Asian Journal of Healthcare Analytics

Rehabilitation Medicine Outcome of 51 Years Old Morbus Hansen Patient with Disability at Jayapura Hospital: A Case Report

2025-06-13T07:50:15+00:00

Leprosy is a disease that causes high morbidity. Nerve damage due to Mycobacterium Leprae can cause impairment, disability to handicap for individuals. Jayapura is a city with quite high cases of leprosy in Papua. The method used is case report to presenting the case. A case of Leprosy with upper extremity with clawing hand disability due to ulnar nerve disorder will be described and displayed as a medical rehabilitation. The outcome of therapy showed improvements in function, flexibility, motor and sensory function of the upper extremities (metacarpal region). The conclusion of this case report is that disability in leprosy patients can provide improved flexibility and prevention of more severe disability with early detection, holistic management, medical rehabilitation and family support.

Metabolic Syndrome in the Productive Age Group: A Holistic Health Promotion–Based Approach for Prevention and Management

2025-08-13T01:48:02+00:00

Metabolic syndrome is an increasingly common cluster of cardiometabolic risks among the productive-age population. This Systematic Literature Review (PRISMA) identified holistic, health promotion–based strategies for its management. From 511 articles screened, 26 met the inclusion criteria. The findings show that combined interventions—physical activity, healthy diets, continuous education, behavioral modification, and supportive environments and policies—significantly improve metabolic syndrome indicators, including blood pressure, lipid profile, and insulin sensitivity. The review emphasizes integrating multiple components and leveraging technology to strengthen adherence. Overall, a holistic health promotion approach is effective for preventing and reducing metabolic syndrome in productive-age adults and provides valuable guidance for policymakers and public health practitioners.

A Closer Look at Bioethics in the Curriculum: A Study on the Knowledge, Attitude, and Perception of Bioethical Principles Among Nursing Students

2025-06-13T07:48:35+00:00

Understanding how nursing students learn and respond to ethical principles in healthcare helps reveal how well they are being prepared for real-life clinical decisions. Responses were gathered through an online survey completed over a three-week period involving 72 nursing students enrolled in the course Bioethics. The results show that nursing students possess a strong understanding of bioethical principles, hold a generally positive attitude, and recognize the real-life relevance of ethics in nursing practice. These findings suggest that integrating bioethics into the curriculum effectively supports the development of ethical awareness and decision-making among future healthcare professionals. The results underscore the importance of strengthening ethics education to ensure that nursing students are equipped to respond ethically and responsibly in diverse clinical settings.

Flank Versus Prone and Supine Positions in Percutaneous Nephrolithotomy: A Systematic Review of Stone Clearance and Perioperative Outcomes

2025-11-03T02:34:54+00:00

Percutaneous nephrolithotomy (PCNL) is traditionally performed in the prone position, though this may pose anesthetic risks for high-risk patients. The flank position has been proposed as an alternative, but evidence remains limited. This systematic review of seven studies (2008–2023) found that flank PCNL achieves stone-free rates of 85–91%, comparable to prone positioning, with similar complication profiles and indications of reduced bleeding and respiratory issues. Operative time varied across studies, while hospital stay remained consistent. Overall, the findings support flank PCNL as a safe and effective alternative, though small sample sizes and methodological heterogeneity highlight the need for larger multicenter research.

Quick Sequential Organ Failure Assessment with Duration Stay for Intensive Care Patients

2025-10-21T02:45:38+00:00

An important metric for managing managing patients with serious illnesses is the duration of stay in the intensive care unit (ICU). According to data from Indonesia (2023), 68.2% among patients who were given treatment in the ICU for at least five days. Although research on this topic is still unclear, the quick Sequential Organ Failure Assessment (qSOFA) score is employed to forecast organ failure and the probability of prolonged duration stay. The aim of this study is to ascertain whether ICU patients' duration of stay and their qSOFA score are related. Getting secondary data from ICU patients admitted from the emergency room between January and December 2024, this observational study with a retrospective cohort design was carried out at Rumah Sakit Angkatan Laut Dr. Mintohardjo, Jakarta. 205 participants that met the inclusion criteria were chosen through successive sampling from all patients. For statistical analysis, the chi-square test was used with a significance level of p = 0.05. 50.2% of the individuals were between the ages of 18 and 59, and 54.1% of them were men, with an average stay of 4.84±3.46 days, the most prevalent qSOFA score was 2 (43.9%). The duration of stay in the ICU did not significantly correlate with the qSOFA score (p value = 0.326, p > 0.05).

Implementation of Virtual Reality-Based Neurorehabilitation in Neurological Nursing Practice

2025-10-21T02:46:36+00:00

This study examined the effectiveness of virtual reality (VR) in neurorehabilitation and explored nurses’ experiences in its implementation. Using a mixed-methods design with 60 neurological patients, the findings showed that the VR intervention group demonstrated significant improvements in motor function, cognitive function, and rehabilitation adherence compared to the control group. Qualitative results indicated that nurses found VR to enhance treatment strategies, although technical and facility limitations remained challenges. Overall, VR was proven effective in improving clinical outcomes and supporting neurological nursing practice through the integration of digital technology.

