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Full-Text Articles in Medicine and Health Sciences

Nurses’ Empathy, Burnout, And Contentment With Life In Turkey, Sevinç Mersin, Özlem İbrahimoğlu, Merve Tuncer, Ali Arslanoğlu Dec 2024

Nurses’ Empathy, Burnout, And Contentment With Life In Turkey, Sevinç Mersin, Özlem İbrahimoğlu, Merve Tuncer, Ali Arslanoğlu

Makara Journal of Health Research

Background: Empathy has various consequences for nurses. Therefore, its effects on nurses should be identified. Thus, this study aimed to determine the relationships between empathy, burnout, and level of contentment with life in nurses and the characteristics that affect them.

Methods: This descriptive–correlational study was conducted on 653 nurses in Turkey between November and December 2021. Data were collected using an information form, the Basic Empathy Scale, Burnout Measure Short Scale, and Contentment with Life Assessment Scale.

Results: A positive, weak, and significant relationship was noted between the mean Basic Empathy Scale and Burnout Measure Scale scores. …


Optimization Of External Disintegrating Materials In Wet Granulation Formulation Of Ondansetron Tablets, Yandi Permana, Syahrul Tuba, Taufik Riyadi, Sugindro Sugindro Dec 2024

Optimization Of External Disintegrating Materials In Wet Granulation Formulation Of Ondansetron Tablets, Yandi Permana, Syahrul Tuba, Taufik Riyadi, Sugindro Sugindro

Pharmaceutical Sciences and Research

Inadequate management of chemotherapy-induced side effects, including nausea and vomiting, can impact the healing response of cancer patients. Ondansetron, a preferred medication for the treatment, is classified as a biopharmaceutic classification system (BCS) class II drug, which limits its bioavailability. To enhance its solubility, sodium starch glycolate (SSG) and pregelatinized starch (PG) are used as super disintegrants. This study investigates the impact of these super disintegrants on ondansetron dissolution and identifies the optimal formulation. Ondansetron tablets were prepared using the wet granulation method, with nine formulations varying in SSG and PG concentrations (0%, 1%, 3%, 5%, and 7%). The tablets …


Faktor Determinan Kasus Diabetes Mellitus Tipe 2 Di Kabupaten Administrasi Kepulauan Seribu Provinsi Dki Jakarta Tahun 2023, Ulinuha Setya Darmawanti Dec 2024

Faktor Determinan Kasus Diabetes Mellitus Tipe 2 Di Kabupaten Administrasi Kepulauan Seribu Provinsi Dki Jakarta Tahun 2023, Ulinuha Setya Darmawanti

Jurnal Epidemiologi Kesehatan Indonesia

Kepulauan Seribu Administrative District has the highest Diabetes Mellitus Incidence Rate compared to other areas in the DKI Jakarta Province, which is 317.4 per 10,000 residents. The purpose of this research is to identify the determinant factors that most influence cases of Type 2 Diabetes Mellitus in the Kepulauan Seribu in 2023, based on the relationship between factors such as Age, Gender, Occupation, History of Diabetes Mellitus, Body Mass Index (BMI), Excessive Sugar Consumption, Excessive Salt Consumption, Excessive Fat Consumption, Insufficient Fruit and Vegetable Intake, and Lack of Physical Activity. This research employs an analytical observational study method with a …


The Impact Of Smoking Degree On One Year Survival Of Non-Small Cell Lung Cancer (Nsclc) At Persahabatan Hospital, Arief Wicaksono, Asri C. Adisasmita, Andika Chandra Putra Dec 2024

The Impact Of Smoking Degree On One Year Survival Of Non-Small Cell Lung Cancer (Nsclc) At Persahabatan Hospital, Arief Wicaksono, Asri C. Adisasmita, Andika Chandra Putra

Jurnal Epidemiologi Kesehatan Indonesia

Lung cancer is a major global mortality problem with the worst prognosis compared to other types of cancer. Non-small cell lung cancer (NSCLC) is the most common type of lung cancer and smoking is one of the main factors causing lung cancer. This study aims to determine the one-year survival of NSCLC patients with smoking levels and to determine what factors affect survival. This study is an observational study with a retrospective method, looking at medical record data of NSCLC patients both inpatients and outpatients at Persahabatan Hospital between January 2023 and December 2023 and then followed up until September …


