Publications of the Indonesian Scholars' Alliance
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SYSTEMATIC REVIEW METABOLIC DISRUPTION IN GESTATIONAL HYPERTENSION DISORDER
Get PDFBackground: Gestational hypertension is one of the diseases responsible for increased morbidity and 18% of maternal deaths in the world. Gestational hypertension has complex causes and symptoms, so pathogenesis is difficult to determine. Complications of gestational hypertension will cause Preeclampsia. This study aims to explain the metabolic disorders experimented by women with gestational hypertension. This description can be used as an early detection tool for hypertension so that complications can be prevented.
Methodology: Searching articles for this research is done by searching in the google scholar, science direct and PubMed databases. Only full text and written by english will be included in this study. The keyword that is used "Risk Factor” or "Metabolic” and "Gestational Hypertension” or "Blood Pressure” or "Pregnancy Hypertension” with the year limit between 2009 – 2019. A systematic review of PRISMA was used in this study. The study focused on the discussion about gestational hypertensionin pregnant women. Results: 12 research articles were foundit is known that pregnant women with gestational hypertensionhave serum calcium, magnesium, nitric oxide, vitamin D, cobalt and iodine which tend to be lower than normal pregnant women. Whereas cadmium levels tend to be high can stimulate oxidative stress which is able to worsen the condition leading to preeclampsia.
Conclusion: Health checks on pregnant women can be used as a basis for screening and treatment. Methods of checking calcium levels that allow as medium for screening in detecting the severity of hypertension and predicting disease risk.
Keywords: Hypertension, Pressure, pregnant wome
THE EFFECT OF LOVING TOUCH STIMULATION THERAPY FOR INFANTS' WEIGHT GAIN
Get PDFBackground: Low Birth Weight (LBW) is one of the risk factors that have a high contribution to infant mortality. Increasing the baby's weight is used as an indicator to determine LBW growth. In LBW babies, touch therapy is a form of stimulation to increase endurance, digestive function activities, and vagus nerve activity.
Objective: This study aims to determine the effect of Loving Touch Therapy (LTT) as one of the effective non-medical methods to increase body weight in LBW that can be done by parents during home care.
Method: This study was a quantitative study using an experimental design and Randomized Controlled Trial (RCT) design. This research conducted in 15 respondents in the intervention group with four weeks' LTT and 15 respondents in the control group who were given Tactile Kinesthetic Stimulation (TKS). Data were obtained from measurements of body weight before and after the intervention then the data were analyzed using independent t-test with significance level p-value <0.05 and multivariateanalysis using linear regression.
Results: 19 respondents female (63.3%) and 11 respondents male (36.6%) was participated in this research by the frequency distribution of the gender. It was a significant increase in body weight in LBW with LTT carried out by his mother for 28 days compared with TKS stimulation. The differences in the average weight gain are 197 grams. The difference is statistically significant.
Conclusions: It can be concluded that LTT is more effective in increasing body weight in LBW posthospital care because the technique is simple and sequential from the front to the back of the baby's body which makes it easier for parents to understand and physiologically doesn't lose much an energy.
Keywords: Low Birth Weight Baby, Loving Touch Stimulation Therapy, Male and Female Bod
COMPREHENSIVE THERAPY FOR POLYCYSTIC OVARY SYNDROME: KEY POINTS TO IMPROVE QUALITY OF LIFE
Get PDFBackground: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder that affects the hypothalamus, pituitary, and ovary. PCOS prevalence has increased from 4 –6% to 8 –10%. This syndrome results in both physical illnesses and psychological disorders. Women with PCOS tend to be more prone to psychological disorders compared to healthy women. PCOS increases the risk of anxiety by 7 folds. This study aims to analyze measures to reduce psychological disorders caused by PCOS based on numerous psychological disorder parameters and hormonal biomarkers with psychological therapies.
Methodology: This study is based on the PRISMA protocol guidelines. The literature review was performed by accessing ScienceDirect, PubMed, Sage Publications and Google Scholar. The inclusion criteria for the articles are full-text papers written by English from 2009 to 2018. The keywords used to find suitable articles are "anxiety, stress, distress, depression, and quality of life management in polycystic ovary syndrome”. Nine articles were subsequently reviewed.
