Academic Hospital Journal最新文献

{"title":"Comparison of Applications of Aloe Vera, Honey, Saliva, and Ovalbumin on Collagen Formation in Wound Healing of Incised Skin in Rats","authors":"R. Tomo, I. Dachlan, Dewajani Dewajani","doi":"10.1234/AHJ.V1I1.33620","DOIUrl":"https://doi.org/10.1234/AHJ.V1I1.33620","url":null,"abstract":"Background: Aloe vera, honey, human saliva, and ovalbumin are useful in the wound healing process. Collagen acts as an indicator of wound healing.Objective: This research aimed to compare the effect of Aloe vera, honey, human saliva and ovalbumin on collagen formation in wound healing.Design: This research was a laboratory experimental study on sixty white rats (Rattus novergicus) which were divided into 5 groups. Four groups were cases with skin applications and 1 group was controls with NaCl. We performed general anesthesia procedure, making an incision on skin of back, then the wound was sutured, and on surface of the sutured wound we applied substrate twice a day for six days. On day four and seven, after euthanasia, the sutures were removed, and the incised skin was taken for histological examination. We counted and analyzed the size of collagen with Image Raster tool programs. Data were analyzed with t-test, Mann Whitney, ANOVA and Kruskal Wallis tests, and then with post hoc tests.Results: After day four, the mean area of collagen of Aloe vera group was 55391.19 ± 30939.63, honey 24194.88 ± 43700.39, saliva 25869.86 ± 31608.39, ovalbumin 82459.19 ± 80994.66, NaCl  97658.04 ± 88452.74, with no significant differences between collagen sizes with p=0.125 (˃0.05). Decapitation day seven, significant differences with p=0.017 (˂0.05), in honey group 18601.67 ± 29260.28 and saliva 17560.31 ± 27262.03 than the control NaCl  94126.22 ± 29500.27.Conclusions: Collagen sizes after day four among the groups of Aloe vera, honey, saliva, ovalbumin and saline did not differ significantly. Collagen sizes after day seven of honey and saliva groups were significantly different than the controls.","PeriodicalId":271282,"journal":{"name":"Academic Hospital Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124189349","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":"Identification of Waste Handling Compliance of Sharp Objects at Universitas Gadjah Mada Academic Hospital Yogyakarta","authors":"Timuryani Nugraheni","doi":"10.1234/AHJ.V1I1.33618","DOIUrl":"https://doi.org/10.1234/AHJ.V1I1.33618","url":null,"abstract":"Background: Health care processes that occur in the hospital cannot be separated from factor control and prevention of infection. One of the biggest challenges of the current hospital is to be able to reduce the number of infections that occur during the delivery of health services in progress.Objective: This research aimed to identify compliance with the infection control policy concerning health workers and sharp objects in order to prevent spread of infection and to decide upon the chain of infection transmission in Universitas Gadjah Mada Academic Hospital, Yogyakarta, Indonesia.Design:  This research was a descriptive analytic study. Data were collected by observation methods using a survey instrument in the form of a check list. The processing of data involved factor analysis and narratives in descriptive form with percentages and tables.The study population involved total sampling of 30 percent of the total measures undertaken by syringe healthcare workers who work in the ER, Intensive Care Installation, Operation Room and Midwifery Care Lounge. The sample set included 40 activities. The Observation Sheet was based on the Guide PPI from the 2011 Nurses Association of Infection Prevention and Control.Results: The incidence of needle stick during January - April 2015 increased significantly to 4 events. Rate of compliance officers in managing sharps waste was: 67.5% with 25 % of corporate compliance officers not doing recapping or closure of needles (minimum scale). A sharp object was not given to others as much as 82.5% (Medium scale). When intending to give a sharp object to another person then the container was used as much as 57.5% (minimum scale). Sharps waste were put into a special puncture resistant and waterproof box 97.5% (scale of Good). Safety box 3/4 full of sharps waste was sealed or sealed and thrown into the garbage storage area as much as 75% (minimum scale).Conclusions: The availability of adequate infrastructure, e.g. Safe Injecting SPO, SPO sharps waste management, availability of containers for storing syringe when it will be handed over to another officer, and the availability of adequate safety box needs to be improved. Workers should strictly follow the NSI (Needle Stick Injury) prevention and control program and execute compliance based on SPO guided by the universal precautions and hierarchical control policy.","PeriodicalId":271282,"journal":{"name":"Academic Hospital Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128420660","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":"Toxic Epidermal Necrolysis : A Case Report in 9-Year Old Girl","authors":"Nurwestu Rusetiyanti, Rr. Vetria Sekar Damayanti, Ravicka Rakhmayunita, Sugiarsih Sugiarsih","doi":"10.1234/AHJ.V1I1.30069","DOIUrl":"https://doi.org/10.1234/AHJ.V1I1.30069","url":null,"abstract":"Introduction. Toxic Epidermal Necrolysis (TEN) is a acute and severe reactions of skin and mucosa that can lead to serious clinical outcomes and morbidity. TEN is considered to be rare in children and usually has a fatal outcome due to sepsis.Case. 9-year old girl, went to Universitas Gadjah Mada (UGM) Hospital with complaint of erythematous, purpuric rash, blister starting from the neck and also involving the inside of the mouth, lips and eyes, and spreading over the entire body. Three weeks before hospital admission, she received combination of drugs valproate