Hubungan Antara Hipertensi Dan Kematian Pasien Covid-19 Di Layanan Rawat Inap Rsud Tarakan Tahun 2022 (Association Between Hypertension And Mortality Of Covid-19 Inpatients At Tarakan Regional General Hospital In 2022), Karina Widyasari, Mondastri Korib Sudaryo Dec 2024

Hubungan Antara Hipertensi Dan Kematian Pasien Covid-19 Di Layanan Rawat Inap Rsud Tarakan Tahun 2022 (Association Between Hypertension And Mortality Of Covid-19 Inpatients At Tarakan Regional General Hospital In 2022), Karina Widyasari, Mondastri Korib Sudaryo

Jurnal Epidemiologi Kesehatan Indonesia

Coronavirus Disease 2019 (COVID-19) is an infectious disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). COVID-19 was the leading disease in terms of the highest number of hospital admissions and cause of death at the Tarakan Regional General Hospital (RSUD Tarakan) in 2022. COVID-19 patients who received treatment at the hospital were often individuals with underlying conditions, such as hypertension. Therefore, it is important to conduct research on comorbidities, specifically hypertension, and its relationship to COVID-19 mortality at the RSUD Tarakan’s inpatient in 2022, so the hospital can design spesific care plans for COVID-19 patients with hypertension. …


Karakteristik Dan Analisis Risiko Kasus Tuberkulosis Di Puskesmas Senen Jakarta Pusat Tahun 2023, Eka Lusi Susanti, Anna Hasnaini, Murniaty - Dec 2024

Karakteristik Dan Analisis Risiko Kasus Tuberkulosis Di Puskesmas Senen Jakarta Pusat Tahun 2023, Eka Lusi Susanti, Anna Hasnaini, Murniaty -

Jurnal Epidemiologi Kesehatan Indonesia

Indonesiaranks second globally with the highest number of Tuberculosis (TB) cases, following India. Consequently, TB remains a high-priority health issue requiring immediate attention. This study aims to describe the TB case characteristic and analyze the TB risk in each urban villages of Senen, Central Jakarta. This is a descriptive cross-sectional study. Data was obtained from medical records and the Tuberculosis Information System (SITB) at Senen Primary Health Care (PHC) during January – December2023. Demographic data, TB type, result of rapid molecular test, and comorbidities were presented in numbers and percentages. Total TB cases, incidence rate (IR), and standardized morbidity ratio …


Faktor-Faktor Yang Berhubungan Dengan Asfiksia Neonatus: Studi Kasus Kontrol Di Rsud Kabupaten Serang, Banten, Indonesia, Husnul Khotimah, Yosi Yusrotul Khasanah, Nur Arofah Dec 2024

Faktor-Faktor Yang Berhubungan Dengan Asfiksia Neonatus: Studi Kasus Kontrol Di Rsud Kabupaten Serang, Banten, Indonesia, Husnul Khotimah, Yosi Yusrotul Khasanah, Nur Arofah

Jurnal Epidemiologi Kesehatan Indonesia

Asphyxia in newborns is a common and serious cause of neonatal morbidity and mortality nationally and internationally. Risk factors for asphyxia can be seen from maternal and infant factors. The purpose of this study was to determine the risk factors in mothers and infants and to analyze which factors have the most influence on asphyxia. This study is a quantitative analytical study with a case-control approach. The number of case samples was 53 infants who experienced asphyxia and 53 control (1:1) infants so that the total sample was 106 infants. The variables studied were parity, Low Birth Weight (LBW), preeclampsia, …


The Correlation Of Covid-19 Vaccination With Covid-19 Patient Mortality In Depok City, Indonesia, Dian Nugrahari, Asri Adisasmita Prof, Nurhanifah Hamdah Dec 2024

The Correlation Of Covid-19 Vaccination With Covid-19 Patient Mortality In Depok City, Indonesia, Dian Nugrahari, Asri Adisasmita Prof, Nurhanifah Hamdah

