scholarly journals THE REDESIGN STRATEGY AT REGION GENERAL HOSPITAL TYPE B IN MAGELANG CITY

Arsitektura ◽  
2018 ◽  
Vol 16 (1) ◽  
pp. 15
Author(s):  
Prananda Fadhlul Husna ◽  
Sri Yuliani ◽  
Ahmad Farkhan
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Research Method ◽  
The Body ◽  
Type B ◽  
Hospital Type ◽  
Analysis Study ◽  
Planning And Design ◽  
Hospital Building ◽  
Medical Equipments

<p class="Abstract"><em></em><em><em>Health is the prosperous state of the body, soul and social that must always be maintained by way of periodic checks to the hospital. The hospital is health care institutions that provides patient care with medical personsl, specialized nurses and medical equipments that need to be accredited to improve public services. The purpose of this redesain strategy is to formulate the concept of planning and design of Tidar Hospital of Magelang City that meet the criteria of the future. Redesign of RSUD Tidar in Magelang was conducted based on Hospital Building Technical Guidelines in 2012. </em><em>The research method is divided into three levels, programming, planning and design. Based on the results of the analysis study in field, the redesign has been obtained from the application of the Hospital Building Technical Guidelines. It should be designed on the outpatient installation can make the waiting area wider and the circulation of patients with the officers can be separated. The parking area is placed on the basement area so it is wider. For Emergency Installation is placed close to the main door so that the patient can go directly to this area and the circulation separate from the syringe to the inpatient and service area. Most of room programmes are designed based on universal accessibity.</em></em></p><p class="Abstract"><em>                                               </em></p>

scholarly journals PENGARUH MOBILISASI DINI TERHADAP SUARA PERISTALTIK USUS PADA PASIEN POST OP APPENDECTOMY DI RUMAH SAKIT UMUM ROYAL PRIMA MEDAN

2020 ◽  
Vol 2 (3) ◽  
pp. 596-605
Author(s):  
Nora Santika ◽  
Wiwik Listari ◽  
Nur Ainun ◽  
Lela Rahmadani ◽  
Patimah Sari Siregar
Keyword(s):  
General Hospital ◽  
Research Method ◽  
Early Mobilization ◽  
T Test ◽  
The Body ◽  
Test Design ◽  
Intestinal Function ◽  
Post Test ◽  
Intestinal Peristalsis ◽  
Paired T Test

ABSTRACT : THE EFFECT OF EARLY MOBILIZATION ON INTESTINAL PERISTALSIS IN POST-OP APPENDECTOMY PATIENTS AT THE ROYAL PRIMA MEDAN HOSPITAL IN 2019 Backgroud : Surgery is done by taking certain parts of the body, with the aim of repairing the body that has abnormalities such as Appendectom. This action can disable the peristaltic sound with the anesthetized body. Early mobilization is one of the effective ways to re-stimulate intestinal function and produce normal peristalsis, and the patient can recoverPurpose : This study aims to determine the effect of early mobilization on peristaltic sounds of usu in post op Appendectom patients. This research method is quasy experiment with one group pre test post test design, the sample in this study amounted to 25 people.Methods : Of collecting data uses accidental sampling. Retrieval of data using observation sheets. Results : Of the study using paired t-test can be seen from Sig. (2-tailed) 0,000 <0.05. Conclusion: Is that early mobilization has an influence on intestinal peristalytic sounds in post op appendectomy patients at the Royal Prima General Hospital Medan.  Keywords: appendectomy, early mobilization, intestinal peristaltic           INTASARI : PENGARUH MOBILISASI DINI TERHADAP SUARA PERISTALTIK USUS PADA PASIEN POST OP APPENDECTOMY DI RUMAH SAKIT UMUM ROYAL PRIMA MEDAN TAHUN 2020Pendahuluan : Pembedahan dilakukan dengan cara mengambil bagian tubuh tertentu, dengan tujuan perbaikan tubuh yang mengalami kelainan seperti tindakan Appendectomy. Tindakan ini dapat menonaktifkan suara peristaltic dengan keadaan  tubuh yang dibius. Mobilisasi dini salah satu jalan efektif dalam merangsang kembali fungsi usus dan menghasilkan suara peristaltik normal, dan pasien dapat pulih.Tujuan : Penelitian bertujuan untuk mengetahui pengaruh mobilisasi dini terhadap suara peristaltic usu pada pasien post op Appendectomy.Metode : Penelitian menggunakan metode quasy experiment dan desain penelitian one grup pre test post test, sampel dalam penelitian ini berjumlah 25 orang. Metode pengambilan data menggunakan Accidental sampling. Pengambilan data menggunakan lembar observasi.Hasil penelitian : Menggunakan uji paired t- test dapat dilihat dari Sig. (2-tailed) 0,000 < 0,05 .Kesimpulan :Bahwa mobilsasi dini memiliki pengaruh terhadap suara peristalitik usus pada pasien post op appendectomy di Rumah Sakit Umum Royal Prima Medan.  Kata kunci : Appendectomy, Mobilisasi dini, Peristaltic usus

