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Sosialisasi Protokol Kesehatan dalam Mencegah Penularan Covid-19 di Kelurahan Bina Widya Kota Pekanbaru
Get PDFCOVID-19 cases in Riau Province are still showing a significant increase in numbers. This is due to the activities and mobility of the people of Riau Province who are very much outside the house. Problems in the community, among others, are still many who do not understand the prevention of COVID-19 transmission, including the importance of using masks when out of the house, the importance of personal hygiene, hand washing with soap, and pyshical distancing. The habit of implementing clean and healthy living behaviors is not easy, it requires understanding and motivation from individuals so that each individual is more disciplined in applying them. The purpose of this research is to increase people's knowledge about COVID-19 through leafleat media. The method used is qualitative method. Pretest the community to get an early overview of the understanding of health protocols in preventing the transmission of COVID-19. The results of the posttest questionnaire showed an increase in people's knowledge from not understanding to understanding and very understanding. This is because the measurement of knowledge is done by providing complete information about COVID-19 and its prevention through leaflet media that is very effective in improving one's knowledge. The conclusion of socialization research that has been conducted on November 29, 2020 at RW 09 RT 03 Bina Widya Village, Panam Pekanbaru Riau can be seen that there is an increase in public knowledge after this activity, thus adding to the public's insight on how to prevent the transmission of covid-19 and what foods can be consumed during the current pandemic in order to improve the immune system or immune system.Kasus COVID-19 di Provinsi Riau masih menunjukkan peningkatan jumlah yang signifikan. Hal ini disebabkan aktivitas dan mobilitas masyarakat Provinsi Riau yang sangat banyak diluar rumah. Permasalahan di masyarakat antara lain masih banyak yang belum paham pencegahan penularan COVID-19 ini diantaranya pentingnya menggunakan masker ketika keluar rumah, pentingnya personal hygiene, cuci tangan pakai sabun, dan pyshical distancing. Kebiasaan untuk menerapkan perilaku hidup bersih dan sehat bukan hal mudah, membutuhkan pemahaman dan motivasi dari individu sehingga setiap individu lebih disiplin dalam menerapkannya. Tujuan penelitian ini adalah untuk meningkatkan pengetahuan masyarakat tentang COVID-19 melalui media leafleat. Metode yang digunakan adalah metode kualitatif. Melakukan pretest kepada masyarakat untuk mendapatkan gambaran awal terkait pemahaman protokol kesehatan dalam mencegah penularan COVID-19. Hasil kuesioner posttest yang dilakukan menunjukkan terjadinya peningkatan pengetahuan masyarakat dari tidak paham menjadi paham dan sangat paham. Hal ini dikarenakan pengukuran pada pengetahuan dilakukan dengan pemberian informasi lengkap tentang COVID-19 dan pencegahannya melalui media leaflet yang sangat efektif dalam peningkatan pengetahuan seseorang. Kesimpulan dari penelitian sosialisasi yang telah dilakukan pada tanggal 29 November 2020 di RW 09 RT 03 Kelurahan Bina Widya, Panam Pekanbaru Riau dapat dilihat bahwa adanya peningkatan pengetahuan masyarakat setelah dilakukannya kegiatan ini, sehingga menambah wawasan masyarakat tentang bagaimana caranya mencegah penularan covid-19 dan makanan apa saja yang dapat dikonsumsi selama pandemi sekarang agar dapat meningkatkan sistem imun atau sistem kekebalan tubuh
Definisi, Penyebab, Klasifikasi, dan Terapi Sindrom Dispepsia
Get PDFDyspepsia is a symptomatic syndrome disease characterized by pain or discomfort in the upper part or heartburn. Organic dyspepsia is caused by disorders in the gastrointestinal tract or around the gastrointestinal tract, such as the pancreas, gallbladder and others. The purpose of this study is to find out the definition, causes, classification, and therapy of dyspepsia syndrome. The method used in reviewing this article is the collection of literature from existing journal sources related to dyspepsia in general sourced from google, google scholar, and e-book using the keywords "dyspepsia", "classification of dyspepsia", "causes of dyspepsia", and "dyspepsia therapy" in literature search. Obtained organic ispepsia results occur due to organic abnormalities. In organic