Comparison of recovery rate in acute rinopharyngitis after antibiotic and non antibiotic treatment

Acute rhinopharyngitis (ARI) remains become a major public health problem in the world. About 2.3 million people are diagnosed with ARI annually. In Cilacap District of Central Java, approximately 350 patients visit primary health care center due to URTI symptoms monthly. Acute rhinopharyngitis is commonly caused by viruses, therefore the use of antibiotics is not recommended. However, many evidences showed that antibiotics are prescribed to treat ARI. The aim of this study is to compare of recovery rate in acute rinopharyngitis after antibiotic and non antibiotic treatment. This was a double-blind randomized controlled trial study involving ARIs patients who visited primary health care center (Puskesmas) of Cilacap I, Cilacap District. The patients who met the inclusion and exclusion criteria were recruted and divided into two groups i.e. Treatment Group and Control Group. The Treatment Group was given symptomatic drugs and amoxicillin 500 mg three time daily for five days, while the Control Group was just given symptomatic drugs. The recovery rate of ARI patients was evaluated on the fifth day after drugs administration. One hundred and sixty six eligible ARI patients consisting 83 patients of each group were involved in this study. The results showed that the recovery rate in the Treatment Group (57 patients or 68.7%) was not significantly different with the Control Group (51 patients or 61.7%) (p = 0.417). Moreover, age, gender difference, smoking activity did not influence the recovery rate of ARI patients. However, occupation category influenced the recovery rate. In conclusion, the administration of antibiotic in ARI patients does not influence their recovery rate

Analisis Faktor-Faktor yang Mempengaruhi Status Gizi Balita

Background: The first two years in life are critical period in which rapid growth and development occured. Nutritional status of children under five years old is influenced by several factors, such as social, economic, cultural, health, environmental, and demographic factor. The World Health Organization reported that protein- energy malnutrition (PEM) prevalence in Indonesia was high. It was estimated that 27.5% of children under five years old were experienced from moderate malnutrition, while 8.5% of them were severely malnourished.Objective: This study is aimed to determine nutritional status of children under five years old as well as to identify the correlation between risk factors and the nutritional status on the area of Dukuh Madigondo, Sidoharjo Village, Samigaluh Subdistrict, and the District of Kulonprogo.Methods: The design of this study was observational with cross sectional study to identify 15 risk factors associated with nutritional status in children under five years old. Subjects were 48 children under five years old which assessed with research questionnaires. Correlation among variables was then analyzed using Kruskal Walis One Way Anova and Pearson Chi Square Test.Result: The nutritional status of fourty four children under five years old were good, while two of the children were below standard and the remaining two were bad in nutritional status. Pearson Chi Square analysis has showed no significant correlation between nutritional status and sickness frequency, familial characteristics, expenditure, environmental hygiene sanitation, health care access, mother act, mother behavior, along with mother knowledge factor.Conclusion: There was no significant correlation found among 15 risk factors towards nutritional status of children under five years old in Dukuh Madigondo, Sidoharjo Village, Samigaluh Subdistrict, District of Kulonprogo

Penilaian manfaat sistem informasi manajemen rumah sakit (simrs) terhadap individu dan organisasi dengan model delone & mclean pada rsud dr.hardjono kab. Ponorogo

