Publications of the Indonesian Scholars' Alliance
Not a member yet
524 research outputs found
Sort by
ANALYSIS OF CST (CASE, SUPPORT AND TREATMENT) AT H ABDUL MANAP HOSPITAL IN JAMBI CITY IN 2018
Get PDFBackground: The CST clinic of H. Abdul Manap, the regional public hospital is the only type-C a hospital which provides ARV (Anti Retro Viral) treatment service in Jambi City. However, in the past five years, the trend of CST clinic utilization has tended to decrease. This research aims to analyze the factors affecting the decrease in the utilization of the CST clinic of H. Abdul Manap regional public hospital, Jambi City.
Method: This study was used the qualitative method with purposive sampling technique. This research conducted in 37 participants were employed to obtain the primary data sources from observation and in-depth interviews with key informants. Those key informants included the management team (3 people), CST Clinic team (7 people), PLWHAs (18 people) and peer counselors (8 people) as well as FGDs (Focus Group Discussions).
Results: The commitment of the concerned stakeholders, especially the chairman of the hospital and the CST team members in administering the CST service, has not been maximum. The budget allocation for CST clinic in the hospital was only for and limited to staff incentives. There had been no position for team leaders and case managers, while the doctors and staffs had not received any CST training. Some staffs even served double jobs.
Conclusion: The service SOP, as well as the scheduled and continuous monitoring on SOP implementation and progress evaluation according to CST Clinic performance indicators, are required. The necessary of regional policies related to CST service, especially for the provision of CD4 reagents and tariffs; and the hospital director's decree to instruct not to refuse to treat PLWHA are also required. The Implication is a strong commitment from all stakeholders, especially the chairman of the hospital and the CST team members are required to improve the clinic utilization.
Keywords: Analysis, Service System, CST Clini
FACTORS RELATED TO THE REDUCTION OF MEDICATION DISCREPANCIES AT TRANSITION OF CARE: A SYSTEMATIC REVIEW
Get PDFBackground: Adverse drug events (ADE) are a leading cause of injury and death within health care systems around the world. Up to 67% of patients' prescription medication histories recorded on admission to hospital have one or more errors and 30 – 80% of patients have a discrepancy between the medicines ordered in hospital and those they were taking at home. This study aims to systematically evaluate the available literature on the medication history records as a quality improvement in reducing medication discrepancies during the transition of care.
Methods: This study was used systematic review which performed according to the PRISMA method. The search included articles were obtained through databases: MEDLINE (1946), EMBASE (1966), CINAHL (1937) and PubMed (1946). Some of the key words or Medical Subject Heading (MeSH) terms used in the search were: "transition of care,” "medication discrepancies,” "medication errors,” "patient safety,” "medication history,” "patient admission,” "patient discharge,” "patient transfer,” and "hospital”. Only studies published in English were included. Exploring literature was focused on the articles published from 2009 to 2019.
Results: Initially, a total of 162 potentially relevant articles were obtained. After screening tittle and reviewing abstracts, 14 full text were assessed for eligibility. Of the 10 articles met all inclusion criteria, 5 studies were randomized controlled trials, 2 quasi-experimental studies, 1 cohort study, and 2 qualitative studies with quantitative approaches. All studies found that involving best possible medication history in identifying medication discrepancies and communicating this information affected medication discrepancies in the medical record.
Conclusions: The available literature such as lack of well-designed studies precluded us from concluding that no effect exists. Medication reconciliation supported by information technology was an important tool for minimizing the percentage of medications with unintentional discrepancies
Keywords: Adverse drug events, Medication discrepancies, Patient safety, Transition of car
THE EFFECT OF ANTIEMETIC FOR GALACTOGOGUE
Get PDFBackground: Breastmilk provides nutrition that newborn and baby need during early stage of their lives. Breastmilk production can be increased by giving the mother oxytocin or prolactin enhancement that called galactogogue during breastfeeding. Giving galactogogue to mother bring side effect such as nausea, vomit, and insomnia. The example of galactogogue are domperidone and metoclopramide. Domperidone and metoclopramide not only useful to increase the breastmilk production as galactogogue but also can be used as antiemetic to reduce the effect in the galactogogue. This study aims to examine the effect of antiemetic for galactogogue during breastfeeding.
Methods: This study was a systematic review that used PRISMA guidelines. Data obtained from Electronic databases ProQuest and Google Scholar that published between 2015 and 2018. By using keywords such as effect, antiemetic, galactogogue to find the relevant journal.