Jurnal Epidemiologi Kesehatan Indonesia

Vaccination is a disease prevention method recommended by the WHO as it will reduce disease severity, mortality rate and risks. The objective of this study is to discover the impact of COVID-19 vaccination against COVID-19 mortality rate in Indonesia. This was a retrospective cohort research on the data from the NAR COVID-19 database and the KPCPEN COVID-19 Dashboard of the Depok City Health Department from May 2020-February 2023. We performed a Cox proportional hazard analysis to obtain the risk for death. We discovered that COVID-19 vaccination reduced the mortality until it was less than 10% of unvaccinated population (0,24% for …


Asosiasi Antara Indeks Massa Tubuh Dan Mortalitas Pada Pasien Gagal Ginjal Kronis Yang Menjalankan Hemodialisa Reguler: Meta-Analisis Dari Studi Kohort, Joue Abraham Trixie Latupeirissa, Mondastri Korib Sudaryo, Dorothy Gabriella Ms., Benedikta Suryandari Ms., Vine Aprilianita Sri Indah Putri Ms. Dec 2024

Asosiasi Antara Indeks Massa Tubuh Dan Mortalitas Pada Pasien Gagal Ginjal Kronis Yang Menjalankan Hemodialisa Reguler: Meta-Analisis Dari Studi Kohort, Joue Abraham Trixie Latupeirissa, Mondastri Korib Sudaryo, Dorothy Gabriella Ms., Benedikta Suryandari Ms., Vine Aprilianita Sri Indah Putri Ms.

Jurnal Epidemiologi Kesehatan Indonesia

Chronic kidney failure patients must undergo hemodialysis for life, therefore it is important to maximize hemodialysis services in every health facility. Accordingly, factors related to survival rates must be addressed. One of them is low Body Mass Index (BMI). This study assessed the relationship between low BMI and mortality in the patients. The study design used was meta-analysis. The articles involved were in the period 2012 - 2024. There are three literature sources: medical databases, previous studies, and ongoing research. Overall, 26 articles were obtained. Data analysis showed that BMI


Factors Affecting The Adoption Of Malaria Interventions For Pregnant Women In Tanzania: Tanzania Demographic Health Survey 2022, Melisa Nyamukondiwa, Asri C. Adisasmita, Renti Mahkota, Same Betera Dec 2024

Factors Affecting The Adoption Of Malaria Interventions For Pregnant Women In Tanzania: Tanzania Demographic Health Survey 2022, Melisa Nyamukondiwa, Asri C. Adisasmita, Renti Mahkota, Same Betera

Jurnal Epidemiologi Kesehatan Indonesia

Tanzania is endemic to malaria and pregnant women due to their vulnerability are among the high-risk groups. The adoption of malaria interventions targeted to pregnant women is affected by a number of factors. A cross-sectional study using secondary data from Tanzania Demographic Health Survey (TDHS) for 2022 was used. A logistic regression was used for bivariate analysis to identify factors affecting the adoption of malaria interventions during pregnancy in Tanzania. Data from pregnant women between 15 to 49 years (N=1408) were analyzed in this study. Insecticide treated nets (ITNs) and intermittent preventive therapy in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) were the …


Analisis Situasi Masalah Kesehatan Penyakit Tidak Menular Di Kota Depok Tahun 2023, Elvi Nora Simanjuntak, Asri Adisasmita Prof, Hidayat Nuh Ghazali Djajuli Dec 2024

Analisis Situasi Masalah Kesehatan Penyakit Tidak Menular Di Kota Depok Tahun 2023, Elvi Nora Simanjuntak, Asri Adisasmita Prof, Hidayat Nuh Ghazali Djajuli

Jurnal Epidemiologi Kesehatan Indonesia

Indonesia faces one of the biggest health challenges stemming from non-communicable diseases (degenerative diseases). The incidence of this health problem has shone a spotlight on the international community of both modern and traditional societies in all parts of the world. The shift in lifestyle from traditional to modern living is one of the factors that has led to the high number of degenerative disease cases in Indonesia. Currently, the number of people sickened by these non-communicable diseases continues to increase even at a young age with stroke, heart disease, and diabetes. Depok City as one of the cities that has …


