Medical Scope Journal最新文献

{"title":"Analisis Faktor-faktor yang Berhubungan dengan Kepuasan Karyawan terhadap Kualitas Manajemen di RSUP Prof. Dr. R. D. Kandou Manado","authors":"Nadya L. Runtuwene, Erwin G. Kristanto, Gustaaf A. E. Ratag","doi":"10.35790/msj.v4i2.44804","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44804","url":null,"abstract":"Abstract: Hospital as a service institution must consider the job satisfaction of its employees, so that the excellent service can be achieved which will improve the quality of hospital services. This study aimed to find out the factors related to employee satisfaction with the quality of management at Hospital Prof. Dr. R. D. Kandou Manado and analyze the relationship of these factors. This was a descriptive and analytical study with a cross sectional design through a survey with a quantitative approach. Samples were 350 employees at Prof. Dr. R. D. Kandou Hospital that met the inclusion and exclusion criteria. Independent variables were hospital policy, salary, work situation, career advancement or promotion, and job responsibilities meanwhile dependent variable was satisfaction. A questionnaire was used as the assessment instrument. The univariate analysis showed that most respondents were satisfied with hospital policies (83%), salary (87%), work situation (93%), career advancement (81%), hospital responsibilities (91%), and employee satisfaction (90%). The bivariate analysis showed that there was a relationship between employee satisfaction with hospital policy factors, salary, work situation, career advancement and responsibility (p=0.000). Meanwhile, the multivariate analysis showed that the most related factor to employee satisfaction with the management of hospital was work situation with a value of 39.652 (p=0.004). In conclusion, factors that influence job satisfaction include hospital policies, salary, work situation, responsibility, career advancement or promotion. The most related factor is work situation.\u0000Keywords: employee satisfaction; management quality\u0000 \u0000Abstrak: Rumah Sakit (RS) sebagai institusi pelayanan harus mempertimbangkan kepuasan karyawan agar pelayanan prima dapat tercapai yang akan meningkatkan mutu pelayanan RS. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kepuasan karyawan terhadap kualitas manajemen di RSUP Prof. Dr. R. D. Kandou, Manado dan menganalisis hubungan faktor-faktor tersebut. Jenis penelitian ialah deskriptif analitik dengan desain potong lintang melalui survei dengan pendekatan kuantitatif. Sampel penelitian ialah 350 karyawan di RSUP Prof Dr. R. D. Kandou Manado yang memenuhi kriteria inklusi dan eksklusi. Variabel bebas ialah kebijakan rumah sakit, gaji, situasi pekerjaan, peningkatan karir, dan tanggung jawab pekerjaan, sedangkan variabel terikat ialah kepuasan. Instrumen penilaian dengan menggunakan kusioner. Hasil analisis univariat mendapatkan bahwa sebagian besar responden merasa puas dengan kebijakan rumah sakit (83%), gaji (87%), situasi pekerjaan (93%), peningkatan karir (81%), tanggung jawab rumah sakit (91%), dan kepuasan karyawan (90%). Hasil analisis bivariat mendapatkan bahwa terdapat hubungan antara kepuasan karyawan dengan faktor kebijakan rumah sakit, gaji, situasi pekerjaan, peningkatan karir dan tanggung jawab (p=0,000). Hasil analisis multivariat ","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"2003 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125784195","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":"Patomekanisme dan Insidensi Cedera Saraf Fasialis Perifer akibat Fraktur Dasar Kepala Tengah","authors":"Grace E. Putri, Eko Prasetyo, Angelica M. J. Wagiu","doi":"10.35790/msj.v4i2.44949","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44949","url":null,"abstract":"Abstract: Skull base fracture (SBF) was defined as a fracture implicating the base of the skull, and was divided into three types, namely: anterior, media, and posterior cranial base fractures. SBF could cause serious complications, and occurs mostly in the middle and anterior