Medical Scope Journal最新文献

{"title":"Faktor-faktor yang Memengaruhi Stigma Anti Vaksin Covid-19 di Wilayah Kerja UPTD Puskesmas Lirung","authors":"Beatris Matei, Billy J. Kepel, Dina V. Rombot, Aaltje E. Manampiring","doi":"10.35790/msj.v5i2.46240","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46240","url":null,"abstract":"Abstract: Covid-19 pandemic has a major impact on health and economy. Every individual is required to carry out the Covid-19 vaccination to prevent transmission of the Covid-19 virus. Various stigmas arise among the public regarding the Covid-19 vaccination. This study aimed to determine the factors that influenced the anti-Covid-19 vaccine stigma in the working area of ​​the Unit Pelaksana Teknis Daerah (UPTD) Lirung Health Center. This was a quantitative study with a cross sectional design conducted from August 2022 to January 2023. Variables in this study were: age, sex, education, economic status, and disease history. The chi-square test showed total sample was 200 patients taken by probability sampling. Data were obtained from the questionnaire and analyzed univariately and bivariately using the chi-square test with the SPSS program. Based on the Chi-square test analysis, the relationships between five variables and the stigma showed p-values of >0.05, namely age (p=0.732), sex (p=0.921), education (p=0.564), economic status (p=0.086), dan disease history (p=0.688). In conclusion, age, sex, education, economic status, and disease history have not significant relationships with the anti-vaccine-Covid-19 stigma at the working area of UPTD Puskesmas Lirung.\u0000Keywords: Covid-19; stigma in the community; Covid-19 vaccination  \u0000 \u0000Abstrak: Pandemi Covid-19 memberikan dampak besar baik dalam dunia kesehatan maupun perekonomian. Setiap anggota masyarakat diwajibkan untuk menerima vaksinasi Covid-19 untuk mencegah penularan virus Covid-19. Berbagai stigma muncul di kalangan masyarakat tertang vaksin Covid-19. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi stigma anti vaksin Covid-19 di wilayah kerja Unit Pelaksana Teknis Daerah (UPTD) Puskesmas Lirung. Penelitian ini menggunakan metode kuantitatif dengan desain potong lintang, dan dilaksanakan pada bulan Agustus-Januari 2023. Variabel penelitian ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit. Jumlah sampel 200 pasien yang diambil secara probability sampling. Data penelitian diperoleh melalui kuesioner kemudian dianalisis secara univariat dan bivariat dengan uji chi square menggunakan program SPSS. Hasil analisis uji chi-square terhadap hubungan kelima variabel dengan stigma menunjukkan nilai p>0,05, yaitu usia (p=0,732), jenis kelamin (p=0,921), pendidikan (p=0,564), status ekonomi (p=0,086), dan riwayat penyakit (p=0,688). Simpulan penelitian ini ialah usia, jenis kelamin, pendidikan, status ekonomi, dan riwayat penyakit tidak memengaruhi stigma anti vaksin Covid-19 di wilayah kerja UPTD Puskesmas Lirung.\u0000Kata kunci: Covid-19; stigma di masyarakat; vaksinasi Covid-19","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131843663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efektivitas Penggunaan Empagliflozin terhadap Nilai HbA1c pada Pasien Diabetes Melitus Tipe 2","authors":"Tesalonika Rawung, J. Posangi, Edward Nangoy","doi":"10.35790/msj.v5i2.45424","DOIUrl":"https://doi.org/10.35790/msj.v5i2.45424","url":null,"abstract":"Abstract: Type 2 diabetes mellitus (T2DM) is the most common type of diabetes today. Lifestyle changes are one of the causes of DM problems. Patients with T2DM are usually treated with oral hypoglycemic drugs. The sodium glucose cotransporter 2 (SGLT-2) group is a type of oral hypoglycemic drug groups that plays a role in reducing HbA1c level. Empagliflozin is a drug included in the SGLT-2 group. Previous clinical trials showed that empagliflozin could lead to a reduction in HbA1c level. This study aimed to determine the effectiveness of using empagliflozin on HbA1C values in T2DM patients. This was a literature review study with data searching using three databases namely, Pubmed, Google Scholar, and Science Direct. The results obtained 10 literatures to be reviewed. All literatures showed that there was a significant effect of empagliflozin on HbA1c value of T2DM patients. In conclusion, type 2 diabetes mellitus patients using empagliflozin show significant decreases in HbA1c values.