scholarly journals Profile of Diarrheal Patients Aged Less than Five Years Old Hospitalized in Dr. Soetomo General Hospital Surabaya in 2016-2018

Author(s):  
Nathanael Jordan ◽  
I Gusti Made Reza Gunadi Ranuh ◽  
Gadis Meinar Sari

Introduction: Diarrhea is a collection of symptoms in the form of decreased stool consistency accompanied by more than normal frequency of defecation. Diarrhea is the second largest cause of death in children under five years old. In 2010, East Java was ranked first in the frequency of outbreaks in Indonesia. This study described the profile of diarrhea patients in children less than 5 years old in the Children's Ward of Dr. Soetomo General Hospital Surabaya in 2016-2018. Dr. Soetomo General Hospital Surabaya was chosen for data collection because it is one of the main referral hospitals in Indonesia, thus it has diverse cases. This study aimed to describe the profile of diarrhea patients in children less than 5 years old in the Children's Ward of Dr. Soetomo General Hospital Surabaya in 2016-2018.Methods: This study was a retrospective study by assessing the patient's medical record and analyzed descriptively.Results: There were 650 patients (425 male and 225 female), at most 6-11 months (34.6%). Most patients were classified as malnourished (45.4%). The type of diarrhea was dominated by acute watery diarrhea (94.8%). Mild-to-moderate dehydration (84.2%) was found in most patients. The comorbidities were found in 83.4% of patients, with malnutrition (45.4%) and febrile seizures (30.3%) as the most common contributors. The therapy used was intravenous rehydration (99.7%), antibiotics (45.7%), zinc (98.2%), and probiotics (96.3%).Conclusion: Most diarrhea patients in this study were male, aged 6-11 months, mild-to-moderate dehydration, malnourished, suffering from acute water diarrhea, accompanied by comorbidities, and treated with intravenous rehydration. 

2019 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Esthiningrum Dewi Agustin ◽  
Mamiek Dwi Putro ◽  
Herry Purbayu

Aim: This study aims to study the profile of patients with gastric perforation caused by peptic ulcer. Method: This is a retrospective study by obtaining patients data from medical records in the Medical Record Centre of Dr. Soetomo General Hospital during the period of January - December 2016 and analyzed descriptively. Result: 66 patients were identified (45 male and 21 female), most of them were between age 60 - 69 years old, and live in Surabaya (45.45%). 30.3% of patients No malignancy was found during the anatomic-pathological examination. 30.3% of patients have a long term NSAID taking, while 53.03% of patients came with a habit of traditional medicine consumption. Perforations were mostly located 1 - 5 cm pre-pyloric and between the range 0.5 - 1 cm in diameter (56.6% and 69.7%, respectively). Conclusion: With the lack of information, it still needs further studies with more completed data for better accuracy.


2020 ◽  
Vol 3 (1) ◽  
pp. 36-39
Author(s):  
Ika Setya Purwanti ◽  
Diah Prihatiningsih ◽  
Ni Luh Putu Devhy

Medical records are files that contain records and patient identify documents, the results of examination treatments, action, and services that have been provided. The completeness of filling in the medical record file can make it easier for other health workers to provide patient action or treatment, and can be used as a useful source of information for hospital management in determining the evaluation and development of health services. The purpose of this research was to study the complete picture of medical record documents at Sanjiwani General Hospital, Gianyar. This research is a quantitative study using the checklist in accordance with Permenkes RI No. 269/Menkes/Per/III/2008. The method used in this study was observation using cross sectional and restrospective data collection. The results of this study indicate that the completeness of the medical record from the patients identity, the identity of the doctor, the identity of the nurse shows a completeness of 100% and the completeness of the information was 64,1%. Analysis of data from this research used descriptive methods. So that it is expcted from the results of this study to maintain the awareness and discipline of the officers responsible for filling out medical record in accordance with predetermined procedures.AbstrakRekam medis adalah berkas yang berisi catatan dan dokumen identitas pasien, hasil pemeriksaan, pengobatan, tindakan dan pelayanan yang telah diberikan. Kelengkapan pengisian berkas rekam medis dapat memudahkan tenaga kesehatan lain dalam memberikan tindakan atau pengobatan pasien, dan dapat dijadikan sebagai sumber informasi yang berguna bagi manajemen rumah sakit dalam menentukan evaluasi dan pengembangan pelayanan kesehatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kelengkapan  rekam medis di RSUD Sanjiwani, Gianyar. Penelitian ini merupakan penelitian kuantitatif dengan menggunakan Check list sesuai dengan Permenkes RI No. 269/Menkes/Per/III/2008. Metode yang digunakan dalam penelitian ini adalah observasi dengan pendekatan cross sectional dan pengambilan datanya secara retrospektif. Hasil dari penelitian ini menunjukkan bahwa kelengkapan rekam medis dari kelengkapan identitas pasien, kelengkapan identitas dokter, kelengkapan identitas perawat menunjukkan kelengkapan rekam medis sebesar 100% sedangkan kelengkapan inform concern sebanyak 64,1%. Analisis data dalam penelitian ini menggunakan metode deskriptif. Dari hasil penelitian ini diharapkan agar rumah sakit dapat mempertahankan kesadaran dan kedisiplinan petugas yang bertanggung jawab dalam pengisian rekam medis sehingga sesuai dengan prosedur yang telah ditetapkan.


