Jurnal Health Sains (JHS)
Not a member yet
676 research outputs found
Sort by
Psychiatric Disorders Complications in HIV/AIDS Patients and the Factors Influencing Them at the Karawang District General Hospital
Full text linkHIV infection increases a patient's risk of developing various psychiatric disorders, including depression, mania, psychosis, post-traumatic stress disorder (PTSD), and substance abuse. In addition, antiretroviral therapy (ART) may trigger or exacerbate psychiatric symptoms, potentially affecting treatment adherence and overall quality of life. This study aimed to identify the prevalence of psychiatric disorder complications among HIV/AIDS patients and to analyze the factors influencing their occurrence at Karawang District General Hospital. A cross-sectional study design was employed using data obtained from medical records and patient interviews at the HIV alternative polyclinic of Karawang District General Hospital in August 2025. The target population consisted of 300 patients who met the inclusion and exclusion criteria. Data collection instruments included the Self-Reporting Questionnaire (SRQ-29) and structured medical interviews. Statistical analysis was performed using SPSS with multinomial regression and binary logistic regression methods. The results showed that 54.3% of patients did not experience psychiatric disorders, while 45.7% had at least one type of psychiatric disorder. Among those with psychiatric disorders, PTSD symptoms were the most prevalent (45.3%), followed by organic mental disorders (27.8%), psychotic disorders (23.3%), and substance abuse disorders (3.7%). The use of Atripla (efavirenz, emtricitabine, and tenofovir) increased the risk of psychiatric symptoms by 1.518 times, although this association was not statistically significant. Overall, the findings indicate a considerable burden of psychiatric symptoms among HIV/AIDS patients, highlighting the need for integrated mental health screening and management in HIV care
Comparison of the of Operative Treatment and Sclerotherapy Injection in the Management of Hemorrhoids: A Meta-Analysis of Randomized Controlled Trials
Full text linkRubber-band ligation (RBL) and sclerotherapy are the two most widely used office-based interventions for symptomatic haemorrhoidal disease, yet their comparative benefits remain uncertain. This systematic review and meta-analysis evaluated the relative efficacy and safety of sclerotherapy versus operative treatments (primarily RBL and excisional procedures). The primary objective of this systematic review and meta-analysis was to evaluate the relative efficacy and safety of sclerotherapy versus operative treatments (primarily RBL and excisional procedures) in the management of hemorrhoidal disease. Treatment success was 78.2% in operative arms (701/896) versus 74.1% with sclerotherapy (665/897); pooled RR = 1.03 (95% CI 0.91–1.17; I² = 85%), indicating non-inferiority of sclerotherapy. Recurrence in two trials (n = 302) showed lower recurrence after sclerotherapy (12.9%) than after operative treatment (28.4%); RR = 2.22 (95% CI 1.37–3.58; I² = 0%). Pain in three trials (n = 335) reported a higher risk of significant pain following operative procedures (RR = 1.17, 95% CI 1.02–1.34; I² = 60%) and greater mean pain intensity (SMD = 0.96, 95% CI 0.22–1.71; I² = 89%). Sclerotherapy achieves comparable short-term symptom control to operative treatments while offering superior durability and a more favorable pain profile. Given its minimal invasiveness and ease of repetition, modern sclerotherapy should be considered a first-line option for grade I–III haemorrhoids. High between-study heterogeneity underscores the need for standardized protocols and longer follow-up
Implementation of Lean Six Sigma in Pharmaceutical Inventory Control at Hospitals: A Literature Review
Full text linkControlling drug inventory in hospitals plays an important role in ensuring the continuation of safe, timely, and efficient health services. However, problems such as overstock, out-of-stock, and inefficiency of the distribution process are often the main obstacles that still occur frequently. Lean Six Sigma in drug inventory control in hospitals is an approach that combines Lean and Six Sigma principles to improve efficiency, reduce waste, and decrease variation in the drug management process. The implementation of Lean Six Sigma aims to overcome problems such as stock out, overstock, and inefficient drug purchases, thereby improving the quality of pharmaceutical services in hospitals. Methods: This literature study used a combination of keywords "six", "sigma", lean", "inventory", "pharmacy", "hospital" and "Indonesia" in three databases ProQuest, ScienceDirect and Google Scholar. With the guidance of PRISMA, the selection of research articles that meet the inclusion and exclusion requirements is carried out. Results: Using the PRISMA guide, 6703 articles were found from the combined keywords. After screening for conformity with the inclusion and exclusion criteria, only 5 research articles were found that explained the implementation of lean six sigma in the pharmaceutical inventory supervision area in hospitals. From the five research articles, there are several implementations of lean six sigma such as DMAIC, 5 R's, Pareto Chart, Turnover Ratio, and waste analysis. Conclusion: Several methods of implementing lean management can be applied in pharmaceutical logistics to improve inventory oversight in pharmaceutical logistics
