Medical Scope Journal最新文献

{"title":"Diagnosis dan Tatalaksana Sindrom Kardiorenal","authors":"Evelyne M. Jirajaya, Octavianus R. H. Umboh, F. Wantania","doi":"10.35790/msj.v5i1.45118","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45118","url":null,"abstract":"Heart disease and kidney disease are interconnected and have become a global health problem. There is a close relationship between the heart and kidneys, where kidney failure can cause heart injury and conversely heart damage can lead to worsening of kidney function. This condition is called cardiorenal syndrome (CRS). This study aimed to discuss the diagnosis and treatment of cardiorenal syndrome. This was a literature review study using three database resources, namely ClinicalKey, Pubmed, and Google Scholar, to search articles related to inclusion and exclusion criteria. The results obtained 13 articles; 10 articles discussing the diagnosis of CRS and 10 articles discussing the treatment of CRS. The diagnosis of CRS in both acute and chronic conditions could be seen through multi-organ biomarkers from urine and blood samples, imaging, and in assessing the volume status of CRS. Treatment with rapid volume reduction might help to relieve symptoms. Diuretics were the primary agents for correcting volume overload on CRS. There were other alternative treatments such as neurohormonal modulation inhibitors, inotropes, vasodilators/vasopressin, RAAS inhibitors, cardiac device therapy, and others. In conclusion, diagnosis of CRS is confirmed by using multiorgan biomarkers, imaging, and volume status, and its management is performed by correcting volume overload with diuretics or alternatives.\u0000Keywords: cardiorenal syndrome; diagnosis; treatment\u0000 \u0000Abstrak: Penyakit jantung dan penyakit ginjal saling berhubungan dan telah menjadi masalah dalam dunia kesehatan. Terdapat hubungan erat antara organ jantung dan ginjal, dimana gagal ginjal dapat memperburuk cedera jantung dan sebaliknya kerusakan jantung dapat mendorong perburukan fungsi ginjal. Keadaan tersebut disebut dengan sindrom kardiorenal (SKR). Penelitian ini bertujuan untuk mengetahui diagnosis dan tatalaksana SKR. Jenis penelitian ini ialah suatu literature review. Pencarian data menggunakan tiga sumber database yaitu ClinicalKey, Pubmed, dan Google Scholar sesuai dengan kriteria inklusi dan eksklusi. Hasil penelitian mendapatkan 13 artikel yang dilakukan review. Terdapat 10 artikel yang membahas diagnosis SKR dan terdapat 10 artikel yang membahas tatalaksana SKR. Penegakan diagnosis pada SKR baik dalam kondisi akut dan kronis dapat dilihat melalui biomarker multi-organ dari sampel urin maupun darah, pencitraan (imaging), dan pada penilaian status volume SKR. Tatalaksana dengan pengurangan volume secara cepat dapat membantu meringankan gejala. Diuretik merupakan agen primer untuk mengoreksi kelebihan volume SKR. Terdapat tatalaksana alternatif lainnya seperti penghambat modulasi neurohormonal, inotropik, vasodilator/vasopressin, penghambat RAAS, terapi perangkat jantung, dan lainnya. Simpulan penelitian ini ialah diagnosis SKR ditegakkan melalui biomarker multiorgan, pencitraan dan penilaian status volume. Tatalaksana dengan pengurangan volume menggunakan diuretik atau alternatif.\u0000Kata kunci: sindr","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128698729","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":"Bone Defect of the Tibia: A Case Report","authors":"A. Lengkong, Djarot Noersasongko, Haryanto Sunaryo, T. Suharso, Rangga B V Rawung, Stefan Kambey, Nurmalasari Amira","doi":"10.35790/msj.v5i1.44238","DOIUrl":"https://doi.org/10.35790/msj.v5i1.44238","url":null,"abstract":"Abstract: Defects in long bones including tibia are still difficult problems in orthopaedic field for both the physician and the patient. We reported a case of a 56-year-old woman who came to the hospital with the chief complaint of being unable to walk since she was nine years old after getting a motorcycle accident. The patient complained that her leg did not grow since then. The patient was fully conscious and hemodynamically stable. Physical examination revealed that there was a deformity of the left lower leg with shortening of the lower leg and