2019 ◽  
Vol 03 (05) ◽  
Author(s):  
Joseph Marc S. Seguban ◽  
Karen G. Amoloza-De Leon ◽  
Marie A. Barrientos-Regala ◽  
Michelle Q. Pipo ◽  
Noemi S. Pestano ◽  
...  

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Lara Thaiane Souza Pereira ◽  
Taynara Cassimiro de Moura Alves ◽  
Nathalya da Silva Louro ◽  
Nayara Franklin Cesar ◽  
Juliana das Dores Ferreira ◽  
...  

O objetivo deste artigo é analisar as queixas de nutrizes que buscaram atendimento em um BLH e fatores associados.Trata-se de um estudo descritivo, analítico, transversal, retrospectivo, cuja população é composta por 1.709 nutrizes quebuscaram atendimento no período de Janeiro a Dezembro de 2016. Para a coleta de dados, utilizaram-se as fichas deatendimento do BLH. As principais queixas que levaram as nutrizes a buscarem atendimento no BLH relacionam-se àdificuldade com a técnica de amamentação (41,9%) e a problemas mamários, como o ingurgitamento mamário (27,1%) eo trauma mamilar (18,1%). A necessidade de auxílio na técnica de amamentação esteve associada às seguintes condiçõesrelativas à nutriz: ser procedente da capital (p=0,001), apresentar mais de oito anos de estudo (p=0,040), ter uma ocupação (p=0,010), ser primípara (p=<0,001), optar pela realização de parto cesárea (p=<0,001) e ter experiência préviacom amamentação (p=0,004). Houve associação entre ingurgitamento mamário e primiparidade (p=0,038), além do fatode a nutriz ter contado com o apoio ao aleitamento materno na maternidade (p=0,021). O estudo possibilitou verificar aimportância dos BLH no processo de lactação, um período em que as mulheres ficam ansiosas, necessitam de informaçõesconfiáveis e apresentam muitas queixas em relação à lactação.PALAVRAS-CHAVES : Aleitamento materno, Bancos de leite, Saúde da mulher. Abstract: The aim of this article is to analyze the complaints of lactating mothers who sought care in a HMB and associatedfactors. It is a descriptive, cross-sectional, retrospective study, whose population is composed of 1.709 lactating mothers whosought care in the period from January to December the 2016. For the data collection, were used the service records ofthe HMB. The main complaints that led the lactating mothers to seek care at HMB were related to the difficulty with thebreastfeeding technique (41.9%) and to breast problems, such as breast engorgement (27.1%) and nipple trauma (18,1%). Theneed for breastfeeding technique was associated to the following nutrient conditions: coming from the capital (p = 0.001),presenting more than eight years of study (p = 0.040), having an occupation (p = 0.010), being primiparous (p = <0.001), optfor cesarean (p = 0.001) and to have previous experience with breastfeeding (p = 0.004). There was an association betweenbreast engorgement and primiparity (p = 0.038), in addition to the fact that the mother had support for breastfeeding in thematernity ward (p = 0.021). The study made it possible to verify the importance of HMBs in the lactation process, a period inwhich women become anxious, require reliable information and have many complaints about lactation.Keywords: Breast feeding, Milk banks, Women’s health


Gut ◽  
2011 ◽  
Vol 60 (Suppl 1) ◽  
pp. A167-A167
Author(s):  
B. Ebert ◽  
K. Noble ◽  
S. Vathenen ◽  
D. Brocklebank ◽  
H. Abusriwil ◽  
...  

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 191-197
Author(s):  
Susana Molina ◽  
Carolina Vettorazzi ◽  
Janet M. Peerson ◽  
Noel W. Solomons ◽  
Kenneth H. Brown

Objective. To assess the effects of glucose (G)-oral rehydration solution (ORS), rice dextrin (RD)-ORS, and rice flour (RF)-ORS on fluid intake, rapidity of rehydration, and stool output of children with acute diarrhea and mild or moderate dehydration. Methods. The study was a randomized, double-masked clinical trial. One hundred forty-six male infants, ages 3 to 36 months, were randomly assigned to one of three treatment groups. Clinical evaluations and fluid balances were conducted every 2 to 4 hours for 48 hours. Principal outcome variables were ORS consumption, recovery of hydration status, and fecal output. Results. The groups were similar at admission with regard to age, nutritional status, history of the current episode, and clinical status. There were no differences in ORS consumption by treatment group during any period of study. During the first 6-hour period, patients in group RF had less stool output (16 ± 14 g/kg/body weight) than those in group G (22 ± 20 g/kg) or RD (21 ± 19 g/kg; P &lt; .05). After 12 hours of hospitalization, there were no differences by treatment group. Recovery of hydration status, changes in serum sodium and potassium, and duration of diarrhea in the hospital were similar in all three groups. Conclusion. There was a 24% to 27% reduction in stool output during the first 6 hours of treatment among children who received RF-ORS compared with those who received G-ORS or RD-ORS, but this effect did not persist after the first 12 hours of therapy. Because this difference was of small magnitude and limited duration, it has minor clinical importance. Thus, we conclude that the three solutions had similar efficacy for children with acute, watery diarrhea and mild or moderate dehydration.


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