Direktori Jurnal Elektronik Universitas Imelda Medan
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COST EFFECTIVENESS ANALYSIS (CEA) PENGGUNAAN GOLONGAN OBAT NEUROPROTEKTAN CITICOLINE INJEKSI DAN PIRACETAM INJEKSI PADA PASIEN STROKE DI RSU IMELDA PEKERJA INDONESIA MEDAN
Get PDFStroke is disease or functional disorder of the brain in the form of nerve paralysis (neurological deficit) due to obstruction of blood flow to the brain. One of the therapies given to stroke patients is by giving neuroprotectant drugs, namely citicoline injection and piracetam injection. The purpose of this study was to determine the effectiveness of therapy and cost effectiveness of stroke patients' therapy between the use of alternative citicoline injection and injection piracetam in a pharmacoeconomic manner with a Cost Effectiveness approach in RSU Imelda Pekerja Indonesia Medan. This study uses a retrospective Cohort Study method. The sample of this study consisted of 44 patients, namely 22 patients treated with citicoline injection and 22 patients treated with piracetam injection. The results of this study were obtained from the comparison of ACER (Average Cost Effectiveness Ratio) and ICER (Incremental Cost Effectiveness Ratio) values. The ACER value of citicoline injection is Rp. 11.949.- less than the ACER value of piracetam Rp. 15.474.- so that the Cost Effective ACER value which has the lowest ACER value is citicoline injection. The ICER value of the comparison of citicoline injection and injection piracetam is Rp. -32.661.- . which means the ICER result is negative or getting smaller, it is considered more effective and cheaper, in accordance with quadrant II the plant's cost-effectiveness decreases so that the neuroprotectant drug class therapy with the most Cost Effectiveness of stroke patients in RSU Imelda Pekerja Indonesian Medan is citicoline injection
SISTEM INFORMASI PENYUSUTAN AKTIVA TETAP DI RSU IMELDA MEDAN
Get PDFFixed assets are a group of assets used by the company to support the company's operational activities in carrying out its activities. Where in the company unit, it can spend less than 10,000,000 per year to buy a fixed asset. In calculating fixed assets, the company applies a depreciation system (depreciation) which is useful for knowing the decline in the value of fixed assets due to its use and to know when fixed assets are needed. Fixed assets used in the company's activities have a fairly long useful life and generally more than one year so it needs to get special treatment, especially in terms of its uniqueness. The company must determine the appropriate method for its fixed assets. The method that distinguishes a company will affect the value of the profit or loss of a company. The method that distinguishes the author of the design is the straight-line method. It is expected that using the straight-line method can assist companies in determining fixed assets quickly and accurately in presenting different information in detail
Evaluasi Usabilitas Aplikasi SIAKAD Fakultas Ilmu Komputer Universitas Katolik Santo Thomas menggunakan Metode Heuristik
Get PDFThe number of systems that have developed at this time has good quality for users. But some of the existing systems have not yet been measured for usability. Case study of the Catholic Computer Science Faculty academic information system of Saint Thomas North Sumatra. This study aims to determine the evaluation of information systems in case studies in terms of their usefulness, effectiveness, efficiency, and user satisfaction in using the Academic Information System. The method used is the heuristic method. Data collection in this study with direct research to the location and see journal references, documentation and previous research. This study also uses a questionnaire to measure user satisfaction. Based on the results of testing data collection, the use of the siakad information system as a recommendation to design the development of the system can produce a system with high usability, so that the system is expected to be in accordance with the objectives so that it can be accepted by the user
Identifikasi Motif Time Series Data Mining dengan Euclid