Results: Psychological therapies that can be applied for PCOS include holistic yoga, acupuncture, spiritual guidance, mindfulness stress management, relaxation, and guided imagery, progressive muscle relaxation and administration of herbal, probiotic and selenium medication. Those therapies have proven to lower anxiety, stress, depression, and psychological fatigue as they were measured using instruments of Montgomery í…sberg Depression Rating Scale (MADRS-S), Brief Scale for Anxiety (BSAS),Swedish Short-Form36 (SF-36), PCOS Questionnaire (PCOSQ), Beck Depression Inventory, DASS 21 and STAI. Meanwhile, observed biomarker responses include lower levels of cortisol, adrenalin, testosterone, and malondialdehyde (MDA) and a higher level of endorphin.
Conclusion: Psychological therapies for PCOS have proven to lower psychological disorders as measured by numerous parameters and biomarkers. Therefore, psychological therapies have to be further developed to decrease psychological disorders because of Polycystic Ovary Syndrome. Such as symptoms of anxiety and prevent deterioration of social mental health.
Keywords: Anxiety, stress, distress, depression, and quality of life management in polycystic ovar
COULD HERBAL MEDICINE BE A COMPLEMENTARY THERAPY IN LEUCORRHEA TREATMENT AND CARE?
Get PDFBackground: The frequency of using the antibiotics and antifungals as a treatment of leucorrhea may cause the bacterial and fungal resistance. Therefore, a treatment is not always optimal and sometimes leads the infection to be worsen. The herbal medicine is needed as an alternative treatment. This study aims to examine the effectiveness of using various herbal medicine in the management of leucorrhea.
Methodology: The literature review was conducted in several electronic databases i.e., Google Scholar, Science Direct, and PubMed. The protocol for this study was PRISMA. The keywords such as "herbal medicine" and "leucorrhea" or "vaginal infection" were used to select the literatures. This study only selected the studies conducted during 2000 to 2019, presented in English and used clinical trial research design.
Results: This study obtained 10 of 5184 total publications from electronic databases. The publication about herbal medicine for leucorrhea, both of herbal medicine and placebo, herbal medicine compared to conventional medicine and herbal medicine combined with conventional medicine showed that herbal medicine could reduce the symptoms and complaints of leucorrhea which had the ability to be an antimicrobial agent. In contrast, 2 studies revealed the side effects of herbal medicine, i.e., irritation,vomiting, and dry vagina.
Conclusion: Herbal medicine was effective as a treatment of leucorrhea and had the prospect to develop as a complementary therapy for treating the leucorrhea.
Keywords: Leucorrhea, complementary therapy, herbal medicin
SCRAPBOOKING RELATED TO PERSONAL HYGIENE HABITS AND PREVENTION BEHAVIOR OF PATHOLOGICAL LEUCORRHOEA
Get PDFBackground: Leucorrhoea is the vaginal secretion in term of physiological or pathological. Around 90% of girls in Indonesia have the potential to experience leucorrhoea. Personal hygiene habit is one of the factors that play an important role in avoiding infections that can cause vaginal discharge. Scrapbooking is the art of attaching photos or images on print media and decorating them into creative works. This concept was developed in this study as an alternative media for teenagers to make it easier to remember the health messages. This study aims to determine the effect of scrapbooking on personal hygiene habits and prevention behavior of pathological leucorrhoea for Islamic boarding students (santri).
Methodology: The design of this study was a quasi-experimental design with pre-posttest design with control group. The research subjects were 150 female students (75 as a control group and 75 as an experiment group) from the Islamic Boarding School (PP) Ali Maksum Bantul, PP. Salman Al Farisi Sleman and PP. Bina Umat Sleman. Data was analyzed by using univariate and bivariate (paired t-test and independent sample t-test).
Results: Most of students have experienced pathological leucorrhoea (80%). Scrapbooking and giving leaflets both have a significant influence on improving personal hygiene habits (p = 0.000) and prevention behavior of pathological leucorrhoea (p = 0.001). There was a scrapbooking effect on personal hygiene habits (p = 0.029) and prevention behavior of pathological leucorrhoea (p = 0.000).
Conclusion: There was an effect of scrapbooking on personal hygiene habits and prevention behavior of pathological leucorrhoea. The Boarding school officials can actively participate to motivate students for maintaining personal hygiene through various media that make more interesting. Health workers can use various media to provide counseling about personal hygiene and leucorrhoea prevention.
