Jurnal Health Sains

A Case Report of A Life-Threatening Condition: Complete Heart Block Induced By Systemic Lupus Erythematosus

2026-04-06T07:24:36+00:00

Systemic lupus erythematous is often accompanied by complications in the cardiovascular system such as pericarditis, valvular disease, coronary artery disease, but complications in the conduction pathway are rare condition. Conduction system disorders such as complete heart block can cause life-threatening conditions and require immediate treatment. This case report describes a 43-year-old woman who presented with syncope and complete heart block. The patient received high-dose corticosteroid therapy but the complete heart block did not improve so a permanent pacemaker was implanted. This case showed that SLE complications in the cardiovascular system including the cardiac conduction system must be watched out for because it is a life-threatening condition.

Comparison of Agatston Score Calculation Between the Syngo.Via Automated Method and the Manual Method in Non-Contrast Cardiac CT

2026-04-23T02:42:52+00:00

In clinical practice, the Agatston Score can be calculated manually or automatically using post-processing software such as Syngo.Via; However, the difference in absolute values between these methods can affect clinical interpretation. The study aimed to compare measurements of the Agatston Score obtained using the Syngo.Via automated method and manual calculations on non-contrast cardiac CT, with an emphasis on measurement differences, suitability, and reliability. A quantitative observational analytical study was conducted using retrospective no-contrast cardiac CT data from 20 subjects. The Agatston score is calculated automatically using Syngo.Via and manually using the Weasis software on the same image dataset. The difference in measurement was analyzed descriptively and tested for normality. Statistical differences were evaluated using the Wilcoxon Signed Rank Test, suitability was evaluated using Bland–Altman analysis, and reliability was evaluated using the Intraclass Correlation Coefficient (ICC) with a two-way mixed effect model and absolute suitability. Results showed that a difference between the method was not normally distributed and a statistically significant difference in the Agatston score was observed (p < 0.05). The Bland–Altman analysis showed that most of the differences were distributed around the zero line with a few outliers, while the ICC analysis revealed a very high reliability between the two methods (ICC = 1,000). In conclusion, the automatic and manual measurement of the Agatston Score showed excellent reliability and good agreement despite the statistically significant differences in absolute values, suggesting that the two methods could be compared.

Analysis of Menstrual Knowledge and Mother-Child Communication on Anxiety 4TH-6TH Grades Female Students at Ash-Shodiq Islamic Elementary School Bululawang in 2024

2026-04-06T07:20:49+00:00

Menarche, the onset of menstruation, is a significant event in a woman’s life, yet it often becomes a source of anxiety for adolescent girls, especially those lacking adequate knowledge and support. This study aimed to analyze the influence of menstrual knowledge and mother-child communication on anxiety levels in fourth to sixth grades female students at Ash-Shodiq Islamic Elementary School Bululawang. This study employing a cross-sectional design with a descriptive analytical quantitative approach, with involved 55 selected through purposive sampling. The results revealed that majority of students experienced severe anxiety related to menstruation. Ordinal logistic regression analysis revealed poor menstrual knowledge and poor effective mother-child communication significantly contributed to elevated anxiety levels in partially. However, through simultaneously analysis, it was found that only menstrual knowledge had a significant effect on anxiety after controlling for the mother-child communication variable. These findings underscore the importance of sound menstrual knowledge in mitigating anxiety in students facing menarche, while effective mother-child communication also plays a crucial role, albeit one that needs to be complemented by adequate knowledge.