{"title":"Analisis Perbedaan Kinerja Keuangan Rumah Sakit Sebelum dan Sesudah Kebijakan Tanpa Uang Muka","authors":"A. Arifin, A. C. Sjaaf","doi":"10.26891/JIK.V12I1.2018.32-38","DOIUrl":"https://doi.org/10.26891/JIK.V12I1.2018.32-38","url":null,"abstract":"The upfront payment policy in the hospital caused controversy and rejection from the society. To anticipate this, some hospitals apply no upfront payment policy. However the policy causes an increase in bad debts. Seeing this dilemma, the authors will conduct research to analyze the different of hospital financial performance before and after no upfront payment policy. The research method used is comparative descriptive with analyzed by paired sample t-test. The result was no upfront payment policy has a positive impact on hospital financial performance. The results of this study were expected to be an input for hospital management and government to revise and refine on the upfront payment policy.","PeriodicalId":207188,"journal":{"name":"Jurnal Ilmu Kedokteran (Journal of Medical Science)","volume":"133 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130930221","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":"Peningkatan Kadar Troponin-I Paska Resusitasi Cairan pada Sus Scrofa Sebagai Model Hewan Coba Renjatan","authors":"H. Pasaribu, Antonius H. Pudjiadi, Rismala Dewi","doi":"10.26891/JIK.V12I1.2018.7-12","DOIUrl":"https://doi.org/10.26891/JIK.V12I1.2018.7-12","url":null,"abstract":"Provision large amounts of fluids in a short period is known can cause hypervolemia. Therefore, an examination is needed to find out that the fluid resuscitation being administered does not cause hypervolemia. The purpose of this study is to assess the effect of hypervolemic resuscitation on cardiac contractility. The study was conducted on 10 male Sus Scrofa aged 6-8 weeks, as shocked animal models. There are 3 types of resuscitation treatments : normovolemic, hypervolemic-1, and hypervolemic-2. Cardiac contractility was assessed using DPmax and troponin-i levels. There was an increase in troponin-i levels after hypervolemic fluid resuscitation (p = 0.05). There is a decrease in cardiac contractility after hypervolemic resuscitation. Decreased cardiac contractility is associated with increased troponin-i (r = 0.720; p = 0.020). Based on the results, we conclude hypervolemic resuscitation causes changes in troponin-i levels, which reflect changes in cardiac contractility.","PeriodicalId":207188,"journal":{"name":"Jurnal Ilmu Kedokteran (Journal of Medical Science)","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132675653","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}
Shabrina Maharani, Dasril Efendi, Lucyana Ani Debora Tampubolon
{"title":"Gambaran Pemeriksaan Fungsi Hati pada Pasien Sirosis Hepatis yang Dirawat di Rumah Sakit Umum Daerah Arifin Achmad Provinsi Riau Periode 2013 - 2015","authors":"Shabrina Maharani, Dasril Efendi, Lucyana Ani Debora Tampubolon","doi":"10.26891/JIK.V12I1.2018.46-51","DOIUrl":"https://doi.org/10.26891/JIK.V12I1.2018.46-51","url":null,"abstract":"Diagnosis of hepatic cirrhosis enforcement requires the anamnesis, physical examination, and examination of supporting. The purpose of this research is to know the description of examination of liver function. The results showed on the basis of age age category is the most 25-65 of the year a number of 188 men (89.1%), most of which is gender male category a number of 135 people (63.98%), bilirubin total showed an increase of more than 1.1 mg/dL number of 154 people (90.59%), albumin showed a decrease of less than 3.8 g/dL number of 181 people (92.34%), AST shows an increase of more than 45 u/L number of 162 people (77.14%) ALT, shows an increase of more than 35 u/L number of 146 people (69.52%), HbsAg is present on a number of 58 patients, and 1 patient is present on the HVC.","PeriodicalId":207188,"journal":{"name":"Jurnal Ilmu Kedokteran (Journal of Medical Science)","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129829372","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 Asam Alfa Lipoat Terhadap Kadar Trigliserida pada Tikus Diabetes Melitus Tipe 2","authors":"Angel Chen, Ismawati Ismawati, Enikarmila Asni","doi":"10.26891/JIK.V12I1.2018.13-18","DOIUrl":"https://doi.org/10.26891/JIK.V12I1.2018.13-18","url":null,"abstract":"Accumulation of triglycerides associated with insulin resistance in type 2 diabetes mellitus (T2DM). Alpha lipoic acid (ALA) has hypotriglyceridemic effects by lowering triglyceride levels in blood and liver. This study aims to analyze effect of ALA on triglyceride levels in type 2 diabetic rats. Fifteen Wistar male rats (±8-12 weeks, 200-250 gram) divided into 3 groups (control, T2DM and T2DM–ALA given for 3 weeks). Diabetes was induced by giving streptozotocin (50 mg/kg.bw) and nicotinamide (110 mg/kg.bw) after 15 minutes intraperitoneally. Diagnosis of T2DM was determined if the rats have perifer blood glucose >250 mg/dL after 3 days. The results showed that triglyceride levels in ALA group (p=0,003) lower than T2DM group, T2DM group (p=0,031) had higher triglyceride level than control and no difference of triglyceride level between T2DM-ALA given group with control (p=0,696). This study concluded that ALA can affect triglyceride levels in T2DM thus prevents occurrence of hypertriglyceridemia.","PeriodicalId":207188,"journal":{"name":"Jurnal Ilmu Kedokteran (Journal of Medical Science)","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117055147","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}