Latar belakang: RSUD dr. Hardjono Kab. Ponorogo telah mengimplementasikan SIMRS untuk meningkatkan kinerja rumah sakit khususnya di dalam penyediaan dan pengelolaan data sejak tahun 2011. Pembangunan sistem informasi di rumah sakit bekerjasama dengan pihak ketiga, kontrak kerjasama tersebut berakhir pada akhir tahun 2016. Kerjasama meliputi pemeliharaan sistem setiap bulan. Kendala yang dihadapi selama proses implementasi adalah pengguna sering mengeluhkan data output sistem informasi yang tidak sesuai dengan kebutuhan mereka.Tujuan :  Penelitian ini bertujuan untuk mengetahui manfaat SIMRS di RSUD dr. Hardjono Kab. Ponorogo terhadap individu serta organisasi dengan mengukur pengaruh 4 variabel yaitu kualitas informasi, kualitas sistem, kualitas layanan dan kepuasan pengguna.Metode : Penelitian ini merupakan penelitian kuantitatif dengan metode survey dan bersifat cross sectional. Jumlah sampel sebanyak 89 buah, kuisioner yang layak diolah adalah 67 kuisioner sisanya 22 tidak memenuhi persyaratan untuk diolah. Analisa data dilakukan menggunakan metode structure equation model (SEM) dengan aplikasi. WarpPLS. Analisa dilakukan dengan 3 tahapan yaitu pengujian outer model, pengujian inner model dan pengujian hipotesis.Hasil: Hasil pengujian outer model didapatkan bahwa indikator pembentuk konstruk telah memenuhi  validitas dan reliabilitas data, sedangkan dari pengujian inner model didapatkan model pengujian memenuhi syarat model fit. Dari hasil pengujian hipotesis didapatkan nilai path koeffisien dan p-value sebagai dasar pengambilan kesimpulan. Hasil analisa didapatkan hipotesis yang tidak berpengaruh terhadap kepuasan pengguna yaitu variabel kualitas informasi. Sedangkan untuk variabel kualitas informasi dan kualitas layanan berpengaruh terhadap kepuasan pengguna. Variabel kepuasan pengguna berpengaruh terhadap net benefit berupa dampak organisasi dan dampak individu.Kesimpulan: Penelitian ini membuktikan bahwa tidak semua hipotesis yang diajukan terbukti secara empiris. Sistem informasi terbukti bermanfaat bagi individu maupun organisasi namun demikian kualitas informasi yang dihasilkan masih dirasa tidak sesuai dengan kebutuhan dan kurang meyakinkan bagi pengguna sistem dan tidak berpengaruh bagi kepuasan pengguna

Penerapan Metode User-Centered Design (UCD) Dalam Merancang Rekam Medis Elektronik Poli Kedokteran Keluarga Layanan Primer

Latar belakang: Teknologi informasi memberikan dampak pesat terutama pada fasilitas pelayanan kesehatan primer salah satunya klinik. Klinik merupakan fasilitas pelayanan kesehatan primer yang memberikan pelayanan kesehatan dasar bagi masyarakat. Klinik Dokter Keluarga Korpagama Universitas Gadjah Mada merupakan fasilitas pelayanan kesehatan primer yang memberikan pelayanan kesehatan dasar. Sistem pelayanan di Klinik Dokter Keluarga Korpagama masih manual dan berencana mengimplementasikan rekam medis elektronik melalui aplikasi SmartClinic. Tetapi, aplikasi SmartClinic masih dalam proses pengembangan rekam medis elektronik pada poli kedokteran keluarga layanan primer sehingga aplikasi SmartClinic masih belum bisa diimplementasikan di Klinik Dokter Keluarga Korpagama.Metode: Penelitian ini menggunakan jenis penelitian kualitatif dengan metode User-Centered Design (UCD). Metode UCD memiliki beberapa tahapan diantaranya, menentukan konteks pengguna, menganalisis spesifikasi kebutuhan, melakukan perancangan desain, dan melakukan evaluasi.Hasil: Desain pengembangan rekam medis elektronik pada poli kedokteran keluarga layanan primer melalui aplikasi SmartClinic berdasarkan pada metode User-Centered Design (UCD) dan hasil pengujian mengunakan Black Box Testing.Kesimpulan: Rekam medis elektronik melalui aplikasi SmartClinic mampu memberikan kemudahan bagi pengguna dalam membantu proses pelayanan kesehatan yang lebih baik di Klinik Dokter Keluarga Korpagama Universitas Gadjah Mada

