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THE BUSINESS STRATEGIC PLAN FOR RSD KOLONEL ABUNDJANI BANGKO YEAR 2019 – 2023
Get PDFBackground: The progress of the hospital industry now requires effective management to improve the quality and quality of service appropriate to the standard goals. Preparation of this business strategic plan should involve decision-maker in hospitals and existing organizational resources efficiently and effectively by taking into account current conditions. This study aims to provide a comprehensive review of the process of preparing a hospital business strategic plan so that an alternative strategy can be obtained for the next 5 years.
Methods: This study was used operational research, qualitative method with in-depth interviews and hospital performance reports analysis. External and internal environment factors included finance, customer, demographics, geography, policy, marketing, information system, human resources, physical facility and organization were used as evaluated variables. SWOT analysis and Balanced Scorecard framework were used to identify critical success management factors. The Consensus Decision Making Group (CDMG) matrix were used to determined factor evaluation matrix as a final score.
Results: Based on an analysis of external and internal environmental factors, alternative strategies that are suitable for current hospital conditions are market penetration and service product development. In order to realize this strategy there are several things that must be of particular concern, namely the limited resources that are available which include the availability of human resources and financial support and there is no available integrated hospital information system.
Conclusion: The business strategy plan recommended for developing RSD Kolonel Abundjani Bangko's services for the next 5 years is market penetration and service product development. In order to realize this strategic plan requires a strong commitment from all human resources in the hospital and related stakeholders.
Keywords: Hospitals, strategic plans, business strateg
THE IMPLEMENTATION OF CODE STEMI PROGRAM TO AFFECT THE QUALITY OF HEALTHCARE IN ST-ELEVATION MYOCARDIAL INFARCTION (STEMI) PATIENTS: A SYSTEMATIC LITERATURE REVIEW
Get PDFBackgrounds: The Clinical importance of coronary artery disease manifests as Acute Coronary Syndrome with the highest mortality is known as ST-Elevation Myocardial Infarction (STEMI). Delay in STEMI management not only affect mortality and complications, but also healthcare quality. The CODE STEMI program was developed to shorten the time and reduce delay in treatments for STEMI patients. This study aims to review the effect of CODE STEMI program implementation on clinical outcome and healthcare quality in STEMI patients.
Methods: This study was a systematic review of literature that used meta-analysis (PRISMA) protocol. Data obtained from Electronic databases Google Scholar, PubMed, and MEDLINE that published over several years and we began on May 2019. Assessment of healthcare quality was based on Donabedian theory that consists of 7 main components, efficacy, effectiveness, efficiency, optimality, acceptability, legitimacy and equity. Analysis between studies was reported as descriptive narration.
Results: The search found 15 studies, of which 4 studies as the final results that are suitable for this literature review through the keyword findings CODE STEMI, STEMI, and quality of healthcare. Studies in several countries over the globe reported a decrease of door-to-balloon/ diagnosis-to-wire time. Some studies reported reduced mortality, complications, and cost after implementation of CODE STEMI program, while others only found insignificant trends.
Conclusions: Implementation of CODE STEMI protocol made a better Quality of Healthcare. However, it needs further study to review and evaluate the effect of CODE STEMI implementation, especially on the quality of healthcare in STEMI patients.
Keywords: CODE STEMI, STEMI, Quality of Healthcare, Donabedian Theor
SPECIAL DENTAL CASE SHEET AS A MEDICAL AND FORENSIC COMMUNICATION TOOL
Get PDFBackground: The implementation of the International Classification of Diseases, Tenth Edition (ICD-10 codes) in the medical records serving as the humanitarial tools for practitioners is to establish treatment procedures for re-admitted patients in a hospital. Medical records serves as a tool in determining the appropriate treatment for each patient. But in reality, has never the ICD-10 been applied to the Electronic Medical Record Management. For it to be used as a humanitarian tool, it has first to be used as legal evidence in the court as a written legal system in Indonesia. However, the implementation by the lawyers and relevant officers is under the progress. The result of the previous research showed on the Dental Professionals' Medical Record Form in 2014 at FKG Usakti [29] had determined the need for special dental case sheets as a humanitarian tool between practitioners and dentists. The Special Sheet should meet the specific requirement to be utilized in a class A hospital and it also needs to be standardized with the Indonesian National Police.
Methods: In this Systematic Review, the researchers conducted a Proquest database published from January 2012 to June 2019. 10 relevant studies of the medical records were selected as a humanitarian tool in Disaster Victim Identification (DVI) done by the dentist.
Results: From 10 present studies and previous studies [29] conducted by the researcher, it had succesfullyidentified the importance of medical record management as a humanitarian tool between practitioners and dentists in hospitals.
Conclusion: Special Dental Case Sheet is required for the implementation of collective information which serve as a general humanitarian tool among health professionals. It is required as a comparative data in the identification process if the related patients are the disaster victims.
