Jurnal Kedokteran Brawijaya最新文献_第6页

Why Do Inpatient Visits Decrease during the Covid-19 Pandemic? A Case Study in Hospital, Malang Regency 为什么在Covid-19大流行期间住院人数减少?玛琅摄政医院个案研究

Jurnal Kedokteran Brawijaya Pub Date : 2022-07-11 DOI: 10.21776/ub.jkb.2021.031.02.3s

Anggun Agatha Cristy Lukito, Kurnia Widyaningrum

{"title":"Why Do Inpatient Visits Decrease during the Covid-19 Pandemic? A Case Study in Hospital, Malang Regency","authors":"Anggun Agatha Cristy Lukito, Kurnia Widyaningrum","doi":"10.21776/ub.jkb.2021.031.02.3s","DOIUrl":"https://doi.org/10.21776/ub.jkb.2021.031.02.3s","url":null,"abstract":"The Covid-19 pandemic has caused a decreasing number of non-Covid-19 inpatient visits in almost all hospitals, including the hospital where the study was conducted, which experienced decreasing Bed Occupancy Rate (BOR) up to 35.5%. This study aimed to identify the factors causing the decrease in the number of inpatients at the hospital. The research was conducted using a case study approach at a type D hospital in Malang Regency. Data was collected through a Focus Group Discussion (FGD) analyzed using a Fishbone Diagram combined with 5 whys and triangulation using secondary data and surveys. FGD respondents determined were eight respondents consisting of the Head of Inpatient Room, the Coordinator of Inpatient Room, the Coordinator of Outpatient, the Head of the Public Relations and Marketing Unit, and the Coordinator of the Admission Department. The results show that the causes can originate from human, method, market, and environmental aspects. Distrust in hospitals is caused by negative stigmatization and instructions to delay hospital services and communication barriers due to media as a consequence of implementing health protocols.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"109 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77286516","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}

引用次数: 3

Workload of the Inpatient Nurses: What are the Affecting Factors? 住院护士工作量的影响因素是什么?

Jurnal Kedokteran Brawijaya Pub Date : 2022-07-11 DOI: 10.21776/ub.jkb.2021.031.02.13s

Lidia Asjanti, Dolly Irbantoro, Devita Rahmani R

引用次数: 0

Relationship between Knowledge and Preparedness Levels of ER Staff on Pre-Triage System Implementation 急诊人员对分诊前系统实施的知识与准备水平的关系

Jurnal Kedokteran Brawijaya Pub Date : 2022-07-11 DOI: 10.21776/ub.jkb.2021.031.02.8s

Emilda Yuvita, N. Fitriasari, Nofita Dwi Harjayanti

引用次数: 0

Effectiveness of Hyaluronic Acid Nasal Drops in Post Functional Endoscopic Sinus Surgery 透明质酸滴鼻液在功能性内窥镜鼻窦手术后的疗效

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-12 DOI: 10.21776/ub.jkb.2022.032.01.5

Dian Yusnita, A. Dewi, Riece Hariyati

{"title":"Effectiveness of Hyaluronic Acid Nasal Drops in Post Functional Endoscopic Sinus Surgery","authors":"Dian Yusnita, A. Dewi, Riece Hariyati","doi":"10.21776/ub.jkb.2022.032.01.5","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.5","url":null,"abstract":"Functional Endoscopic Sinus Surgery (FESS) is commonly performed on patients with chronic rhinosinusitis (CRS) that has not improved through medical treatment. Hyaluronic acid (HA) has a vital role in wound healing and mucosa repair. This study aimed to determine the effectiveness of nasal drops using HA on clinical symptom scores, quality of life, and endoscopic features in post-FESS patients. This study was conducted with a pre- and post-test randomized control group design in 50 CRS patients undergoing FESS (25 males, 25 females, aged 18 to 55 years) at Dr. Kariadi General Hospital Medical Center Semarang from May to November 2019. The treatment group received additional HA therapy, while the control group only received standard therapy. Subjects were assessed with clinical symptom scores, quality of life, and endoscopic features before and after treatment. The statistical analysis was performed between the control and treatment groups using the Mann-Whitney test. There were significant differences between the control and treatment groups on clinical symptom scores (nasal congestion p = 0.001, runny nose p = 0.027) and endoscopic features (edema p = 0.001, secret p = 0.001, crusts p = 0.001). The therapy in post-FESS patients was using nasal drops, the treatment group was given HA, and the control group was given a placebo. Nasal drops using HA in the treatment group show improvement in clinical symptom scores of nasal congestion and runny nose, as well as the endoscopic appearance of edema, secret, and crusts.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87966538","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}

引用次数: 0

The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients 使用PILA-Pack:痔疮患者住院时间的差异

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-12 DOI: 10.21776/ub.jkb.2022.032.01.7