Current Practices and Challenges of Medical Services on Health Care System of Mandalay General Hospital

2019 ◽  
Vol 31 (2) ◽  
pp. 131
Keyword(s):  
Health Care ◽  
General Hospital ◽  
Health Care Providers ◽  
Quality Care ◽  
Healthcare Providers ◽  
Medical Services ◽  
Tertiary Level ◽  
Care Providers ◽  
Level Hospital ◽  
Care System

In Myanmar, the main challenge to provide quality healthcare by Universal Health Care approach is documented as low health services coverage with substantial wealth-based inequality. To achieve the effective health care system, strong medical care system is essential. Understanding on challenges and needs in provision of medical services among patients and health care providers is critical to provide quality care with desirable outcomes. The aim of the study was to explore the patients’ and health care providers’ perceptions on the challenges in provision of medical services at the Mandalay General Hospital. This was a qualitative study conducted at the tertiary level hospital (Mandalay General Hospital). The data was collected by using focus group discussions and in-depth interviews with hospitalized patients or attendants, healthcare providers such as medical doctors, nurses, laboratory scientists and hospital administrators in March 2017. The qualitative data was analyzed using themes by themes matrix analysis. Most patients were satisfied with the care provided by the doctors because they believed that they received quality care. However, some patients complained about long waiting time for elective operation, congested conditions in the ward, burden for investigations outside the hospital for urgent needs and impolite manners of general workers. Healthcare providers reported that they had heavy workload due to limited human and financial resources in the hospital, poor compliances with hospital rules and regulation among patients and attendants, and inefficient referral practices from other health facilities. Other challenges experienced by healthcare providers were lack of ongoing training to improve knowledge and skills, limited health infrastructure and inadequate medicinal supplies. The findings highlighted the areas needed to be improved to provide quality health care at the tertiary level hospital. The challenges and problems encountered in this hospital can be improved by allocating adequate financial and human resources. The systematic referral system and hospital management guidelines are needed to reduce workload of health staff.

Perceived Oral Health Literacy, Behaviors, and Oral Health Care among Caregivers to the Homebound Population

2021 ◽  
pp. 108482232110084
Author(s):  
Agata Wilk ◽  
Lisa LaSpina ◽  
Linda D. Boyd ◽  
Jared Vineyard
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Literacy ◽  
Oral Care ◽  
Oral Health Care ◽  
The Body ◽  
Current Evidence ◽  
Oral Health Literacy ◽  
Cross Sectional Survey ◽  
Cross Sectional

This study aimed to explore the level of perceived oral health literacy (OHL) among caregivers of the homebound population in the Chicago metropolitan area and how caregivers’ OHL impacts their oral care to the homebound population. The relationships between demographic characteristics, perceived OHL levels, personal oral health behaviors, and oral health care to clients were also assessed. This cross-sectional survey research examined 69 caregivers of the homebound population employed by home health agencies. The OHL was determined by the validated Health Literacy in Dentistry Scale (HeLD-14). Independent t-tests, chi-square tests set at p < .05 significance level, and logistic regressions were used for analysis. The mean age of participants was 43. The HeLD-14 scores indicated a high perceived OHL among this group. Caregivers came from diverse groups, and the majority spoke a second language at home. About 93% performed oral self-care the recommended amount of time or more, while only 57% did it for their clients. Those who cleaned clients’ mouth twice a day had a higher OHL score ( M = 23 compared to M = 19). About 43% did not check for sores in the client’s mouth, and those who checked had a higher OHL score ( M = 25 compared to M = 19). Controlling for OHL, age was a good predictor of oral care frequency to clients. These findings provide current evidence and add to the body of knowledge on OHL among homebound individuals. The results provide insights for designing a preventive approach in oral health care to the homebound population.