sections. This study aimed to determine the pathomechanism and incidence of facial nerve injury in patients with fractures of the middle skull base. This was a literature review study. The results obtained 14 journals that fulfilled the criteria. The incidence of mid-section SBF causing facial nerve injuries was 3.25% to 8%. Age was related to the mechanism of SBF. In adults and elderly, most SBF were caused by accidents. Facial nerve paralysis due to transverse fracture was more serious and often required surgical treatment. The most frequent onset of facial nerve paralysis was immediate paralysis. Longitudinal fracture had better recovery compared to transverse or mixed fractures. In conclusion, the incidence of mid-section SBF causing facial nerve injuries was 3.25% to 8%. SBF involving facial nerve injury was more prevalent in longitudinal fractures with labyrinth bone involvement in the inner ear; however, it has better recovery than transverse or mixed fractures. \u0000Keywords: skull base fracture; temporal bone fracture; facial nerve paralysis\u0000 \u0000Abstrak: Patah tulang dasar kepala (PTDK) didefinisikan sebagai fraktur yang melibatkan dasar tengkorak. Terdapat tiga jenis PTDK, yaitu: fraktur basis kranii anterior, media, dan posterior. PTDK dapat menyebabkan komplikasi serius dan paling banyak terjadi pada fraktur bagian tengah dan anterior. Penelitian ini bertujuan untuk mengetahui patomekanisme dan insiden cedera saraf fasialis (saraf kranial ketujuh) perifer pada penderita PTDK bagian tengah. Jenis penelitian ialah suatu literatur review. Hasil penelitian mendapatkan 14 jurnal yang sesuai dengan topik. Insiden PTDK bagian tengah yang menyebabkan cedera saraf fasialis sebesar 3,25%-8%. Usia berkaitan dengan mekanisme utama penyebab terjadinya PTDK, yaitu pada kalangan dewasa dan lansia sebagian besar disebabkan oleh kecelakaan. Kelumpuhan saraf fasialis pada fraktur transversal lebih serius dan sering membutuhkan perawatan bedah. Onset kelumpuhan saraf fasialis yang paling sering ialah kelumpuhan segera. Fraktur longitudinal memiliki pemulihan yang lebih baik dibandingkan dengan fraktur transversal atau campuran. Simpulan penelitian ini ialah insidensi PTDK bagian tengah yang menyebabkan cedera saraf fasialis sebesar 3,25%-8%. PTDK bagian tengah yang melibatkan cedera saraf fasialis paling banyak terjadi pada fraktur longitudinal dengan keterlibatan tulang labirin pada telinga bagian dalam namun dengan pemulihan yang lebih baik dibandingkan fraktur transversal atau campuran.\u0000Kata kunci: patah tulang dasar kepala; fraktur tulang temporal; kelumpuhan saraf fasialis perifer","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128781637","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":"Peran Motivasi Belajar terhadap Indeks Prestasi Mahasiswa Fakultas Kedokteran","authors":"Kevin Chandra, F. Manoppo, Yanti M. Mewo","doi":"10.35790/msj.v4i2.44856","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44856","url":null,"abstract":"Abstract: In good learning achievement, good learning motivation is needed to encourage students to study. Therefore, learning motivation and learning achievement are interrelated and inseparable. One of the benchmarks in academic achievement is Grade Point Average (GPA). Results of the previous study showed that the Cumulative GPA (CGPA) in developing countries still has the potential to be further improved. This study aimed to find out the role of learning motivation on the CGPA of medical faculty students. This was a literature review study using three databases, namely Pubmed, ClinicalKey, and Google Scholar. The keywords used in the search for articles were \"Motivation AND Grade Point Average AND Medical Faculty\" & “Motivasi AND Indeks Prestasi AND Fakultas Kedokteran”. The results obtained 12 literatures with various research methods. Nine literatures showed that learning motivation was related to learning performance and academic achievement, while the other three literatures showed that learning motivation had no significant relationship to the learning achievement of students from Faculty of Medicine. In conclusion, learning motivation is one of the factors that can be related to as well as play a role in student CGPA achievements.