Get PDFThe development of information technology that is supported by storage media technology has brought about major changes to the availability of data warehouses. The availability of data warehouses is often overlooked because of the inability to process the data so that data stacks are often regarded as garbage, which should be used as decision support, one form of data warehouse that is often encountered today is time series. Therefore it is necessary to develop a method to improve the motive discovery of time series data mining. The method used is discretion so that it produces time series sub sequences, which are then clustered. The distance used is the euclid distance. The results obtained are the finding of motives in time series based on time that can be used as decision support and predictions in the future
Gambaran Kepuasan Pasien Terhadap Penggunaan Anjungan Pendaftaran Mandiri (APM) Di RSU Pakuwon Sumedang Tahun 2022
Get PDFAPM is a self registration machine in which contains a touchscreen display, barcode scanner, printer or other additional tools. There are several problems related to the use of APM at Pakuwon Hospital, one of them is the queue number that can’t be printed due to the error of SIMRS network. This situation makes the process of service obtained by patients hampered. The quality of service provided by the hospital to the patient can lead to a sense of patient satisfaction. Patient satisfaction must always be considered because it relates to the subjectivity value to the quality of services provided. The purpose of this was to determine the level of satisfaction of patients using APM at Pakuwon Sumedang General Hospital. Method used in this study is quantitative with descriptive resejiarch design. The measurement of satisfaction using the End User Computing Satisfaction (EUCS) which determines from 5 dimensions. The population were 72,364 patients and the samples of this study were 110 patients. Data collection techniques using a questionnaire. Data analysis using a criterion score. The characteristics of the respondents contained in this stud based on age, education, occupation and membership status. The level of satisfaction obtained based on the content aspect is 89.22%, the accuracy aspect is 87.60%, the format aspect is 88.37%, the timeliness aspect is 86.98%, the ease of use aspect is 88.50% and overall patient satisfaction is 84.30%.APM merupakan mesin pendaftaran secara mandiri yang didalamnya terdapat layar touchscreen, barcode scanner, Printer atau alat tambahan lainnya. Terdapat beberapa masalah terkait penggunaan APM di RSU Pakuwon salah satunya adalah nomor antrian yang tidak bisa dicetak akibat jaringan SIMRS yang error. Keadaan tersebut membuat proses pelayanan yang diperoleh pasien terhambat. Kualitas pelayanan yang diberikan pihak rumah sakit kepada pasien dapat menimbulkan rasa puas pada pasiennya. Kepuasan pasien harus selalu diperhatikan karena mengandung nilai subjektif terhadap kualitas pelayanan yang diberikan. Tujuan dari penelitian ini untuk mengetahui tingkat kepuasan pasien pengguna APM di RSU Pakuwon Sumedang. Jenis penelitian yang dilaksanakan adalah kuantitatif dengan desain penelitian deskriptif. Pengukuran kepuasan menggunakan Metode End User Computing Satisfaction (EUCS) yang dilihat dari 5 dimensi EUCS. Populasi yang digunakan sebanyak 72.364 pasien dan sampel yang diambil sebanyak 110 pasien. Teknik pengumpulan data menggunakan kuesioner. Analisis data menggunakan skor kriterium. Karakteristik responden yang terdapat dalam penelitian ini berdasarkan usia, pendidikan, pekerjaan dan status kepesertaan. Tingkat kepuasan yang didapatkan berdasarkan aspek isi (content) adalah 89,22%, aspek keakuratan (accuracy) 87,60%, aspek tampilan (format) 88,37%, aspek ketepatan waktu (Timeliness) 86,98%, aspek kemudahan pengguna (ease of use) 88,50% serta total kepuasan pasien keseluruhan adalah 84,30%
HUBUNGAN PEMILIHAN JENIS PEMBALUT TERHADAP KEJADIAN PRURITUS VULVA PADA SISWI KELAS 7 DI SMPN 10 BATAM TAHUN 2022
Get PDFBersumber dari data Unicef >97% remaja putri menggunakan pembalut sekali pakai dan 5,2 juta remaja putri sering mengalami keluhan saat menstruasi yaitu pruritus vulva. bersumber dari data statistik di Indonesia dari 69.4 juta remaja di Indonesia terdapat sebanyak 63 juta remaja memiliki perilaku hygiene yang sangat buruk akibat kurangnya tindakan merawat kesehatan organ kewanitaannya pada saat menstruasi. Perilaku yang kurang dalam merawat organ kewanitaan sejumlah 30% yang disebabkan area sanitasi yang buruk dan 70% diakibatkan oleh penggunaan pembalut yang kurang tepat ketika menstruasi dan kurangnya dalam menjaga hygiene menstruasi. Penelitian ini menggunakan jenis penelitian kuantitatif, dengan desain penelitian cross