dyspepsia there are noticeable abnormalities seen in endoscopy of digestive tract organs such as peptic ulcer or known as peptic ulcer, gastritis, stomach cancer, gastro esophageal reflux disease (GERD), hyperacidity. The conclusion obtained is that in the cure of dyspepsia disease can be treated with pharmacological therapy which includes the use of drugs such as; antacids, anticholinergics, H2 antagonists and others. In addition, dyspepsia can also be treated with non-pharmacological therapies that include maintaining a diet, reducing stress and others.Dispepsia merupakan penyakit sindrom gejala yang ditandai dengan rasa nyeri atau tidak nyaman pada bagian atas atau ulu hati. Dispepsia organik antara lain karena terjadinya gangguan di saluran cerna atau di sekitar saluran cerna, seperti pankreas, kandung empedu dan lain-lain. Tujuan penelitian ini adalah untuk mengetahui definisi, penyebab, klasifikasi, dan terapi sindrom dispepsia. Metode yang digunakan dalam pembuatan review artikel ini adalah pengumpulan literature dari sumber jurnal yang ada yang berkaitan dengan dyspepsia secara umum yang bersumber dari google, google scholar, dan e-book dengan menggunakan kata kunci “dyspepsia”, “klasifikasi dyspepsia”, “penyebab dyspepsia”, dan “terapi dyspepsia” dalam pencarian literatur. Didapatkan hasil ispepsia organik terjadi karena adanya kelainan organik. Pada dispepsia organik terlihat kelainan yang nyata terlihat pada endoskopi terhadap organ saluran pencernaan seperti ulkus peptik atau yang dikenal dengan tukak peptik, gastritis, stomach cancer, gastro esophageal reflux disease (GERD), hiperasiditas. Kesimpulan yang didapatkan adalah dalam penyembuhannya penyakit dispepsia bisa ditangani dengan terapi farmakologi yang meliputi penggunaan obat-obatan seperti; antasida, antikolinergik, antagonis H2 dan lainnya. Selain itu penyakit dispepsiajuga bisa ditangani dengan terapi non farmakologi yang meliputi menjaga pola makan, mengurangi stress dan lainnya
Pengaruh Besarnya Ultrafiltrasi terhadap Perubahan Tekanan Darah pada Pasien PGK di Unit Hemodialisa RSUD Kabupaten Tangerang
Get PDFThe magnitude of ultrafiltration is the process of transferring dissolved substances and water due to hydrostatic differences in blood and dialysate which are carried out from the patient's body weight. The purpose of this research is of the amount of ultrafiltration on changes in blood pressure in clients with chronic kidney disease at Tangerang Regional Hospital. Methods: This study used a quasi-experimental design with a one group study, the population of all patients in the hemodialysis room, a sample of 150 people. Results: The study showed that the amount of ultrfiltration both experienced changes in normal BP was 17 respondents (50.1%), respondents with a moderate amount of ultrafiltration were experiencing a change in low BP, the most were 2 respondents (66.6%) and the number of respondents, the amount of ultrafiltration, was multiplying changes in high BP, around 42 respondents. (37.2%). Chi Square test obtained an Asymp.Sig. (2-sided) value of 0.035 <0.05, there is an influence between the amount of ultrafiltration on changes in blood pressure in CKD patients at the HD Unit of the Tangerang District Hospital 2020. Conclusion to improve hemodialysis services with restrictions and Monitoring the amount of ultrafiltration can minimize the risk of a drop in blood pressure that can endanger the patient's life.Besarnya ultrafiltrasi adalah proses perpindahan zat terlarut dan air karena perbedaan hidrostatik didalam darah dan dialisat yang dilakukan dari berat badan pasien. Tujuan penelitian ini adalah untuk pengetahui pengaruh besarnya ultrafiltrasi terhadap perubahan tekanan darah pada klien penyakit ginjal kronik di RSU Daerah Tangerang. Penelitian ini menggunakan desain quasi eksperimen dengan penelitian one group, populasi seluruh pasien di ruang hemodialisa, sampel berjumlah 150 orang. Hasil penelitian menunjukan besarnya ultrfiltrasi baik mengalami perubahan TD normal terbanyak 17 responden (50,1 %), responden dengan besarnya ultrafiltrasi sedang mengalami prubahan TD rendah terbanyak 2 responden (66.6 %) dan jumlah responden besarnya ultrafiltrasi sedang mengali perubahan TD tinggi sekitar 42 responden (37,2 %). uji Chi Square didapatkan nilai Asymp.Sig.(2-sided) sebear 0,035 < 0,05, ada pengruh antara besarnya ultrafiltrasi terhadap perubahan tekanan darah pada pasien PGK di Unit HD RSUD Kabupaten Tangerang 2020. Kesimpulan untuk meningkatkan pelayanan hemodialisa dengan pembatasan dan pemantauan jumlah ultrafiltrasi dapat meminimalkan resiko penurunan tekanan darah yang dapat membahayakan jiwa pasien
