1,720,971 research outputs found
Buku Sehat Mandiri:Pedoman Pemeliharaan Kesehatan Untuk dir Sendir dan Kleuarga
No full textxii,196 hlm, ;ilus, ;25x18 c
Towards The Four-Hour Rule: Impact of Observation Units and Emergency Medicine Specialists in an Indonesian Tertiary Hospital
No full textEmergency Department (ED) overcrowding is a global challenge. In response, the government of Indonesia mandates an ED Length of Stay (LOS) of ≤4 hours. This study aims to evaluate the impact of implementing an Emergency Department Observation Unit (EDOU) combined with an Emergency Medicine (EM) specialist-led disposition process on ED LOS at a national referral hospital in Indonesia. This was a retrospective, pre-post analysis comparing all ED visits in 2023 (pre-intervention, n = 26,282) with all visits in 2024 (post-intervention, n = 31,483). The primary outcome was the proportion of patients with an ED LOS ≤4 hours. Secondary outcomes included median ED LOS and the odds ratios (OR) for yellow zone patients achieving the ≤4-hour target based on the intervention period and the deciding physician\u27s specialty. Following the intervention, the median ED LOS decreased from 16.4 hours to 8.0 hours (p-value = \u3c0.05). Yellow zone patients in the post-intervention period had 6.37 times the odds of achieving a ≤4-hour LOS compared to the pre-intervention period (95% CI [5.72–7.09]). When the decision to admit to the EDOU was made by an EM specialist, the odds of achieving the target were 1.86 times higher than for other specialists (95% CI [1.43–2.42]). The combined implementation of an EDOU and EM specialists-led disposition significantly reduced ED LOS and dramatically increased the odds of meeting national performance targets. The success was driven by both increased downstream bed capacity and streamlined, specialist-led disposition processes
The Correlation of Age with Thrombocytes and D-Dimer Values in COVID-19 Patients at Hospital X in Jakarta, Indonesia
Get PDFCoronavirus disease (COVID-19), caused by the SARS-CoV-2 virus, spread globally, with research indicating that prognosis severity can be assessed by thrombocyte and D-dimer levels; while, patient age serves as a mortality predictor. This study aimed to analyze the relationship between age with thrombocytes and D-dimer in COVID-19 patients. This cross-sectional study used laboratory testing samples from 667 COVID-19 patients at Hospital X in Jakarta, Indonesia, collected from August 2020 until May 2021. The data was collected using cluster random sampling and analyzed using descriptive statistics and the Chi square test (95% CI). The results showed that age and thrombocytes positively correlated with the D-dimer levels in COVID-19 patients (p-valu
Analisis Perilaku Ibu Berstatus Mahasiswi Pasca Sarjana Kesehatan Masyarakat Universitas Indonesia (Fkmui) Terhadap Pemberian Imunisasi Anak
Get PDFImunisasi merupakan salah satu pencapaian terbesar dalam program kesehatan masyarakat yang terbukti signifikan menurunkan insiden penyakit. Tujuan penelitian untuk mengetahui analisis perilaku ibu berstatus Mahasiswi Pasca Sarjana Kesehatan Masyarakat Universitas Indonesia (FKMUI) terhadap pemberian imunisasi anak. Metode kualitatif pendekatan Rapid Assessment Procedure (RAP) berlokasi di FKMUI. Pemilihan informan menggunakan purposive sampling dengan prinsip kesesuaian (appropriateness) dan kecukupan (adequacy). Pengumpulan data dengan Focus Group Discussion (FGD) 2 kelompok masing-masing terdiri dari 6 mahasiswi pascasarjana FKM UI yang memiliki balita yang diimunisasi lengkap. Wawancara mendalam oleh mahasiswi pascasarjana yang memberikan imunisasi tidak lengkap, dan yang tidak memberikan imunisasi serta Pegawai Kementerian Kesehatan Subdit Imunisasi Ditjen P2P sebagai triangulasi sumber. Hasil penelitian menyebutkan sebagian besar informan mempunyai pengetahuan yang baik, sikap yang positif. Seluruh informan sepakat media informasi penting untuk keberhasilan program imunisasi terutama untuk menangkis isu ataupun hoax seputar imunisasi. Sebagian besar informan mendapatkan dukungan dari keluarga untuk memberikan imunisasi anaknya sehingga status imunisasi anak lengkap, namun ada informan yang tidak mendapatkan dukungan keluarga terdekat yaitu suami, hal ini membuat status imunisasi anaknya tidak lengkap. Dukungan keluarga dan media elektronik memiliki pengaruh besar dalam memotivasi ibu untuk memberi imunnisasi kepada anaknya. Disarankan untuk lebih berhati hati dalam memilah informasi yang masuk agar kesehatan anak dan lingkungan tetap terjaga dengan bai
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Hospital Ambulance Standardization in Jakarta: Narrative Review
Get PDFAmbulance is one of the hospital infrastructures that must meet service standards, security, and occupational safety and health in hospital operations. Therefore, it is the obligation of every hospital to ensure the standard of ambulance service. In the DKI Jakarta area, every ambulance, including hospital ambulances, must meet the standards in accordance with regulations and have an ambulance operating license. Based on data until the end of 2021, there were 82 (34.9%) hospital ambulances in Jakarta that carried out the recommendation process for an ambulance operation license from a total of 235 hospital ambulances, meaning that most hospital ambulances in Jakarta did not meet service standards. DKI Jakarta Governor Regulation number 120 of 2016 concerning Ambulance Services and Hearse is a reference for hospitals in Jakarta in order to meet ambulance service standards. In conclusion, there are 3 (three) standards that must be met in standardizing hospital ambulance services in Jakarta, namely standardization of vehicle units, standardization of equipment and standardization of human resources
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Integration of Indonesian National Trauma Guideline into the Emergency Room System (Cipto Code Trauma System)
Get PDFBackground: Indonesia has enacted the national trauma guideline since 2017 and Cipto Mangun-kusumo Hospital (CMH) has applied it since 2019 through the establishment of Cipto Code Trauma. This study aimed to describe the compliance, system adherence, performance and outcome associated with the Cipto Code Trauma system.Subjects and Method: This cross-sectional study was conducted at CMH Emergency Room (ER) using direct observations and data from electronic health records (EHRs). Observations were performed on 106 trauma cases by convenience sampling to map clinical and non-clinical components using a checklist. We compared the implemented ER components against the 2017 national trauma guidelines, assessing the system compliance. Total sampling from EHRs was performed on 4,317 trauma patients to assess performance and outcome of Cipto Code Trauma system. The data were analyzed descriptively.Results: Observations from 106 trauma cases indicate that the Cipto Code Trauma meets all criteria from the national trauma guidelines. Performance indicators from 840 patients were achieved, including trauma team activation (87.6%), on-site multidisciplinary consultation (87.6%), time to physician assessment within five minutes (84.4%), except for length of stay under 4 hours (18.5%) and time to operating theatre within two hours (45.5%). Among the 4,317 trauma cases, the mortality rate for patients in the resuscitation category was 0.4%, while 39% of these patients were discharged directly from the ER.Conclusion: The Cipto Code Trauma at CMH has successfully integrated the Indonesian national trauma guidelines, meeting all required standards. However, further improvements are needed to enhance system adherence and performance
- …