\u0000Keywords: learning motivation; cumulative grade point average; Faculty of Medicine\u0000 \u0000Abstrak: Dalam meraih prestasi belajar yang baik, diperlukan motivasi belajar yang baik pula untuk mendorong mahasiswa dalam belajar. Oleh karena itu, motivasi belajar dan prestasi belajar merupakan hal yang saling berkaitan dan tidak terpisahkan. Salah satu yang menjadi tolak ukur dalam prestasi akademik, yaitu Indeks Prestasi (IP). Hasil penelitian sebelumnya menunjukkan bahwa nilai IP kumulatif (IPK) mahasiswa Fakultas Kedokteran di Asia Tenggara, terutama di negara berkembang masih mempunyai potensi untuk lebih ditingkatkan. Penelitian ini bertujuan untuk mengetahui peran motivasi belajar terhadap IPK mahasiswa Fakultas Kedokteran. Jenis penelitian ialah suau literature review dengan pencarian pada tiga database, yaitu Pubmed, ClinicalKey, dan Google Scholar. Kata kunci dalam pencarian artikel, yaitu “Motivation AND Grade Point Average AND Medical Faculty” & “Motivasi AND Indeks Prestasi AND Fakultas Kedokteran”. Hasil penelitian mendapatkan 12 literatur dengan beragam metode penelitian. Sembilan literatur menunjukkan bahwa motivasi belajar berkaitan dengan performa belajar serta prestasi akademik, sementara tiga literatur lainnya menunjukkan bahwa motivasi belajar tidak mempunyai hubungan bermakna dengan prestasi belajar mahasiswa fakultas kedokteran. Simpulan penelitian ini ialah motivasi belajar merupakan salah satu dari banyak faktor yang dapat berkaitan dan berperan terhadap capaian IPK mahasiswa.\u0000Kata kunci: motivasi belajar; indeks prestasi kumulatif; Fakultas Kedokteran","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123447350","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":"Akurasi Skor Alvarado pada Kasus Apendisitis","authors":"Gabriella H. Z. P. Siregar, Angelica M. J. Wagiu, Harsali F. Lampus","doi":"10.35790/msj.v4i2.44867","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44867","url":null,"abstract":"Abstract: The Alvarado score is the first scoring system developed and the most popular used to diagnose appendicitis, with claims to have advantages, namely high diagnostic accuracy, simple and effective. However, in several studies Alvarado's scores were found to be inaccurate and biased toward certain races, genders, and ages. Therefore, many new scoring systems have emerged to determine a more accurate diagnosis of appendicitis. This study aimed to determine the accuracy of the Alvarado score in cases of appendicitis. This was a literature review study using database of the Clinicalkey, Pubmed and Google Scholar and the PICOS framework selection criteria with the keywords 'accuracy' AND ‘alvarado score’ AND 'appendicitis' AND ‘Asia’ OR ‘Indonesia. The results showed that there was no significant difference in score accuracy found between age groups, but Alvarado's score was more accurate in males than in females. In this study, the average accuracy of the Alvarado score was: sensitivity 72.92%, specificity 67.17%, PPV 92%, NPV 35.8%, and DA 64.6%. in conclusion, the mean accuracy of the Alvarado score for diagnosing appendicitis cases in the Asian region shows that this score can still be used in daily practice. Accuracy of the diagnosis will increase if this scoring system is combined with USG or other biomarkers.