Fadli Robby Amsriza, Rizka Fakhriani

{"title":"The Use of PILA-Pack: Differences in Length of Stay of Hemorrhoidal Patients","authors":"Fadli Robby Amsriza, Rizka Fakhriani","doi":"10.21776/ub.jkb.2022.032.01.7","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.7","url":null,"abstract":"Hemorrhoids are a common anorectal disease and can affect all ages. This research aims to specify the differences in Length of Stay (LOS) of hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using Paran Injection Ligation for Ambeien pack (PILA pack) compared to a hemorrhoidectomy. This study consisted of 56 respondents who underwent hemorrhoidectomy, and the other 56 respondents experienced a modified combined method of rubber ligation and sclerotic injection using a PILA pack. Data showed the LOS's average of respondents who underwent hemorrhoidectomy was 47.33 hours or 1.97 days. Meanwhile, respondents' average length of stay who underwent a modified combined rubber ligation and sclerotic injection using a PILA pack was 20.44 hours or 0.85 days. Finally, the T-test results showed a p-value of 0.001 (p<0.05), indicating that there was a statistically significant difference in the average LOS between hemorrhoidal patients who underwent hemorrhoidectomy and hemorrhoidal patients who underwent a modified combined method of rubber ligation and sclerotic injection using PILA pack. Based on the result, it can be concluded that the mean LOS for hemorrhoidal patients receiving haemorrhoidectomy vs. hemorrhoidal patients undergoing a modified technique of rubber ligation and sclerotic injection utilizing the Paran Injection Ligation for Ambeien pack was significantly different.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91150224","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}

引用次数: 0

Correlation between Nurse Practice and Pre-hospital Ambulance Service Satisfaction in Bali 巴厘岛护士执业与院前救护车服务满意度的相关性研究

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-12 DOI: 10.21776/ub.jkb.2022.032.01.8

I. Sanjana, T. A. Wihastuti, Nurul Muslihah

引用次数: 2

Combination of Vitamin C and E Improves Spermatogenesis of White Male Rat Model of Paradoxical Sleep Deprivation Stress 维生素C和E联合使用可改善睡眠剥夺应激白鼠模型的精子发生

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-11 DOI: 10.21776/ub.jkb.2022.032.01.2

F. Arjadi, M. Mustofa, Y. Wibowo, N. S. Gumilas, Dzicky Rifqi Fuadi

{"title":"Combination of Vitamin C and E Improves Spermatogenesis of White Male Rat Model of Paradoxical Sleep Deprivation Stress","authors":"F. Arjadi, M. Mustofa, Y. Wibowo, N. S. Gumilas, Dzicky Rifqi Fuadi","doi":"10.21776/ub.jkb.2022.032.01.2","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.2","url":null,"abstract":"Paradoxical Sleep Deprivation (PSD) elevates glucocorticoid and Reactive Oxygen Species (ROS) levels that cause oxidative stress, trigger spermatogenic cells damage, and reduce the number of sertoli cells. Vitamin C and E are antioxidants that could prevent spermatogenesis damage by preventing free radical formation. The study aimed to determine the effect of single and combined doses of vitamin C and E in improving spermatogenesis of white male rats (Rattus norvegicus) model of PSD. This is experimental research with post-test only and control group design on 28 white male rats distributed into four groups, i.e. group I (control, PSD), group II (PSD+vitamin C), group III (PSD+vitamin E), and group IV (PSD+a combination of vitamin C and E). Testicular preparations were stained using Hematoxylin-Eosin staining, quantitative scores of spermatogenic cells were measured using the Johnsen method, and the number of sertoli cells was counted in 10 seminiferous tubules in each of the three testicular sections. Group I has the lowest mean of Johnsen score (5.27±0.28), and group IV has the highest mean score (8.95±0.62), while the Mann-Whitney test showed a significant difference (p<0.05) between group II, III and IV compared to group I (control group). Mean sertoli cells number of group I is the lowest (10.66±1.04), and group IV has the highest sertoli cells number. The post-hoc LSD test showed a significant difference (p<0.05) between group IV and the other groups. Thus, the combination of vitamins C and E improves Johnsen score and sertoli cells number of male rats (Rattus norvegicus) experiencing PSD.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73200445","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}

引用次数: 1

Epidermoid Cyst of Sole 足底表皮样囊肿

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-11 DOI: 10.21776/ub.jkb.2022.032.01.13

Wuriandaru Kurniasih, A. Widiatmoko

{"title":"Epidermoid Cyst of Sole","authors":"Wuriandaru Kurniasih, A. Widiatmoko","doi":"10.21776/ub.jkb.2022.032.01.13","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.13","url":null,"abstract":"An epidermoid cyst is benign cystic tumor coated with squamous epithelium and contains keratin. It generally appear on the body parts which have pilosebaceous follicles, such as head, neck, and body. The manifestation of the disease is a skin-colored, mobile, painless nodule with a punctum in the center. Epidermoid cyst of sole is often similar to clavus, callus, and verruca plantaris. However, epidermoid cyst of sole is rare because the area is without pilosebaceous follicles. The etiopathology is believed due to trauma that causes implantation of epidermal cells into the dermis layer, thus triggering the formation of epidermoid cysts. This case report a girl with an epidermoid cyst of sole that was initially thought as a verruca plantaris and clavus. A 14-year-old girl complained about a bump on her right foot that got bigger during nine months. The lesions surface was slippery, and the patient felt pain when walking. The patient denied any trauma or changing footwear with friends or relatives. Examination in the right lateral plantar pedis region, a nodule was found skin-colored, round, measuring 2x2 cm, and solitary. The patient was planned to undergo excochleation, but since a white cystic mass was found during the operation, it was continued with extirpation surgery. The histopathological examination results showed a stroma with keratin, which was concluded as an epidermoid cyst. In the case of epidermoid cysts with atypical clinical symptoms and unusual lesion locations, histopathological examination is required for a definite diagnosis.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"60 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89776763","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}