Gallblader Ultrasound Examination Technique In Clinical Hydrops Gallblader At Radiology Installation Of Banten Hospital
Full text linkGallbladder hydrops is a pathological enlargement of the gallbladder that is usually caused by obstruction of the bile duct. Rapid and accurate diagnosis is essential to prevent further complications. Ultrasonography (USG) is one of the effective non-invasive imaging methods to detect this condition. This study aims to describe the gallbladder USG examination technique in cases of gallbladder hydrops at the Radiology Installation of Banten Regional Hospital. This study uses a descriptive method based on the results of real work practices (PKN). The results show that USG examination with a C5-1 transducer in the supine position is effective in identifying gallbladder distension, the presence of stones, and wall thickening. Patient preparation techniques such as fasting for 6 hours before the examination are also important to increase diagnostic accuracy
Formulation Of Tomato Fruit Extract (Solanum Lycopersicum L.) Facial Toner With Variations In Surfactants
Full text linkToner is a facial care product used to cleanse the skin of dirt and refresh the face. Tomatoes (Solanum lycopersicum L.) are a natural source of antioxidants rich in vitamin A, vitamin C, beta-carotene, potassium, and lycopene. The objective of this study was to formulate a facial toner made from tomato fruit extract by observing the effect of varying surfactant concentrations on the formulation. This research was conducted experimentally. Four toner formulations were made with varying surfactant concentrations: F0 (0%), F1 (5%), F2 (7.5%), and F3 (10%). The resulting toners were then tested for stability over 6 cycles using the cycling test method. The evaluation of these formulations included organoleptic testing, homogeneity testing, viscosity testing, and pH testing. The results of the study of facial toner formulations of tomato fruit extract (Solanum lycopersicum L.) with variations in surfactant concentrations in F1 and F2 showed that the formulations were stable in organoleptic tests, homogeneity tests, and pH tests but were not stable in viscosity tests, while F0 and F3 only met the requirements for pH testing. The conclusion from the results of all cycles in the stability test was that variations in surfactant concentration affected the physical stability of the toner formulation. Based on the study, there was no stable formula
Clinical Features and Management of Community-Acquired Pneumonia (CAP) In The Elderly
Full text linkCommunity-Acquired Pneumonia (CAP) or pneumonia acquired outside health facilities is one of the main causes of morbidity and mortality in the elderly age group. As we age, immune function decreases and is accompanied by comorbidities such as diabetes, heart disease, and chronic lung disease that worsen the course of the disease. This study aims to find out the clinical picture and management of Community-Acquired Pneumonia (CAP) in the elderly. This study uses qualitative research methods. The data collection technique in this study is by studying case report documents. The data that has been collected is then analyzed in three stages, namely data reduction, data presentation and drawing conclusions. The results show that Community-Acquired Pneumonia (CAP) in the elderly is a complex condition with challenges in diagnosis and management, as the symptoms are often atypical and involve various risk factors. Clinical guidelines emphasize the importance of basic supporting examinations such as thoracic imaging and organ function evaluations, as well as prompt and appropriate administration of empirical antibiotics. Treatment should be adjusted to the severity of the patient's frailty, comorbidities, and frailty status. Supportive therapy plays an important role in recovery, while an individualized approach based on risk factors such as malnutrition, sarcopenia, and aspiration is needed to improve prognosis and lower mortality in the elderly with CAP
Exploring the Challenges and Opportunities in Mental Health Care for Adolescents in Urban Indonesia