absence of the tibial bone. The patient was diagnosed with left tibia bone defect, therefore, above-the-knee amputation was performed. The amputation must be viewed as an opportunity to re-establish or enhance the patient’s functional level and facilitate a return to near normal locomotion using a prosthesis after amputation. Soft tissue and muscle quality, bone condition, neurovascular conditions and function of the limb can be considered in the selection of therapy in bone defect. The level of amputation can be determined by assessing the bone condition, neurovascular condition, and the ability of muscle and skin flaps to close the wound. In conclusion, amputation can be the treatment of choice for patient with bone defect. Improving lower limb function is proven to maximize the patient quality of life.\u0000Keywords: bone defect tibia; above-the-knee amputation; transfemoral amputation","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114714802","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":"Gambaran Depresi pada Siswa SMP di Kecamatan Malalayang yang Menyandang Obesitas","authors":"Stephen Inkiriwang, A. E. Dundu, Theresia M. D. Kaunang","doi":"10.35790/msj.v5i1.45115","DOIUrl":"https://doi.org/10.35790/msj.v5i1.45115","url":null,"abstract":"Abstract: Obesity is caused by various factors such as environment, socioculture, genetics, and others. This condition is found among adults and adolescents. Obesity can cause various types of health problems, one of which is depression. This study aimed to obtain the description of depression among obese junior high school students in Malalayang Sub-District. This was a quantitative descriptive study followed by a qualitative study in the form of in-depth interviews. The results obtained 73 obese students as respondents. Forty-seven students suffered from depression consisting of 40 students with mild depression and seven students with moderate depression. The causes of depression were diverse inter alia family problems, difficulties in learning, and bullying by peers. In conclusion, most obese junior high school students in Malalayang Sub-District suffered from depression especially mild depression with varied causes.\u0000Keywords: adolescent; obesity; depression; causes of depression\u0000 \u0000Abstrak: Obesitas merupakan salah satu masalah kesehatan global yang disebabkan oleh berbagai macam faktor seperti lingkungan, sosiokultural, genetik, dan lainnya. Kejadian obesitas ditemukan baik pada dewasa maupun remaja. Obesitas dapat menyebabkan berbagai jenis masalah kesehatan salah satunya ialah depresi. Penelitian ini bertujuan untuk mengetahui gambaran depresi pada siswa Sekolah Menengah Pertama yang mengalami obesitas di Kecamatan Malalayang. Jenis penelitian ini ialah deskriptif kuantitatif yang dilanjutkan dengan penelitian kualitatif berupa wawancara mendalam. Hasil penelitian mendapatkan 73 siswa obes sebagai responden penelitian. Terdapat 47 siswa obes yang mengalami depresi, dengan 40 siswa yang mengalami depresi ringan dan tujuh siswa yang mengalami depresi sedang. Penyebab depresi sangat beragam dimulai dari masalah keluarga, kesulitan dalam pelajaran hingga perundungan yang dilakukan oleh teman-teman sebaya. Simpulan penelitian ini ialah hampir sebagian besar siswa SMP penyandang obesitas di Kecamatan Malalayang mengalami depresi terutama depresi ringan, dengan penyebab beragam.\u0000Kata kunci: remaja; obesitas; depresi; penyebab depresi","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125789293","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":"Radiotherapy Role in Rectal Cancer at Prof. Dr. R. D. Kandou General Hospital, Manado, Indonesia","authors":"Jeffri Jeffri, Ferdinand Tjandra, M. Tendean, Toar D. B. Mambu, Enrico Napitupulu","doi":"10.35790/msj.v4i2.47630","DOIUrl":"https://doi.org/10.35790/msj.v4i2.47630","url":null,"abstract":"Abstract: Rectal cancer (RC) remains as a major health burden, being the 3rd most common form of cancer and leading cause of death. RC effects as much as 12.8 per 100 adult population with a mortality rate as high as 9.5%.1 Efforts were made to reduce morbidity and mortality due to rectal cancer. One of them is radiotherapy acting as both neoadjuvant