\u0000Keywords: type 2 diabetes mellitus; empagliflozin; HbA1c; sodium glucose cotransporter 2\u0000 \u0000Abstrak: Diabetes melitus tipe 2 (DMT2) merupakan jenis diabetes yang paling umum ditemukan saat ini. Perubahan gaya hidup menjadi salah satu penyebab timbulnya masalah DM. Penyandang DMT2 biasanya diterapi dengan obat hipoglikemik oral (OHO). Golongan obat sodium glucose cotransporter 2 (SGLT-2) merupakan salah satu jenis golongan obat OHO yang berperan dalam menurunkan kadar HbA1c, salah satunya ialah empagliflozin. Penelitian sebelumnya menunjukkan peran empaglifozin dalam uji klinis dapat menyebabkan penurunan kadar HbA1c. Penelitian ini bertujuan untuk mengetahui efektivitas penggunaan empagliflozin terhadap nilai HbA1C pada pasien DMT2. Jenis penelitian ini ialah suatu literature review dengan pencarian data menggunakan tida sumber basis data yaitu, Pubmed, Google Scholar dan Science Direct. Hasil penelitian mendapatkan sebanyak 10 literatur yang dilakukan review. Kesepuluh artikel memperlihatkan adanya pengaruh bermakna dari penggunaan empagliflozin terhadap nilai HbA1c dari pasien DMT2. Simpulan penelitian ini ialah penggunaan empagliflozin pada pasien diabetes melitus tipe 2 menunjukkan terjadinya penurunan nilai HbA1c yang bermakna.\u0000Kata kunci: diabetes melitus tipe 2; empagliflozin; HbA1c; sodium glucose cotransporter 2","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122765161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor-faktor yang Berhubungan dengan Kepuasan Pasien di Instalasi Rawat Jalan RSUP Prof. Dr. R. D. Kandou, Manado","authors":"Pontoh J. Ch. Putera, J. Posangi, A. Manampiring","doi":"10.35790/msj.v5i2.46227","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46227","url":null,"abstract":"Abstract: Measuring the level of patient satisfaction in hospitals must be carried out periodically, accurately, and continuously. Patient satisfaction can be achieved if the patient receives services according to what is needed and expected. The level of patient satisfaction describes the quality of services provided by the hospital. This study aimed to analyze factors related to outpatient satisfaction at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional approach. This study was conducted at Prof. Dr. R. D. Kandou Hospital with a total sample of 390 patients taken by simple random sampling. Data were obtained from questionnaires and were analyzed univariately, bivariately using the chi-square test, and multivariately using the logistic regression test. Statistical calculation using the SPSS program. The results of the chi-square test showed the p-values of relationships between patient satisfaction and the variable aspects, as follows:  tangibles p=0.000; responsiveness p=0.000; reliability p=0.000; assurance p=0.000; and empathy p=0.000. The results of multivariate analysis using the logistic regression test obtained that the highest Exp (B) value of 586.267 on the tangibles aspect. In conclusion, tangibles, responsiveness, reliability, assurance and empathy have significant relationships with patient satisfaction to the services at Prof. Dr. R. D. Kandou Manado. The most related factor with patient satisfaction is tangibles.\u0000Keywords: patient satisfaction; service quality; tangibles; responsiveness; reliability; assurance; empathy\u0000  \u0000Abstrak: Pengukuran tingkat kepuasan pasien di rumah sakit wajib dilakukan seara berkala, akurat dan berkesinambungan. Kepuasan pasien dapat tercapai apabila pasien menerima pelayanan sesuai dengan yang dibutuhkan dan diharapkan. Tingkat kepuasan pasien menggambarkan kualitas pelayanan yang diberikan oleh rumah sakit. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan kepuasan pasien rawat jalan di RSUP Prof. