Abstract:Inhaled corticosteroids (ICS) are commonly prescribed to manage asthma and chronic obstructive pulmonary disease (COPD) due to their local anti-inflammatory effects in the airways. However, prolonged or high-dose ICS use…
has been associated with systemic adverse effects, including decreased bone mineral density (BMD) and increased risk of osteoporosis. This review aimed to examine the association between ICS use and the risk of osteoporosis or fractures, and to identify modifying factors such as dose, duration, patient age, sex, and type of corticosteroid used. Literature review was conducted using databases including PubMed, Scopus, and Web of Science. Articles were selected using specific inclusion and exclusion criteria. The review focused on original studies published up to March 2025, resulting in 28 relevant articles, of which 6–8 high-quality studies were analyzed in depth. Most studies demonstrated that long-term or high-dose ICS use is associated with decreased BMD and increased risk of fractures, especially in elderly COPD patients. The greatest risk was linked to fluticasone and budesonide at doses ≥500 µg/day. Some studies found neutral or even protective effects in specific subgroups, indicating population-dependent variability. Meta-analyses revealed conflicting results due to heterogeneity in populations and methodologies. High-dose and long-term ICS use may increase the risk of osteoporosis. Clinicians should consider individualized risk assessments and adopt strategies such as using the lowest effective dose, monitoring BMD, and providing calcium and vitamin D supplementation in at-risk populations.
Abstract:A complete medical record is a crucial part of healthcare delivery, serving as a communication tool between healthcare professionals, legal evidence, and the basis for evaluating and planning hospital services. The completeness…
eteness of medical record documentation, particularly in the emergency department, is an indicator of service quality that requires serious attention. The purpose of this study was to determine the percentage of completeness of identification, authentication, recording, and important reporting in the medical records of emergency patients diagnosed with hypertension at Wangaya Regional Hospital, Denpasar City. This study used a quantitative descriptive method. The population was all 330 medical records of emergency patients diagnosed with hypertension. A sample of 199 files was drawn using a probability sampling technique using a simple random sampling approach. The results showed that completeness of identification reached 100%, authentication reached 176 documents (88.44%), recording reached 174 documents (84.44%), and reporting reached 159 documents (79.90%). It can be concluded that identification had the highest level of completeness, while reporting had the lowest level of completeness. Researchers suggest that hospitals increase outreach and supervision of medical staff, especially in emergency installations, regarding the importance of completeness and timeliness of filling out medical record documents.
Abstract:Dengue Hemorrhagic Fever (DHF) is an endemic disease in Indonesia caused by the dengue virus and transmitted through the bites of Aedes aegypti and Aedes albopictus mosquitoes. The risk of serious complications primarily…
arises during the critical phase, typically between the 4th and 6th days of fever, during which plasma leakage may occur, leading to shock and severe bleeding. Hematocrit levels and platelet counts are important parameters in the diagnosis and monitoring of DHF patients. This study aimed to determine the differences in hematocrit levels and platelet counts during days 4 to 6 of fever in DHF patients at Prima Medika Hospital Denpasar, in February 2025. This research employed a descriptive quantitative design with purposive sampling, involving 35 patients who met the inclusion criteria. The results showed a decrease in hematocrit levels with averages of 42.8%, 42%, and 41.2%, and platelet counts with averages of 87 x 10³/µL, 59 x 10³/µL, and 47 x 10³/µL from day 4 to day 6 of fever. Data were analyzed using the Shapiro-Wilk normality test, the Friedman non-parametric test for hematocrit levels, and the Repeated Measures ANOVA parametric test for platelet counts. Statistical analysis showed a p-value of 0.002 for hematocrit levels and 0.000 for platelet counts. The conclusion of this study is that there are significant differences in hematocrit levels and platelet counts between days 4 to 6 of fever in DHF patients.
Abstract:Dengue Hemorrhagic Fever (DHF) is a viral infection marked by a significant decrease in platelet count. Accurate platelet count testing is crucial for diagnosing and monitoring DHF patients. The pre-analytical phase is a…
critical stage in laboratory testing, where errors can significantly impact test outcomes. Anticoagulants, such as K3EDTA and 3.2% sodium citrate, are commonly used in routine hematology tests to prevent blood clotting by binding calcium ions and inhibiting clotting factor activation. This study aimed to evaluate the difference in platelet counts between blood samples collected with K3EDTA and 3.2% sodium citrate anticoagulants in DHF patients. An analytical observational study with a cross-sectional design was conducted involving 50 purposively sampled DHF patients. Statistical analysis yielded a p-value of 0.615 (p > 0.05), indicating no significant difference in platelet counts between the two anticoagulants. It can be concluded that the use of K3EDTA and 3.2% sodium citrate does not significantly affect platelet count results in DHF patients. Future studies are recommended to involve larger sample sizes and consider microscopic examination methods, such as peripheral blood smears, to assess platelet aggregation visually.
Abstract:Cardiovascular disease remains a leading cause of death both globally and nationally, with Low Density Lipoprotein(LDL) levels serving as a key biochemical indicator in the screening and management of heart disease. Accurate…
rate LDL testing requires adherence to pre-analytical procedures, particularly fasting for 10-12 hours. This study aimed to describe LDL levels and fasting compliance among outpatient cardiac patients at RSU Prima Medika Denpasar. A descriptive cross-sectional design was used with purposive sampling, involving 35 cardiac outpatients from February to March 2025. Data were collected through interviews and laboratory examinations using the Furuno CA-270 device. Results showed that 71% of respondents had LDL levels >100 mg/dL, indicating high levels, while 29% hadnormal levels (<100 mg/dL). All respondents (100%) complied with the fasting requirement. These findings indicate that high LDL levels are still commonly found among outpatient cardiac patients, particularly in productive-age males. The high level of fasting compliance reflects the effectiveness of pre-analytical patient education. This study emphasizes the importance of routine lipid screening and continuous education to enhance laboratory diagnostic accuracy and prevent cardiovascular complications.