sectional. Teknik sampling yaitu Non- Probability Sampling dengan teknik Purposive sampling. Sampel sebanyak 40 siswi SMPN 10 Batam. Hasil penelitian menunjukan bahwa dari 40 siswi kelas 7 di SMPN 10 Batam tahun 2022 yang mengalami kejadian pruritus vulva sebanyak 33 responden (82,5%) dengan kategori pruritus vulva sedang. Berdasarkan hasil Penelitian Chi-Square Test hubungan antara usia siswi dengan kejadian pruritus vulva diperoleh p=0.177. Hubungan antara uang saku siswi dengan kejadian pruritus vulva diperoleh p=0.367. Hubungan antara pengetahuan siswi dengan kejadian pruritus vulva diperoleh p=0.005. Hubungan antara sikap personal hygiene siswi dengan kejadian pruritus vulva diperoleh p=0.001
FAKTOR-FAKTOR PENYEBAB KEGAGALAN PENGOBATAN TBC PADA PENDERITA TBC DI RSU IMELDA PEKERJA INDONESIA
Get PDFIndonesia's target to eliminate TB in 2010 was not achieved and was pushed back to 2030. The achievement of the target for the percentage of TB detection and treatment in North Sumatra in 2016-2019 has been achieved but has decreased in 2020. There is also the problem of increasing cases of Drug Resistant TB (TB). RO) while TB RO service facilities are still limited in districts and cities. In this study, researchers describe the inhibiting factors of the TB Control Program, especially in North Sumatra and recommend solutions in resolving these inhibiting factors. The method in this study is a Case Study with a single holistic case study. Participants from this study were 9 (nine) people. The phenomena studied are the inhibiting factors in the TB control program and the sources that can be used to solve the problem. Data were collected by interview using a modified question instrument according to developments in the interview process. The inhibiting factors found were discussed using Learning Organization Theory to find a solution. The study found 5 (five) themes from the interviews. From the five themes, it was found that the inhibiting factors of the TB Control Program in North Sumatra, namely (1) the use of SITB which had not been widely socialized so that the data utilization was not optimal, (2) the lack of personnel to carry out direct observations of patient compliance with medication, (3 ) there is no policy that regulates the involvement of the private sector, (4) there is no systematic integrated planning governing cross-sectoral collaboration between TB program managers and other work units in government, (5) socialization of TCM utilization has not been optimal. Control of TB in North Sumatra stems from the implementation of evaluations that have not been optimal and the systematic and measurable program has not been structured that can involve various parties in supporting the management of the TB program. TB managers in North Sumatra need to develop programs that are able to involve various parties with periodic and measurable evaluations. The involvement of various parties with systematic and measurable programs is an opportunity that will support the success of the TB program in North Sumatra.Penyakit Tuberkulosis menjadi masalah kesehatan disetiap negara. Terdapat 22 (dua puluh dua) negara dikategorikan memiliki penderita penyakit TBC terbesar (High Burden Countries), termasuk Indonesia. Penderita TBC banyak menghentikan pengobatan (Drop Out) sebesar (51%) di Indonesia pada tahun (2018), hal ini dapat menjadi masalah kesehatan individu dan masyarakat. Pengobatan TBC yang tidak tuntas dapat menyebabkan peningkatan penularan, resistensi obat, hingga kematian. Penelitian ini bertujuan untuk mengetahui faktor-faktor penyebab kegagalan pengobatan TBC pada penderita TBC di RSU Imelda Pekerja Indonesia. Penelitian ini menggunakan metode penelitian Case Study dengan Holistic Single Case Study. Sampel yang diambil terdiri dari 5 (lima) orang yang menderita TBC gagal pengobatan yang diperoleh menggunakan teknik Purposive Sampling. Data yang diperoleh dalam penelitian ini menggunakan instrumen wawancara kemudian dikelola dalam bentuk tema. Berdasarkan data wawancara, terdapat 5 (lima) tema yang menjadi faktor penyebab kegagalan pengobatan pada penderita TBC, yaitu (1) Efek samping obat, (2) Tidak adanya Pengawas Menelan Obat (PMO), (3) Kurangnnya motivasi, (4) Kurangnya pengetahuan dan (5) Ketidakpatuhan pasien minum obat. Berdasarkan tema-tema pada hasil penelitian, maka untuk menurunkan angka kegagalan pengobatan TBC diharapkan, (1) Sebaiknya menyediakan pelayanan program Pengawas Menelan Obat (PMO) pada