引用次数: 0

Restraint Stress Impacts on Behavioral Changes and Adrenal and Kidney Tissue Histopathology of Adult Mice 约束应激对成年小鼠行为改变及肾上腺、肾脏组织病理学的影响

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-11 DOI: 10.21776/ub.jkb.2022.032.01.1

Davy Reyhanditya, Viona Faiqoh Hikmawati, N. Kurnianingsih, F. Fatchiyah

{"title":"Restraint Stress Impacts on Behavioral Changes and Adrenal and Kidney Tissue Histopathology of Adult Mice","authors":"Davy Reyhanditya, Viona Faiqoh Hikmawati, N. Kurnianingsih, F. Fatchiyah","doi":"10.21776/ub.jkb.2022.032.01.1","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.1","url":null,"abstract":"Restraint stress causes changes in the brain parameters. Little research has been done on the impact of restraint stress on other tissues, including adrenal glands and kidneys. This study aimed to determine the effect of restraint stress on eating behaviors, depressive-like, anxiety-like behaviors, weight gain as well as histopathological changes in the kidneys and adrenal glands. Twenty adult BALB/c mice were assigned into control male, stressed male, control female, and stressed female. Restraint stress was applied two hours/day for 14 days. Tail suspension and open field tests were carried out to perform behavior analyses. Adrenal and kidney histological slides were observed under an Olympus CX-31 microscope and visualized using an Olympus E330 camera. The two-way ANOVA test was used for statistical analysis using GraphPad Prism 9.0.0 software. We found that restraint stress defeat appetite and reduces weight gain particularly in stressed female. However, depressive- and anxiety-like behavior were demonstrated in both sexes. Adrenal and kidney tissues of stressed mice demonstrated a higher number of necrotic cells than control. The pyknosis phase was more common than the karyorrhexis and karyolitic phases. Interestingly, male mice were more receptive to stress than female mice. These findings indicate that restraint stress leads to behavioral changes and cellular defects in the adrenal glands and kidneys, particularly in male mice. The sympathetic activation and hypothalamus-pituitary-axis stimulation are assumed as the underlying stress effect of the restraint procedure. The restraint stress method has the potential to be used in future research on stress-responsive target organs.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"1 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72710192","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}

引用次数: 2

Relationship between Nutritional Status, Frailty, and Cognitive Function among Elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin 老年人营养状况、虚弱和认知功能的关系。Banjarmasin安萨里·萨利赫总医院

Jurnal Kedokteran Brawijaya Pub Date : 2022-04-11 DOI: 10.21776/ub.jkb.2022.032.01.10

Wiwit Agung Sri Nur Cahyawati, R. Panghiyangani, Muhammad Syauqi Abid Muslim, Novia Belinda Rahman

{"title":"Relationship between Nutritional Status, Frailty, and Cognitive Function among Elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin","authors":"Wiwit Agung Sri Nur Cahyawati, R. Panghiyangani, Muhammad Syauqi Abid Muslim, Novia Belinda Rahman","doi":"10.21776/ub.jkb.2022.032.01.10","DOIUrl":"https://doi.org/10.21776/ub.jkb.2022.032.01.10","url":null,"abstract":"The elderly often have nutritional problems. The risk of malnutrition can stimulate the prevalence of frailty and declining cognitive function in the elderly. The study aimed to analyze the relationship between nutritional status, frailty, and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh Hospital Banjarmasin. This study was analytic observational using a cross-sectional method. A sample of 93 elderly was obtained using a total sampling technique according to the inclusion and exclusion criteria. The nutritional status assessment was done using the Mini Nutritional Assessment-Short Form (MNA-SF), the Edmonton Frailty Scale (EFS), and the Mini-Mental State Examination (MMSE). The results showed that the mean of Mini Nutritional Assessment score was 12.00±2.126, the average frailty score was 4.41±1.872, and the average value of cognitive function was 25.98±2.923. Data were analyzed using the Spearman's non-parametric correlation test with a 95% confidence level. The correlation test results between nutritional status and frailty obtained p=0.000 and r=-0.490. The correlation test results between nutritional status and cognitive function obtained p=0.000 and r=0.595. In short, there is a relationship between nutritional status on frailty and cognitive function in the elderly at Dr. H. Moch. Ansari Saleh General Hospital Banjarmasin, it means that the good nutritional status in the elderly, the risk of frailty syndrome will decrease and improve cognitive function.","PeriodicalId":17705,"journal":{"name":"Jurnal Kedokteran Brawijaya","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85216522","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}

引用次数: 0