Profil Peresepan Obat Persalinan Pada Pasien Bedah Sectio Caesarea (SC) Peserta BPJS di Rumah Sakit X Bandung
Get PDFSectio Caesarea or Caesarean section is an act of labor to remove the baby through an abdominal or uterine incision. Delivery by cesarean section is intended for absolute or relative indications. Any circumstances that make delivery through the birth canal impossible, is an absolute indication for the abdominal section. This study aims to determine how the profile of prescribing the use of delivery drugs in cesarean section (SC) patients who are BPJS participants at Hospital X Bandung. This study uses descriptive and quantitative methods with secondary data used from prescription sheets and medical record data with a total sample of 58 prescription sheets in the period 5 April to 31 May 202. The results showed that the highest percentage of data was drug therapy Mefenamic Acid (Analgesic) with a dose of 3x500 mg, Tranexamic Acid (Fibrinolytic) with a dose of 3x500 mg, Cefazolin (Antibiotic) with a dose of 1x2 grams, Cefadroxil (Antibiotic) with a dose of 2x500 mg, Fe Tablets (Antianemia) with a dose of 1x300 mg, Ketorolac (Analgesic) with a dose of 3x30 mg, Metoclopramide (Antiemetric) with a dose of 3x10 mg, Oxytocin (Synthetic hormone) with a dose of 1x20 units, Ranitidine (Anti-Selection of Gastric Acid) with a dose of 2x50 mg, and Ringer Lactate (Electrical Fluid) with a dose of 3x500 ml as many as 58 prescription sheets (100%). While the lowest percentage is drug therapy Methyldopa (Antihypertensive) with a dose of 3x500 mg, Nifedipine (Antihypertensive) with a dose of 3x10 mg, MgSO4 20% (Anti-Seizure) with a dose of 1x4 grams and MgSO4 40% (Anti-Seizure) with a dose of 2x500 ml as many as 36 sheets. Prescription (62%). The administration of cesarean delivery drugs was following the dose and did not change the pattern of treatment or use of cesarean delivery drugs at X Hospital BandungSectio Caesarea atau bedah Caesar adalah suatu tindakan persalinan untuk mengeluarkan bayi melalui sayatan abdomen atau uterus. Persalinan dengan operasi caesarea ditujukan untuk indikasi absolute atau relatif. Setiap keadaan yang membuat kelahiran lewat jalan lahir tidak mungkin terlaksana, merupakan indikasi absolute untuk sectio abdominal. Penelitian ini bertujuan untuk mengetahui bagaimana profil peresepan penggunaan obat persalinan pada pasien bedah section caesarea (SC) peserta BPJS di Rumah Sakit X Bandung. Penelitian ini menggunakan metode deskriptif dan metode kuantitatif dengan data yang digunakan adalah data sekunder yang berasal dari lembaran resep dan data rekam medis dengan jumlah sampel 58 lembar resep dalam jangka waktu 5 april s/d 31 mei 202. Hasil penelitian menujukan bahwa data persentase tertinggi yaitu terapi obat Asam Mefenamat (Analgesik) dengan dosis 3x500 mg, Asam Traneksamat (Fibrinolitik) dengan dosis 3x500 mg, Cefazolin (Antibiotik) dengan dosis 1x2 gram, Cefadroxil (Antibiotik) dengan dosis 2x500 mg, Fe Tablet (Antianemia) dengan dosis 1x300 mg, Ketorolac (Analgesik) dengan dosis 3x30 mg, Metoklopramid (Antiemetrik) dengan dosis 3x10 mg, Osiktosin (Hormon Sintesis) dengan dosis 1x20 unit, Ranitidine (Anti Sekresi Asam Lambung) dengan dosis 2x50 mg, dan Ringer Laktat (Cariran Elektrilit) dengan dosis 3x500 ml sebanyak 58 lembar resep (100%). Sedangkan persentase terendah yaitu terapi obat Metildopa (Antihipertensi) dengan dosis 3x500 mg, Nifedipine (Antihipertensi) dengan dosis 3x10 mg, MgSO4 20% (Anti Kejang) dengan dosis 1x4 gram dan MgSO4 40% (Anti Kejang) dengan dosis 2x500 ml sebanyak 36 lembar resep (62%). Pemberian obat persalinan bedah caesar sudah sesuai dosis dan tidak merubah pola pengobatan atau pemakaian obat persalinan bedah caesar di Rumah Sakit X Bandun
Pengaruh Kredibilitas Endorser Lokal terhadap Iklan Suplemen dan Minat Beli Konsumen pada New Normal