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Penelitian ini dilaksanakan di RSUP Prof. R. D. Kandou Manado dengan jumlah sampel 390 pasien yang diambil secara simple random sampling. Data diperoleh melalui kuesioner, kemudian dianalisis secara univariat, bivariat dengan menggunakan uji chi square, dan multivariat menggnakan uji regresi logistik. Penghitungan statistik menggunakan program SPSS. Hasil uji chi-square terhadap hubungan dengan kepuasan pasien mendapatkan untuk aspek tangibles p=0,000; responsiveness p=0,000; reliability p=0,000; assurance p=0,000; dan empathy p=0,000. Hasil analisis multivariat menggunakan uji regresi logistik mendapatkan nilai Exp (B) tertinggi yaitu 586,267 pada aspek tangibles. Simpulan penelitian ini ialah tangibles, responsiveness, reliability, assurance, dan empathy berhubungan bermakna dengan kepuasan pasien terhadap pelayanan di RSUP Prof. R. D. Kandou Manado. Fakt","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116172231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"C-Reactive Protein dan D-Dimer sebagai Prediktor Mortalitas Pasien COVID-19","authors":"Raynaldo E. D. Togas, Mordekhai L. Laihad, D. Lalenoh","doi":"10.35790/msj.v5i2.45408","DOIUrl":"https://doi.org/10.35790/msj.v5i2.45408","url":null,"abstract":"Abstract: High mortality rate of COVID-19 patients is caused by cytokine storms which worsen the condition of COVID-19 patients, so that COVID-19 infection is associated with an inflammatory and prothrombotic state. C-reactive protein (CRP), which is a marker of inflammation, and also D-dimer, which is a marker of coagulation, have increased in relation to the severity of COVID-19 disease. This study aimed to determine whether inflammatory markers (CRP) and coagulation profiles (D-dimer) could be used as predictors of mortality in COVID-19 patients. This was a literature review study by searching three databases, namely Pubmed, Sciencedirect, and Google Scholar. The results obtained 11 literatures with a total sample of 6,440 COVID-19 patients with CRP and/or D-dimer marker test results. Six of seven literatures showed significant results that increased CRP level was a predictor of mortality in COVID-19 patients, and six of the six literatures showed significant results that increased D-dimer level was a predictor of mortality in COVID-19 patients. In conclusion, CRP and D-dimer can be used as predictors of mortality in COVID-19 patients\u0000Keywords: COVID-19; C-reactive protein; D-dimer; predictor of mortality; cytokine storms\u0000 \u0000Abstrak: Tingginya angka mortalitas pasien COVID-19 disebabkan oleh badai sitokin yang meningkatkan perburukan kondisi pasien COVID-19 sehingga infeksi COVID-19 dikaitkan dengan keadaan inflamasi dan protrombotik. C-reactive protein (CRP) yang merupakan penanda inflamasi dan juga D-dimer yang merupakan penanda koagulasi mengalami peningkatan terkait dengan derajat beratnya penyakit COVID-19. Penelitian ini bertujuan untuk mengetahui apakah penanda inflamasi (CRP) dan profil koagulasi (D-dimer) dapat digunakan sebagai prediktor mortalitas pasien COVID-19. Metode penelitian ialah suatu literature review dengan pencarian menggunakan tiga database, yaitu Pubmed, Sciencedirect, dan Google Scholar. Hasil penelitian mendapatkan 11 literatur dengan jumlah sampel penelitian 6440 pasien COVID-19 serta hasil tes penanda CRP dan atau D-dimer. Enam dari tujuh literatur memiliki hasil bermakna bahwa peningkatan kadar CRP sebagai prediktor mortalitas pasien COVID-19, dan enam dari enam literatur memiliki hasil bermakna bahwa peningkatan kadar D-dimer sebagai prediktor mortalitas pasien COVID-19. Simpulan penelitian ini ialah CRP dan D-dimer dapat digunakan sebagai prediktor mortalitas pasein COVID-19.\u0000Kata kunci: COVID-19; C-reactive protein; D-dimer; prediktor mortalitas; badai sitokin","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134095074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh Pemberian Probiotik terhadap Neonatus dengan Hiperbilirubinemia","authors":"D. Hastuti, Johnny L. Rompis, J. Manoppo","doi":"10.35790/msj.v5i2.45410","DOIUrl":"https://doi.org/10.35790/msj.v5i2.45410","url":null,"abstract":"Abstract: Hyperbilirubinemia is a medical condition that is often found in the first week of neonates. The usual treatment for hyperbilirubinemia is phototherapy, however, many studies revealed probiotics as another form of treatment. Probiotics are live microorganisms that have similarities to the normal intestinal flora. They are believed to reduce enterohepatic cycle activity which