Hubungan Antara Obesitas Abdominal Dengan Kejadian Stroke Pada Penduduk Usia Dewasa Dan Paruh Baya : Tinjauan Literatur, Jessica Veronica Silalahi, Sudarto Ronoatmodjo Dec 2024

Hubungan Antara Obesitas Abdominal Dengan Kejadian Stroke Pada Penduduk Usia Dewasa Dan Paruh Baya : Tinjauan Literatur, Jessica Veronica Silalahi, Sudarto Ronoatmodjo

Jurnal Epidemiologi Kesehatan Indonesia

Stroke is a major and growing global health problem. Stroke is a leading cause of illness and death worldwide and can be broadly classified as hemorrhagic stroke or ischemic stroke. There are many risk factors for stroke, including modifiable and non-modifiable risk factors. This study aims to investigate the correlation between central obesity and stroke incidence in adults and middle-aged using a systematic review. This study was conducted through a comprehensive search of several electronic databases, including Scopus, Science Direct, Proquest, and Google Scholar from June 2024 - September 2024. A total of 2,482 articles were screened based on the …


Faktor Risiko Yang Berhubungan Dengan Hipertensi Pada Jemaah Haji Embarkasi Banjarmasin Kalimantan Selatan 2024, Nani Nani, Helda Helda, Khansa Raf Raf Dec 2024

Faktor Risiko Yang Berhubungan Dengan Hipertensi Pada Jemaah Haji Embarkasi Banjarmasin Kalimantan Selatan 2024, Nani Nani, Helda Helda, Khansa Raf Raf

Jurnal Epidemiologi Kesehatan Indonesia

Hypertension is a silent killer that is a major contributor to deaths worldwide every year. Hypertension is identified as one of the comorbidities that are often found in pilgrims. Various risk factors can play a role in the occurrence of hypertension. The purpose of this study is to analyze the risk factors that most significantly contribute to hypertension in Banjarmasin embarkation pilgrims in 2024. The research was carried out with a cross sectional design that utilizes secondary data sourced from the Integrated Hajj Computerized System related to health services during Hajj. The proportion of hypertension in Banjarmasin embarkation pilgrims in …


Hubungan Gangguan Mental Emosional Dan Obesitas Sentral: Literature Review, Dwi Rahmawati, Ratna Djuwita Dec 2024

Hubungan Gangguan Mental Emosional Dan Obesitas Sentral: Literature Review, Dwi Rahmawati, Ratna Djuwita

Jurnal Epidemiologi Kesehatan Indonesia

The prevalence of central obesity, both globally and in Indonesia, continues to increase. Mental and emotional disorders are one of the contributing factors to central obesity. In previous studies, it was known that the relationship between emotional mental disorders and obesity can occur in bidirections, where emotional mental disorders can cause central obesity or vice versa. This literature review aims to find out more about the relationship between emotional mental disorders and central obesity from various countries. The searching for articles used 4 databases (Scopus, Science Direct, Proquest, and Pubmed) with the Preferred Reporting Items for Systematic Review and Meta-Analysis …


Navigating Wound Closure Strategies: Primary Closure Vs. Delayed Primary Closure In Digestive Surgery—A Systematic Review And Meta-Analysis On Surgical Site Infections, Lam Sihardo, Arnetta Nl Lalisang, Afid B. Putra, Bagus A. Suryawiditya Dec 2024

Navigating Wound Closure Strategies: Primary Closure Vs. Delayed Primary Closure In Digestive Surgery—A Systematic Review And Meta-Analysis On Surgical Site Infections, Lam Sihardo, Arnetta Nl Lalisang, Afid B. Putra, Bagus A. Suryawiditya

The New Ropanasuri Journal of Surgery

Introduction. Surgical site infection (SSI) is a significant concern following digestive surgery, with varying incidence rates based on wound contamination levels. The choice between Primary Closure (PC) and Delayed Primary Closure (DPC) impacts SSI occurrence, making it essential to evaluate their comparative effectiveness. DPC is hypothesized superior to PC to prevent SSI or wound infection after a contaminated abdominal surgery.