Get PDFThe Credibility of the Local Endorser is a person who comes from the locale where the advertising media is present the greater the acceptance level of the endorser's credibility the more likely the receiver will receive the advertisement. Purchase interest is something that is obtained from a series of thought processes that form a perception that includes needs recognition information search until finally buying interest arises. When the public is willing to accept the product advertisement offered there is a possibility that there will be an interest in buying the product. The purpose of this study was to determine whether there is an effect of local endorser's credibility on supplement advertising and to determine whether there is an effect of local endorser's credibility on consumer buying interest in New Normal. In this study, the authors used a quantitative approach. The population in this study were 11th-grade high school students of the 20192020 class aged 15-20 years who were studying at SMA Negeri 1 Sungai Raya Kepulauan. The sample collection techniques used were Probability Sampling and Nonprobability Sampling with 92 respondents. This research method is a survey method using data from a questionnaire. The results showed that the significance value of Variable X was 0.289. The Y variable is 0.357 and the Y variable is 0.146 from 0.05 and the account value is 12.069 0.361. The conclusion of this study is that there is a significant positive relationship between the Credibility of Local Endorsers on Supplementary Ads and Credibility of Local Endorsers on Consumer Purchase Intention at New Normal.Kredibilitas Endorser Lokal merupakan orang yang berasal dari lokal di mana media iklan tersebut ada, semakin besar tingkat penerimaan kredibilitas endorser, semakin besar kemungkinan receiver menerima iklan. Minat beli adalah sesuatu yang diperoleh dari serangkaian proses pemikiran yang membentuk suatu peresepsi yaitu meliputi kebutuhan, pengenalan, pencarian informasi hingga akhirnya timbul minat beli. Ketika masyarakat sudah bersedia menerima iklan produk yang ditawarkan maka ada kemungkinan muncul minat untuk membeli produk. Tujuan penelitian ini adalah Untuk mengetahui apakah ada pengaruh kredibilitas endorser lokal terhadap iklan suplemen dan untuk mengetahui apakah ada pengaruh kredibilitas endorser lokal terhadap minat beli konsumen pada New normal. Dalam penelitian ini penulis menggunakan pendekatan kuantitatif. Populasi dalam penelitian ini adalah pelajar kelas 11 SMA angkatan tahun 2019/2020 berusia 15-20 tahun yang sedang belajar di SMA Negeri 1 Sungai Raya Kepulauan. Teknik pengumpulan sampel yang digunakan yaitu Probability Sampling dan Nonprobability Sampling dengan 92 responden. Metode penelitian ini adalah metode survey dengan menggunakan data dari kuesioner. Hasil penelitian didapatkan nilai signifikansi Variabel X sebesar 0,289. Variabel Y₁ sebesar 0,357 dan Variabel Y₂ sebesar 0,146 > dari 0,05 dan nilai thitung sebesar 12,069 > 0,361. Kesimpulan dari penelitian ini yaitu terdapat hubungan positif yang signifikan antara Kredibilitas Endorser Lokal terhadap Iklan Suplemen dan Kredibilitas Endorser Lokal Terhadap Minat Beli konsumen Pada New Normal
Pengaruh Stres Kerja terhadap Kinerja Perawat di Instalasi Rawat Inap PMN RS Mata Cicendo
Get PDFBased on data on the number of patients treated per year and the number of nurses in the inpatient installation of the National Eye Center of the Cicendo Eye Hospital, Bandung, it shows that there is a shortage of nurses because the number of patients continues to increase which will result in fatigue or too much workload which can cause stress work. This study aims to determine the effect of work stress on the performance of nurses in the inpatient installation of the National Eye Center at Cicendo Eye Hospital, Bandung in 2021.This type of research is quantitative with a cross sectional approach. The sample of this research is 50 nurses who are hospitalized. The sampling technique is probability sampling with total sampling method. The results of this study are the correlation value / R which is 0.788, the output coefficient of determination (Adjusted R Square) is 0.613, so it can be said that there is an influence of the independent variable on the variable (performance) of 61.3% and the remaining 38.7% is influenced by other factors.Berdasarkan data jumlah pasien yang dirawat pertahun dan jumlah tenaga perawat yang ada di Instalasi Rawat Inap Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung memperlihatkan bahwa disana kekurangan tenaga perawat karena jumlah pasien yang meningkat yang dapat menyebabkan terjadinya kelelahan atau beban kerja terlalu banyak sehingga dapat menyebabkan stres kerja. Penelitian ini bertujuan