, and organizational culture simultaneously on compliance with medical record filling at Mitra Medika Hospital Pontianak using 83 respondents using the mixed methods sequential explanatory designs. From the results of the quantitative research, it was found that the Knowledge and Organizational Culture variables influenced compliance with medical record filling with beta values of 0.567 and 0.416; as well as the significance of both variables 0.000; Meanwhile, motivation does not affect compliance with medical record filling with a beta value of 0.003 and a significance of 0.940; Knowledge is the variable that has the most dominant influence on compliance with medical record filling. From the results of qualitative research, it was found that motivation does not affect the value of the dimensions of motivation. Where knowledge and organizational culture influence the filling of medical records by the values of the dimensions of knowledge and organizational culture.
{"title":"the Effect of Knowledge, Motivation, Organizational Culture on Medical Record Compliance Compliance in Hospitals","authors":"Suriviana Suriviana, Rokiah Kusumapradja, L. Widjaya","doi":"10.46799/jhs.v4i5.905","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.905","url":null,"abstract":"Every health service facility is required to make medical records made by doctors and health workers related to the services that have been provided. The completeness of the information provided by health workers shows that the quality of the health services provided can be proven to be following related health service standards. This study was to analyze the influence of knowledge, motivation, and organizational culture simultaneously on compliance with medical record filling at Mitra Medika Hospital Pontianak using 83 respondents using the mixed methods sequential explanatory designs. From the results of the quantitative research, it was found that the Knowledge and Organizational Culture variables influenced compliance with medical record filling with beta values of 0.567 and 0.416; as well as the significance of both variables 0.000; Meanwhile, motivation does not affect compliance with medical record filling with a beta value of 0.003 and a significance of 0.940; Knowledge is the variable that has the most dominant influence on compliance with medical record filling. From the results of qualitative research, it was found that motivation does not affect the value of the dimensions of motivation. Where knowledge and organizational culture influence the filling of medical records by the values of the dimensions of knowledge and organizational culture.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134566425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ellen Pesak, J. Kristianto, Bongakaraeng Bongakaraeng, Johana Tuegeh, J. Kolompoy, Putri Nurul Firdaus
The World Health Organization (WHO) estimates that 35-70% of pregnant women in developing countries are anemic. Indonesia is one of the developing countries with the highest incidence of anemia, which is around 70% in pregnant women. One of the causes of anemia during pregnancy is that many pregnant women do not know the prevention of anemia during pregnancy. The purpose of this study was to determine the effect of health counseling on the prevention of anemia on the knowledge of pregnant women. The research design used was pre-experimental with a one-group pretest-posttest method where the characteristics of this design were no comparison group (control). The study population was all pregnant women at the Minanga Health Center which amounted to 46 people. The sample technique used was simple random sampling, which was as many as 35 people. Analysis with Wilcoxon signed rank test. The test results have a significant influence of health counseling on anemia prevention on the knowledge of pregnant women (α ≤ 0.05, namely p-value = 0.000). The conclusion is that health counseling on the prevention of anemia increases the knowledge of pregnant women. Suggestions are expected by the puskesmas to increase counseling or education about anemia during pregnancy so that pregnant women's knowledge about anemia increases.