Methods. This systematic review study was carried out through PubMed, Scopus, and Cochrane (CENTRAL). Quality was assessed using Risk of Bias (ROB-2) tool. All results were summarized, and quantitative analysis was performed using a random-effect model. This study …


Bacillus Calmette-Guerin (Bcg) As An Intralesional Therapy For Cutaneous Metastatic Malignant Melanoma: A Literature Review, Farisa B. Dina, Ahmad Kurnia Dec 2024

Bacillus Calmette-Guerin (Bcg) As An Intralesional Therapy For Cutaneous Metastatic Malignant Melanoma: A Literature Review, Farisa B. Dina, Ahmad Kurnia

The New Ropanasuri Journal of Surgery

Introduction. Malignant melanoma is the most lethal form of skin cancer and is the third most common cause of death of all malignancies in the world. Cutaneous metastatic lesions are the earliest and the most frequently encountered metastatic lesions in malignant melanoma. The use of Bacillus Calmette-Guerin (BCG) as an intradermal therapy agent has been long debated due to its effectiveness and adverse effects. This literature review aims to provide a comprehensive explanation regarding the use of intralesional BCG in establishing local control and preventing recurrence in cutaneous metastatic malignant melanoma.

Method. A literature search was conducted on various …


Infrarenal Abdominal Aortic Pseudoaneurysm With Suspected Behcet Disease: A Unique Case Report, Harsya D. Gunardi, Danny Pratama, Andrio W. Prabowo, Nanang W. Hidayat, M Aprizal Putera, Grady Krisandi Dec 2024

Infrarenal Abdominal Aortic Pseudoaneurysm With Suspected Behcet Disease: A Unique Case Report, Harsya D. Gunardi, Danny Pratama, Andrio W. Prabowo, Nanang W. Hidayat, M Aprizal Putera, Grady Krisandi

The New Ropanasuri Journal of Surgery

Introduction. Abdominal aortic pseudoaneurysm caused by autoimmune vasculitis is a rare complication. Clinical presentation of patients is often late with life–threatening complications.

Case Illustration: A 62–year–old male patient with infrarenal abdominal aortic pseudoaneurysm presenting with a 2–week worsening severe abdominal and lumbar pain with a history of uncontrolled hypertension and a history of oral ulcer. He was successfully treated with tube grafting through open surgical repair.

Conclusion: The pseudoaneurysm was successfully removed and replaced with a polyester tube graft with no perioperative complications and was discharged 5 days later


C-Reactive Protein As An Early Predictor Of Anastomosis Leakage After Colorectal Surgery: A Literature Review, Lucky Permana, Ridho A. Syaiful Dec 2024

C-Reactive Protein As An Early Predictor Of Anastomosis Leakage After Colorectal Surgery: A Literature Review, Lucky Permana, Ridho A. Syaiful

The New Ropanasuri Journal of Surgery

Introduction. Anastomosis leakage is a defect in the intestinal wall at the anastomosis site after surgery. This condition is a serious complication causing increased morbidity and mortality. CRP is commonly used as an acute postoperative indicator after abdominal surgery. The use of CRP as an early predictor of anastomosis leakage after colorectal surgery is supported by several studies showing its good diagnostic value. However, using CRP as a biomarker is not standard at Cipto Mangunkusumo National Hospital. Therefore, this literature review aims to support the evidence for CRP in the early detection of anastomosis leakage after colorectal surgery.

Method. …


The Role Of Active Surveillance Of Papillary Thyroid Microcarcinoma: A Literature Review, Prasojo Prasojo, I Gusti Ngurah Gunawan Gunawan Wibisana Dec 2024

The Role Of Active Surveillance Of Papillary Thyroid Microcarcinoma: A Literature Review, Prasojo Prasojo, I Gusti Ngurah Gunawan Gunawan Wibisana

The New Ropanasuri Journal of Surgery

Introduction: Thyroid cancer is one of the most common cancers in the world, with incidence 144,7: 100.000 population. The incidence has risen up to 211% within the last 30 years, and one–third of thyroid cancer is papillary thyroid microcarcinoma. There are still controversies regarding whether immediate surgery or active surveillance is the better option for treating this condition. This review aims to evaluate the safety and efficacy of active papillary thyroid microcarcinoma surveillance.