Analisis Faktor-Faktor yang Mempengaruhi Status Gizi Balita

Background: The first two years in life are critical period in which rapid growth and development occured. Nutritional status of children under five years old is influenced by several factors, such as social, economic, cultural, health, environmental, and demographic factor. The World Health Organization reported that protein- energy malnutrition (PEM) prevalence in Indonesia was high. It was estimated that 27.5% of children under five years old were experienced from moderate malnutrition, while 8.5% of them were severely malnourished.Objective: This study is aimed to determine nutritional status of children under five years old as well as to identify the correlation between risk factors and the nutritional status on the area of Dukuh Madigondo, Sidoharjo Village, Samigaluh Subdistrict, and the District of Kulonprogo.Methods: The design of this study was observational with cross sectional study to identify 15 risk factors associated with nutritional status in children under five years old. Subjects were 48 children under five years old which assessed with research questionnaires. Correlation among variables was then analyzed using Kruskal Walis One Way Anova and Pearson Chi Square Test.Result: The nutritional status of fourty four children under five years old were good, while two of the children were below standard and the remaining two were bad in nutritional status. Pearson Chi Square analysis has showed no significant correlation between nutritional status and sickness frequency, familial characteristics, expenditure, environmental hygiene sanitation, health care access, mother act, mother behavior, along with mother knowledge factor.Conclusion: There was no significant correlation found among 15 risk factors towards nutritional status of children under five years old in Dukuh Madigondo, Sidoharjo Village, Samigaluh Subdistrict, District of Kulonprogo.Keywords: nutritional status, children under five years old, sex, sickness frequency, familial characteristics, expenditure level, environmental hygiene sanitation, health care access, mother act, mother behavior, mother knowledg

Analytical Data for Electronic Medical Records in Primary Health Care

Digital health transformation encourages primary health facilities to implement electronic medical records (RME) that are interoperable according to standard medical classification and terminology. The standard RME also allows connecting to wearable devices for direct patient monitoring. An analytical approach to digital data has the potential to support clinical decision making for primary care physicians. This study aims to Strengthening primary care as a center for continuous patient care by using an analytical approach in the form of a dashboard.. This study uses a participatory action research approach in implementing RME in primary care. The 4 stages of action research were carried out by involving primary care physicians (dentists and general practitioners), medical records, nurses, pharmacists and electronic medical record developers. The trial implementation of RME and wearable devices was evaluated using the System Usability Scale (SUS). Structured RME data makes it easy to analyze and visualize in the form of a dashboard to support primary care management and monitor individual patient health status. The analytic features in RME that allow direct patient monitoring are perceived as useful for supporting continuous patient care. The use of data standards in clinical records such as ICPC, LOINC and SNOMED-CT makes it easier to achieve semantic interoperability including potential interoperability with portable medical devices

Modul Penerapan Interprofessional Collaborative Practice (IPCP) untuk Pengendalian Hipertensi di Puskesmas

Hipertensi adalah keadaan di mana tekanan darah mengalami peningkatan yang memberikan gejala berlanjut pada suatu organ target di tubuh. Hal ini dapat menimbulkan kerusakan yang lebih berat, misalnya stroke (terjadi pada otak dan menyebabkan kematian yang cukup tinggi), penyakit jantung koroner (terjadi kerusakan pembuluh darah jantung), dan hipertrofi ventrikel kiri (terjadi pada otot jantung). Hipertensi juga dapat menyebabkan penyakit gagal ginjal, penyakit pembuluh lain dan penyakit lainnya (Syahrini et al., 2012). Di Indonesia, berdasarkan hasil riset kesehatan tahun 2007 diketahui bahwa prevalensi hipertensi di Indonesia sangat tinggi, yaitu rata-rata 3,17% dari total penduduk dewasa. Hal ini berarti dari 3 orang dewasa, terdapat 1 orang yang menderita hipertensi (Riskesdas, 2008). Hasil penelitian yang dilakukan oleh 2 Riskesdas menemukan prevalensi hipertensi di Indonesia pada tahun 2013 sebesar 25,8%. Daerah Bangka Belitung menjadi daerah dengan prevalensi hipertensi yang tertinggi yaitu sebesar 30,9%, kemudian diikuti oleh Kalimantan Selatan (30,8%), Kalimantan Timur (29,6%) dan Jawa Barat (29,4%) (Riskesdas, 2013). Berdasarkan latar belakang diatas, untuk mengurangi angka kejadian hipertensi di Indonesia maka penulis mengambil judul "Perlunya Komunikasi Interprofesi dalam Mengendalikan Angka Kejadian Hipertensi"

Evaluasi Ketersediaan Pelayanan dan Pendokumentasian Klinik Pratama Korpagama UGM untuk Melakukan Kerja Sama dengan BPJS tahun 2014