Keywords: Scrapbooking, Personal Hygiene Habits, Leucorrhoe
OUTCOME OF PATIENT SAFETY CULTURE USING THE HOSPITAL SURVEY ON PATIENT SAFETY CULTURE (HSOPSC) IN ASIA: A SYSTEMATIC REVIEW WITH META ANALYSIS
Get PDFBackground: Patient safety is a critical component of the quality of health care. In the process, it allows health services, especially hospitals, to well understanding aspects of patient safety. Hospital Survey on Patient Safety Culture (HSOPSC) was established to examines patient safety culture and the correlation between patient safety culture composite hospitals in Asia. This study aims to assess patient safety culture which using Hospital Survey on Patient Safety Culture (HSOPSC). Methods: Systematic Review and meta-analysis method by using PRISMA-P 2015 were used in this study. We were collected through searching electronic literature from Elsevier, Science Direct, PubMed, and Google Scholar by using keywords "Hospitals Survey on Patient Safety Culture" and"HSOPSC Asia" published from January 2009 to January 2019. English language papers only are used as the inclusion criteria.
Results: Totally,160 articles were found and after deleting duplicates document, 126 journals left. Finally, 16 eligible journals which fulfil the inclusion criteria were reviewed. The HSOPSC overall average percentage positive response rate for HSOPSC was 53.58. Of the 12 patient safety composites evaluated, the highest average score is teamwork within unit 74.29±11.92. The bivariate analysis used Spearman correlation for correlation between patient safety composite, the composite Frequency of Event Reported the weakest correlation with teamwork within unit ( r = 0.052), and the composite teamwork across unit had the strongest correlation with teamwork within unit (r = 0.761).
Conclusion: Patient safety culture is crucial toward improving overall performance and quality of services in hospitals, especially teamwork within unit. Culture safety patient at the hospital must be applied in every hospital for quality improvement, especially for increasing patient safety culture.
Keywords: Patient Safety Culture Hospital, Patient Safety, HSOPSC Asi
PROVIDING ADEQUATE INFORMATION FOR OUTPATIENTS IN RSUPN DR. CIPTO MANGUNKUSUMO JAKARTA NOVEMBER 2018 - FEBRUARY 2019
Get PDFBackground: Long waiting time in medical services can cause by excess patient capacity, insufficient hospital staff and resources, and long registration process. This problem common happens in hospital in Indonesia, including RSUPN Dr. Cipto Mangunkusumo, Jakarta. In 2017, the average time for waiting to get medical services in RSUPN Dr. Cipto Mangunkusumo was more than 60 minutes. However, the standard of waiting time is less than or equal to 60 minutes. Long waiting time can affect to the patient services and satisfaction. This study aims to examine the effectiveness of providing information at each service points with waiting time at RSUPN Dr. Cipto Mangunkusumo.
Methods: This study was a quantitative study with cross-sectional design. Quick Win/ Electronic Health Record recapitulation was used to measure the waiting time to get medical services from registration until met the doctor for each patient. The sample was 1130 patients. The sample in this study was patient who had been recorded in electronic medical record during July 2018 to February 2019. The data analyzed in univariate and bivariate analysis used Chi-square.
Results: There was association between providing information at each service points with patient waiting time (95% CI, p= 0.042). After implemented the information of how long-time services needed at each service points, the average time for patient waited has decreased 3 minutes from 120.5 minutes to 117.5 minutes.
Conclusion: Providing information at each service points associated with decreasing waiting time for patient. The hospital should increase the performance of health providers and give the appreciation to the polyclinic or department that can achieve the standard of waiting time. Hopefully, giving a honor to the health providers can motivating them to give better health services to the patient and reduce the waiting time.
Keywords: Patient services, waiting time, information on patient service tim
THE USE OF SOCIAL MEDIA AS HOSPITAL MARKETING TOOL
Get PDFBackground: The means of communication develop over time. Nowadays the internet has become the best means of communication including in modern hospital marketing. Social media connects individuals, businesses and organizations to interact and build relationships and communities online. This study aims to determine if social media is an effective tool for hospital marketing.
Methods: This study was conducted in a systematic review by searching for articles and journals related to social media and hospital marketing. Literature search through the online database from University of Indonesia online library such as Scopus, Jstor, Ebsco, Proquest and Wiley on January 3th, 2019. The criteria of references are the use of social media in hospitals published within the year of 2009 to 2018 and can be accessed openly.