{"title":"The Impact of Anemia Prevention Health Counseling on Knowledge of Pregnant Women in Puskesmas","authors":"Ellen Pesak, J. Kristianto, Bongakaraeng Bongakaraeng, Johana Tuegeh, J. Kolompoy, Putri Nurul Firdaus","doi":"10.46799/jhs.v4i5.904","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.904","url":null,"abstract":"The World Health Organization (WHO) estimates that 35-70% of pregnant women in developing countries are anemic. Indonesia is one of the developing countries with the highest incidence of anemia, which is around 70% in pregnant women. One of the causes of anemia during pregnancy is that many pregnant women do not know the prevention of anemia during pregnancy. The purpose of this study was to determine the effect of health counseling on the prevention of anemia on the knowledge of pregnant women. The research design used was pre-experimental with a one-group pretest-posttest method where the characteristics of this design were no comparison group (control). The study population was all pregnant women at the Minanga Health Center which amounted to 46 people. The sample technique used was simple random sampling, which was as many as 35 people. Analysis with Wilcoxon signed rank test. The test results have a significant influence of health counseling on anemia prevention on the knowledge of pregnant women (α ≤ 0.05, namely p-value = 0.000). The conclusion is that health counseling on the prevention of anemia increases the knowledge of pregnant women. Suggestions are expected by the puskesmas to increase counseling or education about anemia during pregnancy so that pregnant women's knowledge about anemia increases. ","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115103147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kevin Agastya Duarsa, Endang A.A.N. Jaya Kusuma, Sri Widiyanti, Putu Wayan Megadhana, Doster Mahayasa, R. Mulyana
Preeclampsia is an obstetric disease that is a health problem worldwide, including in Indonesia. Several studies have shown that changes in the maternal spiral arteries are thought to lead to preeclampsia. Preeclampsia in this decade has been associated with changes in angiogenesis regulatory proteins originating from the placenta and circulating in the mother's blood circulation, namely soluble FMS-like tyrosine kinase 1 (sFlt-1) and placental growth factor (PlGF). The author was interested in examining the ratio of sFlt-1/PIGF and low-density lipoprotein (LDL) to the incidence of preeclampsia in pregnant women. This study used a case control analytic observational design. The research sample was selected by consecutive sampling of 20 cases and 20 controls. Univariate analysis was used to describe patient characteristics descriptively, and bivariate analysis was used to determine the relationship between the 2 variables There is no significant difference in the characteristics of the research subjects. Low PIGF levels are a risk factor for preeclampsia (OR 4.33; p 0.0302) with a cut-off value of 24.5. High sFlt-1 levels are a risk factor for preeclampsia (OR 4.33; p 0.027) with a cut-off value of 869.5. A high sFlt-1/PIGF ratio is a risk factor for preeclampsia (OR 4.33 p 0.030) with a cut-off value of 38. High LDL levels are a risk factor for preeclampsia (OR 6.0; p 0.013) with a cut-off value of 150 ,2. Low placental growth factor (PIGF), high levels of soluble FMS-like tyrosine kinase 1 (sFlt-1), and high levels of LDL are risk factors of preeclampsia in pregnant women.
{"title":"High Serum Ratio of Soluble Fms-Like Tyrosine Kinase 1 (sFlt-1) to Placental Growth Factor (PIGF) and High Level of Low-Density Lipoprotein (LDL) as Risk Factors of Preeclampsia","authors":"Kevin Agastya Duarsa, Endang A.A.N. Jaya Kusuma, Sri Widiyanti, Putu Wayan Megadhana, Doster Mahayasa, R. Mulyana","doi":"10.46799/jhs.v4i5.920","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.920","url":null,"abstract":"Preeclampsia is an obstetric disease that is a health problem worldwide, including in Indonesia. Several studies have shown that changes in the maternal spiral arteries are thought to lead to preeclampsia. Preeclampsia in this decade has been associated with changes in angiogenesis regulatory proteins originating from the placenta and circulating in the mother's blood circulation, namely soluble FMS-like tyrosine kinase 1 (sFlt-1) and placental growth factor (PlGF). The author was interested in examining the ratio of sFlt-1/PIGF and low-density lipoprotein (LDL) to the incidence of preeclampsia in pregnant women. This study used a case control analytic observational design. The research sample was selected by consecutive sampling of 20 cases and 20 controls. Univariate analysis was used to describe patient characteristics descriptively, and bivariate analysis was