Jurnal Health Sains (JHS)
Not a member yet
676 research outputs found
Sort by
Staphylococcal Scalded Skin Syndrome with Atypical Presentation in nn Infant: A Case Report
Full text linkStaphylococcal scalded skin syndrome (SSSS) is a rare, potentially fatal illness caused by Staphylococcus aureus toxins, mainly affecting children under six due to immature immunity and renal function. It presents with fever, rash, blistering, and skin peeling. This report highlights an atypical chronic case with unusual skin presentation. A 7-month-old infant presented with a 3-month history of widespread skin peeling, starting from the face and spreading to the body. No fever or prior drug use was reported. Physical exam showed generalized erythema, desquamation (rough scales), positive Nikolsky sign, and signs of dehydration because of acute diarrhea. Histopathology confirmed Staphylococcal Scalded Skin Syndrome (SSSS). The patient improved after 8 days of hospitalization with supportive and antibiotic therapy. Staphylococcal Scalded Skin Syndrome (SSSS) is caused by epidermolytic exotoxins from certain Staphylococcus aureus strains, leading to skin peeling and large superficial blisters. While often diagnosed clinically, atypical cases may mimic other conditions, making skin biopsy or culture necessary for confirmation
The Influence of Top Management Team Competencies on Strategic Decision-Making in Hospital
Full text linkTop management team (TMT) competencies are pivotal in navigating hospitals’ strategic challenges, yet their collective impact remains underexplored amid evolving healthcare complexities. This narrative review synthesizes 15 studies (2010–2025) to analyze how TMT competencies—leadership, communication, strategic thinking, and adaptability—shape strategic decision-making and identifies gaps in cross-cultural applicability. A systematic search across PubMed, Scopus, and ScienceDirect employed PICO criteria, prioritizing peer-reviewed empirical studies. Data were analyzed thematically, integrating quantitative and qualitative findings. TMT competencies significantly enhance decision-making quality, particularly in resource-limited settings. Key themes include: (1) team synergy outweighing individual prowess, (2) adaptive training as a critical enabler, and (3) unmet needs for context-specific competency frameworks. The study underscores the urgency of developing culturally tailored training programs and leveraging mixed-methods research to optimize TMT effectiveness. Policymakers and hospitals must prioritize competency integration to foster resilient, patient-centered leadership
PENERAPAN TERAPI LATIHAN PADA KASUS HEMIPARESE SINISTRA ETCAUSA STROKE INFARK DI RS MUHAMMADIYAH SELOGIRI
No full textLatar Belakang:Stroke masih menjadi salah satu masalah utama kesehatan, bukan hanya di Indonesia namun di dunia. Stroke termasuk penyebab kematian nomer tiga di dunia setelah penyakit jantung koroner dan kanker, baik di negara maju maupun negara berkembang. Intervensi fisioterapi yang dapat di gunakan berupa ROM exercise, stretching, dan strengthening exercise sehingga akan meningkatkan aktifitas fungsional pasien stroke. Gejala umum pada kasus stroke meliputi kelemahan dan hilangnya keseimbangan pada sisi lesi menyebabkan ketidakmampuan saat melakukan aktifitas fungsional. Fisioterapi sangat berperan penting dalam penanganan kasus stroke karena pasien stroke umumnya mengalami penurunan kemampuan untuk melakukan aktivitas kehidupan sehari-hari terutama disebabkan oleh tonus otot yang tidak normal. Intervensi fisioterapi yang dapat di gunakan berupa ROM exercise, stretching, dan strengthening exercise sehingga akan meningkatkan aktifitas fungsional pasien stroke. Tujuan: Mengetahui efek pemberian terapi latihan pada kasus hemiparese sinistra etcausa stroke infark. Metode: Penelitian ini menggunakan metode studi kasus, dengan diberikan terapi latihan berupa latihan ROM, Stretching dan Strengthening selama 2x pertemuan dalam seminggu. Hasil : Pemberian terapi latihan dapat memberikan perubahan pada Lingkup Gerak Sendi, fleksibilitas sendi dan otot, serta meningkatkan kekuatan otot. Kesimpulan: Studi kasus ini menunjukan terdapat efek setelah diberikannya terapi latihan
The Effect of Health Education Using Poster Media on Mothers’ Knowledge Level About Toddler Malnutrition in the Working Area of Saigon Health Center, East Pontianak
Full text linkNutritional deficiencies in toddlers can lead to growth and development disturbances, one of which is the occurrence of malnutrition. One of the main factors contributing to malnutrition in toddlers is the lack of knowledge among mothers about the nutrition required for their children. To improve this knowledge, one of the efforts that can be made is through continuous counseling using educational media, such as posters that are visually designed to be appealing, thus being effective in the learning process. This study aims to determine the effect of health education using posters on mothers' knowledge about toddler malnutrition in the working area of Saigon Health Center in East Pontianak. This study uses a quantitative pre-experimental method with a one-group pretest-posttest design. A total of 45 respondents were selected using probability sampling with a cluster random sampling technique. Data analysis was conducted using the Paired sample t-test. The results showed that most of the respondents' children were aged ≤ 2 years (66.7%), with the highest level of maternal education being high school (42.2%), and the majority of respondents' ages ranged from 20 to 42 years, with an average age of 31.42 years. The results of the Wilcoxon test showed a p-value of 0.001, indicating a significant improvement in mothers' knowledge about toddler malnutrition after receiving health education using posters