\u0000Keywords: Alvarado score; accuracy; appendicitis\u0000 \u0000Abstrak: Skor Alvarado merupakan sistem skor pertama yang dibentuk dan paling popular untuk mendiagnosis apendisitis, dengan klaim memiliki kelebihan yaitu akurasi diagnosis tinggi, sederhana dan efektif. Namun, dalam beberapa penelitian skor Alvarado dinilai kurang akurat dan bias terhadap ras, jenis kelamin, dan usia tertentu. Oleh karena itu, banyak bermunculan sistem skor baru dengan tujuan untuk menentukan diagnosis apendisitis yang lebih akurat. Penelitian ini bertujuan untuk mengetahui akurasi skor Alvarado pada kasus apendisitis. Jenis penelitian ialah suatu literature review menggunakan literatur pada Clinicalkey, Pubmed dan Google Cendekia dengan kriteria seleksi PICOS framework dan kata kunci 'accuracy' AND ‘alvarado score’ AND 'appendicitis' AND ‘Asia’ OR ‘Indonesia’ Hasil penelitian memperlihatkan tidak terdapat perbedaan akurasi skor yang bermakna dalam kelompok usia, akan tetapi skor Alvarado lebih akurat pada laki-laki dibandingkan perempuan. Pada studi ini didapatkan rerata akurasi dari skor Alvarado ialah: sensitivitas 72,92%; spesifisitas 67,17%; PPV 92%; NPV 35,8%; dan DA 64,6%. Simpulan penelitian ini ialah nilai rerata akurasi skor Alvarado untuk mendiagnosis kasus apendisitis di kawasan Asia menunjukkan bahwa skor ini masih dapat digunakan dalam praktik sehari-hari. Bila sistem skor ini dikombinasikan dengan pemeriksaan USG ataupun biomarker lainnya maka akurasi diagnosis akan meningkat.\u0000Kata kunci: skor Alvarado; akurasi; apendisitis","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121877230","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 yang Berhubungan dengan Kepuasan Pasien terhadap Pelayanan di Rumah Sakit Bhayangkara TK III Manado","authors":"Sri M. Sandag, A. Manampiring, Gustaaf A. E. Ratag","doi":"10.35790/msj.v4i2.44803","DOIUrl":"https://doi.org/10.35790/msj.v4i2.44803","url":null,"abstract":"Abstract: Level of patient satisfaction in hospitals must be evaluated periodically, accurately, and continuously since it describes the quality of services provided by the hospital. Patient satisfaction can be achieved if the patient receives services according to what is needed and expected. This study aimed to analyze factors related to patient satisfaction with services at Rumah Sakit (RS) Bhayangkara TK III Manado. This was a quantitative study with a cross sectional design conducted at RS Bhayangkara TK III Manado. The population in this study were 3,055 patients with total samples of 231 patients taken by using simple random sampling. Data were obtained by using questionnaires, and were analyzed univariately, bivariately with the chi-square test, and multivariately with the logistic regression test. Statistical calculation used SPSS program. The results of the chi square test were, as follows: reliability p=0.000; OR=77.407; responsiveness p=0.000; OR=234.3; assurance p=0.000; OR=120.375; empathy p=0.000; OR=194,33; and tangibles p=0.000; OR=238,889. The multivariate analysis using the logistic regression test showed that the highest Exp (B) value of 128.412 was on the empathy aspect. In conclusion, reliability, responsiveness, assurance, empathy, and tangibles are related to patient satisfaction with the services at RS Bhayangkara TK III Manado. The most related factor to patient satisfaction is empathy.\u0000Keywords: patient satisfaction; service quality; hospital\u0000 \u0000Abstrak: Pengukuran tingkat kepuasan pasien di rumah sakit wajib dilakukan seara berkala, akurat dan berkesinambungan oleh karena tingkat kepuasan menggambarkan kualitas pelayanan yang diberikan oleh rumah sakit. Kepuasan pasien dapat tercapai apabila pasien menerima pelayanan sesuai dengan yang dibutuhkan dan diharapkan. Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan kepuasan pasien terhadap pelayanan di RS Bhayangkara TK III Manado. Jenis penelitian ialah kuantitatif dengan desain potong lintang. Populasi dalam penelitian ini yaitu 3.055 dengan jumlah sampel 231 pasien yang diambil secara simple random sampling. Data diperoleh dengan menggunakan kuesioner, kemudian dianalisis secara univariat, bivariat dengan menggunakan uji chi- square, dan multivariat menggunakan uji regresi logistik. Perhitungan statistik menggunakan program SPSS. Hasil uji chi-square mendapatkan untuk aspek reliability p=0,000; OR=77,407; responsiveness p=0,000; OR=234,3; assurance p=0,000; OR=120,375; empathy p=0,000; OR=194,33; dan tangibles p=0,000; OR=238,889. Hasil uji regresi logistik mendapatkan nilai Exp (B) tertinggi yaitu 128,412 pada aspek empathy. Simpulan penellitian ini ialah tangibles, responsiveness, reliability, assurance dan empathy berhubungan dengan kepuasan pasien terhadap pelayanan di RS Bhayangkara TK III Manado. Faktor yang paling berhubungan dengan kepuasan pasien yaitu empathy.