untuk mengetahui pengaruh stres kerja terhadap kinerja perawat di Instalasi Rawat Inap Pusat Mata Nasional Rumah Sakit Mata Cicendo Bandung Tahun 2021. Jenis penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Sampel penelitian ini adalah 50 perawat yang ada di Rawat Inap. Teknik pengambilan sampel secara probability sampling dengan metode total sampling. Hasil penelitian ini adalah nilai korelasi/hubungan R yaitu sebesar 0,788, dari output tersebut koefisien determinasi (Adjusted R Square) sebesar 0,613, sehingga dapat disimpulkan terdapat pengaruh variabel bebas (stress kerja) terhadap variabel terikat (kinerja) adalah sebesar 61,3% dan sisanya 38,7 % dipengaruhi oleh faktor lain.
Hubungan Pengetahuan tentang Swamedikasi dengan Pola Penggunaan Obat di Apotek Kimia Farma Senen Jakarta Pusat
Get PDFSelf-medication is the use of medicine that is done alone without a doctor's prescription. The Central Statistics Agency noted that in 2017 there were 69.43% of the Indonesian population who did self-medication compared to the population who received outpatient treatment at 46.32%. This shows that the behavior of self-medication in Indonesia is still quite large. The purpose of this study was to determine the relationship between knowledge about self-medication and patterns of drug use. This type of research is correlational with a cross sectional approach. The sample in this study were 345 respondents with accidental sampling technique. Data retrieval using questionnaires and statistical analysis using the Spearman Rank correlation test. The results of descriptive analysis of variables in general knowledge about self-medication is good, descriptive analysis of drug use patterns is good. The results showed that there was a significant relationship between knowledge about self-medication and patterns of drug use (p-value 0.001). In conclusion, there is a relationship between knowledge about self-medication and patterns of drug use.Swamedikasi merupakan pengobatan yang dilakukan diri sendiri tanpa melalui resep dokter. Badan Pusat Statistik mencatat bahwa pada tahun 2017 terdapat 69,43% penduduk Indonesia yang melakukan swamedikasi dibandingkan penduduk yang berobat jalan 46,32%. Hal ini menunjukkan bahwa perilaku swamedikasi di Indonesia masih cukup besar. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan tentang swamedikasi dengan pola penggunaan obat. Jenis penelitian korelasional dengan pendekatan cross sectional. Sampel dalam penelitian ini sebanyak 345 responden dengan teknik Accidental sampling. Pengambilan data menggunakan kuisioner dan analisis statistik menggunakan uji korelasi Rank Spearman. Hasil analisa deskriptif variabel secara umum pengetahuan tentang swamedikasi adalah baik, analisa deskriptif pola penggunaan obat adalah baik. Hasil penelitian menunjukkan terdapat hubungan yang signifikan hubungan pengetahuan tentang swamedikasi dengan pola penggunaan obat (p-value 0,001). Kesimpulan, terdapat hubungan pengetahuan tentang swamedikasi dengan pola penggunaan oba
Strategy in Anticipating the Hospital’s Financial Condition During the Covid-19 Pandemic
Get PDFThe registration section is the front line of health service activities in health care facilities. There are many obstacles that occur in the registration section for various reasons. The limited workforce in the registration section is one of the causes of these obstacles. This study aims to analyze how many workforces needed in the medical record unit at the registration section of the Tanjungsari Medika Clinic based on the workload. This research is a descriptive research with observation and interview data collection methods. This study also uses the WISN (Workload Indicators Staffing Needs) method. WISN is a method used to calculate labor requirements based on workload. The data sample in this study was the number of patient visits at the Tanjungsari Medika Clinic for the period of July 2020 - June 2021, which amounted to 21619 outpatient visits and 3332 observation patient visits. From the results of the calculations in this study, it can be concluded that it is necessary to add 1 more person in the medical record unit at the Tanjungsari Medika Clinic in order to achieve quality health services with a qualified workforce as well.The registration section is the front line of health service activities in health care facilities. There are many obstacles that occur in the registration section