Journal of Health and Nutrition Research

A 67-year-old Female with Malignant Splenic Non-Hodgkin Lymphoma at Banten Regional General Hospital: A Case Report

Adi Rastono — 2024-12-11

Non-Hodgkin's lymphoma (NHL) is a type of lymphoproliferative disorder primarily involving lymph nodes but can extend to extranodal sites like the spleen. When NHL originates in the spleen, it is classified as primary splenic NHL. Due to its unusual presentation, it may resemble other splenic conditions in clinical appearance. In this Journal we report a rare case of splenic lymphoma in a 67-year-old female with symptoms of abdominal pain in the left quadrant of the abdomen. Multislice Computerized Tomography (MSCT) scan of the abdomen to axial pelvis section showed splenomegaly with solid mass et causa suspect splenic lymphoma. The diagnosis of malignant splenic non-Hodgkin lymphoma can be made after splenectomy and histopathology examination which is consistent with clinical and radiologic examination found in the Patient.

The Relationship Between Situational Leadership Style and Motivation with Employee Performance at Kamonji Community Health Center in West Palu District, Palu City

Muhammad Ryman Napirah — 2024-12-11

In the context of self-development, leaders capable of guiding organizations towards their objectives are essential. Effective leadership requires the application of diverse leadership styles in different situations, rather than relying on a single approach for all scenarios. Employees within a company can be motivated by fulfilling their needs and desires. However, providing work motivation can be challenging as what is considered important to one individual may not be equally significant to another. The head of the Kamonji Community Health Center employs a situational leadership style. The leadership of the health center head demonstrates limited communication and control, with interactions primarily occurring when employees submit reports to the head. This study aims to investigate the relationship between situational leadership style and motivation with employee performance at the Kamonji Community Health Center in West Palu District, Palu City. The research design employed is a cross-sectional study. The population comprises employees with civil servant status, with a sample size of 54 individuals selected using total sampling technique. Data analysis was conducted descriptively, including univariate and bivariate analyses, at a 95% confidence level (p<0.05). Fisher's Exact test results indicate that situational leadership style is associated with employee performance (ρ=0.039), and motivation is related to employee performance (ρ=0.028). Higher levels of situational leadership style and motivation provided correspond to improved employee performance, and vice versa. It is recommended that the head of the Community Health Center pay attention to behavioral aspects, particularly in motivating employees.

The Accuracy of Information Recipients and Consent Givers for Informed Consent in Hospitals

Baety Adhayati — 2024-12-11

This study aimed to assess the accuracy of the party receiving information and giving consent in the hospital. This type of research is observational and was conducted at Public Hospital of Banten Province (RSUD Banten) and Dr. Drajat Prawiranegara Public Hospital in 2024. The minimum sample size used was 94 samples taken using consecutive sampling methods. This study used a checklist as a record to check the completeness of the informed consent form and approval sheet by the SOP and applicable legal basis. Data analysis is descriptive of the accuracy of the party receiving information and giving consent. The study observed 28 pieces of information and consent being received and given by the right party, while the wrong party signed 66 (70.2%) consents for medical procedures. The study's focus on the accuracy of the party receiving information and giving consent in the hospital is a contribution to a monitor process of informed consent in hospital according to principles of patient’s competency

Pathological Fracture of Multiple Myeloma with CRAB Criteria: A Case Report

Habib Burahman — 2024-12-11

Multiple myeloma (MM) is a malignancy of plasma cells, often preceded by an asymptomatic condition known as the precursor state of monoclonal gammopathy of undetermined significance (MGUS). The diagnosis of multiple myeloma is typically confirmed using the CRAB criteria, which include hypercalcemia, renal impairment characterized by elevated serum urea and creatinine levels, anemia, and bone abnormalities. We report a rare case of multiple myeloma in a 63-year-old male patient who presented with pain in his left hand following a fall against a wall. Clinical and radiological examinations revealed findings consistent with multiple myeloma, with a differential diagnosis including metabolic bone disease and metastatic bone disease

Biochemical Characteristics of the Formulation and Preparation of Telang Flower Kombucha Jelly as an Antioxidant, Food and Pharmaceutical Biotechnology Products

Ahmad Saddam Hussein — 2024-12-11

One of the functional food preparations which is soft formulated and made from hydrocolloid ingredients which include agar, gum, carrageenan, pectin and gelatin is jelly candy. In the formulation and preparation of jelly candy, which aims to increase its functional value, in this research, bioactive compounds are added which function to improve the health aspects of consuming it. In this research, jelly candy is made from butterfly pea flower kombucha because it contains organic acid compounds, polyphenols, vitamins, amino acids, so it is good for body health. Kombucha is made from butterfly pea flowers because previous research results have been proven to be antibacterial, antifungal, antioxidant, antifungal, anticholesterol and anticancer. Telang flowers contain secondary metabolite compounds which are divided into alkaloids, flavonoids, saponins, terpenoids, acetogenin which are cytotoxic for the growth of cancer cells and are efficacious as a source of antioxidants. The jelly candy product produced has been tested to meet the SNI 3547.2-2008 quality standard where the water content produced is 16.25%. ash content 0.35%. And pH 4.57. Jelly candy preparations made from the active ingredient telang flower kombucha which are designed as food and pharmaceutical biotechnology products have biochemical characteristics in warding off free radicals which refer to an IC50 value of 62.848 μg/mL