\u0000Kata kunci: kepuasan pasien; mutu pelayanan; rumah sakit","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"98 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132311632","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 Infeksi Hepatitis C pada Penyakit Ginjal Kronis","authors":"Mario F. Wilson, Bradley J. Waleleng, Octavianus R. H. Umboh","doi":"10.35790/msj.v4i1.44857","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44857","url":null,"abstract":"Abstract:: Hepatitis C, a type of hepatitis caused by hepatitis C virus, has spread worldwide. Chronic kidney disease (CKD) is a condition in which the kidneys lose their function as an organ gradually lasting more than three months. Moreover, the CKD population are susceptible to infection due to their immunity disorder and treatment at health care centers.  This study aimed to determine the risk factors for hepatitis C infection in CKD patients. This was a literature review study. Article searches were carried out in three databases, namely PubMed, ClinicalKey, and Google Scholar. The results obtained 10 full-text journals to be reviewed. Hemodialysis was the risk factor that contributed the most to the transmission of HCV to CKD patients. While, kidney transplantation accounted for a portion of HCV infection, but these risk factors could still be prevented and controlled. Blood transfusion was a risk factor for the spread of Hepatitis C virus in CKD which was the rarest since blood screening was carried out. In conclusion, there are three risk factors for hepatitis C virus infection in chronic kidney disease patients based on the possibility of infection sequentially including hemodialysis, kidney transplantation, and blood transfusion.\u0000Keywords: hepatitis C; chronic kidney disease; hemodialysis; infection; risk factor\u0000 \u0000Abstrak: Hepatitis C disebabkan oleh virus hepatitis C (VHC) dan telah menyebar ke seluruh dunia. Penyakit ginjal kronis (PGK) adalah kondisi dimana ginjal kehilangan fungsinya sebagai organ secara bertahap yang berlangsung lebih dari tiga bulan. Populasi dengan PGK menjadi kelompok rentan terkena infeksi akibat gangguan imunitas dan perawatan di pusat pelayanan kesehatan. Penelitian ini bertujuan untuk mengetahui faktor risiko infeksi hepatitis C pada pasien PGK. Jenis penelitian ialah suatu literature review. Pencarian artikel dilakukan pada tiga database yaitu PubMed, ClinicalKey, dan Google Scholar. Hasil penelitian mendapatkan 10 jurnal full-text yang dilakukan review. Hemodialisis merupakan faktor risiko yang paling banyak berkontribusi terhadap transmisi VHC pada PGK. Transplantasi ginjal menyumbang sebagian dari infeksi VHC, namun faktor risiko ini masih dapat dicegah dan dikendalikan. Transfusi darah merupakan faktor risiko penyebaran virus Hepatitis C pada PGK yang paling jarang terjadi sejak dilakukannya skrining darah. Simpulan penelitian ini ialah terdapat tiga faktor resiko infeksi virus hepatitis C pada penyakit ginjal kronik berdasarkan kemungkinan terjadinya infeksi secara berurut yaitu hemodialisis, transplantasi ginjal, dan transfusi darah.\u0000Kata kunci: hepatitis C; penyakit ginjal kronis; hemodialisis; infeksi; faktor risiko","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132112934","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 Berhubungan dengan Persepsi Tenaga Kesehatan terhadap Penerapan Budaya Keselamatan Pasien di RSUP Prof. Dr. R. D. Kandou Manado","authors":"Neni Ekawardani, A. Manampiring, Erwin G. Kristanto","doi":"10.35790/msj.v4i1.44770","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44770","url":null,"abstract":"Abstract: Patient safety is a joint commitment regarding patient safety from each individual or group to create a safe service environment. This study aimed to determine the factors related to the perception of health