sodium, clonazepam, phenobarbital and piracetam. Two week after, she developed skin rash and progress to develop TEN. Sodium valproate and clonazepam were discontinued, and intravenous methylprednisolone, prophylactic systemic antibiotics, intravenous immunoglobulin (IVIG), intravenous fluid supplement, antipyretic, special wound care at semi sterile room, and supportive medical care fro TEN were administered. She was discharged from hospital in a stable, good condition.Discussion. This case suggests that sodium valproate contributed to the development of TEN. Appropriate case management will give excellent result, and reduce long-term complications.","PeriodicalId":271282,"journal":{"name":"Academic Hospital Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126409222","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":"A Descriptive Analysis of Patient Safety at Universitas Gadjah Mada Academic Hospital Yogyakarta : A Case Study Using IHI Global Trigger Tool for Measuring Adverse Events","authors":"Novi Zain Alfajri, Domas Fitria Widyasari, Ratna Puspita","doi":"10.1234/AHJ.V1I1.33622","DOIUrl":"https://doi.org/10.1234/AHJ.V1I1.33622","url":null,"abstract":"Background: Management of medical treatment is a very complex multi-disciplinary process with many stages. During patient care at Universitas Gadjah Mada Academic Hospital (UGM Academic Hospital) incidents involving patient safety either go unreported or are accidentally found. According to some public health research only about 10-20% of incidents were reported. The purpose of this research aimed to provide data to the management about the level of patient safety and make recommendations to improve service quality, especially to reduce injury and increase patient safety.Methods: Our study was conducted by doing a review of patient medical records of hospitalized adults (n = 60) treated in September 2015 to detect trigger and adverse events using the IHI Global Trigger Tool for Measuring Adverse Events. Group Cares was designed to reflect the adverse events that occurred anywhere in UGM Academic Hopitaltal so that all samples should be reviewed by both modules. All three remaining modules were used if necessary depending on the unit where patients were treated. Technical analysis used in this research was descriptive statistics.Results: The study found 69 incidents / triggers that occurred in 27 patients (n = 60) consisting of 47 incidents in the treatment group, 16 incidents in the surgery group, one incident in intensive care, and 5 incidents at the Emergency Department. Based on the level of injury, the incidents which happened demanded extended day care, requiring more intervention and assistance of disability. No cases of death were reported due to the incidents.Conclusions: The incidence found in all categories according to the modules with the highest incidence was the incidence of treatment and the smallest was in intensive care. Most incidents resulted in extending the duration of treatment and require more intervention. No fatal cases were reported to have resulted in the studied sample.","PeriodicalId":271282,"journal":{"name":"Academic Hospital Journal","volume":"35 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131957828","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":"Evaluation of Expectations and Quality Health Care Based on Patients’ Perspectives in Universitas Gadjah Mada Academic Hospital","authors":"Sugiarsih Sugiarsih","doi":"10.1234/AHJ.V1I1.33608","DOIUrl":"https://doi.org/10.1234/AHJ.V1I1.33608","url":null,"abstract":"Background: Health services provided by hospitals can be used as capital to improve the image of services and compete with other hospitals in order to be the patients’ preferred choice in solving their health problems. Patients have different perceptions of medical services provided which can be used for describing the quality of hospital services.Methods: This research was a descriptive analytic study with a cross-sectional design, where data retrieval used a questionnaire which measures the patients’ expectations and perceptions of services from the Outpatient, Inpatient and Emergency Departments with 5 dimensions of quality: tangibles, responsiveness, empathy, reliability and assurance. The study population was patients who visited the outpatient, inpatient and emergency departments totaling 5000 samples as calculated by the Slovin formula, with a sample set of 120 respondents selected by random sampling. Data were analyzed using independent sample t tests to determine differences in patients’ expectations and perceptions of services obtained at the time of visit. ANOVA tests were used to analyze data about differences in patients’ expectations and perceptions of the outpatient, inpatient and ER departments. For the descriptive study, the data were analyzed by finding the average of the patients’ responses. Results: Patient expectations of service quality was an important quality dimension which reached an average value of 93.97. The perception of the quality of services reached a value of 84.12. Statistically, there was no difference between the quality of the outpatient, emergency and inpatient departments with p=0.4 (>0.05). There was a statistically significant difference in patient expectations and perceptions of service quality delivered both with p=0.000 (<0.05). Conclusions: According to the perceptions of patients, quality of service at the Universitas Gadjah Mada Hospital is excellent. There was no difference between the quality of service in the outpatient, emergency and inpatient units. There were statistically significant differences between patient expectations and perceptions of service quality.","PeriodicalId":271282,"journal":{"name":"Academic Hospital Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121264558","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}