Results: The search found 58 studies, of which 7 studies were relevant to analyze in this study. Majority of these studies used Randomized Control Trial (RCT) and 1 study used case study. Analysis of the studies found out that domperidone and metoclopramide can be used as antiemetic for galactogogue. Domperidone was not enter the blood circulation and did not interfere the breastmilk production
Conclusion: Domperidone and metoclopramide can be used as antiemetic for mother who need galactogogue treatment. Domperidone reduced the toxicity to mother and baby. The health providers should recommend domperidone and metoclopramide as galactogogue to mother who want to increase the breast milk production.
Keywords: Breast milk, galactogogue, antiemeti
THE INFLUENCE OF SMARTPHONE APPLICATION ON THE HYGIENE BEHAVIOR OF EXTERNAL REPRODUCTIVE ORGAN OF FEMALE STUDENTS IN 1st SEYEGAN SLEMAN JUNIOR HIGH SCHOOL
Get PDFIntroduction: Adolescents is a period of the human development cycle, which is a transition between childhood and adulthood. In this transition many things must be considered one of them is the hygiene of reproductive organ. Hygiene of the reproductive organs, especially the external parts, is very closely related to prevent the reproductive organs from disease. Today is a digital era, most peoples activities used a smartphone including in finding and obtaining information. The use of smartphones at this timecan affect the behavior of everyone, especially teenagers. One of them is the hygiene behavior of the reproductive organs. This research is to know the influence of smartphone application on the hygiene behavior of external reproductive organ female students of Seyegan Sleman Junior High School.
Methods: This research used an experimental method with questionnaire-based survey (pre-test and post-test) was conducted in 90 teenage girls.
Results: The influence of source information variables, parent's work and parent's income on behavior were significant (p <0.05). Clinically / practically for respondents exposed to electronic information sources, their behavior is higher at 3.57 compared to non-electronic ones. As for the status of parents who work privately, their behavior is higher by 2.69 compared to those of Civil Servant For the income of parents > = average minimum wage, the level of behavior is higher by 5.34 compared to the income of their parents < average minimum wage. The influence of the information source variable, the work of parents and parent'S income towards behavior is 15 percent.
Conclusions: There is a significant difference between the pre and post effects of smartphone applications on the behavior and knowledge of teenage girl reproductive organs hygiene Seyegan Sleman 1 Junior High School
Keywords : Adolescents, Hygiene of reproductive organ, Reproductive orga
ANALYSIS OF MARKETING STRATEGIES ON MEDICAL TOURISM PROGRAMS IN DEVELOPING COUNTRIES HOSPITALS IN ASIA
Get PDFBackground: Recently medical tourism is a new form of niche tourism market, which has grown rapidly. The term of Medical Tourism describes tourists who travel to foreign countries to obtain health services and facilities such as medical, dental, surgical care, and so forth. It is necessary to hold a marketing strategy that is able to increase tourist interest in carrying out medical tourism activities in efforts to develop medical tourism. Therefore, the aim of this study was to analyze marketing strategies for medical tourism programs in hospitals.
Methods: A systematic review through marketing strategy journals of medical tourism was conducted. Research articles accessed from the internet through databases namely: EBSCO, Emerald, Science direct, Neliti, and Research gate with the keywords medical tourism and medical tourism marketing strategy. The literature analysis from 2 journals with mix methods design, a journal with descriptive qualitative design, a journal with descriptive study design, a journal with SWOT analysis design, a journal with desk research methods design, and 2 journals with data analysis design.
Results: The 11 articles that are considered to be in accordance with the objectives of the study. From 11 articles, then screening again based on feasibility according to inclusion and exclusion criteria obtained 8 articles for further review. This systematic review shows that the marketing concepts of segmentation, targeting, and positioning could compete competitively with other hospitals. The marketing strategy of a health service was able to increase the interest of tourists in conducting medical tourism activities in a country. Marketing efforts carried out by hospitals focus on domestic and foreign tourists.
Conclusion: The existence of a marketing strategy can increase competitiveness between hospitals and increase the interest of domestic and foreign tourists to carry out medical tourism activities competitively.
Keywords: Marketing strategy, segmentation, targeting, positioning and medical touris
SYSTEMATIC REVIEW: DETERMINANTS OF PATIENT SATISFACTION WITH HOSPITAL SERVICES
Get PDFBackground: Satisfactory and quality service will shape patient or customer loyalty, and satisfaction is closely related to "word of mouth". The next effect will be on the process of forming an image of an increasing hospital. This is due to very tight competition conditions. So each hospital will try to put itself as best as possible in the eyes of patients / customers to be trusted to meet their needs in the health sector. Usually health care satisfaction is the highest level of satisfaction above 85%. Research is needed on the determinants of patient satisfaction with hospital services as a reference for improving the quality of hospital services.