for various reasons. The limited workforce in the registration section is one of the causes of these obstacles. This study aims to analyze how many workforces needed in the medical record unit at the registration section of the Tanjungsari Medika Clinic based on the workload. This research is a descriptive research with observation and interview data collection methods. This study also uses the WISN (Workload Indicators Staffing Needs) method. WISN is a method used to calculate labor requirements based on workload. The data sample in this study was the number of patient visits at the Tanjungsari Medika Clinic for the period of July 2020 - June 2021, which amounted to 21619 outpatient visits and 3332 observation patient visits. From the results of the calculations in this study, it can be concluded that it is necessary to add 1 more person in the medical record unit at the Tanjungsari Medika Clinic in order to achieve quality health services with a qualified workforce as wel
Mediasi Kepuasan Pasien pada Dimensi Kualitas Pelayanan Assurance terhadap Word of Mouth
Get PDFWord of Mouth is a natural conversation between individuals about information of a product that is considered to have more influence than advertising and formal marketing. The quality of service is an important determinant of customer satisfaction and Word of Mouth performed by customers during the use of the service. The lack of interest in the patient or their family to tell others about an experience while being treated at X Hospital Jakarta, occurred because of the low quality of service which resulted in a sense of dissatisfaction. The purpose of this study was to determine the effect of Service Quality Dimensions on Word of Mouth mediated by Patient Satisfaction. The research method used is quantitative research with the type of Causality Explanation Research. The sample in this study were 200 patients who had been treated at X Hospital Jakarta. The technique used is Stratified Proportional Random Sampling. The results of the research is that the Dimensions of Service Quality both directly and indirectly with Patient Satisfaction as a Mediating Variable are proven to affect the level of a patient's Word of Mouth. The research finding is that the existence of Patient Satisfaction as a Mediating Variable, the influence of one of the Service Quality Dimensions, namely Assurance, has a greater impact on the patient's Word of Mouth. This means that the patient's Word of Mouth cannot be improved optimally by relying on Assurance alone, but it is necessary to establish patient satisfactionWord of Mouth merupakan sebuah percakapan antar individu yang terjadi secara alami tentang informasi suatu produk yang dianggap memiliki pengaruh lebih besar daripada iklan dan pemasaran formal. Kualitas pelayanan merupakan penentu penting dari kepuasan pelanggan dan Word of Mouth yang dilakukan oleh pelanggan selama menggunakan layanan. Sedikitnya minat pasien atau keluarganya untuk menceritakan kepada orang lain tentang pengalamannya selama dirawat di Rumah Sakit X Jakarta, terjadi karena rendahnya kualitas pelayanan yang mengakibatkan rasa ketidakpuasan. Tujuan penelitian ini adalah untuk mengetahui pengaruh Dimensi Kualitas Pelayanan terhadap Word of Mouth dimediasi oleh Kepuasan Pasien. Metode penelitian yang digunakan adalah penelitian kuantitatif dengan jenis penelitian Eksplanasi Kausalitas. Sampel dalam penelitian adalah pasien yang pernah dirawat Rumah Sakit X Jakarta sebanyak 200 responden. Teknik yang digunakan untuk pengambilan sampel adalah Stratified Proporsional Random Sampling. Hasil penelitian yang diperoleh adalah Dimensi Kualitas Pelayanan baik secara langsung maupun tidak langsung dengan Kepuasan Pasien sebagai variabel mediasi terbukti mempengaruhi tingkat Word of Mouth pasien. Temuan penelitiannya adalah dengan adanya Kepuasan Pasien sebagai Variabel Mediasi, pengaruh salah satu Dimensi Kualitas Pelayanan, yaitu Assurance lebih besar dampaknya terhadap Word of Mouth. Artinya, Word of Mouth tidak dapat ditingkatkan secara optimal dengan mengandalkan Assurance saja, namun perlu pembentukan kepuasan pasie
Multi Sistem Histiositosis Sel Langerhans pada Anak Laki-Laki Usia 2 Tahun (Tinjauan Histopatologi)