can reduce serum bilirubin in neonates with hyperbilirubinemia. This study aimed to determine the effect of probiotics on neonates with hyperbilirubinemia. This was a literature review study using three different databases, namely Pubmed, Google Scholar, and ClinicalKey. The results obtained 10 literatures carried out from related inclusion and exclusion selections. After reviewing the ten literatures, it was found that the most widely used probiotic genus was Lactobacillus where the strain that had the greatest influence was Lactobacillus reuteri. Six out of ten literatures stated that probiotics had significant effect as a treatment for neonates with hyperbilirubinemia due to their capability to reduce the total serum bilirubin. In conclusion, probiotics may affect the treatment of neonates with hyperbilirubinemia.\u0000Keywords: probiotics; hyperbilirubinemia; neonates\u0000  \u0000Abstrak: Hiperbilirubinemia merupakan salah satu kondisi medis yang sering dijumpai pada seminggu pertama pada neonatus. Pengobatan yang biasa diberikan pada hiperbilirubinemia ialah fototerapi, namun saat ini telah banyak penelitian mengenai probiotik sebagai bentuk pengobatan lainnya. Probiotik merupakan mikroorganisme hidup yang memiliki kesamaan dengan flora normal usus dan dipercaya dapat menurunkan aktivitas siklus enterohepatik dan selanjutnya bilirubin serum pada neonatus yang mengalami hiperbilirubinemia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian probiotik pada neonatus dengan hiperbilirubinemia. Jenis penelitian ialaah suatu literature review berdasarkan pencarian melalui tiga database yaitu Pubmed, Google Scholar, dan ClinicalKey. Hasil penelitian mendapatkan 10 literatur yang telah dilakukan seleksi kriteria inklusi dan eksklusi terkait. Dari 10 jurnal yang telah diulas, didapatkan bahwa genus probiotik yang paling banyak digunakan ialah Lactobacillus, dan strain yang memiliki pengaruh terbesar yaitu Lactobacillus reuteri. Enam dari 10 literatur menyatakan bahwa pemberian probiotik dapat berpengaruh bermakna sebagai pengobatan neonatus dengan hiperbilirubinemia karena probiotik dapat membantu menurunkan nilai total serum bilirirubin. Simpulan penelitian ini ialah probiotik dapat memengaruhi pengobatan neonatus dengan hiperbilirubinemia.\u0000Kata kunci: probiotik; hiperbilirubinemia; neonatus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128172915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitasi Medik pada Gangguan Mobilisasi Pasca Stroke","authors":"Keith J. Legoh, Christopher Lampah, Joudy Gessal","doi":"10.35790/msj.v5i2.45275","DOIUrl":"https://doi.org/10.35790/msj.v5i2.45275","url":null,"abstract":"Abstract: Care and assistance in post-stroke patients require special handling that is often not mastered by caregivers, causing an increase in the number of patients readmitted to the hospital, especially the elderly. This study aimed to find out the available current rehabilitation for patients with post-stroke mobility impairment. This was a literature review study using literatures published and accredited in the last five years based on three databases, namely: PubMed, ClinicalKey, and Google Scholar. The results obtained 10 literatures to be reviewed. Comparisons of conventional and modern therapies, as well as the focus of therapy on impaired mobility of post-stroke patients proved that the design of an appropriate therapy program would provide a better prognosis, but for now, most therapies still focused on gait, balance, and risk of falling. Therapy supported by appropriate and qualified technology would produce a better prognosis compared to therapy with physical activity or with the help of conventional technology. In conclusion, patients with post-stroke mobility impairment need an accurate diagnosis of existing pathologies and manifestations to receive the best medical rehabilitation therapy program. Modernization of technology supported rehabilitation has quite an influence on the prognosis of patients with post-stroke mobility impairment and combination of various types of therapy can be used to solve this problem.