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ANALYSIS OF FACTORS AFFECTING THE PERFORMANCE OF NURSE IN MUFID ACEH GENERAL HOSPITAL
Get PDFBackground: To improve the human resources of the hospital, one of nurses to ensure the hospital service is well organized, the hospital management must have good strategy management.This research was conducted at Mufid Aceh General Hospital to get an overview of the factors that affect the performance of nurses at Mufid Aceh General Hospital.
Methods: It was a qualitative research focused on employment documents, income documents, monthly staff satisfaction, monthly performance results nursing, patient satisfaction in Mufid Aceh General Hospital.
Results: Internal factors that affect the low performance of nurses at Mufid Aceh General Hospital are satisfaction, work-related stress factors, short working period and low work motivation. While External factors that affect the low performance of nurses is work load factor.
Conclusions: Based on the result of this research, it is suggested to Mufid Aceh General Hospital to planning of nurse requirement well, to make policy about income, to make job description and authority in accordance with competence of nurse staff and creating a retention program.
 
ASSOCIATION OF COMMUNITY BEHAVIOR AND CONDITION OF THE HOME EXPOSED TO VOLCANIC ASH WITH THE ACUTE RESPIRATORY INFECTION (ARI) AMONG VILLAGERS IN PERBAJI
Get PDFBackground: Volcanic dust from the eruption of Mount Sinabung causes the air condition to be bad and also disturbs the health of the surrounding population. This causes the occurrence of Acute Respiratory Infection (ARI), as well as various other diseases such as cough, runny nose, sneezing, sore throat. The purpose of this study is to determine the relationship between citizen behavior and the condition of the house exposed to volcanic ash with the incidence of ARI (Acute Respiratory Infection)to the residents of Karo Regency Perbaji Village in 2017.
Methods: This research is a cross-sectional study involved the head of family who is domiciled and has a permanent population of 209 households in the village of Perbaji, Tiganderket District, Karo Regency, with a total sample of 68 families. Data analysis used in this research is univariate and bivariate analysis with Chi Square test.
Results: The result shows that based on Chi Square test, there is a significant correlation between residents' behavior exposed to volcanic ash with the incidence of ARI (p value = 0.000). It is noted also a significant correlation between the house condition exposed to volcanic ash and the ARI occurrence (p value = 0.000).
Conclusion: The results suggested that the villagers of Perbaji Village to use masks if they are outdoors in the event of an eruption. For the poor housing conditions, it is expected that the residents will improve their houses, such as covering the holes that can be penetrated by volcanic ash using plastic or paper. It is needed to pay attention to the condition of Perbaji village residents who are exposed to volcanic ash by distributing masks, and giving free treatment.
 