Indications, Timing and Outcomes of Tracheostomy: A Hospital Based Descriptive Study of Head and Neck Surgery Division Dr. Soetomo Hospital Surabaya
Full text linkTracheostomy is a surgical procedure that creates an opening in the anterior tracheal wall, performed either urgently or electively based on the severity of upper airway obstruction and underlying conditions. Over time, the indications and complications of tracheostomy have evolved, necessitating further evaluation of its use in clinical settings. This study aims to analyze the common indications, timing, and outcomes of tracheostomy in patients treated under the Head and Neck Surgery Division of Dr. Soetomo Hospital Surabaya. This retrospective descriptive study included all patients who underwent tracheostomy in the Head and Neck Surgery Division from January 2019 to December 2023. Data were obtained from medical records, processed, and analyzed descriptively using IBM SPSS Statistics. Over a five-year period, a total of 450 patients underwent tracheostomy, with the majority aged 51-60 years, and male patients predominating. The most common indication for tracheostomy was mechanical ventilation, followed by upper airway obstruction (146 cases). The most frequently encountered complication was stomal infection, along with bleeding. The most common diagnosis among tracheostomy patients included prolonged ventilator dependence, maxillofacial trauma, and cervical trauma. Mortality was attributed to underlying diseases rather than tracheostomy-related complications. These findings highlight the continued necessity of tracheostomy in managing upper airway obstruction and prolonged ventilation while emphasizing the importance of infection control measures to minimize complications. Future research should explore long-term functional outcomes, the impact of early versus late tracheostomy, and strategies to reduce postoperative complications. Additionally, studies investigating alternative airway management techniques and their effectiveness compared to traditional tracheostomy could provide valuable insights for optimizing patient care
UNILATERAL TONSIL ENLARGEMENT MIMICKING MALIGNANCY: A CASE REPORT
Full text linkUnilateral Tonsil Enlargement (UTE) can present clinically as a significant challenge in differentiation between benign and malignant processes. The suspicion of malignancy increases in older patients who are symptomatic. The purpose of this study was to show that unilateral tonsillar hypertrophy does not always indicate malignancy. A 51-year-old woman presented with a recurring sore throat, but it has been persistent for the past 1 month. A globus sensation accompanied the complaint. On Ear, Nose, and Throat (ENT) examination, the right tonsil grade was T2 and the left tonsil was T4, hyperemic, with dilated crypts. The patient was referred before with a working diagnosis of unilateral tonsil hypertrophy suspect malignancies, with a planned tracheostomy. The literature search was conducted on PubMed, Cochrane, Scopus using keywords “unilateral tonsil enlargement” and “tonsil hypertrophy” and “tonsil asymmetry” in the last 10 years. Based on the investigation, it was found that tonsillectomy for asymptomatic Unilateral Tonsil Enlargement does not need to be performed immediately. Given that the occurrence of malignancy in asymmetrical tonsils is minimal in the absence of additional risk factors, a period of watchful waiting may be deemed appropriate before considering any surgical intervention. It is recommended to observe for four weeks
Community-Acquired Pneumonia (CAP) in HIV Patients
Full text linkCAP continues to be a significant infectious disease among individuals living with HIV, even in the era of ART. HIV-positive individuals are at heightened risk for CAP due to altered immune function and exposure to a broader range of potential pathogens compared to the general population. This study aimed to examine the clinical characteristics, causative agents, and outcomes of CAP in HIV-infected patients to inform more accurate and evidence-based management practices. A descriptive qualitative approach was employed, with data obtained from various documented sources relevant to the topic. The analysis process followed the three-step model by Miles and Huberman, which includes data reduction, data display, and conclusion drawing. The findings reveal that HIV-infected patients with pneumonia often present with typical acute symptoms and can be appropriately evaluated using the PSI. Diagnostic and therapeutic procedures were consistent with those used for non-HIV patients, involving chest X-rays, sputum or BAL sampling, and blood tests prior to the initiation of empirical antibiotic therapy. Key strategies such as consistent use of ART, smoking cessation, and vaccination (particularly against pneumococcus and influenza) were found to be critical in both the treatment and prevention of CAP among HIV-positive individuals. Nevertheless, further research is necessary to refine prevention strategies and determine the most effective approaches for long-term disease management in this vulnerable population