\u0000Keywords: rehabilitaion; post-stroke; mobility impairment; gait; balance; fall risks\u0000 \u0000Abstrak: Perawatan dan bantuan pada pasien pasca stroke membutuhkan penanganan khusus yang sering kali belum dikuasai oleh pengasuh sehingga menyebabkan meningkatnya jumlah pasien yang dirawat kembali di rumah sakit, khususnya lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui modalitas rehabilitasi yang tersedia bagi pasien dengan gangguan mobilisasi pasca stroke berdasarkan perkembangan teknologi yang tersedia saat ini. Metode yang digunakan ialah literature review. Proses pencarian pustaka-pustaka yang diteliti ialah sudah terpublikasi dan terakreditasi selama lima tahun terakhir dan berbasis tiga database, yakni: PubMed, ClinicalKey, dan Google Scholar. Hasil penelitian mendapatkan 10 literatur untuk ditinjau. Perbandingan terapi konvensional dan modern, serta fokus terapi terhadap gangguan mobilisasi pasien pasca stroke membuktikan bahwa rancangan program terapi yang tepat akan memberikan prognosis yang lebih baik, namun untuk saat ini, terapi umumnya lebih berfokus pada gait, balance, dan fall risks. Terapi yang disokong dengan teknologi yang tepat dan mumpuni akan menghasilkan prognosis yang lebih baik dibandingkan dengan terapi aktifitas fisik saja ataupun dengan bantuan teknologi konvensional. Simpulan penelitian ini ialah pasien dengan gangguan mobilisasi pasca stroke memerlukan diagnosis yang tepat terhadap patologi dan manifestasi yang ada untuk menerima program terapi rehabilitasi medik terbaik. Modernisasi da","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126707242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analisis Hubungan Indikator Mutu Pelayanan Gizi dengan Kepuasan Pasien Rawat Inap di RSUP Prof. Dr. R. D. Kandou, Manado","authors":"Sumiati Sumiati, A. Manampiring, H. Wungouw","doi":"10.35790/msj.v5i2.46149","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46149","url":null,"abstract":"Abstract: Patient satisfaction is one of the benchmarks in evaluation of the success of a hospital in providing services. Nutrition is one of the determinants in supporting patient health; therefore, nutrition services for patients must be well considered to improve patient satisfaction in receiving all services at the hospital. This study aimed to determine inpatient satisfaction using indicators of the quality of nutrition services at Prof. Dr. R. D. Kandou Hospital, Manado. This was a quantitative study with a cross sectional design. A questionnaire was used as the instrument. Data were analyzed using the SPSS program with univariate, bivariate, and multivariate analyses. The results obtained 43 inpatients as respondents. The chi-square test showed significant p-values ​​for timeliness (p=0.000), diet prescription accuracy (p=0.000), and food waste (p=0.000). Moreover, the multivariate analysis indicated that the highest Exp(B) value was 38,000 for the timeliness of feeding. In conclusion, there are significant relationships between the service indicators namely timeliness of feeding, accuracy of diet prescriptions, and food waste with the satisfaction of inpatients at Prof. Dr. R. D. Kandou Hospital, Manado. Timeliness is the most relevant factor.\u0000Keywords: patients’ satisfaction; timeliness; diet prescription accuracy; food waste\u0000 \u0000Abstrak: Kepuasan pasien menjadi salah satu tolok ukur pada penilaian keberhasilan rumah sakit dalam memberikan pelayanan. Gizi menjadi salah satu penentu dalam menunjang kesehatan pasien dan pelayanan gizi pada pasien harus diperhatikan agar pasien tetap merasa puas dalam menerima semua pelayanan di rumah sakit. Penelitian ini bertujuan untuk mengetahui hubungan indikator mutu pelayanan gizi dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang menggunakan kuesioner. Sampel penelitian ialah pasien rawat inap di RSUP Prof. Dr. R. D. Kandou. Data perolehan dianalisis menggunakan program SPSS dengan analisis univariat, bivariat dan multivariat. Hasil penelitian mendapatkan 43 pasien rawat inap sebagai responden. Hasil uji chi-square mendapat-kan nilai signifikansi untuk ketepatan waktu p=0,000, ketepatan preskripsi diet p=0,000 dan sisa makanan p=0,000. Hasil analisis multivariat menunjukkan nilai Exp(B) tertinggi sebesar 38,000 pada ketepatan waktu pemberian makanan. Simpulan penelitian ini ialah indikator pelayanan ketepatan waktu pemberian makanan, ketepatan preskripsi diet, dan sisa makanan berhubungan bermakna dengan kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou, Manado. Ketepatan waktu merupakan faktor yang paling berhubungan dengan kepuasan pasien.