Abstract:The rising prevalence of obesity in Indonesia contributes to increased risk of metabolic diseases such as diabetes mellitus. Body Mass Index (BMI) is commonly used to assess nutritional status and may be correlated with…
long-term blood glucose levels measured by Hemoglobin A1c (HbA1c). This study aimed to explore the relationship between BMI and HbA1c levels in patients at Prima Medika General Hospital, Denpasar. A cross-sectional analytic observational design was employed, involving 30 purposively selected respondents. BMI was calculated from weight and height measurements, while HbA1c levels were assessed using the immunoturbidimetric method. Results showed an even distribution of respondents in the normal and overweight BMI categories (each 46.5%), while 50% had HbA1c levels >8%. However, Pearson correlation analysis indicated no statistically significant relationship between BMI and HbA1c levels (p=0.982; r=-0.004). The study concludes that BMI does not have a linear correlation with HbA1c levels. Other factors such as type and duration of therapy, disease progression, and patient adherence may play a greater role in influencing glycemic control and should be further investigated.
Abstract:Pain in breast cancer is one of the most common and significant problems experienced by patients. If not properly managed, the impact of breast cancer pain can lead to increased morbidity and a diminished quality of life.…
. This study aims to determine the effect of Benson relaxation on pain levels in breast cancer patients. A quantitative research method was employed using a pre-experimental one-group pre-test and post-test design. The sample consisted of 17 patients selected through purposive sampling. Data were collected using the Numeric Rating Scale (NRS). The average pain score of respondents during the first measurement (pre-test) was 6.12, and during the second measurement (post-test) it decreased to 3.12. The difference in average pain levels between the first and second measurements showed a reduction of 3.00 points. The statistical test results revealed an Asymp. Sig (2-tailed) p-value of 0.000, indicating a significant effect of Benson relaxation on reducing pain in breast cancer patients. Benson relaxation can significantly help lower pain levels after therapy. This relaxation technique plays an important role by inhibiting sympathetic nerve activity, which in turn reduces oxygen consumption by the body and relaxes the muscles, leading to a sense of calm and comfort.
Abstract:Fail kidney chronic (GGK) is disease progressive that requires therapy replacement kidney like hemodialysis . One of the common complications No realized is dysfunction sexual , which can lower quality life patient . Research…
Research This aiming For describe function sexual intercourse in GGK patients undergoing hemodialysis at Aloei Saboe Regional Hospital, Gorontalo City. Research design use approach descriptive quantitative with accidental sampling technique on 70 respondents who met the requirements criteria inclusion . Instruments used is IIEF questionnaire for men and FSFI for women . The results show that in patients male , function best orgasm (65.1%), followed by function erection (58.1%), desire sexual , and satisfaction connection sexual (51.2%). However , the desire sexual in a way overall disturbed (62.8%). In patients women , lubrication and desire sexual prominent (63%), followed by orgasm and comfort moment relate sexual (55.6%), with satisfaction sexual as function lowest (48.1%). In conclusion , patients man more Lots experience disturbance of desire sexual , while patient Woman experience more disturbance evenly distributed . It is recommended that the power health give education , counseling , and support psychosocial For increase quality life patient .
Abstract:People really need health services provided by hospitals, health homes and clinics. When registering for health services, each enrolling member will have his or her own medical history which must be seen at a medical clinic…
nic or health office. Hospitals must have comprehensive patient data in order to provide health services effectively. Documents regarding patient identity, examinations, treatment, procedures and other services are included in the medical record. In a health facility, implementation takes the form of an administrative order. Characteristics of medical records (General Patients or BPJS). The aim of this research is to determine the completeness of electronic medical resumes seen from fourth aspects, namely, completeness of identification, important reports, authentication and correct documentation . The method used in this research is quantitative analysis with a descriptive approach. The results of this research are that in the Identification component the percentage of completeness is 100% complete, in the Important Report component the percentage of completeness is 99%, in the Authentication component the percentage of completeness is 100%, and in the Correct Documentation component the percentage of completeness is 90%. Based on the results of research that has been carried out regarding completeness When filling out electronic medical resumes for patients in the Inpatients at RSU Dharma Yadnya, it can be concluded that there are still incompleteness in filling out inpatient electronic medical resumes and that the electronic medical resume components are filled in completely.
Abstract:The purpose of this study is to analyze the effect of marketing communication on brand equity and patient decision choosing obstetric and gynecological services at RSI Hasanah Mojokerto. The independent variable in this…
study is marketing communication, while the dependent variable is the patient decision, and brand equity is a variable mediator between marketing communication and patient decision. The sample of this research were BPJS patients at RSI Hasanah Mojokerto from March to May 2025 who have finished the services of obstetric and gynecological, both outpatient and inpatient. A total of 52 respondents were obtained as samples in this research. This study uses an explanatory survey research design, which involves searching and collecting primary data by directly asking questions to respondents and analyzing the effects among variables to prove the hypothesis. Data analysis using path analysis with SEM-PLS. The results of the study show that the original sample value of the direct relationship between marketing communication and patient decision is +0.101 with a P-value of 0.226. Meanwhile, the original sample values when mediated by brand equity as the mediator variable between marketing communication and patient decision are +0.680 and +0.762 with a P-value of 0.000 at a significance level of 0.05. Thus, it can be concluded that brand equity can act as a mediator between marketing communication and patient decision. With good marketing communication, the brand equity of the Hospital will increase, thereby improving patients' decision choosing obstetric and gynecological services at RSI Hasanah Mojokerto.