Keywords: Medical Record, Humanitarian Tool, Health Professionals, Dental Professional Teaching Hospita
THE EFFECTIVENESS OF LEMON JUICE (Citrus limon) ON PURKINJE CELL OF WHITE MALE MICE (Mus musculus) CEREBELLAR CORTEX THAT EXPOSED BY MONOSODIUM GLUTAMATE (MSG)
Get PDFIntroduction: A number of studies have indicated that excessive MSG (Monosodium glutamate) consumption can lead to the formation of free radicals that can have a negative effect on purkinje cells in the cerebellar cortex. Lemon fruit is a plant that has benefits as a natural antioxidant because it contains compounds such as flavonoids, vitamin C, citric acid and other substances. This study aims to examine the effect of lemon juice (Citrus limon) to purkinje cells of the cerebellum cortex on male whitemice (Mus musculus) which exposed of monosodium glutamate.
Method: This research is an experimental laboratory with a post test only control group design. The research subjects were 30 white male mice divided into 5 groups: normal control given standard feed, negative control given MSG dose 4mg / grBW, group of dose I , dose II , and dose III that were each given lemon juice with doses 3.33ml / kgBW, 6.67ml / kgBW, 13.33ml/ kgBW respectively. The number of purkinje cells is calculated in the cerebellar cortex by HE staining. The results of the study wereanalyzed by One Way ANOVA followed by the Bonferroni Post hoc test.
Results: The average number of purkinje cells in administration of lemon juice with dosages of 3.33 ml/kgBW, 6.67 ml/kgBW and 13.33 ml /kgBW were 14.10 cells, 16.73 cells and 17.50 cells respectively. Based on the Post Hoc test, the average number of purkinje cells at the dose of 13.33 ml / kgBW was higher than the negative control (p = 0.021) Conclusion: Lemon juice could be used to reduce negative effect of MSG on purkinje cells of white male mice. Moreover, this finding could be used as reference on further research of benefit of lemon juice.
Keyword: Citrus limon, purkinje cell, monosodium glutamate (MSG
ANTIDIABETIC EFFECT OF COMBINED Muntingia calabura L. LEAF EXTRACT AND METFORMIN ON RATS
Get PDFBackground: Diabetes mellitus is a disease that causes blood glucose levels to increase. There are several therapies that can be done to reduce blood glucose levels in diabetes such as metformin, biguanides medicine and kersen (Muntingia calabura L.) leaves as an alternative. Treatment with combination of both is expected to further reduce blood glucose levels. This study aims to measure the effectiveness of the combination of metformin and Muntingia calabura L. leaf extract on blood glucose levels.
Methods: This was an experimental research with pretest-posttest control group. The samples were 24 Sprague-Dawley rats divided into 4 groups, first group (K1) negative control was given only aquadest, second group (K2) positive control (+) was given 45 mg/kgBW metformin, third group (K3) was treated with 300 mg/kgBW Muntingia calabura leaf extract, and the fourth group (K4) was given the combination of 300 mg/kgBW Muntingia calabura leaf extract and 45 mg/kgBW metformin. Blood glucose levels were measured and analyzed using paired t-test and one-way ANOVA.
Results: The combination of 300 mg/kgBW of Muntingia calabura extract and 45 mg/kgBB of metformin reduces 131.77 ± 3.57 mg/dl of blood glucose levels (p<0.05). This result is better than only metformin (92.68 ± 3.10 mg/dl) or only Muntingia calabura leaf extract (91.70 ± 4.40 mg/dl). There is a possibility that the synergistic effect of Muntingia calabura leaf extract and metformin caused the increased effectivity in reducing blood sugar level.
Conclusion: The combination of Muntingia calabura and metformin is more effective in reducing blood glucose levels compared to a single dose of metformin or Muntingia calabura L. extract alone.
Keywords: Diabetes mellitus, M. calabura leaf extract, blood sugar levels
THE CORRELATION BETWEEN ANTENATAL CARE, PARITY AND MATERNAL AGE AMONG PREGNANT WOMEN WITH ANTEPARTUM HEMORRHAGE INCIDENCE AT GONDOSARI COMMUNITY HEALTH CENTER, KUDUS
Get PDFBackground: Antepartum hemorrhage is one of the main cause of maternal mortality. The Maternal Mortality Rate (MMR) in Indonesia currently reaches 305 every 100,000 live births which is still quite high from the MDGs target. Risk factors for antepartum hemorrhage will increase with increasing age and maternal parity, while, the cause of maternal death can be prevented via regular Antenatal Care (ANC). This present study aimed to determine the correlation between the frequency of antenatal care, parity, and age of pregnant women with the incidence of antepartum hemorrhage in the CommunityHealth Center, Kudus City.