and adjuvant. Thus study aimed to emphasize the role of radioteraphy in treating rectal cancer patients at Prof. Dr. R. D. Kandou General Hospital, Manado. This was a retrospective study using data of all rectal cancer outpatients seeking at Prof. Dr. R. D. Kandou General Hospital, Manado. from 2017-2020 especially of those receiving radiotherapy treatment in radiology department. The results obtained a total 119 patients, 28 of them received radiotherapy based on staging and clinical judgement. From the radiotherapy group, 46.4% patient received neoadjuvant radiotherapy primary to surgical procedure, and among the neoadjuvant group 71.4% received long course radiotherapy. From the neoadjuvant radiotherapy group, 46.4% became resectable and 46.4% among them underwent Miles Procedure. In conclusion, rectal cancer is still a health problem, and radiotherapy as one of the modality play major role as neoadjuvant and adjuvant treatment.","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132743822","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 Pelaporan Insiden Keselamatan Pasien di Unit Rawat Inap Siloam Hospitals, Manado, Indonesia","authors":"Citra M. N. Lombongkaehe, E. D. Kaunang, Herman Karamoy","doi":"10.35790/msj.v4i2.44946","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44946","url":null,"abstract":"Abstract: Patient safety is now a top priority for hospitals. This study aimed to analyze patient safety incident reporting at inpatient unit of  Siloam Hospitals Manado. This was a qualitative study using eight informants. The results showed that patient safety incident reporting at the hospital inpatient unit was carried out using the Q-Pulse application. The incident register on the incident report form in the Q-Pulse application was a maximum of 24 hours after the incident occurred or the risk was known. The inhibiting factors or obstacles in patient safety incident reporting was the slow performance of accessing the Q-Pulse application, the busyness of staff or employees with their main duties, and employees who were still afraid to report due to be blamed. Efforts to overcome obstacles in patient safety incident reporting were inter alia refreshing the internet network, adding signal boosters or wifi boosters which will be coordinated with the Siloam Head Office. In addition, Siloam Hospitals Mando planned to migrate from the Q-Pulse application where the function was still the same but used a different platform, namely the website-based Medblaze. In conclusion, patient safety incident reporting at the Siloam Hospitals Manado inpatient unit was carried out using the Q-Pulse application with a maximum of 24 hours after the incident occurred or the risk was known. There were varied inhibiting factors or obstacles in the patient safety incident reporting and several efforts had been done to overcome them.\u0000Keywords: patient safety; safety incidents; incident reporting\u0000 \u0000Abstrak: Keselamatan pasien kini menjadi prioritas utama bagi rumah sakit. Penelitian ini bertujuan untuk menganalisis pelaporan insiden keselamatan pasien di unit rawat inap Siloam Hospitals Manado. Penelitian ini menggunakan metode kualitatif dengan delapan orang informan. Hasil penelitian mendapatkan bahwa pelaporan insiden keselamatan pasien di unit rawat inap Rumah Sakit menggunakan aplikasi Q-Pulse. Register insiden pada formulir laporan insiden di aplikasi Q-Pulse maksimal 24 jam setelah insiden terjadi atau risiko diketahui. Faktor penghambat atau kendala dalam pelaporan insiden keselamatan pasien di unit rawat inap yaitu performa yang lambat terhadap akses aplikasi Q-Pulse, kesibukan para staf atau karyawan dengan tugas pokoknya dan karyawan yang masih merasa takut melaporkan karena akan disalahkan. Upaya yang dilakukan untuk mengatasi kendala dalam pelaporan insiden keselamatan pasien di unit rawat inap ialah melakukan refreshment jaringan internet, menambah penguat signal atau penguat wifi yang akan dikoordinasikan bersama Siloam Head Office. Simpulan penelitian ini ialah pelaporan insiden keselamatan pasien di unit rawat inap Siloam Hospitals Manado dilakukan menggunakan aplikasi Q-Pulse maksimal 24 jam setelah insiden terjadi atau risiko diketahui. Terdapat