scholarly journals Characteristics and pharmacological treatment options of delirium patients treated at Sanglah Central General Hospital

2022 ◽  
Vol 5 (1) ◽  
pp. 37-43
Author(s):  
Ni Ketut Sri Diniari ◽  
Luh Nyoman Alit Aryani

Delirium is a syndrome characterized by disturbances of consciousness and cognition that occur acutely and fluctuate. Delirium can be caused by general medical conditions, drug users, sensory disturbances, polypharmacy, etc. The etiology of delirium is diverse and non-specific. The preference of pharmacological therapy in delirium is still a debate. Descriptive research with the retrospective cross-sectional method, using secondary data in medical records at the Sanglah Central General Hospital Denpasar for the period January 1, 2020, to December 31, 2020. Patients who were consulted were 166 people, with sex 57 people (34.3%) and 109 women (65.7%). The incidence of delirium in adults (20-59 years old) and elderly (age 60 years) is the highest with 51.2% and 45.1% respectively.  One-third of 45 people (37.2%) had overlapping dementia. Most of the 142 people (85.5%) were experiencing significant life stress. The most common type of delirium was hyperactive delirium (74%). The underlying disease of delirium varies such as the cause of infection (24.1%), intracranial process (19%), malignancy 18.1%, cardiovascular (10.1%), endocrine disorders,(7.8%), kidney disorders (6%), and others in small percentages.

Sains Medika ◽  
2015 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Susilorini Susilorini ◽  
Udadi Sadhana ◽  
Indra Widjaya

Introduction: A periodical database is important including for skin cancer. Periodical registration is needed to acknowledge changes in pattern and frequencies of skin lesion. Objective: The purpose of this study was to describe the pattern and the frequency of skin lesion in RSUD Kariadi.Method: A cross-sectional study was conducted through analysis of the medical records of patients diagnosed skin lesion in the pathology labolatory of RSUD Kariadi between 2008 and 2009. The variables were secondary data including age, gender, specimen area, dan histopathology diagnosis. Data was choosen by consecutive sampling from 381 medical records of skin tissues examined at laboratorium of pathology anatomy of Dr. Kariadi general hospital during 2008-2009.Result: 381 cases were recorded comprising of 246 (65%) neoplastic and 135 (35%) non neoplastic lesion. 120 patients presented with skin cancer, and 126 with benign skin lesion. Most malignancy was observed among female patients (62.5%) on age catagory of 15-39 (65%). The most common lesion was basal cell carcinoma (48.3%) followed by squamous cell carcinoma (33.3%), malignant melanoma (10%), skin appendix carcinoma (2.5%), other malignancies (4.9%).Conclusion: the most common malignancies in Dr. Kariadi general hospital before 2008 was similar to data from 13 laboratory of pathology anatomy in Indonesia, which is squamous cell carcinoma.


2020 ◽  
Vol 40 (2) ◽  
pp. 88-96
Author(s):  
Mahalul Azam ◽  
Arulita Ika Fibriana ◽  
Fitri Indrawati ◽  
Indah Septiani

Backgrouds: Multi-drug resistance tuberculosis (MDR-TB) adds the burden of tuberculosis (TB). Depression is a common comorbidity in TB patients. Prevalence of depression among MDR-TB patients was higher, i.e. 11-70%. Prevalence of depression among TB patients in Dr. Kariadi General Hospital was 51.9%. Previous study reported the determinants related to the depression in MDR-TB patients. This study explored the prevalence of depression in MDR-TB patients and its determinants. Methods: This study was a cross-sectional study conducted from July-August 2019. Data consisted of primary and secondary data from Dr. Kariadi General Hospital patients. Sample in this study involved 72 respondents, over 16 years old from 151 registered MDR-TB patients. Depression status was determined using Depression Anxiety Stress Scales obtained from the medical record. Subjects’ characteristics and determinants were collected from primary as well as secondary data. Descriptive data were presented in proportion. Chi-square test continued by Binary logistic regression was performed to determine the association between depression status and its determinants. A P-value