workers on the application of patient safety culture at Prof. Dr. R. D. Kandou Hospital, Manado. This was an analytical and descriptive study with a cross sectional design. Sampling used non-probability sampling technique in consecutive sampling. We used a questionnaire that had been tested for validity and reliability. Data were analyzed univariate, bivariate using the Spearman Rank test, and multivariate using the logistic regression test with the SPSS program. There were 323 respondents in this study. The statistical analysis showed that the teamwork in work units and management support for perceptions of patient safety culture implementation had a significant value with a very strong correlation (r=0,803; r=0,897). Commu-nication, collaboration between works units, and the frequency of reporting incidents on the perception of implementing safety culture in patients also has significant value with a strong correlation (r=0,706; r=0,671; r=0,624). Management support was the most dominant variable with odds ratio value of 125,244. In conclusion, there was a strong to very strong positive relationship in the factors of teamwork in work units, communication, cooperation between work units, incident reporting frequency, and management support related to the perception of health workers toward the application of a patient safety culture at Prof. Dr. R. D. Kandou Hospital, Manado.\u0000Keywords: perceptions of health workers; patient safety culture\u0000 \u0000Abstrak: Budaya keselamatan pasien merupakan komitmen bersama terkait keselamatan pasien dari setiap individu atau kelompok untuk menciptakan lingkungan pelayanan yang aman. Tujuan penelitian untuk mengetahui faktor-faktor yang berhubungan dengan persepsi tenaga kesehatan terhadap penerapan budaya keselamatan pasien di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian deskriptif analitik dengan desain potong lintang. Penentuan sampel dengan teknik non probability sampling secara consecutive sampling. Kami menggunakan kuesioner yang telah teruji validitas dan reliabilitasnya. Data dianalisis menggunakan program SPSS secara univariat, bivariat menggunakan uji Spearman Rank, dan multivariat menggunakan uji regresi logistik. Hasil penelitian mendapatkan 323 responden. Uji statistik menunjukkan hubungan kerjasama tim di unit kerja dan dukungan manajemen terhadap persepsi penerapan budaya keselamatan pasien yang bermakna dengan nilai korelasi sangat kuat (r=0,803; r=0,897). Hubungan komunikasi, kerjasama tim antar unit, dan frekuensi pelaporan insiden terhadap persepsi penerapan budaya keselamatan pasien yang bermakna dengan nilai korelasi yang kuat (r=0,706; r=0,671; r=0,624). Faktor dukungan manajemen yang paling dominan dengan nilai odds ratio 125,244. Simpulan penelitian ini ialah terdapat hubu","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125896569","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":"Korelasi Lama Menyandang Diabetes Melitus dan HbA1c dengan Estimasi Laju Filtrasi Glomerulus pada Pasien Diabetes Melitus Tipe 2","authors":"Afdriansyah L. Kombe, Cerelia E. C. Sugeng, Bisuk P. Sedli","doi":"10.35790/msj.v4i1.44732","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44732","url":null,"abstract":"Abstract: Diabetes mellitus (DM) is a group of metabolic diseases characterized by high blood sugar levels (hyperglycemia) that occur due to abnormalities in insulin secretion, insulin action, or both. Poor blood sugar control in the long term can cause various diseases, one of which is chronic kidney disease. This study aimed to determine the correlation between duration of DM and HbA1c (glycated hemoglobin) with estimated glomerular filtration rate (eGFR) in type 2 DM patients. This was an analytical study with a retrospective approach and a cross-sectional design. were taken by using consecutive sampling technique. Data of HbA1c and eGFR were obtained from the patient's medical record. Duration of suffering from diabetes mellitus was carried out by interviewing the patients. Data were analyzed using the Pearson and Spearman correlation statistical tests. The results obtained 38 type 2 DM patients as respondents. The correlation test between duration of DM and eGFR showed a significant negative correlation (r=-0.411; p=0.01), and the correlation test between HbA1c correlation test and eLFG showed a non-significant negative correlation (r=-0.109; p=0.516). In conclusion, there is a significant negative correlation between duration of DM and eGFR and a non-significant negative correlation between HbA1c and eGFR.