Jurnal Health Sains (JHS)
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Smoking and Increased Symptoms of Pulmonary TB: A Retrospective Analysis at Cibinong Hospital
Full text linkPulmonary Tuberculosis (TB) is a contagious infectious disease that remains a global health problem. Smoking, both active and passive, is a risk factor that can worsen TB symptoms. At Seruni Ward of Cibinong Regional Hospital, many TB patients were found to be readmitted with worsening symptoms, suspected to be related to smoking history. This study aims to determine the relationship between active and passive smoking history and the worsening of pulmonary TB symptoms. The study used a quantitative correlational design with a retrospective longitudinal approach. The sample consisted of 82 pulmonary TB patients who were readmitted at least twice during 2024. Data were obtained from medical records and analyzed using the chi-square test. Results showed a significant relationship between smoking history and worsening TB symptoms (p < 0.05). Patients with an active smoking history experienced more severe symptoms. Educational and preventive interventions are needed to reduce symptom aggravation in TB patients with a smoking history
The Relationship Between Scabies Risk Factors and The Incidence of Scabies in Male Santri at Nurul Jadid Islamic Boarding School, Kubu Raya
Full text linkScabies is an infectious disease caused by Sarcoptes scabiei variety hominis that spreads through direct or indirect contact. This skin disease is characterized by itching and is easily transmitted from person to person and occurs in boarding schools with a high incidence rate. This study aims to determine the relationship between risk factors for scabies and the incidence of scabies in male students at Pondok Pesantren Nurul Jadid Kubu Raya. Observational analytic research with a cross-sectional type research design approach. The independent variables in this study were lighting, antiseptic use, bed cleanliness, clothing / prayer equipment and towel cleanliness of male students, while the dependent variable in this study was the incidence of scabies at Nurul Jadid Islamic Boarding School Kubu Raya with a total sample of 60 people. The results of Spearman's rho test showed that water hygiene, bed hygiene, clothing hygiene and towel hygiene were associated with the incidence of scabies. There is no relationship between lighting and the use of antiseptics with the incidence of scabies in Nurul Jadid Kubu Raya Islamic Boarding School
Desmoid Tumor Patients Profile in Dr. Soetomo Surabaya Hospital: A Rare Event
Full text linkDesmoid tumor (DT) is a fibroblast soft tissue tumor that deep seated connective tissue malignancy developing in musculoaponeurtic tissues. Desmoid tumor is a rare tumor, reported 5-6 cases per million population and account 0.03% of all neoplasm yet the etiopathogenesis of this tumor remains unclear. DT most commonly develops between the age of 15-60 years and common in females, although it rarely metastasized but locally aggressive and affect the adjacent structures. Knowing the profile of desmoid tumor patients at RSUD Dr. Soetomo Surabaya for the period January 2020 – December 2024. Including demographic patients, risk factors, tumor sites, and patients’ managements. All patients between January 2020-December 2024 whose primary DTs were observed. Datas were obtained and observational descriptive study conducted from medical files to record patient’s age, sex, tumor site, and therapeutic managements. All 16 patients were obtained during 5 years with female predominantly (1:4) and adult was more common 19-44 years. Risk factors including in this study were history of trauma, history on pregnancy, and hormonal contraceptive. Location of tumors were found mostly in abdominal wall and the therapy conducted were surgery followed by chemotherapy, and combination of hormonal therapy, TKIs, and radiotherapy. DT is a rare fibroblastic neoplasm that shows locally aggressive behavior with very low incidence annually with female, history of trauma, history of pregnancy, and hormonal contraceptive as a major risk factors. The therapeutic management includes multidisciplinary approach
The Effect of Leadership and Reward System on Patient Safety Culture Mediated by Nurses' Motivation in Satya Negara Sunter Hospital