\u0000Kata kunci: kepuasan pasien; ketepatan waktu; ketepatan preskripsi diet; sisa makanan","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114123015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faktor-faktor Prediktor Luaran Malaria Berat pada Anak","authors":"Mohammad F. D. Sineke, Suryadi N. N. Tatura, N. H. Rampengan","doi":"10.35790/msj.v5i2.45486","DOIUrl":"https://doi.org/10.35790/msj.v5i2.45486","url":null,"abstract":"Abstract: Symptoms and severity of malaria infection differ between adults and children. Severe malaria is more common in children than in adults. Severe malaria cases in children can give clinical manifestations that are more fatal, severe and even death. This study aimed to determine the predictor factors of severe malaria outcomes in children. This was a literature review study using  Google Scholar database. The results obtained 11 articles that met the inclusion and exclusion criteria. It was found that the  clinical form and/or complications of severe malaria, co-infection and severe acute malnutrition could be negative predictors. Conversely, the administration of artemisinin and its derivates can be positive predictors. The intensity of transmission, levels of heme, free hemoglobin, hemopexin, haptoglobin, and sociodemographic factors can also be predictors of severe malaria outcomes in children. In conclusion, there are predictor factors of the outcome of severe malaria in children. Understanding the predictor factors can guide the immediate intervention to avoid poor outcomes and strive for good outcomes or prognosis.\u0000Keywords: predictor factors; severe malaria; signs and symptoms; outcome of malaria in children\u0000 \u0000Abstrak: Gejala dan keparahan infeksi malaria berbeda pada dewasa dan anak. Infeksi malaria berat lebih sering terjadi pada anak dibandingkan dengan dewasa. Kasus malaria berat pada anak dapat memberikan manifestasi klinis yang lebih fatal, parah bahkan kematian. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang dapat menjadi prediktor terhadap luaran malaria berat pada anak. Jenis penelitian ialah studi literatur yang diambil dari database Google Scholar. Hasil penelitian mendapatkan bahwa bentuk klinis dan/atau komplikasi dari malaria berat, koinfeksi dan malnutrisi akut yang berat dapat menjadi prediktor yang negatif. Sebaliknya, pemberian artemisinin dan derivatnya dapat menjadi prediktor yang positif. Intensitas penularan, kadar heme, hemoglobin bebas, hemopexin, haptoglobin dan faktor sosiodemografi juga dapat menjadi faktor prediktor luaran malaria berat pada anak. Simpulan penelitian ini ialah terdapat faktor-faktor yang dapat menjadi prediktor terhadap luaran malaria berat pada anak. Permahaman terhadap faktor-faktor prediktor dapat menjadi pedoman pada intervensi segera untuk menghindari luaran yang buruk dan mengupayakan luaran atau prognosis yang baik.\u0000Kata kunci: faktor prediktor; malaria berat; gejala dan keparahan infeksi; luaran malaria pada anak","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128640068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tatalaksana Terkini Kejang pada Neonatus","authors":"Crifer R. J. Rondonuwu, R. Wilar, J. Manoppo","doi":"10.35790/msj.v5i2.45371","DOIUrl":"https://doi.org/10.35790/msj.v5i2.45371","url":null,"abstract":"Abstract: Seizures in neonates are caused by a large group of neurons experiencing excessive synchronous depolarization. The therapeutic management of neonates and their prognosis differ, depending on the etiology of the disorder causing the seizures. Management of seizures in neonates use anticonvulsant drugs (phenobarbital, phenytoin, levetiracetam, lidocaine, midazolam, diazepam) so far. This study aimed to determine the current therapy for seizures in neonates. This was a literature review study using the PubMed and Google Scholar databases with the PICOS framework as selection criteria. The results obtained 10 articles to be reviewed. Phenobarbital became the first-line