\u0000Keywords: duration of diabetes mellitus; glycated hemoglobin; estimated glomerular filtration rate\u0000 \u0000Abstrak: Diabetes melitus merupakan kelompok penyakit metabolik yang memiliki karakteristik kadar gula tinggi (hiperglikemia) yang terjadi karena kelainan sekresi insluin, kerja insulin atau keduanya. Kontrol gula darah yang buruk secara jangka panjang dapat menimbulkan berbagai penyakit salah satunya penyakit ginjal kronik. Penelitian ini bertujuan untuk untuk mengetahui korelasi lama menyandang DM dan HbA1c (glycated hemoglobin) dengan eLFG (estimasi laju filtrasi glomerulus) pada pasien DM tipe 2. Jenis penelitian ialah analitik dengan pendekatan retrospektif serta menggunakan desain potong lintang. Responden penelitian diambil dengan teknik consecutive sampling. Data HbA1c dan eLFG diperoleh melalui rekam medik pasien. Pengambilan data lama menyandang DM dilakukan dengan wawancara pada pasien. Pada penelitian ini digunakan uji statistik korelasi Pearson dan Spearman. Hasil penelitian mendapatkan sebanyak 38 responden. Hasil uji korelasi antara lama menyandang DM dengan eLFG menunjukkan korelasi negatif bermakna (r=-0,411; p=0,01), dan hasil uji korelasi HbA1c dengan eLFG menunjukkan korelasi negatif tidak bermakna (r=-0,109; p=0,516). Simpulan penelitian ini ialah terdapat korelasi negatif yang bermakna antara lama menyandang diabetes melitus dengan eLFG dan korelasi negatif tidak bermakna antara HbA1c dengan eLFG.\u0000Kata kunci: lama menyandang diabetes melitus; glycated hemoglobin; estimasi laju filtrasi glomerulus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114274179","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 Foto Toraks pada Pasien Tuberkulosis Paru dengan Penyakit Ginjal Kronik di RSUP Prof. Dr. R. D. Kandou Periode Januari-Juni 2022","authors":"Dian A. Safitri, Yovana P. M. Mamesah, Joan F. J. Timban","doi":"10.35790/msj.v4i1.44722","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44722","url":null,"abstract":"Abstract: Pulmonary tuberculosis (TB), a chronic disease caused by Mycobacterium tuberculosis, is still a world health problem. Chronic kidney disease (CKD) is also a significant global health problem. In CKD, the immune system dysfunction occurs in the form of cell-mediated immunity (CMI). This study aimed to find out the imaging of chest X-ray in tuberculosis patients with chronic kidney disease at Prof. Dr. R. D. Kandou Hospital, Manado, from January to June 2022. This was a retrospective and descriptive study with a cross sectional design. The results obtained 34 tuberculosis patients with CKD, dominated by males (76.5%) and patients aged 56-65 years (41.2%). Based on CKD status, the risk of tuberculosis increased in patients undergoing hemodialysis (52.9%). The most common characteristic of chest X-ray were infiltrates and fibrosis (79.4%) and the dominant combination lesions on chest X-ray were infiltrates, consolidation, and fibrosis (23.5%). The area of tuberculosis lesion was commonly found in the form of minimal lesion (47.1%). In conclusion, the most common chest X-ray profiles in tuberculosis patients with chronic kidney disease were infiltrates and fibrosis, and minimal lesion.