Get PDFLangerhans cell histiocytosis (HSL) or histiocytosis X, eosinophilic granuloma, letterer siwe disease, hand schuller christian disease and hashimoto pritzker disease is a disorder caused by the accumulation and proliferation of langerhans cells in various organs of the body that causes tissue damage. The highest prevalence of HSL occurs in children less than 3 years old, with a ratio of 2:1 for boys and girls. The classic appearance of skin manifestations is an eruption resembling seborrheic dermatitis in the folds, axillae, scalp, retroauricular and trunk areas. The appearance of the lesion is yellow to brownish red papules, purpuric and crusted papules that can occur together with erosion. Histopathological examination with staining with S100 or cluster of differentiation 1a (CD1a) revealed Langerhans cell infiltration. The results of immunohistochemistry with IHC S-100 staining, CD1a showed a picture of Langerhans cells and histiocytes. The purpose of this paper is to study the histopathological features of HSL to better than to diagnosis and treatment of HSL. A 2-year-old boy was consulted with the chief complaint of itchy red nodules on the head, chest and back area. Complaints accompanied by diarrhea, often feel thirsty and hungry and lose weight. Dermatological status in the facial region, the anterior and posterior trunks showed lenticular papules with umbilication (pin points) with erosions covered with necrotic tissue above, on the scalp, facial, retroauricular and trunk regions, yellow to brownish papules were crusted with erosions. Histopathology with hematoxylin and eosin (HE) staining showed the presence of small fragments of skin tissue, the epidermis was partially composed intact, the dermis was filled with histiocytes, plasma cells, eosinophils, mast cell impressions and polymorphonuclear leukocytes. Immunohistochemical examination with staining IHC S-100 and CD1a showed positive. Histiocytosis is a group of disorders characterized by the accumulation of cells derived from dendritic cells accompanied by inflammation and causing tissue damage. Histopathological and immunohistochemical examinations serve to establish the diagnosis. The results of immunohistochemical examination with IHC S-100 staining, CD1a will show a picture of Langerhans cells and histiocytesLangerhans cell histiocytosis (HSL) or histiocytosis X, eosinophilic granuloma, letterer siwe disease, hand schuller christian disease and hashimoto pritzker disease is a disorder caused by the accumulation and proliferation of langerhans cells in various organs of the body that causes tissue damage. The highest prevalence of HSL occurs in children less than 3 years old, with a ratio of 2:1 for boys and girls. The classic appearance of skin manifestations is an eruption resembling seborrheic dermatitis in the folds, axillae, scalp, retroauricular and trunk areas. The appearance of the lesion is yellow to brownish red papules, purpuric and crusted papules that can occur together with erosion. Histopathological examination with staining with S100 or cluster of differentiation 1a (CD1a) revealed Langerhans cell infiltration. The results of immunohistochemistry with IHC S-100 staining, CD1a showed a picture of Langerhans cells and histiocytes. The purpose of this paper is to study the histopathological features of HSL to better than to diagnosis and treatment of HSL. A 2-year-old boy was consulted with the chief complaint of itchy red nodules on the head, chest and back area. Complaints accompanied by diarrhea, often feel thirsty and hungry and lose weight. Dermatological status in the facial region, the anterior and posterior trunks showed lenticular papules with umbilication (pin points) with erosions covered with necrotic tissue above, on the scalp, facial, retroauricular and trunk regions, yellow to brownish papules were crusted with erosions. Histopathology with hematoxylin and eosin (HE) staining showed the presence of small fragments of skin tissue, the epidermis was partially composed intact, the dermis was filled with histiocytes, plasma cells, eosinophils, mast cell impressions and polymorphonuclear leukocytes. Immunohistochemical examination with staining IHC S-100 and CD1a showed positive. Histiocytosis is a group of disorders characterized by the accumulation of cells derived from dendritic cells accompanied by inflammation and causing tissue damage. Histopathological and immunohistochemical examinations serve to establish the diagnosis. The results of immunohistochemical examination with IHC S-100 staining, CD1a will show a picture of Langerhans cells and histiocyte