Methods: Cochrane, PubMed, EBSCOHost, and ProQuest were searched for relevant studies of active surveillance of papillary thyroid microcarcinoma.

Results: Six publications were selected after a literature search …


Transformation Of Accreditation Of Higher Education In Health In Indonesia: Qualitative Assessment, Yefta Moenadjat, Insan Sosiawan A. Tunru, Sutrisno Soemardjo Dec 2024

Transformation Of Accreditation Of Higher Education In Health In Indonesia: Qualitative Assessment, Yefta Moenadjat, Insan Sosiawan A. Tunru, Sutrisno Soemardjo

The New Ropanasuri Journal of Surgery

Accreditation of higher education in health in Indonesia shifts to the qualitative assessment driven to ensure quality improvement. The method replaces the former quantitative assessment method that has been applied since 2012; it will be effective in January 2025. The driving factors and rationale of transformation are outlined in this article. The rationale of the qualitative assessment that applies principle–based accreditation and the quantitative assessment that applies rule–based accreditation is reviewed here. Information on the accreditation procedure and the goal is presented, aiming for institutions to prepare for this new version of accreditation.


Surgical Treatment For Hepatocellular Carcinoma With Right Atrium Tumor Thrombus: A Literature Review, Mohammad Z. Hazmi, Ridho A. Syaiful Dec 2024

Surgical Treatment For Hepatocellular Carcinoma With Right Atrium Tumor Thrombus: A Literature Review, Mohammad Z. Hazmi, Ridho A. Syaiful

The New Ropanasuri Journal of Surgery

Introduction. The prognosis of patients with hepatocellular carcinoma (HCC) with right atrial tumor thrombus (RATT) is poor, with a mortality rate of 60 to 90%. Along with the development of multimodality management and surgical techniques in cases of HCC, surgery is still an option for curative purposes. This study aims to review the indications, appropriate surgical techniques, and postoperative survival outcomes in HCC with RATT.

Methods. This literature review conducted using online databases, including Cochrane Library, PubMed, ScienceDirect, EBSCOhost, and ProQuest.

Results. Six case reports and four retrospective studies were reviewed. Surgery for HCC with RATT has one, three, and …


Benefits Of Neurodevelopment Treatment And Trunk Mobilization In Spastic Diplegi Cerebral Palsy: Case Study, Enggal -. Andayani, Nitaya Putri Nur Hidayati, Sugiono -. - Dec 2024

Benefits Of Neurodevelopment Treatment And Trunk Mobilization In Spastic Diplegi Cerebral Palsy: Case Study, Enggal -. Andayani, Nitaya Putri Nur Hidayati, Sugiono -. -

Jurnal Fisioterapi Terapan Indonesia

ABSTRACT: Background: Spastic diplegia cerebral palsy is a movement disorder with the lower limbs being heavier than the upper limbs which occurs due to brain damage. This disorder makes it difficult for children to carry out functional activities. Neurodevelopmental treatment (NDT) and trunk mobilization are approaches to treating cerebral palsy cases. Objective: To find out the management of neurodevelopmental treatment (NDT) physiotherapy and trunk mobilization in cases of diplegic spastic cerebral palsy. Results: Shortly after the therapy, the results showed a decrease in spasticity, but during subsequent therapy the muscle spasticity returned to normal. For the results of therapy carried …


Effectiveness Of Using Soft Exosuit In Stroke Case To Improve Walking Speed And Endurance, Aditya Denny Pratama, Rakha Shidqi Widyadhana Dec 2024

Effectiveness Of Using Soft Exosuit In Stroke Case To Improve Walking Speed And Endurance, Aditya Denny Pratama, Rakha Shidqi Widyadhana

Jurnal Fisioterapi Terapan Indonesia

Stroke is a clinically defined syndrome of acute, focal nerve discharge caused by vascular injury (infarction, hemorrhage) of the central nervous system. Punches can cause damage to the brain and affect a person's ability to walk, balance and coordinate movements. Impaired gait is common in stroke cases, often resulting in poor recovery of mobility and inability to carry out daily activities without assistance. One of the interventions that can be used is a soft exosuit. This method can help overcome walking problems in stroke patients where soft exosuits are used to increase walking speed and walking endurance. The purpose of …