beberapa faktor penghambat atau kendala dalam pelaporan insiden keselamatan pasien di unit rawat inap dan tela","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"542 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127051040","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 Pengembangan Program Kesehatan Jiwa Masyarakat di Puskesmas Tombulu","authors":"Citra W. Thamrin, E. D. Kaunang, Gustaaf A. E. Ratag","doi":"10.35790/msj.v4i2.44859","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44859","url":null,"abstract":"Abstract: Condition of mental health problems is reflected in its impact including a high enough number of people with mental disorders associated with a high economic burden. This study aimed to analyze the community mental health program at Tombulu Health Center and its obstacles in implementing the program. This was a qualitative and descriptive study. Data were obtained through interviews with informants. The results showed that the mental health program was implemented through a home visit program with health examination, monitoring patient progress, and counseling about family involvement in the treatment. Obstacles experienced in implementing this program included the community's stigma against the patients, therefore, the community and families were less involved in the healing process. Efforts to develop the mental health program included increasing family and community involvement in the treatment process, number of health cadres, and mental health promotions. In conclusion, implementation of the mental health program at Tombulu Health Center in the treatment processs of patients is carried out through home visits, early detection program, and screening to identify mental health problems for the community and health workers. Obstacles include the absence of family support, negative stigma from the community, lack of supporting facilities and infrastructure for the patients, and the hospital location which is quite far away.\u0000Keywords: mental health; development of community mental health program\u0000 \u0000Abstrak: Kondisi masalah kesehatan jiwa tercermin dari dampak yang ditimbulkannya, antara lain angka yang cukup tinggi dari orang dengan gangguan jiwa (ODGJ) diikuti beban ekonomi yang tinggi. Penelitian ini bertujuan untuk menganalisis program kesehatan jiwa masyarakat di Puskesmas Tombulu serta hambatan yang dihadapi dalam  pelaksanaan program tersebut. Jenis penelitian ialah deksriptif kualitatif. Data penelitian diperoleh melalui wawancara dengan informan. Hasil penelitian menunjukkan program kesehatan jiwa dilaksanakan melalui program kunjungan rumah (home visit), disertai kegiatan pemeriksaan kesehatan, pemantauan perkembangan pasien serta penyuluhan tentang keterlibatan keluarga dalam proses pengobatan dan penyembuhan ODGJ. Hambatan yang dialami antara lain stigma dari masyarakat terhadap ODGJ sehingga masyarakat dan keluarga kurang terlibat dalam proses penyembuhan ODGJ. Upaya pengembangan program kesehatan jiwa antara lain dengan meningkatkan keterlibatan keluarga dan masyarakat dalam proses perawatan ODGJ, menambah jumlah kader kesehatan, dan meningkatkan upaya promosi kesehatan jiwa. Simpulan penelitian ini ialah pelaksanaan program kesehatan jiwa di Puskesmas Tombulu dilakukan melalui kegiatan kunjungan rumah (home visit), program deteksi dini, serta skrining untuk mengenali masalah kesehatan jiwa baik bagi masyarakat maupun tenaga kesehatan. Hambatan meliputi tidak adanya dukungan keluarga, stigma negatif dari masyarakat, kurangnya","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124497533","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":"Komorbid Kardiovaskular dan Gastrointestinal pada Coronavirus Disease 2019 (COVID-19)","authors":"Emmanuella E. N. A Somalinggi, Frans E. N. Wantania, Bradley J. Waleleng","doi":"10.35790/msj.v4i2.45013","DOIUrl":"https://doi.org/10.35790/msj.v4i2.45013","url":null,"abstract":"Abstract: COVID-19 patients have various clinical characteristics. Patients who come with co-morbidities are more at risk of experiencing more severe symptoms and higher risk of death.  