scholarly journals Profile of Diagnosis and Procedures of Asthma Patients Hospitalized in Royal Prima Medan Hospital at 2018

2020 ◽  
Vol 16 (1) ◽  
pp. 11
Author(s):  
Vivian Leoditta Sitinjak ◽  
Nerseri Barus

Abstract: Asthma is a chronic inflammatory disease of the respiratory tract. The purpose of this study was to determine the description of the diagnosis and management of asthma inpatient at RSU Royal Prima Medan in 2018. This research was conducted using a case study design method, descriptive - retrospective, sample size 100 data of medical records of patients taken by purposive sampling, namely medical records the most complete data and analyzed with descriptive statistics. The results show that the youngest is 9 years old and the oldest is 85 years old, with 44 men and 56 women. The most common complaint is 74 shortness of breath and the most pharmacological management is beta2 agonist 100%. The conclusion was that the distribution of asthma was higher in women (56%) than in men (44%) and the most common complaint was shortness of breath (74%) and the most used combination treatment was Beta 2 + Corticosteroid + Ammonium Chloride Agonists. and Diphenhydramine + Paracetamol + Antibiotics (35%). Keywords: Asthma, Diagnosis and Management, Royal Prima Hospital Medan

Author(s):  
Fatemeh Jahanian ◽  
Sahar Khatti ◽  
Alireza Salehi ◽  
Hamed Aminiahidashti ◽  
Seyed Hossein Montazer

Introduction: Emergency department is one of the most important units of a hospital. In general, the most serious cases are referred to emergency department, and the highest numbers of hospital admissions occur in the emergency department. This study aimed to obtain a comprehensive estimate of the number of frequent visitors to the emergency department of Imam Khomeini educational hospital, Sari. Materials and Methods: This cross-sectional descriptive study was performed retrospectively by referring to the patient medical records at the Sari Imam Khomeini education hospital. The records were screened to identify frequent emergency department visitors in 2017. Data analysis was performed using SPSS 21. Results: The number of emergency department visitors in the Sari Imam Khomeini Hospital in 2017 was 29,765; of them, 594 (6.2%) were repeat visitors and were included in this study. The mean age of the frequent emergency department visitors was 56.17 years. The most common complaint was weakness and lethargy in 39.9% patients, abdominal pain in 30%, shortness of breath in 14%, and other causes in 14%. The most common underlying disorders were anemia, followed by obstruction pulmonary disease. Conclusion: We obtained detailed data of frequent emergency department visitors to aid the development of suitable evidence-based policies. New policies are necessary for the management of various sections of the emergency department and inpatient admissions. Such policies will allow better decision-making for non-emergency patients and outpatient admissions.


2021 ◽  
Vol 2 (4) ◽  
pp. 206-213
Author(s):  
Lisda Pratiwi ◽  
Wienaldi ◽  
Adrian

COVID-19 is a disease caused by infection with a coronavirus known as SARS-CoV-2. COVID-19 patients with diabetes have a poor prognosis and thus have a shorter life expectancy than those without diabetes. This is because COVID-19 causes severe lung dysfunction and inflammation. The purpose of the study is to find out the description of diagnostic of COVID-19 patients with comorbid diabetes mellitus type 2 at Royal Prima general hospital Medan in 2020. The case study design method is descriptive with a retrospective approach, the sample size of 63 patient medical records is taken by purposive sampling, a complete medical record and analyzed with descriptive statistics. Most patients were aged more than 50 years old (66.7%) and female (50.8%). With symptoms of fever (84.1%), cough (87.3%), shortness of breath (87.3%), headache (28.6%), diarrhea (9.5%), nausea (42.9%), abdominal pain (31.7%), loss of smell (20.6%). The longest hospitalization time (11-20 days) (46%). It can be concluded that the most age is > 50 years, the most gender is female and the most clinical symptoms are cough and shortness of breath.


2018 ◽  
Vol 1 (2) ◽  
pp. 1-17
Author(s):  
Tedi Budiman

One example of the growing information technology today is mobile learning, mobile learning which refers to mobile technology as a learning medium. Mobile learning is learning that is unique for each student to access learning materials anywhere, anytime. Mobile learning is suitable as a model of learning for the students to make it easier to get an understanding of a given subject, such as math is pretty complicated and always using formulas.The design method that I use is the case study method, namely, learning, searching and collecting data related to the study. While the development of engineering design software application programs that will be used by the author is the method of Rapid Application Development (RAD), which consists of 4 stages: Requirements Planning Phase, User Design Phase, Construction Phase and Phase Cotuver.