treatment due to its proven efficacy level compared to other anticonvulsant drugs. There were trials of giving levetiracetam as the first-line therapy due to its fewer side effects than phenobarbital. Some other literatures stated that side effects after administration of anti-seizure drugs varied, depending on the underlying etiology. In conclusion, phenobarbital is still the first line treatment for neonatal seizures followed by phenytoin as the second line, midazolam as the third line, and diazepam as the fourth line treatment. However, it is possible that levetiracetam can be used as the first-line anti-seizure drug, or as an alternative treatment.\u0000Keywords: neonatal seizures; pharmacologic treatment; current management; anticonvulsant drugs\u0000 \u0000Abstrak: Kejang pada neonatus disebabkan oleh sekelompok besar neuron mengalami depolarisasi sinkron yang berlebihan. Penatalaksanaan terapeutik neonatus dan prognosisnya berbeda, tergantung dari etiologi gangguan yang menyebabkan kejang. Tatalaksana kejang pada neonatus menggunakan obat antikonvulsan (fenobarbital, fenitoin, levetiracetam, lidokain, midazolam, diazepam). Penelitian ini bertujuan untuk mengetahui terapi terkini untuk kejang pada neonatus. Jenis penelitian ialah suatu literatur review dengan pencarian literatur dari database Pubmed dan Google Scholar menggunakan framework PICOS sebagai kriteria seleksi. Hasil penelitian mendapatkan 10 artikel untuk dikaji. Fenobarbital merupakan pengobatan lini pertama karena tingkat efikasi yang terbukti lebih manjur dari pada pengobatan obat antikonvulsan lainnya. Uji coba pemberian levetiracetam sebagai terapi lini pertama telah dilakukan dengan pertimbangan efek samping yang lebih lurang daripada fenobarbital. Beberapa literatur menyatakan efek samping setelah pemberian obat anti kejang bervariasi, tergantung etiologi yang mendasari. Simpulan penelitian ini fenobarbital masih menjadi pilihan pengobatan lini pertama untuk kejang pada neonates, lini kedua fenitoin, lini ketiga midazolam, dan lini keempat diazepam. Tidak menutup kemungkinan jika levetiracetam dapat digunakan sebagai obat anti kejang lini pertama, ataupun dijadikan sebagai pengobatan alternatif.\u0000Kata kunci: kejang neonatus; pengobatan farmakologi; tatalaksana terkini; obat antikonvulsan","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"85 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116202940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Endoscopic Procedure in Foreign Body (Button Battery) Ingestion in Children: A Case Report","authors":"H. Lampus, Candy Candy, L. Rendy, Andy A. Rangan","doi":"10.35790/msj.v5i2.46219","DOIUrl":"https://doi.org/10.35790/msj.v5i2.46219","url":null,"abstract":"Abstract: Foreign body (FB) ingestion is a common problem especially in children below the age of 5 years. Due to the extensive use of batteries as power supply in electronic gadgets, cases of button battery ingestion have become more common. If a button battery was found in the stomach of a child under the age of five, it should be assessed for esophageal injury and removed endoscopically, if at all possible, within 24 to 48 hours. We reported a 3-year-old boy who swallowed a foreign body three hours before being admitted to the hospital. Initially the patient was playing with robot toys that used batteries, then a battery of the robots was accidently swallowed. The patient had no symptoms and physical examinations showed no abnormalities. Abdominal X-ray examination revealed a foreign body located in the stomach. The patient underwent endoscopic foreign body removal but no foreign body was found until the second part of duodenum. Therefore, an exploratory laparotomy was performed, and the foreign body, a button battery, was removed from the ileum. In conclusion, since endoscopic foreign body removal failed to remove the foreign body in this patient, an exploratory laparotomy was performed and through antimesenterial ileotomy, the foreign body, a button battery, was successfully removed.\u0000Keywords: foreign body; endoscopic foreign body removal; exploratory laparotomy","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123717445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}