used to determine the relationship between the 2 variables There is no significant difference in the characteristics of the research subjects. Low PIGF levels are a risk factor for preeclampsia (OR 4.33; p 0.0302) with a cut-off value of 24.5. High sFlt-1 levels are a risk factor for preeclampsia (OR 4.33; p 0.027) with a cut-off value of 869.5. A high sFlt-1/PIGF ratio is a risk factor for preeclampsia (OR 4.33 p 0.030) with a cut-off value of 38. High LDL levels are a risk factor for preeclampsia (OR 6.0; p 0.013) with a cut-off value of 150 ,2. Low placental growth factor (PIGF), high levels of soluble FMS-like tyrosine kinase 1 (sFlt-1), and high levels of LDL are risk factors of preeclampsia in pregnant women.","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116107732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. Budiana, Bayu Mahendra, M. Putra, Harry Wijaya, A. Putra, Nathassa Karisma
Ovarian cancer is a malignancy that grows and develops in the ovaries with a high mortality rate. Primary debulking surgery (P.D.S.) is diagnostic and therapeutic and has become the standard option. CA-125 levels were increasing with the worsening disease conditions in ovarian cancer. In addition, preoperative albumin levels were strongly associated with worse ovarian cancer outcomes. This study assessed the prediction of CA-125 markers and albumin levels on P.D.S. outcomes. This research is a diagnostic test conducted at Prof. Dr I.G.N.G. Ngoerah Hospital. The study sample consisted of 50 women aged 18 and over who underwent P.D.S. from 2018 to 2020 with P.A. results of advanced stage (III-IV) epithelial-type ovarian cancer. CA-125 and albumin levels were assessed before surgery and compared with the findings of P.D.S., which were grouped into suboptimal debulking and optimal debulking. There were no significant differences in the characteristics of the two groups. The accuracy of CA-125 levels on the outcome of P.D.S. surgery with a sensitivity of 75.6%, specificity of 55.6%, PPV of 88.6%, N.P.V. of 35.3% and accuracy of 72%. While the accuracy of albumin levels on the outcome of P.D.S. surgery with a sensitivity of 55.6%, specificity of 51.2%, PPV of 20%, N.P.V. of 84% and accuracy of 52%. CA-125 levels were higher in the suboptimal group but not statistically significant, but the sensitivity (70%) and specificity (80%) were still high, so they still have diagnostic value for ovarian cancer. The relationship between albumin levels and ovarian cancer is multifactorial, so it cannot be used to predict surgical outcomes
{"title":"ACCURACY OF CANCER ANTIGEN 125 AND ALBUMIN BEFORE OPERATION TO PREDICT THE OPERATION OUTCOME IN PATIENTS WITH ADVANCED STAGE EPITHELIAL TYPE OVARIAN CANCER","authors":"B. Budiana, Bayu Mahendra, M. Putra, Harry Wijaya, A. Putra, Nathassa Karisma","doi":"10.46799/jhs.v4i5.928","DOIUrl":"https://doi.org/10.46799/jhs.v4i5.928","url":null,"abstract":"Ovarian cancer is a malignancy that grows and develops in the ovaries with a high mortality rate. Primary debulking surgery (P.D.S.) is diagnostic and therapeutic and has become the standard option. CA-125 levels were increasing with the worsening disease conditions in ovarian cancer. In addition, preoperative albumin levels were strongly associated with worse ovarian cancer outcomes. This study assessed the prediction of CA-125 markers and albumin levels on P.D.S. outcomes. This research is a diagnostic test conducted at Prof. Dr I.G.N.G. Ngoerah Hospital. The study sample consisted of 50 women aged 18 and over who underwent P.D.S. from 2018 to 2020 with P.A. results of advanced stage (III-IV) epithelial-type ovarian cancer. CA-125 and albumin levels were assessed before surgery and compared with the findings of P.D.S., which were grouped into suboptimal debulking and optimal debulking. There were no significant differences in the characteristics of the two groups. The accuracy of CA-125 levels on the outcome of P.D.S. surgery with a sensitivity of 75.6%, specificity of 55.6%, PPV of 88.6%, N.P.V. of 35.3% and accuracy of 72%. While the accuracy of albumin levels on the outcome of P.D.S. surgery with a sensitivity of 55.6%, specificity of 51.2%, PPV of 20%, N.P.V. of 84% and accuracy of 52%. CA-125 levels were higher in the suboptimal group but not statistically significant, but the sensitivity (70%) and specificity (80%) were still high, so they still have diagnostic value for ovarian cancer. The relationship between albumin levels and ovarian cancer is multifactorial, so it cannot be used to predict surgical outcomes","PeriodicalId":431769,"journal":{"name":"Jurnal Health Sains","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116987096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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