Full text linkMental health issues among adolescents in urban Indonesia are a growing concern, exacerbated by urbanization and socio-cultural factors. This research explores the challenges and opportunities in mental health care for adolescents in urban settings, specifically in cities like Jakarta, Surabaya, and Bandung. The study employs a mixed-methods approach, combining quantitative surveys of 300 adolescents and qualitative interviews to identify the prevalence of mental health disorders and the barriers to accessing care. The findings reveal a high prevalence of anxiety, depression, and stress, with significant gender differences—females reporting higher rates of anxiety and depression. The study also identifies key barriers, including cultural stigma, lack of awareness, and limited access to services, particularly for those from lower socioeconomic backgrounds. While existing interventions show promise, they are insufficient in addressing the specific needs of adolescents. The research emphasizes the importance of gender-sensitive, community-based mental health programs and the potential role of digital solutions in improving accessibility and reducing stigma. The study concludes with actionable recommendations for policymakers, mental health professionals, and educators to enhance adolescent mental health care in urban Indonesia
Comparison of Machine Learning Performance with TIMI and GRACE Score for Cardiovascular Risk Prediction in Acute Coronary Syndrome: Meta-Analysis
Full text linkAcute Coronary Syndrome (ACS) risk stratification relies on TIMI and GRACE scores, which lack accuracy for individual-level predictions. Machine Learning (ML) offers promising alternatives but faces challenges in interpretability and clinical adoption. This meta-analysis compares ML models (DNN, XGBoost, Random Forest, GBDT, SVM) with TIMI/GRACE scores in predicting cardiovascular events, while addressing implementation barriers. Following PRISMA guidelines, we analyzed 50 studies (1,592,034 patients) from PubMed, Scopus, and Web of Science (2015–2025). Performance metrics (AUC, sensitivity, specificity) were pooled using random-effects models, and publication bias was assessed via funnel plots. ML models significantly outperformed conventional scores, with Random Forest (AUC=0.99), XGBoost (AUC=0.98), and DNN (sensitivity=99%) demonstrating superior discrimination. However, heterogeneity in validation (e.g., Asian vs. European cohorts) and "black-box" limitations were identified. The study advocates for explainable AI, multi-center validation, and clinician training to facilitate ML integration into Electronic Health Records (EHRs). These steps could establish ML as the new standard in ACS care, improving outcomes while reducing healthcare costs
Scoping Review: Factors Causing Claim Pending in Indonesian Hospitals
Full text linkPending claims are one of the crucial problems often faced by hospitals in the National Health Insurance (JKN) financing system. This condition not only causes disruptions to hospital cash flow but also reflects weaknesses in the claims management system administratively, technically, and systemically. This study aims to identify and map various factors causing pending BPJS Kesehatan claims in Indonesian hospitals through a scoping review approach. The review process was carried out with reference to the Arksey and O'Malley framework and the PRISMA-ScR guidelines, using literature sources from Google Scholar, Garuda, PubMed, and Neliti databases. Article selection was conducted systematically for publications from 2022–2024, in Indonesian, available in full-text form, and indexed at least SINTA 3. Of the 268 articles identified, 10 met the inclusion criteria and were further analyzed. The results of the synthesis show that the causative factors of pending claims can be grouped into five main themes: inaccuracy in coding diagnosis and procedures, incompleteness of claim documents, limitations of information systems, low competence of human resources, as well as inconsistencies in the implementation of SOPs and weak coordination between units. This study concludes that pending claims are multifactorial and interrelated, requiring comprehensive intervention in the form of strengthening human resource capacity, optimizing the digital claims system, and improving hospital claims policies and governance systemically
The Relationship Between Hemoglobin Levels and Early Mobilization on Surgical Wound Healing in Post Sectio Caesarea Patients at Metta Medika Padangsidimpuan Hospital
Full text linkThis study aims to analyze the relationship between hemoglobin (Hb) levels and early mobilization on surgical wound healing in post-sectio caesarean section patients. The research design uses a quantitative approach with a cross-sectional analytical observational method. The study was conducted at Metta Medika Padangsidimpuan Hospital on 33 patients who were selected using the purposive sampling technique. The data was analyzed by the Chi-Square test to determine the relationship between variables. The results showed that the Hb level ≥ 11 g/dl was related to better healing of surgical wounds compared to Hb < 11 g/dl (p = 0.013). In addition, rapid and normal early mobilization significantly improved wound healing compared to slow mobilization (p = 0.025). This study concluded that Hb levels and early mobilization had a significant relationship with wound healing in post-sectio caesarean section. These findings can be used as a reference in postoperative management to improve the quality of patient recovery