scholarly journals ‘Ilāj bi’l-Tadbīr (regimenal therapy): a core mode of Unani treatment

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Athar Parvez Ansari
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Holistic Approach ◽  
The Body ◽  
Core Mode ◽  
Unani Medicine ◽  
Therapeutic Applications ◽  
Leech Therapy ◽  
Care System

AbstractSince antiquity, the Unani system of medicine has been participating in health care system. Usually, four modes of treatment viz. regimenal therapy, dietotherapy, pharmacotherapy and surgery are applied for the treatment of diseases. Regimenal therapy is an important mode in which the morbid matter present in the body is either dispersed/excreted or its unnecessary production is blocked or its flow is restricted and the diseases are cured by natural healer of the body, consequently bring back the humoural stability. Nearly 30 regimens have been mentioned in classical Unani literature. Commonest regimenal procedures such as fasd (venesection/phlebotomy), hijāma (cupping), ta‘līq al-‘alaq (hirudotherapy/leech therapy), ishāl (purgation), qay’ (emesis), idrār-i-bawl (diuresis), huqna (enema), ta’rīq (diaphoresis), riyādat (exercise), dalk (massage), hammām (bathing), tadhīn (oiling), natūl (irrigation), sakūb (douching/spraying), inkibāb (steam/vapour application), takmīd (fomentation) etc. are usually applied for the management of various ailments. These regimenal procedures are completely based on holistic approach and are potential but needs to be explored scientifically. This review outlines the therapeutic applications of various regimens of regimenal therapy used in Unani medicine.

FC 135A STEP TOWARD GREEN NEPHROLOGY: APPLYING THE PASSIVE HOUSE CONCEPT TO THE CONSTRUCTION OF DIALYSIS FACILITIES

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Christophe Mariat ◽  
Jocelyne Rey ◽  
Annie Olivier ◽  
Perrine Jullien
Keyword(s):  
Health Care ◽  
Environmental Impact ◽  
Energy Savings ◽  
The Body ◽  
Sustainable Construction ◽  
Passive House ◽  
Pump System ◽  
Dialysis Facility ◽  
Dialysis Facilities ◽  
House Standard

Abstract Background and Aims The environmental impact of dialysis is now being largely recognized. It requires from the nephrology community to actively explore novel environmentally responsible health-care practices. Among them, conception of energy-efficient facilities may be an important prerequisite for improving the environmental impact of dialysis. The Passive House concept is an internationally recognised, performance-based energy standard in construction which so far has been rarely applied to medical facilities and never to dialysis centres. We report our experience with the first passive-house certified dialysis facility in Europe. Method The Passive House concept is a sustainable construction standard for nearly zero energy buildings (the Resolution of the European Parliament of 31/01/2008 has called for its implementation by all member states by 2021). Principles and design tools of the Passive House concept are freely available for all architects. The concept combines a particularly high level of insulation with a specific system of ventilation. Geothermal energy and energy from inside the building such as the body heat from the residents or solar heat entering the building are the main energy sources. Passive House buildings allow for heating and cooling related energy savings of up to 90% compared with typical building stock and over 75% compared with average new buildings. Results The François Berthoux Center (www.artic42.fr) is a 4 400 m2 dialysis facility operated by 40 health care agents and providing care to 135 patients. It was designed following the Passive-House standard, applied for the first time to such a medical building. Several adjustments specific to the dialysis activity were necessary. The most unexpected aspect was the importance of hemodialysis machines as an energy source. Thorough thermal evaluation showed that the heat provided by different type of hemodialysis machines was systematically superior to the energy mandatory during the coldest day of the year (&gt;10 W/m2). In practice, the center turned out to be fully operational with no external source of heating. The downside was that the geothermal pump system was not sufficient to fully regulate temperatures during the warmest period of the year. Optimal cooling was achieved by the addition of conventional AC systems in the hemodialysis rooms. Overall, as compared to a similar center, energy savings provided by the The François Berthoux Center were substantially less than what is expected from a conventional Passive House building but were over 50%. The extra-cost of the construction was estimated to 3 to 5%. Conclusion In conclusion, the concept of eco-friendly building should extend to dialysis facilities. Application of the Passive House Standard in the context of hemodialysis requires to take into account some specificities that can impact the global environmental performance of the building. However, the net result is clearly in favor of such a construction, which is both affordable and sustainable.

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