Objectives: To determine the determinant of patient satisfaction with hospital services.
Method: A systematic review through journal review regarding the determinants of patient satisfaction with hospital services. Search articles accessed from internet databases, namely: ProQuest for English language publications, overall from abroad, last 12 months, using a combination of search terms " Patient satisfaction, determinants, hospital ", article selection using screening. Qualitative thematic analysis is used for synthesis.
Result:. The similar key findings from the 10 papers are empathy or interpersonal relations becomes a determinant that dominates the increase in patient satisfaction with hospital services. Empathy is a channel of efficient communication with patients and is also considered an important determinant of clinical outcomes.
Conclusions: 10 studies included in this systematic review show the similar key findings. empathy or interpersonal relations becomes a determinant that dominates the increase in patient satisfaction with hospital services. As a recommendation for further research, it is necessary to search for the determinants of patient satisfaction with hospital services through several data bases to obtain more information about the determinants of patient satisfaction with hospitals.
 
PREVENTION AND MANAGEMENT FOR THE COMPLICATION OF THIRD MOLAR SURGERY : A SYSTEMATIC REVIEW
Get PDFBackground: Impacted third molar surgery is one of the most common procedures performed by maxillofacial surgeons and it is often attended by complications. Although clinical conditions associated with retained third molars are well understood, little is known about the impact of those conditions on the quality of life among affected patients. There is growing recognition that the impact of oral conditions on quality of life is an important outcome that can be quite useful in making treatment decisions. All theinformation in this review could be useful for the clinicians in order to show the surgical and pharmacologic parameters that may influence the postoperative discomfort in the third molar surgeries.
Methods: This systematic review followed the recommendations in PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Some of the key words or Medical Subject Heading (MeSH) terms used in in the two data bases (Proquest and Google Scholar) were: (1) Third Molar Surgery, (2) Complication, (3) Prevention. The articles were published in English from 2009 to 2019.
Results: Studies were eligible if they evaluated prevention and management for the complication of third molar surgery, and eight studies for qualitative synthesis. Of the eight articles, all studies were selected with Randomized Control Trial. Eight studies were included because they discussed the prevention and management of third molar surgery complication. Almost all of the practices of prevention and management of third molar surgery complication described that analgetic ibuprofen and paracetamol wereused for decreasing the pain, and also amoxicillin tablet was used as an antibiotic for preventing high risk complication. According to studies, prophylactic use of chlorhexidine mouth rinse in third molar surgery are equally effective in keeping post operative infection to a minimum level in medically competent patient.
Conclusions: All studies revealed that the most common complications of third molar surgery were pain, trismus, swelling, alveolar osteitis, and dry socket. Those studies discussed the prevention and management third molar surgery complication. Ibuprofen and paracetamol were used to decrease the pain, amoxicillin (1g) and amoxicillin/clavulanate (875/125mg) had similar efficacious in preventing infection after retained third molar extraction, but amoxicillin and clavunate (875/125mg) produced more gastrointestinal discomfort. Prophylactic use of chlorhexidine mouth rinse and gel in third molar surgery were equally effective in keeping post operative infection. Corticosteroid had a significant and sustained antiinflammatory effects
INFLUENCE OF GIVING BREADFRUIT (Artocarpus altilis (Park) Fosberg.) LEAVES EXTRACT TO DECREASE URIC ACID LEVELS IN WISTARS RATS HYPERURICEMIC
Get PDFBackground: Hyperuricemic is a condition where the uric acid levels in blood more than 7 mg/dl. In 2010, Hyperuricemic was included as one of non-communicable disease with incidence rate up to 30% and can cause the mortality. This study aims to examine the effective dose of breadfruit (Artocarpus altilis (Park) Fosberg.) leaves extract to decrease uric acid levels in Wistar rats Hyperuricemic.
Methodology: This study was an experimental with pre-posttest with control group design. 30 Wistar rats aged three months was divided into 2 control groups (K1 and K2) and 3 treatment groups (K3, K4, and K5). Control groups were given purine (K1= standard, K2=high) and aquadest. Differently, treatment groups were given high purine and breadfruit leaf extract (K3=0.25g /KgBW, K4=0.5g /KgBW, K5=0.75g/KgBW). All the treatments were given one time daily in the morning for 7 days. Datawere analyzed by the Shapiro-Wilk test followed by the One-Way ANOVA test and then Post-hoc Tamhane test.
