Jurnal Health Sains

Case Report: Multiple Nodular Thyroid

Muhamad Afif Riondi — 2026-02-23

Thyroid nodules are uneven and lumpy enlargements of the thyroid gland, with a prevalence of approximately 8% in the adult population and occurring more frequently in women. This case report aims to describe the evaluation and management of patients with multiple nodular thyroid. A case of a 36-year-old female patient who presented with a complaint of a neck lump that had been slowly enlarging for several months—from the size of a marble to that of a ping pong ball—is reported. The lump was palpable, solid, and painless, without symptoms of hyperthyroidism or obstruction. Physical examination revealed thyroid gland enlargement with a solid consistency. Complete blood count and HBsAg laboratory results were within normal limits. The patient was diagnosed with multiple nodular thyroid and underwent total thyroidectomy. The surgery was performed successfully without complications. Multiple nodular thyroid is generally benign but requires careful evaluation to rule out the possibility of malignancy. Definitive management through total thyroidectomy provided good outcomes in this case.

Comparison of Range of Motion (ROM) Limitations and Lymphedema in Breast Cancer Patients Following Axillary Lymph Node Dissection (ALND) and Sentinel Lymph Node Biopsy (SLNB): A Systematic Review

I G A Gita Dewi Rahmautami — 2026-03-03

Axillary lymph node dissection (ALND) and sentinel lymph node biopsy (SLNB) are widely used surgical procedures for breast cancer management. Previous studies have reported a lower incidence of range of motion (ROM) limitations and lymphedema following SLNB. However, no systematic review has been conducted to consolidate these findings. This research aims to systematically compare the incidence of ROM limitations and lymphedema in breast cancer patients undergoing ALND versus SLNB. The methods follow PRISMA 2020 guidelines, with a literature search conducted using PubMed, ScienceDirect, and Cochrane databases. The population included early-stage invasive breast cancer patients who underwent either SLNB or ALND. A qualitative analysis was performed to assess postoperative ROM limitations and lymphedema. Ten studies involving 8,523 patients were included. Both procedures were applied to patients with operable, early-stage invasive breast cancer. Qualitative analysis indicated that SLNB was generally associated with fewer postoperative complications, particularly in terms of ROM limitation and lymphedema. Some studies reported similar outcomes for both techniques regarding ROM limitation and lymphedema, but SLNB showed better outcomes in terms of postoperative complications such as lymphedema and ROM limitation. However, heterogeneity in definitions, assessment methods, lymph node involvement, and surgical techniques was noted across studies. This systematic review suggests that SLNB is associated with a lower incidence of ROM limitations and lymphedema compared to ALND, supporting its use as a less morbid surgical approach in early-stage breast cancer.

Evaluation of The Effect of Completeness of Inpatient Medical Records on Patient Safety Incidents at Kendari City Hospital

Tara Sander — 2026-02-23

Medical records are official documents that contain comprehensive information about a patient’s health condition, including medical history, examination results, diagnoses, medical procedures, and therapies provided. Incomplete medical records can hinder communication among healthcare professionals and increase the risk of patient safety incidents. This research aimed to evaluate the effect of medical record completeness on patient safety incidents at Kendari City General Hospital. The research employed a mixed-method approach with a population of 6,026 patients and a sample of 110 documents. The independent variable was medical record completeness, while the dependent variable was patient safety incidents. Data were collected through reviews of electronic medical records (EMR) and analyzed using multiple linear regression. The results showed that the completeness of inpatient medical records did not have a significant effect on patient safety incidents (regression coefficient = –0.036; p = 0.261). Authentication and digital signatures were the only indicators that significantly influenced patient safety incidents (B coefficient = –0.346; p = 0.000). These findings indicate that inpatient medical record completeness is not the sole factor contributing to patient safety incidents. In the short term, hospitals need to strengthen authentication procedures and conduct routine audits; in the medium term, integrating EMR technology with real-time authentication alerts and training on record completeness should be implemented; and in the long term, hospitals may adopt a fully integrated digital authentication system within EMR equipped with Artificial Intelligence (AI)-based automated verification.