This study aimed to obtain cardiovascular and gastrointestinal comorbidities of coronavirus disease-2019 (COVID-19). This was a literature review study. The literature search was performed by using ScienceDirect, PubMed and Clinical key databases with “Comorbid AND Cardiovascular AND COVID-19” and “Comorbid AND Gastrointestinal AND COVID-19” for the keywords. After searching and filtering the literatures based on inclusion and exclusion criteria, finally 10 literatures were determined to be reviewed. The ten literature reviews showed that COVID-19 patients had cardiovascular comorbidities including hypertension, coronary heart disease (CHD), heart failure, and atrial fibrillation. Gastrointestinal comorbidities found include chronic gastritis, peptic ulcer, gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), irritable bowel disease, diverticular disease, gastrointestinal tumors and polyps. In conclusion, patients with COVID-19 have varieties of comorbidities, and the most common one is hypertension and GERD.\u0000Keywords: cardiovascular comorbidity; gastrointestinal comorbidity; COVID-19\u0000 \u0000Abstrak: Pasien COVID-19 memiliki karakteristik klinis yang beragam. Pasien dengan penyakit penyerta lebih berisiko mengalami gejala yang lebih berat dan risiko kematian lebih tinggi. Penelitian ini bertujuan untuk mengetahui komorbid kardiovaskular dan gastrointestinal dari coronavirus disease-2019 (COVID-19). Penelitian dilakukan menggunakan metode literature review. Pencarian literatur dilakukan pada tiga database yaitu PubMed, ScienceDirect dan ClinicalKey dengan kata kunci “Comorbid AND Cardiovascular AND COVID-19” serta “Comorbid AND Gastrointestinal AND COVID-19”. Setelah melalui proses pencarian dan penyaringan literatur berdasarkan kriteria inklusi dan ekslusi, akhirnya ditetapkan 10 literatur untuk ditelaah. Hasilnya sebanyak sepuluh tinjauan literatur menunjukkan pasien COVID-19 memiliki komorbid kardiovaskular antara lain hipertensi, penyakit jantung koroner (PJK), gagal jantung, dan fibrilasi atrial. Komorbid gastrointestinal yang ditemukan antara lain gastritis kronik, ulkus peptikum, gastroesophageal reflux disease (GERD), inflammatory bowel disease (IBD), irritable bowel disease, diverticular disease, tumor dan polip saluran cerna. Simpulan penelitian ini ialah pasien dengan COVID-19 memiliki berbagai jenis komorbid, dan yang terutama ialah hipertensi dan GERD.\u0000Kata kunci: komorbid kardiovaskular; komorbid gastrointestinal; COVID-19","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116140622","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 Kualitatif Mengenai Persepsi dan Pengetahuan Masyarakat tentang Telemedicine","authors":"Stacy V. Budiman, Gustaaf A. E. Ratag, G. Wahongan","doi":"10.35790/msj.v4i2.44858","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44858","url":null,"abstract":"Abstract: Telemedicine can expand access to services for patients in urban to rural areas with various benefits and obstacles in its impelementation. This study aimed to analyze the community perception and knowledge about telemedicine. This was a qualitative and descriptive study using primary, secondary, and tertiary data in the form of in-depth interviews with informants and direct observation. The informants in this study consisted of five key informants and five triangulation informants. Data analysis was carried out through the stages of data reduction, data presentation, data verification or conclusion stages, and triangulation stages. The results showed that telemedicine use in the community services was carried out to minimize face-to-face meetings between patients and doctors by using technology. The results of interviews with triangulation informants showed that the community knowledge about telemedicine was still lacking, therefore, telemedicine use in the community was still limited to those who were used to technology. There were several obstacles of telemedicine use inter alia technical barriers related to unstable internet access and low digital literacy in the community, for that reason, the telemedicine services was not optimally used. In conclusion, the community perception and knowledge about telemedicine use as a consultation media is good enough.