Evaluasi Ekonomi Total Hip Arthroplasty Protokol Enhance Recovery After Surgery Dibandingkan Konvensional Di Rsup Fatmawati Jakarta, Hanna Elisabet Lumbangaol, Mardiati Nadjib Dec 2024

Evaluasi Ekonomi Total Hip Arthroplasty Protokol Enhance Recovery After Surgery Dibandingkan Konvensional Di Rsup Fatmawati Jakarta, Hanna Elisabet Lumbangaol, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

Total hip arthroplasty (THA) is a common orthopedic procedure performed to replace damaged hip joints with prostheses. The demand for this procedure is expected to rise in the future. Enhanced Recovery After Surgery (ERAS) has been introduced as an evidence-based, multidisciplinary approach aimed at optimizing postoperative recovery and reducing hospital length of stay. This study aims to evaluate the costs and effectiveness, including hospital stay duration and surgical success rates, of THA using the ERAS protocol compared to conventional approaches. This cross-sectional study involved data collection from healthcare providers between January 2020 and May 2023. The analysis showed that both …


Faktor Yang Memengaruhi Kinerja Verifikasi Dokter Verifikator Internal Medis Dalam Proses Klaim Pasien Jaminan Kesehatan Nasional Di Rumah Sakit Cipto Mangunkusumo, Immanuel Natanael Tarigan, Puput Oktamianti, Ede Surya Darmawan Dec 2024

Faktor Yang Memengaruhi Kinerja Verifikasi Dokter Verifikator Internal Medis Dalam Proses Klaim Pasien Jaminan Kesehatan Nasional Di Rumah Sakit Cipto Mangunkusumo, Immanuel Natanael Tarigan, Puput Oktamianti, Ede Surya Darmawan

Jurnal Ekonomi Kesehatan Indonesia

Since the implementation of the National Health Insurance, hospitals must be able to manage JKN claims properly. One way to properly manage the situation is by employing a medical internal verification doctor. This study aims to determine the factors that influence the performance of medical internal verification doctor based on the percentage of claim eligibility that has been verified. The research was conducted using a case study method with a qualitative and quantitative approach. The study was conducted on 16 medical internal verification doctors using questionnaires and in-depth interviews. The results of the study found that the performance of medical …


Analisis Klaim Pending, Verifikasi Dan Audit Pascaklaim Jaminan Kesehatan Nasional, Anugrah Aulia Ulil Amri, Atik Nurwahyuni Dec 2024

Analisis Klaim Pending, Verifikasi Dan Audit Pascaklaim Jaminan Kesehatan Nasional, Anugrah Aulia Ulil Amri, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

The implementation of Indonesia’s National Health Insurance (JKN) poses new challenges for hospitals as service providers. Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan, the program’s administrator, now routinely conducts post-claim verifications and audits after claims have been paid. This often results in claim adjustments or even full reversals of previously reimbursed amounts. This case study examines JKN claim management at a Type D General Hospital in 2022, focusing on pending claims, verification, and post-claim audits, using a systems theory framework. Key issues in pending claims include incomplete medical records (29%), insufficient supporting documents (24%), and coding errors (21%). Post-claim problems primarily …


Efisiensi Biaya Dalam Perawatan Stroke Non-Hemoragik: Studi Kasus Di Rumah Sakit Islam Sunan Kudus, Chusnul Mubarok, Chriswardani Suryawati, Puji Harto Dec 2024

Efisiensi Biaya Dalam Perawatan Stroke Non-Hemoragik: Studi Kasus Di Rumah Sakit Islam Sunan Kudus, Chusnul Mubarok, Chriswardani Suryawati, Puji Harto

Jurnal Ekonomi Kesehatan Indonesia

Stroke is one of the leading causes of morbidity and mortality globally, with over 12 million new cases each year. In Indonesia, the prevalence of stroke increased from 8.3% in 2007 to 12.1% in 2013, with the age group of 55-64 years recording the highest prevalence. This study aims to analyse the actual costs of non-hemorrhagic stroke care for patients under the National Health Insurance (JKN) at the Islamic Hospital of Sunan Kudus using the Activity-Based Costing (ABC) method. A descriptive quantitative method was applied, collecting data from hospitalised non-hemorrhagic stroke patients during 2023. The results showed a discrepancy between …