Potential of carrageenans in foods and medical applications
Get PDFBackground: Carrageenans, the polysaccharides obtained by extraction of certain species of red seaweeds (Rhodophyceae), have been widely used in both food industry and medical applications because of their excellent physical functional properties that are used as gelling, thickening and stabilizing agent. Several studies showed biological properties of carrageenans such as antiviral, anticoagulant, antitumor, antioxidant, anti-inflammatory and immunemodulatory activity.Aims: This study is to bring a short overview of the potential of carrageenans in foods and medical applications based on their biological activities.Methods: This short overview used relevant works and articles examined that collected through several electronic database including PubMed, Science Direct, Springer Link and Google Scholars for the years 1991-2018 with full text in English.Results: This study is an alternative approach that is necessary in order to present the potential of carrageenans in foods and medical applications.The advantages of carrageenans as a food additive and pharmaceutical formulation lie on their high availability, low cost, and low induction of resistance.Conclusion: This review suggested that carrageenans are suitable to be applied in many kinds of food products as gelling and thickening agent with their antioxidant potency as well as medical applications such as pharmaceutical formulations in drug delivery and experimental medicine. However, more comprehensive studies on toxicity and side effect of carrageenans are necessary.
Keywords: Carrageenan, Antiviral, Antitumor, Antioxidant, Food and medical application
Received: 19 January 2018, Reviewed: 10 May 2018, Received: in revised form 10 June 2018, Accepted: 27 June 2018.
DOI: https://doi.org/10.35898/ghmj-2218
The diagnostic and prognostic value of right ventricle systolic and diastolic function in inferior myocardial infarction patients
Get PDFBackground: Inferior myocardial infarction (MI) with right ventricular (RV) involvement will increase mortality and morbidity. Data of systolic and diastolic RV function in inferior ST-segment elevation MI (STEMI) are useful to predict the RV involvement.Aims: To evaluate the prognostic and diagnostic significance of RV systolic and diastolic function compared to RVMI diagnostic criteria by electrocardiography in inferior MI patients.Methods: Consecutive patients with first, acute, inferior STEMI were prospectively assessed. The RVMI was defined as an ST segment elevation ≥ 0.1 mV in lead V4R. Echocardiography was performed within 24 hours of the inferior STEMI symptoms. We assessed the RVMI diagnostic criteria in inferior MI patients using echocardiography.Results: Out of 31 patients (mean age 56.39 ± 9.02 years), RVMI by electrocardiography and echocardiography was found in 18 (37%). Moreover, multivariate analysis showed that two variables ” RV systolic and diastolic function, were independent predictors of RVMI in inferior MI patients. Sensitivity and specificity of the RV systolic function were 94.4% and 69.2%, respectively, while RV diastolic functions were 44% and 76.9%, respectively.Conclusion: RV systolic function predict RVMI with relatively high sensitivity and specificity. RV diastolic function predicts RVMI with relatively low sensitivity but with high specificity.
Keywords: Tissue Doppler Imaging, Right ventricular, Myocardial infarction, Systolic function, Diastolic function.
DOI: https://doi.org/10.35898/ghmj-21101
PREVALENCE OF INTESTINAL PARASITE AND RELATED FACTORS AMONG SCHOOL CHILDREN IN SUAN PHUENG SUBDISTRICT, RATCHABURI, THAILAND
Get PDFBackground: Intestinal parasitic infections are still regarded as the major public health problems in Thailand, especially in rural areas. The presence of intestinal parasites in school children is a wellaccepted indicator of poor personal hygiene and low economic standards. This study aimed to determine the prevalence of intestinal parasitic infections and its associated risk factors among primary school children (Grade 4 to 6) in Suan Phueng sub-district, Ratchaburi, Thailand, where is located atThai-Myanmar border areas.
Methods: A cross-sectional study was conducted at three selected governmental primary schools. A total of 252 school children (130 boys, 51.6% and 122 girls, 48.4%) were recruited in this study. Intestinal parasites were detected from their stool samples by using formalin ethyl-acetate concentration technique. Socio-demographic status and personal hygiene were assessed by a validated structured questionnaire.
Results: An overall prevalence of intestinal parasitic infection was 19%. Poly-parasitism was found in 4% of school children. The most common parasite was Entamoeba coli (6.4%) followed by Ascaris lumbricoides (4.5%), Endolimax nana cyst (4.0%), and Giadia lumbria (1.8%). Additionally, family income, drinking water sources from school and home, hand-washing habit after using toilet, anal cleansing after defecation, and parents' education level were significantly associated with intestinal parasitic infections.
Conclusions: High prevalence of intestinal parasitic infections was found in primary school children at Suan Phueng sub-district, Ratchaburi, Thailand. Therefore, health promotion, modern health education, water sanitation, and hygiene (WASH) programs are crucial for prevention of intestinal parasitic infections in primary schools, particularly in Thai-Myanmar border areas. Reducing theprevalence of parasitic infections in school children may be of immense benefits on child growth, development, and educational outcomes.
 
DETERMINANTS OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINE (TCAM) CHOICES : A SYSTEMATIC REVIEW
Get PDFBackground: Traditional, complementary, and alternative medicine (TCAM) is one of the treatment methods that have existed for a long time. The use of TCAM as treatment is increasing in many countries. Extensively, TCAM is used to treat various diseases, especially patients with two or more chronic diseases. TCAM as treatment is chosen by the community based on their HBM (Health Belief Model). This study aims to look at the reasons patients choose to seek treatment at TCAM.
Methods: Systematic review with journal tracking through 3 database source, ProQuest, Scopus and Springer Link. We use the keywords "determinants” AND "traditional, complementary, and alternative medicine” for journals published in the last five years. Then we conduct critical appraisal of the selected journals.
Results: From the five selected studies , we found that health satisfaction variables are the strongest reason in TCAM choice as treatment. They visit health modalities to improve their well-being or health status. Some believe and agree that TM is more safety, more convenient, more effective, cheaper, and easier to use. The use of TCAM is related to patient satisfaction, TCAM knowledge, outsides influence, positive perception, higher education, and more than 1 chronic illness. All these factors explain the model of peoples belief to health services.
Conclusions: Patient satisfaction was strongly predictor of TCAM choices. Their well-being have perceived more better after using TCAM services. The socio-demographic and socioeconomic variables are modifying factors that doesn't always influence patient decision. All these determinants enrich the HBM theory as follows patient satisfaction, patient knowledge, socio-demographic, socioeconomic, and distrust as barrier
THE INCIDENCE OF PHLEBITIS AMONG INPATIENT IN THE HOSPITAL: SYSTEMATIC REVIEW
No full textBackground: Plebitis causes increase in medical cost and decreasing motivation in health workers and patients. One of the important issues in phlebitis can be found in the treatment process and has a great risk for the occurrence of a complication that can cause thrombus which subsequently becomes thrombophlebitis, causing the need to increase infuse therapy
Methods: Eligible studies for this systematic review constitute results that summarize influence factors related causes plebitis. We systematically searched ProQuest, Springer, Google Scholar from 7 days on 23-30 April 2018 for eligible systematic reviews with language limitation in English and Indonesian.
Results: The literature search and screening process resulted in 21 full text articles. We found all 21 studies results proved influence factors that can cause plebitis and can be categorizes to 4 major factor which are: procedure and techniques,place and position,people,and types of fluids and medicines factors. Influence factors that mostly cause plebitis occurring in the 7 countries are from procedures and techniques, and people factors. Many are caused by violation the procedures and low soft skill in healthworkers.
Conclusions: Plebitis incidence has become major issue in nosocomial infection at the hospital many countries. There should be new policy for monitoring and evaluation, supervision, documentation, analysis in plebitis sign with patient condition, increased competence knowledge and soft skill of health workers, fluid analysis and medicines, and nurse compliance for implementation of procedures and protocol. Plebitis is of particular concern because it can hurt many sectors ranging from patient, hospital, government and countries. It can cause increased length of hospital stay, increased medical cost and decreased motivation of work.
 