Method: This was an observational analytic study with cross-sectional design. This study used secondary data obtained from maternal cohort books and Local Area Monitoring of Mother and Child Health (PWS-KIA) databooks. Using simple random sampling technique, a total of 323 individuals were recruited. Univariate analysis, bivariate analysis and multivariate analysis were performed on the data obtained.
Results: The Spearman's correlation test showed that there was significant correlation between frequency of Antenatal Care (ANC) (p=0.001), parity (p= 0.001) and age (p=0.001) with antepartum hemorrhage. The correlation coefficient showed that antenatal care (ANC) has a strong negative correlation with antepartum hemorrhage (r= -0.541), parity has a medium correlation with antepartum hemorrhage (r= 0.418) and age has a medium correlation with antepartum hemorrhage (r= 0.465). Multivariate analysis showed that age had the strongest influence on the incidence of antepartum hemorrhage (PR= 274.573), while other variables had the weakest influence smaller effect on the incidence of antepartum hemorrhage (ANC, PR= 0.001 and parity, PR= 0.041)
Conclusion: The frequency of antenatal care (ANC), parity and age have correlation with antepartum hemorrhage in the working area in Gondosari Community Health Center, Kudus. Age is the most influential factor in the incidence of antepartum hemorrhage.
Keywords: Antenatal Care, Antepartum Hemorrhage, Maternal Age, Parity
THE EFFECT OF ORALLY ADMINISTERED CATFISH (Clarias gariepinus) SKIN AND MEAT ON EPITHELIALIZATION THICKNESS AND COLLAGEN DENSITY IN INCISION WOUND OF WISTAR RAT (Rattus norvegicus)
Get PDFBackground: Alternative medicine using animal is still rare whereas Indonesia have a lot of potential natural resources. Catfish is easily found animal in Indonesia and is common consumed as nutriment sources contains albumin, amino acid and fatty acids which plays an essential role of wound healing process. This study will determine effect of orally administered catfish (Clarias gariepinus) skin and meat on epithelialization thickness and collagen density in incision wound of white male rat (Rattus norvegicus).
Methods: This experimental post-test only group design used 30 white male rat (Rattus norvegicus), that randomly divided into 4 tratment goup and one control group. The treatment group was given 12,5 mg/g W, 25 mg/g W, 37,5 mg/g W and 50 mg/g W dose of catfish (Clarias gariepinus) skin and meat flour, in the other hand the contol group were given aquades. Non-parametric analyses using Kruscall- Wallis and Mann Whitney test were used to compare epithelization thickness and collagen density.
Result: The comparison results of epithelialization thickness between group C with TGI, C with TG2, C with TG3 and C with TG4 showed significant differences (p<0.05). TG4 was the thickest of all groups. Significant differences were also observed in collagen density result between C with TGI, C with TG2, C with TG3 and C with TG4 (p <0,05) TG4 showed the highest density of all groups.
Conclusion: Catfish (Clarias gariepinus) skin and meat flour with 50 mg/200g W dose is effective for wound healing and increasing epithelial thickness and collagen density in Wistar rat (Rattus norvegicus) incision wounds.
Keywords: Epithelial thickness, Collagen density, Wound, Catfish (Clarias gariepinus
NON PHARMACOLOGICAL TREATMENTS FOR BREAST ENGORGEMENT: A SYSTEMATIC REVIEW
Get PDFBackground:. Mothers often suffer breast engorgement at the beginning of postpartum, and one of the causes is early breastfeeding cessation. Management of breast engorgement should be done well to support the success of exclusive breastfeeding. This study aimed to review and identify the nonpharmacological treatments that have potential effects on reduced breast engorgement
Methods:This was a systematic review prepared according to the standard guidelines of the Joanna Briggs Institute (JBI). Article search used electronically. The two databases used were the PubMed and Cochrane library. English-language articles, and full text using the keywords of "treatment breast engorgement” OR "lactating” OR "cabbage compress". The inclusion criteria were the studies with Randomized controlled trial (RCT) published from 2009 to 2019, the respondents were postpartum mothers who breastfed their babies, and intervention was non-pharmacological action research and not a medical action.
Results: Out of 5,927 articles resulted from the literature search, there were 5 articles that met the inclusion criteria and included in this systematic review with a total number of 882 participants. The treatment used in dealing with breast engorgement varied, such as 2 studies used cold cabbage leaf and the remaining studies used these non-pharmacological treatments, respectively: hot herbal compresses, cold hollyhock herbal compress, the intervention of Gua sha. All the results of the study stated that the intervention was effective in reducing breast pain and engorgement.
Conclusions: Herbal compresses, leaf compresses hollyhock, cabbage compresses and Gua sha therapy can be used to treat breast engorgement during lactation, but more rigorous follow-up studies are needed to see which interventions are most effective using larger samples.
Keywords: Breast engorgement, breastfeeding, a non-pharmacological, systematic revie