\u0000Keywords: telemedicine; health care; community perception and knowledge\u0000 \u0000Abstrak: Telemedicine dapat memperluas akses pelayanan, baik bagi pasien yang berada di wilayah perkotaan hingga pedesaan dengan berbagai manfaat dan hambatan dalam pelaksanaannya. Penelitian ini bertujuan untuk mengetahui persepsi dan pengetahuan masyarakat mengenai telemedicine. Jenis penelitian ialah kualitatif-deskriptif dengan menggunakan data primer, data sekunder dan data tersier berupa wawancara mendalam terhadap informan dan obervasi langsung. Informan penelitian terdiri dari lima informan kunci dan lima informan triangulasi. Analisis data penelitian dilakukan melalui tahapan reduksi data, penyajian data, tahapan verifikasi data atau simpulan, dan tahapan triangulasi. Hasil penelitian menunjukkan bahwa penggunaan telemedicine dalam layanan masyarakat dilakukan untuk meminimalkan pertemuan tatap muka antara pasien dan dokter dengan menggunakan teknologi. Hasil wawancara dengan informan triangluasi menunjukkan bahwa pengetahuan masyarakat tentang telemedicine masih kurang, dan penggunaan telemedicine di masyarakat masih terbatas pada yang terbiasa dengan teknologi. Beberapa hambatan dalam penggunaan telemedicine, seperti hambatan teknis terkait akses internet yang belum stabil dan rendahnya literasi digital di masyarakat, sehingga masyarakat belum sepenuhnya menggunakan layanan telemedicine. Simpulan penelitian ini ialah persepsi dan pengetahuan masyarakat mengenai penggunaan telemedicine sebagai media konsultasi sudah cukup memadai.\u0000Kata kunci: telemedicine;  layanan kesehatan; persepsi dan pengetahuan","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127147300","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 Risiko Pekerjaan untuk Carpal Tunnel Syndrome pada Pekerja Kantoran","authors":"Christy E. L. Berhimpon, Andriessanto C. Lengkong, Eko Prasetyo","doi":"10.35790/msj.v4i2.44951","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44951","url":null,"abstract":"Abstract: Carpal tunnel syndrome (CTS) is often reported as an occupational disease and a common problem among workers who often use their hands. The causes of CTS are considered multifactorial, involving both individual and occupational factors. Computer use is thought to be a risk factor for CTS. Using a computer keyboard is associated with wrist or hand pain, which is related with repetitive hand movements. However, the available evidence regarding the relationship between computer use or occupational risk factors and CTS is still controversial. This study aimed to determine the occupational risk factors for CTS in office workers. This was a literature review study. Data were searched from databases of Crossref and Google Scholar. The keywords were carpal tunnel syndrome, risk factor, ergonomic, occupation, computer office, workers The results obtained 10 articles reviewed according to predetermined inclusion and exclusion criteria. Work duration and work periods were referred to occupational risk factors for CTS. Awkward wrist/hand postures especially without mousepad supporting the hand or wrist, and repetitive movement were direct risk factors for CTS. In conclusion, risk factors for CTS among office workers are duration and period of working, awkward wrist/hand posture, and repetitive movement.\u0000Keywords: occupational risk factors; carpal tunnel syndrome; office workers.\u0000 \u0000Abstrak: Carpal tunnel syndrome (CTS) merupakan penyakit akibat kerja dan menjadi masalah umum di antara para pekerja yang sering menggunakan tangan. Penyebab CTS dianggap multifaktorial, yang melibatkan faktor individu dan pekerjaan. Penggunaan komputer diduga menjadi faktor risiko CTS. Penggunaan keyboard komputer dihubungkan dengan nyeri pergelangan tangan atau tangan, yang berkaitan dengan gerakan tangan berulang. Walaupun demikian, bukti yang tersedia perihal keterkaitan antara penggunaan komputer atau faktor risiko pekerjaan dan CTS masih kontroversial. Penelitian ini bertujuan untuk mengetahui faktor risiko pekerjaan terjadinya CTS pada pekerja kantoran. Jenis penelitian ini ialah suatu literature review menggunakan data- base Crossref dan Google Scholar dengan kata kunci carpal tunnel syndrome, risk factor, ergonomic, occupation, computer office, workers. Hasil penelitian mendapatkan 10 artikel yang ditelaah sesuai dengan kriteria inklusi dan eksklusi yang telah ditentukan. Durasi kerja dan periode kerja disebut sebagai faktor risiko pekerjaan untuk terjadinya CTS. Postur yang janggal, khususnya dikarenakan tanpa penggunaan mousepad penyangga tangan atau pergelangan tangan serta gerakan berulang saat menggunakan mouse dan mengetik menggunakan keyboard secara langsung menjadi faktor risiko terjadinya CTS. Simpulan penelitian ini ialah durasi dan periode kerja, postur tangan/pergelangan yang janggal, dan gerakan berulang merupakan faktor risiko pekerjaan untuk terjadinya CTS.