Author(s):  
Sandip R. Baheti ◽  
Deepa Sharma ◽  
Saroj Devi ◽  
Amit Rai

Difficulty in breathing or shortness of breath may be simply termed as Shwasa (Asthma), As per Ayurveda, Shwasa is mainly caused by the Vata and Kapha Doshas. Shwasa is broadly classified into five types in Maha Shwasa (Dyspnoea major), Urdhawa Shwasa (Expiratory Dyspnoea), Chinna Shwasa (Chyne-stroke respiration), Kshudra Shwasa (Dyspnoea minor), Tamaka Shwasa (Bronchial Asthma). In modern science Tamaka Shwasa can be correlated with Asthma, Asthma which is a chronic inflammatory disease of airway. In modern medicine there is no cure for Asthma, symptoms can typically be improved. In Ayurveda, Asthma can be effectively and safely manage the condition without inducing any drug dependency where Pachakarma procedures and use of internal medication detoxifies the body, provides nutrition and increases the elasticity of lung tissue it also develops natural immunity of the body thus decreasing episodic recurrence of the disease.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wen Wang ◽  
Lei Chen ◽  
Qiao He ◽  
Mingqi Wang ◽  
Mei Liu ◽  
...  

Abstract Background The outbreak of COVID-19 has resulted in serious concerns in China and abroad. To investigate clinical features of confirmed and suspected patients with COVID-19 in west China, and to examine differences between severe versus non-severe patients. Methods Patients admitted for COVID-19 between January 21 and February 11 from fifteen hospitals in Sichuan Province, China were included. Experienced clinicians trained with methods abstracted data from medical records using pre-defined, pilot-tested forms. Clinical characteristics between severe and non-severe patients were compared. Results Of the 169 patients included, 147 were laboratory-confirmed, 22 were suspected. For confirmed cases, the most common symptoms from onset to admission were cough (70·7%), fever (70·5%) and sputum (33·3%), and the most common chest CT patterns were patchy or stripes shadowing (78·0%); throughout the course of disease, 19·0% had no fever, and 12·4% had no radiologic abnormality; twelve (8·2%) received mechanical ventilation, four (2·7%) were transferred to ICU, and no death occurred. Compared to non-severe cases, severe ones were more likely to have underlying comorbidities (62·5% vs 26·2%, P = 0·001), to present with cough (92·0% vs 66·4%, P = 0·02), sputum (60·0% vs 27·9%, P = 0·004) and shortness of breath (40·0% vs 8·2%, P <  0·0001), and to have more frequent lymphopenia (79·2% vs 43·7%, P = 0·003) and eosinopenia (84·2% vs 57·0%, P = 0·046). Conclusions The symptoms of patients in west China were relatively mild, and an appreciable proportion of infected cases had no fever, warranting special attention.


Author(s):  
Yuping Dong ◽  
Helin Liu ◽  
Tianming Zheng

Asthma is a chronic inflammatory disease that can be caused by various factors, such as asthma-related genes, lifestyle, and air pollution, and it can result in adverse impacts on asthmatics’ mental health and quality of life. Hence, asthma issues have been widely studied, mainly from demographic, socioeconomic, and genetic perspectives. Although it is becoming increasingly clear that asthma is likely influenced by green spaces, the underlying mechanisms are still unclear and inconsistent. Moreover, green space influences the prevalence of asthma concurrently in multiple ways, but most existing studies have explored only one pathway or a partial pathway, rather than the multi-pathways. Compared to greenness (measured by Normalized Difference Vegetation Index, tree density, etc.), green space structure—which has the potential to impact the concentration of air pollution and microbial diversity—is still less investigated in studies on the influence of green space on asthma. Given this research gap, this research took Toronto, Canada, as a case study to explore the two pathways between green space structure and the prevalence of asthma based on controlling the related covariates. Using regression analysis, it was found that green space structure can protect those aged 0–19 years from a high risk of developing asthma, and this direct protective effect can be enhanced by high tree diversity. For adults, green space structure does not influence the prevalence of asthma unless moderated by tree diversity (a measurement of the richness and diversity of trees). However, this impact was not found in adult females. Moreover, the hypothesis that green space structure influences the prevalence of asthma by reducing air pollution was not confirmed in this study, which can be attributed to a variety of causes.


Author(s):  
John F. McGrew

This paper discusses a case study of a design and evaluation of a change management system at a large Telecommunications Corporation. The design and evaluation were done using the facilitated genetic algorithm (a parallel design method) and user decision style analysis. During the facilitated genetic algorithm the design team followed the procedure of the genetic algorithm. Usability was evaluated by applying user decision style analysis to the designed system. The design is compared with an existing system and with one designed by an analyst. The change management system designed by the facilitated genetic algorithm took less time to design and decision style analysis indicated it would be easier to use than the other two systems.


2018 ◽  
Vol 7 (3.27) ◽  
pp. 142
Author(s):  
Sri Astuti Indriyati ◽  
. .

A fundamental premise on environmental and behavioral fields involves assumptions about the systematic interrelationships between architecture and patterns of human behavior. The case study conducted was to confirm the needs of specific design methodology in relations to the area of Perception and Human Behavior. The research focused to the extent to which Office Space Performance gives impact on Employee Productivity and Satisfaction. Following that, It was also seen how those affect the behavior of coping. The findings show that there is a significant impact of Spaces’ Performances on Space Satisfaction. Further, there is a significant impact of Space Satisfaction on Coping Behavior and also a significant impact of Spaces’ Performances against Coping behavior. Humanist architecture with architectural behavior approach is required as a Concept of Planning and Architectural Design in the Future. A New Guidelines for Planning and Architectural Design Method for Architectural Design with Behavior concerns is proposed.   


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