Gingival Enlargement as Initial Manifestation of Acute Myeloid Leukemia : A Case Report
Full text linkAcute myeloid leukemia (AML) is a disease of hematopoietic stem cells in the bone marrow that proliferates and differentiates abnormally. AML can develop aggressively and cause a variety of complaints due to bone marrow suppression and symptoms of inflection to individual organs. Symptoms and signs of AML can be caused due to the suppression of the bone marrow resulting in ineffective erythropoesis. The oral cavity can show the first clinical manifestations of leukemia. Individuals with leukemia may show lesions such as enlarged gums. Case Presentation: A 31-year-old female patient was referred from the Dental Polyclinic of Tabanan Hospital with complaints of enlarged gums since 1 month ago. Enlargement occurs in the gums behind which incisors enlarge rapidly. Other complaints include fever up and down, weakness, bleeding through the anus. The results of the Complete Blood test found a very high WBC value, with bicytopenia, with BMP examination showing AML with M4 morphology. Conclusions: In a 31-year-old female patient, gum enlargement was found as an early manifestation of acute myeloid leukemia (AML) accompanied by constitutional symptoms such as fever, weakness, spleenomegaly. Clinical manifestations of AML can include symptoms of suppression of the bone marrow by malignant cells, and infiltration into organ systems. Oral manifestations of AML can include enlargement of the gums, discoloration of the mucous membranes to bluish or pale, ulcers, erosion, bleeding, ecchymosis, which can be mistaken for manifestations of other diseases
Clinical Manifestations and Prognosis Factors in Severe Cutaneous Adverse Drug Reaction (Scadr)
Full text linkSevere Cutaneous adverse drug reaction (SCADR) is a severe skin reaction due to the use of drugs that can be life-threatening. This article describes the clinical manifestations and prognosis factors that affect SCADR patients. The most common types of SCADR were Stevens-Johnson Syndrome (SSJ) and Toxic Epidermal Necrolysis (TEN). The drugs that most often trigger are antibiotics and anticonvulsants. The main clinical manifestations include erythematosa skin lesions, epidermal necrolysis, and mucosal involvement. Significant prognosis factors include the extent of the affected skin area, internal organ involvement, and SCORTEN score. Patients with high SCORTEN scores have a greater risk of mortality. Early treatment and discontinuation of trigger drugs are key factors in improving clinical outcomes. The conclusion is early recognition of clinical manifestations of SCADR as well as assessment of prognosis factors can be helpful in patient management and reduce the risk of serious complications. The study also highlights the importance of educating medical personnel in detecting and managing severe drug reactions
The Effectiveness of Android-Based Simantb (TB Monitoring Information System) on Medication Compliance of Pulmonary TB Patients in Ende Regency, East Nusa Tenggara
Full text linkTuberculosis (TB) is an infectious disease and one of the leading causes of death worldwide. One indicator of the TB control program's success is the treatment success rate. Various factors are believed to hinder the success of TB treatment, including therapy failure due to non-adherence, which is one of the main factors. Therefore, appropriate interventions are needed to monitor and evaluate TB patient medication adherence using suitable media that are easy to use and accessible anytime and anywhere through mobile health technology. This study aimed to analyze the effectiveness of the Android-based SIMANTB application on medication adherence in pulmonary TB patients. The research employed a Research and Development (R&D) design with a pre-experimental approach using a static group comparison, conducted over 28 days (1 month). The sampling technique used was simple random sampling, consisting of 30 respondents divided into intervention and control groups. Research data were analyzed using the Shapiro-Wilk and Mann-Whitney tests. The SIMANTB application was found to be highly suitable for tuberculosis patients, with material feasibility percentages of 93.06% and 93.75%. The use of the Android-based SIMANTB application significantly increased medication adherence in TB patients (p = 0.004). The development of the Android-based SIMANTB application is expected to provide a solution for health workers (doctors, nurses, TB officers) to support TB patients in monitoring and motivating their treatment, thereby increasing the success rate of treatment