\u0000Keywords: chest X-ray; tuberculosis; chronic kidney disease\u0000 \u0000Absrtrak: Tuberkulosis (TB) paru disebabkan oleh Mycobacterium tuberculosis dan merupakan penyakit kronis yang masih menjadi masalah kesehatan dunia hingga saat ini. Penyakit ginjal kronis (PGK) juga merupakan masalah kesehatan global yang signifikan. Pada PGK terjadi disfungsi sistem imun berupa depressed cell-mediated immunity (CMI). Penelitian ini bertujuan untuk mendapatkan gambaran foto toraks pada pasien tuberkulosis dengan PGK di RSUP Prof. Dr. R. D. Kandou pada periode Januari–Juni 2022. Jenis penelitian ini ialah deskriptif retrospektif dengan desain potong lintang. Hasil penelitian mendapatkan 34 pasien tuberkulosis, didominasi oleh jenis kelamin laki-laki (76,5%) dan usia 56-65 tahun (41,2%). Berdasarkan status PGK, risiko terkena tuberkulosis lebih meningkat pada pasien yang dilakukan hemodialis (52,9%). Karakteristik pada gambaran foto toraks yang paling banyak ditemukan yaitu infiltrat dan fibrosis (79,4%), dan lesi kombinasi yang dominan pada gambaran foto toraks ialah infiltrat, konsolidasi, dan fibrosis (23,5%). Luas lesi pada tuberkulosis ditemukan lebih banyak pada lesi minimal (47,1%). Simpulan penelitian ini ialah gambaran foto toraks yang paling sering ditemukan pada pasien tuberkulosis dengan PGK ialah infiltrat dan fibrosis, serta lesi minimal.\u0000Kata kunci: foto toraks; tuberkulosis; penyakit ginjal kronik","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130221927","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 Foto Toraks Pasien Tuberkulosis Paru dengan Diabetes Melitus di RSUP Prof. Dr. R. D. Kandou Periode Januari – Juni 2022","authors":"Putra Y. Tampubolon, Alfa G. E. Y. Rondo, Martin L. Simanjuntak","doi":"10.35790/msj.v4i1.44724","DOIUrl":"https://doi.org/10.35790/msj.v4i1.44724","url":null,"abstract":"Abstract: Pulmonary tuberculosis (pulmonary TB) is one of the ten leading causes of death world-wide. Diabetes mellitus is a group of metabolic diseases characterized by hyperglycaemia. Thus, this disease can exacerbate the symptoms and increase the reccurence rate of pulmonary TB. Chest X-ray examination is used to support the diagnosis of pulmonary tuberculosis. This study aimed to obtain the chest X-ray profile of pulmonary TB patients with diabetes mellitus at Prof. Dr. R. D. Kandou Hospital from January to June 2022. This was a retrospective and descriptive study with a cross sectional design. The results obtained 21 patients of pulmonary TB with diabetes mellitus dominated by females (61.9%) and age group of 46-55 years (33.3%). The most common chest X-ray characteristic was fibrosis (95.2%). The most dominant degree of severity was far advanced lesion (61.9%). In conclusion, in this study the majority of pulmonary tuberculosis patients with diabetes mellitus were females and age group of 46-55 years. The most common chest X-ray characteristic was fibrosis with far advanced lesion.\u0000Keywords: chest X-ray; pulmonary tuberculosis; diabetes mellitus\u0000 \u0000Abstrak: Tuberkulosis paru (TB paru) merupakan salah satu dari sepuluh penyebab kematian terbesar di dunia. Diabetes melitus merupakan kelompok penyakit metabolik dengan karakteristik hiperglikemia. Penyakit ini dapat memperparah gejala TB paru dan meningkatkan angka kekam-buhan penyakit TB paru. Untuk menunjang diagnosis TB paru digunakan pemeriksaan foto toraks. Penelitian ini bertujuan untuk mengetahui gambaran foto toraks pada pasien TB paru dengan diabetes melitus di RSUP Prof. Dr. R. D. Kandou periode Januari–Juni 2022. Hasil penelitian mendapatkan 21 pasien TB paru dengan diabetes melitus di RSUP Prof. Dr. R. D. Kandou, didomi-nasi oleh jenis kelamin perempuan (61,9%). Berdasarkan kelompok usia, yang paling dominan ialah kelompok usia 46-55 tahun (33,3%). Gambaran foto toraks yang paling sering ditemukan ialah fibrosis (95,2%). Derajat keparahan yang paling mendominasi ialah dengan luas lesi far advanced (61,9%). Simpulan penelitian ini ialah mayoritas pasien tuberkulosis paru dengan diabetes melitus ditemukan pada perempuan dengan kelompok usia 46-55 tahun. Gambaran foto toraks yang paling sering ditemukan ialah fibrosis dengan lesi far advanced.\u0000Kata kunci: foto toraks; tuberkulosis paru; diabetes melitus","PeriodicalId":118600,"journal":{"name":"Medical Scope Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127494763","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}