Microsurgical versus Conventional Inguinal Varicocelectomy: A Systematic Review of Fertility Outcomes and Recurrence Risk

2025-11-18T05:28:31+00:00

Infertility affects 8–12% of couples, with varicocele being the most common correctable male factor. Microsurgical subinguinal varicocelectomy offers better reproductive results than conventional or laparoscopic techniques. To compare fertility outcomes and recurrence rates between microsurgical and conventional varicocelectomy (2020–2025). A systematic review of 371 articles identified 9 eligible studies assessing semen quality, pregnancy rate, hydrocele, and recurrence. Microsurgical varicocelectomy showed greater improvements in semen parameters and natural pregnancy rates, along with lower hydrocele and recurrence. Sperm count increased by 7.7 ± 4.5 million/mL. Microsurgical subinguinal varicocelectomy is safer and more effective, and remains the preferred approach for varicocele management in infertile men.

Correlation between Platelet to Lymphocyte Ratio as Predictive Factor of Neurological Deficit in Acute Ischemic Stroke Patients

2025-06-23T02:12:39+00:00

Acute ischemic stroke is the most common stroke type, with inflammation and thrombosis playing key roles. The platelet-to-lymphocyte ratio (PLR) has been proposed as a potential prognostic biomarker. To evaluate the association between PLR and neurological deficits or functional outcomes in acute ischemic stroke. A systematic review was conducted using multiple databases. Study quality was assessed with the NewcastleOttawa Scale (NOS), and outcomes were evaluated using NIHSS, mRS, and SSS. Ten studies were included, mostly from Asia. Elevated PLR was significantly associated with poor outcomes, especially in Chinese studies and those with NIHSS

Perceptions of Traditional Herbal Integration in Modern Pharmacy Services Among Indigenous Communities

2025-10-21T02:47:03+00:00

This qualitative study explores indigenous communities’ perceptions of integrating traditional herbal medicines into modern pharmaceutical services. Through semi-structured interviews with 15 herbal users, traditional practitioners, and pharmacists in Medan, the findings reveal that indigenous communities view integration as a means to enhance legitimacy and access, though concerns persist regarding authenticity, safety, and commercialization. Pharmacists generally support integration but face regulatory and standardization challenges, while traditional practitioners stress the preservation of cultural values. The study concludes that successful integration requires cultural sensitivity, regulatory alignment, and collaboration between pharmacists and traditional healers to support a more inclusive health system.

Patient Understanding of Medication Adherence in Hypertension within Medical Surgical Care

2025-11-24T09:24:17+00:00

This study explores patients’ understanding of medication adherence in managing hypertension within a medical-surgical care setting. Using a phenomenological qualitative approach, semi-structured interviews were conducted with 12 hospitalized hypertension patients in a type B general hospital in Jakarta. Thematic analysis revealed three key themes: limited understanding of the long-term benefits of antihypertensive therapy, perceived barriers related to complex treatment regimens and hospitalization conditions, and the crucial role of healthcare communication in encouraging adherence. The study concludes that cognitive, emotional, and relational factors strongly influence patients’ adherence behaviors. Strengthening health education, optimizing nurse–patient communication, and implementing individualized interventions are recommended to improve hypertension management and support patient-centered care in medical-surgical environments.

The Effect of Noise and Lighting on Physiological and Psychological Health of Manufacturing Industry Workers

2025-10-21T02:46:08+00:00

This study examines how noise levels and lighting intensity affect the physiological and psychological health of manufacturing workers. Using a quantitative explanatory design with a cross-sectional survey, data were collected from 80 workers through noise and lighting measurements as well as questionnaires assessing blood pressure, fatigue, and stress. Multiple regression analysis shows that both noise and lighting significantly influence workers' health, with noise having a stronger impact on stress and fatigue. The findings highlight the need for effective workplace environmental controls to protect workers’ well-being and support productivity.

Innovative Wound Management Approaches in Circumcision for Improved Recovery Outcomes

2025-11-13T05:41:46+00:00

This study evaluates the effectiveness of an innovative wound management approach compared to conventional treatment in improving post-circumcision recovery outcomes. Using a randomized controlled trial with 60 children aged 6–12, participants were assigned to an intervention group receiving a hydrogel-based antibacterial dressing with a standardized analgesic protocol, and a control group receiving traditional gauze with standard care. Data were collected through clinical observations, validated pain scales, and structured follow-ups over 14 days, with analyses conducted using independent t-tests and chi-square tests. Results show that the intervention group experienced faster epithelialization, lower postoperative pain, and fewer mild infections than the control group. The study concludes that innovative wound dressing technologies, combined with optimized postoperative care protocols, enhance healing efficiency, patient comfort, and postoperative safety, contributing to evidence-based surgical nursing practice and improved healthcare quality.