INHIBITORY EFFECT OF Sansevieria trifasciata L ON AERIAL PATHOGENIC MICROFUNGI IN TUTORIAL ROOMS
Get PDFBackground: Air pollutants in a room can be caused by several things, such as microorganisms in the form of fungi. Fungi that dispersed in air with concentration>700 CFU/m3 can be categorized as air pollution which could lead to many symptoms of various human diseases An effort that may improve indoor air pollution is using anti pollutant plant such as Sansevieria trifasciata L. This study aims to determine the effectiveness of Sansevieria trifasciata L on the concentration of aerial pathogenic microfungi in the tutorial room in Faculty of Medicine Swadaya Gunung Jati University and identify the aerial pathogenic microfungi species in the tutorial room.
Methods: This study was a quasi experimental research with pre and post-test group design. Eight tutorial rooms with 4 repetitions were tested for species microfungi growth using Saburoud Dextrose Agar (SDA) media in 32 petri discs. After 7 days of incubation, microfungi were identified and the colony form unit (CFU) number was counted. The data was analyzed using paired T test.
Results: Ten aerial pathogenic microfungi growth were significantly (p = 0.000) inhibited by Sansevieria trifasciata L demonstrated by CFU number reduction from 54.18 – 204.94 CFU/m3 to 16.48 – 44.75 CFU/m3.
Conclusions: Sansevieria trifasciata L effectively inhibited aerial pathogenic microfungi growth in tutorial rooms
FACTORS ASSOCIATED WITH MATERNAL KNOWLEDGE ON EXCLUSIVE BREASTFEEDING IN CIPAYUNG SUB-DISTRICT, DEPOK CITY, INDONESIA
Get PDFBackground: Exclusive breastfeeding practice during six-months could reduce morbidity and mortality of mother and infant. This study aims to examine the sociodemographic characteristics as the the factors associated with knowledge among six-months exclusively breastfeeding mothers in Cipayung Sub-District, Depok City, Indonesia.
Methods: This was a cross-sectional collected from 122 mothers with six-months exclusively breastfeeding. The participants selected through purposive sampling in Cipayung Sub-District in year 2017.
Results: Only 80% mothers exclusively breastfeeding for six months. More than half mothers (59%) had high educational level, advance and tertiary. Most of mothers (91%) were unemployed. Approximately 22.1% mothers had high status of social economic. Eighty-two percent mothers who have children more than one. Six-months exclusively breastfeeding mothers who had high educational level were more likely has high knowledge than those with low educational level (p=0.010; OR=2.85; CI95%=1.34-6.06). Mothers who had low educational level were 2.85 times higher risk to have low maternal knowledge of exclusive breastfeeding compared with high educational level.
Conclusions: Knowledge of exclusive breastfeeding among mothers was significantly associated to educational level. Interventions emphasizing practical education should therefore be targeted at addressing factors that associated knowledge of exclusive breastfeeding.
 
THE EFFECT OF CLINICAL PATHWAY TOWARD HOSPITAL'S QUALITY AND COST IN "RSUS” HOSPITAL BANDAR LAMPUNG
Get PDFBackground: One of the most appropriate policies to overcome the over budget is the quality control of cost control, the instrument is a clinical pathway, so that the hospital can perform service functions well and quality without experiencing financial loss. This research has a purpose to know how far is clinical pathway can be good as a tool of quality control of cost control at "RSUS” Hospital Bandar Lampung.
Methods: The research used a qualitative research involved 35 informants comprised of shareholders, Board of Directors, Medical Committee, Provision of Care Services and Coder.
Results: The results showed that in general, the informants agreed with the implementation of the clinical pathway because it can improve the quality of service, the certainty of procedures and can overcome the budget.
Conclusion: RSUS Hospital has not fully use clinical pathway as a tool of quality control of cost control, thus over budget remains with low quality of service.