penderita TBC di rumah melalui layanan telepon, yang bertujuan apabila keluarga pasien atau PMO yang kesulitan untuk memberikan obat atau mengawasi penderita TBC untuk menelan obat dapat berkonsultasi kepelayanan kesehatan lewat telepon agar penderita mau menelan obat yang diberikan, (2) Memberikan motivasi yang kuat dalam memberikan penyuluhan terhadap penderita TBC dalam menentukan peran PMO dan (3) Memperkuat kerjasama lintas sektor dalam mengadakan kader penanggulangan TBC kepada masyarakat dipuskesmas serta memberikan pelatihan pada kader, sehingga dapat memberikan informasi kepada pihak Unit Pengobatan Penyakit Paru-Paru (UP4) tentang perkembangan kesehatan TBC di masyarakat
ANALISIS EFEKTIVITAS BIAYA (CEA) PENGOBATAN KOMBINASI DAN OAT PADA PASIEN TUBERKULOSIS PARU DI RUMAH SAKIT UMUM IMELDA PEKERJA INDONESIA MEDAN
Get PDFTuberculosis (TB) is an infectious infectious disease caused by the bacterium Mycobacterium tuberculosis that can attack various organs, especially the lungs. Treatments that can be done in patients with pulmonary TB are treatments such as OAT (anti-tuberculosis drugs) which can be divided into single OAT and anti-tuberculosis drugs. combination drugs (drugs containing two or more active ingredients combined in one dosage form while maintaining the appropriate dose). This study aims to find out which treatment is more effective and cost-effective for pulmonary TB patients at Imelda Indonesian Workers Hospital in Medan. This research is a cohort study with snowball sampling technique. The conclusion of this study is that the ACER value of combination therapy is 75,490, and the ACER value of OAT is 92.130. The ICER value from the comparison of combination therapy and OAT was -5.762
Desain Formulir Posyandu Lansia Desa Congkrang Kecamatan Muntilan Kabupaten Magelang Jawa Tengah
Get PDFRecording and Reporting are parts of the Medical Record. According to Law No. 29 of 2004 on The Practice of Medicine, Medical Record is a file containing records and documents about the patient's identity, examination, treatment, actions, and other services given to the patient. Good data collection tools can produce accurate and valuable health information. Posyandu elderly Congkrang Village Muntilan District Magelang has been done regularly, but there is no good documentation of examination results. Documentation is written in books, but Posyandu participants can not access it. Forms have not available yet, so participants can not monitor the results of their examinations. The purpose of this study is the creation of health record forms and health examinations documentation of the elderly on an ongoing basis. This research is a development research or Research and Development (R&D) with a qualitative approach. The study results in health record forms in Posyandu elderly "As Syifa" Congkrang Village Muntilan District Magelang Regency based on aspects of form design, namely anatomical aspects, physical aspects, and aspects of content. The final result of creating the health record form is using 80 grams HVS paper size 22 cm x 34 cm with black ink. Based on the validation of the Posyandu elderly that the form design is good and immediately applied because they do not have a health record form
ANALISIS KECEMASAN PADA IBU HAMIL DALAM MENGHADAPI PERSALINAN DI MASA PANDEMI COVID-19 DI RUMAH SAKIT IMELDA MEDAN
Get PDFPregnant women are one of the groups that are vulnerable to the risk of transmitting Covid-19, this happens because pregnant women tend to experience physical changes that can lower their immune system, if the immune system decreases, the Covid-19 virus will easily enter and cause pregnant women was infected with the Covid-19 virus. Pregnancy during a pandemic like this may be a risk factor for anxiety disorders in pregnant women. Pregnant women easily experience feelings of worry about something that will happen to them and their children so that it can interfere with mental health in this case anxiety disorders. These negative feelings are increasing during the current Covid-19 pandemic. This feeling of anxiety is characterized by worrying about being ignored or isolated. There is a relationship between education and anxiety for pregnant women at Imleda Hospital Medan with p-value 0.002 < =0.05 and there is a relationship between parity and anxiety for pregnant women at Imelda Hospital Medan with p-value 0.001 < =0.05 Closeness between parity and Anxiety at Imelda Hospital Medan is in the strong categor