\u0000Kata kunci: faktor risiko pekerjaan; carpal tunnel syndrome; pekerja kantoran","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127016734","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 Faktor-faktor yang Memengaruhi Tingkat Kepuasan Pasien di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado","authors":"Christania S. V. Lampus, Adrian Umboh, A. Manampiring","doi":"10.35790/msj.v4i2.44825","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44825","url":null,"abstract":"Abstract: Improvement of health services is needed to provide patient satisfaction. Good service quality arises from the perception of patients who expect the received services are in accordance with their expectations. This study aimed to determine the factors that influenced the satisfaction level of inpatients at Prof. Dr. R. D. Kandou Hospital, Manado. This was an observational and analytical study with a cross sectional design. The population study were all patients hospitalized at Prof. Dr. R. D. Kandou Hospital, Manado, during the period October 2022 to November 2022 with a total sample of 419 respondents. Data were collected using a questionnaire already tested for its validity and reliability, and then were analyzed using univariate, bivariate and multivariate analysis with the logistic regression test. The results indicated that there were significant effects of the variables, as follows: tangible (p=0.000), reliability (p=0.000), responsiveness (p=0.000), assurance (p=0.000), and empathy (p=0.000) with patient satisfaction. Based on the results of multivariate analysis, it was found that reliability was the most influential variable on patient satisfaction (Exp value(B) = 365.221, p=0.002). In conclusion, tangible, reliability, responsivenesss, assurance, and empathy have significant effects on inpatient satisfaction at Prof. Dr. R. D. Kandou Hospital, Manado.\u0000Keywords: patient satisfaction; service quality; tangible; reliability; responsivenesss; assurance; empathy\u0000  \u0000Abstrak: Peningkatan pelayanan kesehatan diperlukan dalam memberikan kepuasan kepada pasien. Kualitas layanan yang baik muncul dari persepsi pasien yang mengharapkan pelayanan yang diterima sesuai dengan harapan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang memengaruhi tingkat kepuasan pasien rawat inap di RSUP Prof. Dr. R. D. Kandou, Manado. Jenis penelitian ialah observational analitik dengan desain potong lintang. Populasi penelitian ini ialah seluruh pasien yang dirawat inap di RSUP Prof. Dr. R. D. Kandou Manado selama periode Oktober 2022 sampai dengan November 2022, dengan jumlah sampel 419 responden. Teknik pengumpulan data menggunakan kuesioner yang sudah diuji validitas dan reabilitasnya. Analisis statistik menggunakan analisis univariat, bivariat dan multivariat dengan uji regresi logistik. Hasil penelitian menunjukkan terdapat pengaruh bermakna dari variabel tangible (p=0,000), reliability (p=0,000), responsivenesss (p=0,000), assurance (p=0,000) dan empathy (p=0,000) terhadap kepuasan pasien. Berdasarkan hasil analisis multivariat didapatkan bahwa keandalan merupakan variabel paling berpengaruh terhadap kepuasan pasien di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado (nilai Exp(B) = 365.221, p=0,002). Simpulan penelitian ini ialah aspek tangible, reliability, responsivenesss, assurance, dan empathy berpengaruh terhadap kepuasan pasien di Instalasi Rawat Inap RSUP Prof. Dr. R. D. Kandou Manado.\u0000Kata kunci: kepuasan pasien; kualitas la","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122979498","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}