Results: The search returned 21155 articles, of which only 4 studies were included in the systematic review. The results of the journals investigation showed that 51% - 99.41% of hospitals used social media. The average number of platforms used by a hospital in the sample was 3.3. About 71.8% updated their pages in the past 30 days, and 89.2% provided online interactions. There are significant correlations for hospitals' reputation score and total points with the number of social media followers.
Conclusions: Many hospitals now use multiple social media platforms. The use of social media is affecting hospital's reputation. And because there is a high level of trust and sharing in social media communities, social media can be used as an effective tool for hospital marketing. To which extent the social media is still effective for marketing needs future studies regarding each country health regulations.
Keywords : Social media, Hospital, Marketing, Communication
ANALYSIS EFFECTIVITAS RELATING TO THE WAITING TIME IN CT SCANNING PROCEDURE BASED ON THE MALCOM BALDRIDGE APPROACH ON OUTPATIENT TREATMENT PATIENTS AT THE RADIOLOGY INSTALLATION OF THE CENTRAL POLICE HOSPITAL R. SAID SUKANTO
No full textIntroduction: Hospitals have the mission to provide excellent, comprehensive and standardized medical services in the context of improving people's health conditional through among others reduced waiting time. Waiting time is the time used by a patient to receive health services beginning from at the registration counter to the doctor's examination room.
Method: This research used the Qualitative study. The research was conducted from April 2019 through May 2019 at the Outpatient Treatment Unit of the Radiology Installation of the Central Police Hospital R. Said Sukanto Jakarta The informants in this research were chosen based on the principle of suitability and sufficiency namely 8 informants; they were head of the Radiology Installation, a radiologist, a senior supervisor or radiographer, a registration counter officer, a nurse and 3 selected patients. The data collected in this study was primary data namely through in-depth interviews and direct observation, while secondary data was obtained through document reviewing. Analysis using Malcolm Baldrige framework
Results: The result of this study indicates that the waiting time in CT Scanning procedures average 3 hours 1 minute and 25 seconds, which exceeds the standard stipulated by the Ministry of Health of the Republic of Indonesia the standard time ≤ 3 hours. Assessment aspect of Malcolm Baldrige the best is aspect organization profile, leadership and customer/ patient focus, an aspect have substantial effect on the waiting time in CT Scanning procedures. Mismatch between the theory and the result of this study may be caused by limitation in the research.
Conclusion: In principle, services are already good except for few matters that need improvement namely on customer/patient care, strategic planning, measurement of analysis and management of knowledge as well as results in the organization.
Keywords: Malcolm Baldrige criteria, CT Scanning procedure, waiting tim
TRAVEL MEDICINE MANAGEMENT FOR THE ANTICIPATION OF INFECTIOUS DISEASES IN SOUTHEAST ASIA: A SYSTEMATIC REVIEW
Get PDFBackground: Travelling abroad have various health risks such as sudden and significant changes in altitude, humidity, temperature and exposure to a variety of infectious diseases. Travel medicine concept is needed to provide information to professional health services not only on risk of infectious diseases but also to ensure the personal safety of travellers and to minimize environmental risk during travel. The Objective of this study is to investigate the practices of travel medicine management for the anticipation of infectious disease spread by travellers.
Methods: This study used systematic literature review based on PRISMA (Prefered Reporting Items for Systematic Reviews & Meta-Analyses)protocol to identify all the published articles using relevant keywords.We searched in Scopus (Elsevier), Science direct (Web of Science), Cochrane library and Pubmed. Period of study was between 2005 and 2018. In total, there were eight studies that discussed travel medicine management regarding the anticipation of infectious diseases in Southeast Asia, which includes the spread and narrative synthesis.
Results: From 126 authors finally include 8 papers in this review. Almost all of the management of travel medicine can reduce the risks of travel-related diseases. The travel medicine management explained how to effectively prevent the spread of infectious diseases, for example dengue, malaria, rabies, zika virus, diarrhea and respiratory syndrome. Those diseases can easily spread when the travellers body immunity decreases or when they are exhausted during the trip. Thus, it is necessary for the travellers to anticipate the spread of diseases by knowing the information of particular diseases in a country or a region that will be visited and having prophylaxis or vaccination before travelling.
Conclusions: The travel medicine management can significantly impact on the anticipation of infectious diseases spread by travellers since the practices require the latest facts and information about the epidemiology of infectious health risks worldwide.The recommendation for future research is to review more travel medicine management studies in order to get deeper understanding.For Policy maker, it is suggested to design policy to improve and updating knowl