Full text linkThis study examines the impact of leadership and reward systems on patient safety culture at Satya Negara Sunter Hospital, with nurse motivation serving as a mediating factor. The need for effective patient safety practices in healthcare environments underscores the importance of leadership, rewards, and motivation. This quantitative study used a cross-sectional design and surveyed 120 nurses through a structured questionnaire. Data analysis was performed using Partial Least Squares (PLS) to assess the direct and indirect effects of the variables. The results indicate that both leadership and reward systems significantly influence patient safety culture, with nurse motivation mediating these relationships. The findings emphasize that leadership enhances nurse motivation, while a transparent reward system further boosts motivation and strengthens the patient safety culture. This study contributes to organizational behavior theory by highlighting the interconnections between leadership, reward systems, and motivation in fostering a culture of safety. Practical recommendations include strengthening leadership capabilities, optimizing reward programs, and improving nurse motivation to ensure high-quality healthcare services
Factors Influencing the Utilization of Inpatient Units: Demand, Provision and Policies Comprehensively in Literature Review
Full text linkThe 2023 expansion of Indonesia's National Health Insurance (JKN) to 95.2% coverage and the rising burden of non-communicable diseases have driven increases in patient length of stay and inpatient visits, yet hospital bed distribution remains uneven across provinces, causing patient backlogs and delays in critical care. To comprehensively review demand, supply, and policy factors affecting inpatient unit utilization, measured by the Bed Occupancy Rate (BOR), in literature published from 2020 to 2025. A Literature Review was conducted using the PEOS framework (Patient, Exposure, Outcome, Studies). Articles were sourced from Science Direct, SpringerLink, and ProQuest, followed by deduplication, title/abstract screening, and full-text selection based on inclusion-exclusion criteria. The PRISMA flowchart guided the screening process to ensure alignment with PEOS. Out of 57 identified articles, 20 met the criteria for full analysis. Findings indicate that patient demand, bed supply capacity, and financing and referral policies significantly influence BOR. However, no study was found that integrates all three aspects comprehensively. Demand, supply, and policy are key determinants of hospital bed utilization. Further research examining their interactions is needed to develop strategic recommendations for capacity management and equitable access to inpatient services
Correlation Between Lactate Dehydrogenase (LDH) Values and Aspects Score at the Beginning of Treatment in Acute Ischemic Stroke
Full text linkStroke is the second leading cause of death worldwide, with ischemic stroke comprising 87% of cases. Metabolic acidosis from hypoxia promotes anaerobic glycolysis, raising lactate dehydrogenase (LDH) levels, which reflects neuronal tissue injury and inflammation in acute ischemic stroke. The Alberta Stroke Program Early CT Score (ASPECTS) is used to assess ischemic brain injury on non-contrast CT, aiding early prognosis and treatment decisions. This cross-sectional study at Dr. Soetomo Hospital, Surabaya (February–May 2023), included 30 acute ischemic stroke patients (53.3% male, mean age 60.2 ± 7.1 years, onset 2–5 days). Exclusion criteria were prior thrombolysis, cancer, or organ failure. LDH levels were measured at admission using the Alinity C analyzer, and ASPECTS was calculated from initial CT scans. Spearman’s correlation was used for analysis. Results showed a significant inverse correlation between LDH and ASPECTS (r = -0.279, p = 0.003), indicating that higher LDH levels correspond with lower ASPECTS (larger infarcts). Mean LDH was elevated (258.75 ± 50.65 U/L, normal 120–190 U/L). Comorbidities included hypertension (90%), dyslipidemia (83.3%), and diabetes mellitus (56.7%). These findings suggest that serum LDH may be a valuable adjunct biomarker for early assessment of ischemic stroke severity when advanced imaging is unavailable, helping clinicians estimate infarct size rapidly. Further research involving larger populations is recommended to confirm LDH’s utility and to examine its combination with other biomarkers for acute ischemic stroke management
The Relationship Between Occupation and Incidence of Various Types of Melanocytic Nevi
Full text linkMelanocytic nevi (MN) are benign proliferations of melanocytes influenced by genetic and environmental factors, particularly ultraviolet (UV) radiation. Occupational exposure to sunlight may contribute to the development of different nevus types, but this relationship remains underexplored. This study aimed to examine the association between occupation and the incidence of various melanocytic nevi types. A descriptive observational study with a cross-sectional design was conducted among 20 participants in Semarang, Indonesia, from April to May 2025. Data were collected via validated questionnaires covering occupation (indoor/outdoor), protective measures (sunscreen, long-sleeved clothing), and nevus types (junctional, compound, intradermal). Statistical analysis was performed using SPSS. Results showed that 