Background: Applicability of the National Social Security System in 2014 is expected to improve the health of the people of Indonesia. For that in the face of the National Social Security System is needed and a good preparation of all the elements involved, both the agency designated Social Security Agency (BPJS), government, health care facilities and providers, both in the first and /or advanced levels so that the program can running smoothly and well. Family Doctor Clinic Korpagama as one of the organizers of the first-level health facilities were recently transformed into Primary Clinic and will cooperate with the Social Security Agency of Health should have good preparation, especially in the availability of services and documentation in order to follow the success of the implementation of Security System the National Social. Objective: Evaluate the readiness of Primary Clinical Korpagama Gadjah Mada University in terms of the availability of services and documentation for working with the Social Security Agency (BPJS) in 2014 Methods: This study used a qualitative descriptive method with cross-sectional design. Retrieval of research data through interviews, documentary studies, and observation. Results: The results of this study indicate that the readiness Korpagama Clinic Family Physicians in cooperation with the Social Security Agency (BPJS) in 2014 in terms of the availability of most of the existing services and in accordance with the Social Security Agency of Health (BPJS) regulations, the availability of services relating to the administratio

Perbedaan Faktor-Faktor Yang Mempengaruhi Motivasi Melanjutkan Tahap Profesi Antara Mahasiswa Program A Dengan Mahasiswa Program B PSIK FK UGM Yogyakarta

Background: The research is based on movement of nursing community in Indonesia, since nursing has been stated by profession in 1983 through national nursing seminar. So, there is effort to increase nursing quality and to create nursing duty as profesional duty. This is included in nursing college. The student of nurse college is the main column in movement process. So, They must have high motivation to increase the knowledge, especially in nurse aspects.Objective: To know the factor influenced the student s motivation continue in profession grade between the student of class A and B in nursing program, medical faculty Gadjah mada university. Methods: The population of the research is all the student of class A, 1999 and colass B, 2001. The quantitative data is form questionary with likert scale by using 27 questions. The motivation consist on intrinsict motivation and extrinsict motivation. To know motivation level, they are 5 categories namely: very low, low, middle, high, very high. It is based on Ancok s theory (1997). To know different factor influenced the motivation use computerization exam (t-test).Results: generally the level of motivation in Program A and B is not different, and included in high motivation. The main score of program A is 4,2 and program B is 3,9. The main factor influenced the motivation to continue in profession grade of program A is the need factor, while B is the education curriculum factor.Conclusion: There is a different factor, especially need, knowledge, expectant, clinical experience, responsible, the curriculum of proffesion grade, and family support are influenced the motivation to continue to profession grade of program A and B.Keywords: factor, motivation, the profession grad

Perbedaan Faktor-Faktor Yang Mempengaruhi Motivasi Melanjutkan Tahap Profesi Antara Mahasiswa Program A Dengan Mahasiswa Program B PSIK FK UGM Yogyakarta

Abstract: Background: The research is based on movement of nursing community in Indonesia, since nursing has been stated by profession in 1983 through national nursing seminar. So, there is effort to increase nursing quality and to create nursing duty as profesional duty. This is included in nursing college. The student of nurse college is the main column in movement process. So, They must have high motivation to increase the knowledge, especially in nurse aspects. Objective: To know the factor influenced the student s motivation continue in profession grade between the student of class A and B in nursing program, medical faculty Gadjah mada university. Methods: The population of the research is all the student of class A, 1999 and colass B, 2001. The quantitative data is form questionary with likert scale by using 27 questions. The motivation consist on intrinsict motivation and extrinsict motivation. To know motivation level, they are 5 categories namely: very low, low, middle, high, very high. It is based on Ancok s theory (1997). To know different factor influenced the motivation use computerization exam (t-test). Results: generally the level of motivation in Program A and B is not different, and included in high motivation. The main score of program A is 4,2 and program B is 3,9. The main factor influenced the motivation to continue in profession grade of program A is the need factor, while B is the education curriculum factor. Conclusion: There is a different factor, especially need, knowledge, expectant, clinical experience, responsible, the curriculum of proffesion grade, and family support are influenced the motivation to continue to profession grade of program A and B. Keywords: factor, motivation, the profession grad