The Role Of Social Health Insurance In Achieving Universal Health Coverage In Asia: A Systematic Review, Afaf Jauhar, Mardiati Nadjib Dec 2024

The Role Of Social Health Insurance In Achieving Universal Health Coverage In Asia: A Systematic Review, Afaf Jauhar, Mardiati Nadjib

Jurnal Ekonomi Kesehatan Indonesia

Universal Health Coverage (UHC) aims to ensure that all individuals have access to essential health services without financial hardship. Social Health Insurance (SHI) is critical in achieving this goal, especially in low- and middle-income countries. This systematic review explores the role of SHI systems in advancing UHC across 14 Asian countries, focusing on healthcare access, financial protection, and equity. A comprehensive search across PubMed, Scopus, and ScienceDirect identified 768 articles, and 37 studies were selected after screening, following the PRISMA guidelines. The chosen studies cover countries with varying SHI models across Asia. The findings reveal that high-income countries such as …


Determination Of The Kinetic Parameters Of Cholesterol Oxidation Using Cholesterol Oxidase From Streptomyces Sp., Meka Saima Perdani, Heri Hermansyah, Muhamad Sahlan, Dwini Normayulisa Putri, Teguh Pambudi, Anggi Khairina Hanum Hasibuan Dec 2024

Determination Of The Kinetic Parameters Of Cholesterol Oxidation Using Cholesterol Oxidase From Streptomyces Sp., Meka Saima Perdani, Heri Hermansyah, Muhamad Sahlan, Dwini Normayulisa Putri, Teguh Pambudi, Anggi Khairina Hanum Hasibuan

Makara Journal of Technology

Cholesterol oxidase (CO) was successfully produced from Streptomyces sp. via the submerged fermentation method, and 69 U/mL enzyme activity was obtained. This study aimed to determine cholesterol oxidation kinetics and the production of CO as a catalyst. The enzyme was diluted to 0.15, 0.075, and 0.00375 U/mL for the oxidation reaction. The substrate was also prepared in three concentrations: 3.23, 6.46, and 12.93 mM. The optimization of conditions for enzymatic cholesterol oxidation was investigated through measurement of the effect of initial cholesterol and enzyme concentrations. Cholesterol concentration was rapidly measured via high-performance liquid chromatography (HPLC). The kinetics of CO were …


Mnsod Gene Knockout Promotes Apoptosis In Triple-Negative Breast Cancer Bt-549 Cells Through Survivin Inhibition And Caspase-3 And Caspase-9 Modulation, Niken Rahmah Ghanny, Septelia Inawati Wanandi, Sekar Arumsari, Rafika Indah Paramita, Resda Akhra Syahrani, Putu Indah Paramita Adi Putri Dec 2024

Mnsod Gene Knockout Promotes Apoptosis In Triple-Negative Breast Cancer Bt-549 Cells Through Survivin Inhibition And Caspase-3 And Caspase-9 Modulation, Niken Rahmah Ghanny, Septelia Inawati Wanandi, Sekar Arumsari, Rafika Indah Paramita, Resda Akhra Syahrani, Putu Indah Paramita Adi Putri

Makara Journal of Science

Triple-negative breast cancer (TNBC) is the most aggressive breast cancer subtype characterized by the lack of estro-gen, progesterone, and human epidermal growth factor receptor 2 (HER2) receptors. TNBC cells are becoming more aggressive due to the high expression of manganese superoxide dismutase (MnSOD) antioxidants to suppress reactive oxygen species-induced apoptosis and promote oncogenic signaling. This study was aimed to evaluate the effects of MnSOD knockout (KO) on TNBC cell apoptosis by assessing the survivin, caspase-9, and caspase-3 expressions. BT-549 TNBC cells containing the clustered regularly interspaced short palindromic repeat (CRISPR)/Cas9-edited MnSOD gene were used to evaluate the messenger RNA (mRNA) …