Result: The control groups revealed negative average reduction of uric acid in mg/dl (K1= -0.05, K2= -0.09) whereas the treatment groups revealed the positive average reduction of uric acid in mg/dl (K3=2.19, K4= 4.26, K5=5.87). The significant differences (p<0.05) of uric acid levels before and after treatment in each treatment groups had meaning that giving the Breadfruit leaf extract could reduce the uric acid level rats. Post-hoc Tamhane test result showed that the mean decrease of each group wassignificantly different. Particularly, K5 was the most effective treatment compared with others.
Conclusion: Breadfruit leaves extract with dose of 0.75g/KgBW was the most effective treatment to reduce the uric acid level in blood. Stakeholders in health field should promote the Breadfruit as the traditional medicine method to reduce the uric acid in blood.
Keywords: Breadfruit leaves, uric acid, Hyperuricemic, Wistar rats, flavonoid
COMPARISON OF SOIL-TRANSMITTED HELMINTH EGG INFESTATION IN FECES OF INTELLECTUAL DISABILITY (ID) CHILDREN WITH NON-ID CHILDREN
Get PDFBackground: The worm infestation is considered as one of the causes of cognitive function disruption. It also can aggravate the condition in children with intellectual disability (ID). This greatly affects health conditions, such as abdominal pain, bloating, diarrhoea, constipation and other digestive disorders. Indigestion may increase aggressive behaviour, mood change and malnutrition so that it leads to chronic malnutrition which is the cause of major morbidity and premature death in the ID population. This study aimed to compare soil-transmitted helminth egg infestation in stool samples between ID children and non-ID children.
Methodology: This present study was a descriptive study with a cross sectional design. Stool samples was collected from 30 students from Special Need School and 60 students from Elementary School in the Cirebon City. The floating method was used to identify the egg of soil-transmitted helminth. The stool samples were examined in the Laboratory of the Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, Indonesia
Results: The laboratory test found positively Soil-transmitted Helminth eggs in 9 of 30 stool sample of ID students. Among them, it was found 5 stool samples with Ascaris lumbricoides, 2 stool samples of Trichuris trichiura, and 2 stool samples of Necator americanus. Regarding their levels, 4 students (44.4%) had mild intellectual disability and 5 students (55.6%) had moderate intellectual disability. However, there was not found any Soil-transmitted Helminth eggs in stool samples of non-ID children.
Conclusion: Soil-transmitted helminth eggs was found only in stool samples of ID children. The hygiene and sanitation in the school should be guaranteed to prevent the transmission of Soil-transmitted Helminth.
Key words: Soil-Transmitted Helminth, Intellectual Disability (ID), Fece
THE EFFECT OF SELF DIRECTED LEARNING READINESS (SDLR) AND LEARNING APPROACH TOWARD MEDICAL STUDENT ACHIEVEMENT
Get PDFBackground: Learning approach and Self Directed Learning Readiness (SDLR) are important factors that influence student learning achievement. The world of medical education has experienced a paradigm shift from Teacher-Centered Learning (TCL) to Student-Centered Learning (SCL) that is applied through the Problem Based Learning (PBL) methods that expected the student to have the ability to learn independently or what is called Self Directed Learning (SDL). This study aimed to analyzed the effect of SDLR and learning approach on medical student achievement.
Methods : this study uses a cross-sectional design. The sample was students of the Faculty of Medicine, Swadaya Gunung Jati University, 2016, 2017 and 2018 as many as 181 people. The sampling technique uses stratified random sampling. Spearman test, chi-square test and linear regression test were used to analysed the effect of the age, SLDR and learning approach on medical student achievement
Results : The chi square test result in this study showed that age (P = 0.001; rs = 0.359), SDLR (P = 0.001; rs = 0.516) and the learning approach (P = 0.001; rs = 0.308) had a significant effect on medical students' learning achievement. However, there was no significant difference in the learning approach between 2016, 2017 and 2018 classes. The linear regression test results showed that SDLR was the most influential variable in the learning achievements of medical students.
Conclusions : Self Directed Learning Readiness (SDLR) and learning approach could be the effective learning methods. SDLR as the most effective method to increase the learning achievements of medical student could be applied on many medical schools.
Keywords : SDLR, learning approaches, learning achievemen