60% of participants had indoor occupations, while 40% worked outdoors. Among nevus types, 50% had compound nevi, 16% had junctional nevi, and 10% had intradermal nevi. A significant association was found between outdoor occupations and compound nevi (p = 0.010, RR = 3.50). No significant links were observed for junctional or intradermal nevi. Protective measures, such as sunscreen use, showed no significant impact, possibly due to low adherence (70% non-users). The findings suggest that occupational UV exposure may elevate the risk of compound nevi. Further research with larger samples and additional variables (e.g., sun exposure duration) is recommended to validate these results and to inform preventive strategies for at-risk populations
Persistent Hypoglycemia: A Rare Case Report Of Clinically Diagnosed Insulinoma
Full text linkInsulinoma is a rare disease, with an incidence of approximately 4 cases per 1 million people per year. It is a pancreatic tumor that produces insulin and is classified as one of the functional pancreatic neuroendocrine tumors, originating from the pancreatic ductal cells. In insulinoma, insulin is produced abnormally and continuously, leading to persistent hypoglycemia due to excessive insulin levels. We report a case of a 49-year-old female patient who presented to the emergency department with a chief complaint of generalized weakness. The weakness was persistent and typically occurred before meals, improving after the consumption of sugar water. The patient also reported dizziness, cold sweats, blurred vision, and tremors. Laboratory tests revealed a random blood glucose level of 35 mg/dL, a fasting insulin level of 82.4 µIU/mL, and a C-peptide level of 1.07 ng/mL. Abdominal CT scan did not detect a pancreatic mass, and MRI findings were also inconclusive. Therefore, further evaluation with Endoscopic Ultrasound (EUS) and GLP-1R PET/CT was recommended. The diagnosis of insulinoma was made based on clinical and biochemical findings, fulfilling Whipple’s triad and the diagnostic criteria of blood glucose < 55 mg/dL, insulin ≥ 55 µIU/mL, and C-peptide ≥ 0.6 ng/mL. The therapeutic algorithm for clinically and biochemically confirmed insulinoma includes: stabilization of hypoglycemia, evaluation of tumor resectability, and administration of medical therapies such as everolimus, peptide receptor radionuclide therapy (PRRT) with Lu-177, chemotherapy, and local ablation techniques in cases of refractory disease.
 
Factors affecting revisit intention in outpatient care in private hospital in Indonesia: Narrative Review
Full text linkThis narrative review examines the factors influencing revisit intentions among outpatient care patients in private hospitals in Indonesia. The study highlights the significance of service quality, patient satisfaction, trust, and effective complaint handling in shaping patients' willingness to return. Key findings indicate that while technical service quality is vital, non-clinical aspects such as communication, social media engagement, and queue management also play critical roles. Understanding these determinants is essential for hospitals aiming to enhance patient loyalty and ensure competitive healthcare services
Implementation of Electronic Medical Records and its Implications for the Effectiveness of Health Services in Indonesia: Narrative Review
Full text linkDigitizing the health system through the implementation of Electronic Medical Records (RME) is one of the strategic steps in improving the effectiveness of health services in Indonesia. RME enables digital recording, management, and access of patient medical data, replacing manual systems that are less efficient and error-prone. This article aims to narratively review the literature that discusses the implementation of RME and its impact on the effectiveness of health services in Indonesia. The study was conducted through a narrative review approach utilizing data from various scientific articles obtained through databases such as Google Scholar and Scopus. Article selection was carried out based on certain inclusion and exclusion criteria, with a publication range of 2020–2025. The results of the review of six articles show that RME contributes positively to improving operational efficiency, documentation quality, interprofessional coordination, and patient safety. RME speeds up the service process, minimizes medical errors, and supports more accurate clinical decision-making. However, the implementation of RME also faces challenges such as limited technology infrastructure, data security issues, and the readiness of human resources that still varies. The implementation of RME in Indonesia has a significant impact on the effectiveness of health services. To maximize its benefits, strong regulatory support, ongoing training, and the development of an integrated and user-friendly system are needed