2007 ◽  
Vol 2 (1) ◽  
pp. 3
Author(s):  
Arvida Bar

Angka penyalahgunaan narkoba di Indonesia dari tahun ke tahun makin meningkat, Sampai kini tercatat 1,5% atau 3,2 juta penduduk Indonesia merupakan pengguna narkoba. Penyalahguna narkoba terbesar berdasarkan pekerjaan adalah wiraswasta dan pengangguran. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan penyalahgunaan narkoba pada pekerja. Desain pada penelitian ini adalah krosseksional dengan sumber data sekun- der survei BPS tahun 2004. Besar sample adalah 8000 pekerja yang berkunjung ke tempat hiburan di Jakarta, Surabaya, Bandung, Medan, Semarang, Yogjakarta, Palembang, Balikpapan, Kendari, Manado, Makasar, Jambi, Bengkulu, Palangkaraya dan Mataram yang dipilih di tempat hiburan secara konsekutif. Hasil penelitian memperlihatkan 26,39% pekerja yang menjadi penyalahguna narkoba, dengan rincian 14,86% pekerja pernah menggunakan narko- ba, sedangkan 11,53% merupakan penyalahguna selama kurang lebih setahun. Hasil analisis regresi logistik multinomial diperoleh faktor yang berhubungan dengan penyalahgunaan narkoba pada pekerja pengunjung tempat hiburan adalah usia, pendidikan terakhir, perilaku merokok, pendapatan, ketaatan dalam keluarga, kesibukan di tempat kerja, status perkawinan. Terdapat interaksi antara merokok dan ketaatan dalam keluarga. Penyalahgunaan narkoba semakin banyak pada usia dewasa muda, pendidikan yang maakin tinggi, Pendapatan yang makin tinggi, ketaatan beribadah dan pada keluarga yang makin rendah tempatkerja yang makin sibuk, dan kebiasaan merokok, pekerja berkeluarga berisiko lebih rendah.Kata kunci: Ketaatan, perilaku merokok, narkoba, pekerja.AbstractThe figure of drug abuse in Indonesia is increasing every year. It is recorded that the percentage of drug user in Indonesia is 1.5% or 3.2 million people. Based on employment types, most drug users are those working in private sectors and unemployed persons. This study is conducted in order to understand factors related to drug abuse among workers. Design of this study is cross sectional with secondary data from BPS Survey in 2004. Number of sample was 8000 workers visited entertainment places in Jakarta, Surabaya, Bandung, Medan, semarang, Yogyakarta, Palembang, Balikpapan, Kendari, Menado, Makassar, Jambi, Bengkulu, Palangkaraya, and Mataram. The results show that there were 26.39% workers was drug users where 14.86% had ever tried to to consume drug and 11.53% had been using drug for around a year. The multinomial logistic regression analysis shows that factors most related to drug abuse among workers who visited night entertainment places are age, latest education, smoking behaviour, income, obedience in fasmily, working load at working place, and marital status. There is interaction between smoking behaviour and obedience in the family. Those with higher risk are younger age, higher education, higher income, low family obedience, high work load, have smoking habit, and not married.Key words: Obedience, smoking habit, drugs abuse, workers


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Fauzan Abdurrahman ◽  
Sri Suryanti ◽  
Aaron T Sihombing

The risk of high grade PCa in Asia in relation to BMI had positive or negative effect. The objective of this study is to know the relationship between BMI and Gleason score in Indonesian PCa patients. A cross sectional study was conducted in Hasan Sadikin General Hospital. The data were secondary data taken from medical records of prostate adenocarcinoma patients in Hasan Sadikin General Hospital. Ordinal data were analyzed using Chi square and correlation using Spearman. All calculation was done using SPSS 24. There were 95 Indonesian PCa patients. 78 patients is in normal BMI range. Of those 41 patients (52.6%) is in high level of Gleason score. 17 patients is in high BMI range. High Gleason score was found in 11 patients (P = 0.362; rs = 0.094). Conclusion, there is no relation between BMI in Indonesian PCa and Gleason score.   Keywords : Prostate adenocarcinoma (PCa); BMI; Gleason score.


2021 ◽  
Vol 05 (03) ◽  
pp. 67-74
Author(s):  
Quynh Nguyen ◽  
◽  
Van Thinh Pham

Objective: The study was conducted to understand the financial autonomy situation at the Lao Cai General Hospital for the period 2015-2019. Methods: Cross-sectional descriptive study design using retrospective quantitative research methodology of secondary data from financial statements of Lao Cai General Hospital in the 5 years 2015-2019. Results: The hospital's total revenue tended to increase (in 2019, it increased by 97,445 million VND compared to 2015), of which, non-business revenues accounted for more than 80% of the total revenue each year. Revenue from hospital fees and health insurance accounts for a high proportion in the total non-business revenues of the hospital, accounting for about 66-79%. Total hospital spending tends to decrease from 2015 to 2018 (down 3%) and increase in 2019. Professional spending is at the top of the recurrent expenditure structure, accounting for about 38-40%. The personal payment group accounts for 25-29% of the total recurrent expenditure in the hospital and tends to increase each year. The hospital's revenue and expenditure difference tends to increase with the total difference of VND 15,322 million, VND 18,875 million, VND 10,578 million, VND 16,950 million and VND 16,950 million respectively for the years 2015-2019. In general, the total revenue and expenditure realized were in excess of the estimate. Conclusion: In the period 2015 - 2019, total hospital revenues tend to increase, total hospital expenditures tend to decrease, leading to an increasing trend in hospital revenues and expenditures over the years. The appropriation of funds is in accordance with the current regulations, so the salary reform fund accounts for a large proportion and tends to increase sharply, making the bonus fund, the welfare fund, the salary fund increase and decrease. gradually. Keywords: Financial revenue and expenditure activities, Lao Cai Province General Hospital


2019 ◽  
Vol 5 (3) ◽  
pp. 241-247
Author(s):  
Yani Mulyani ◽  
Raden Roro Maryana Ulfah ◽  
Rizki Siti Nurfitria

HIV causes a decrease in immunity which makes the patient susceptible to opportunistic infections such as tuberculosis. This research aims to find out the prevalence, patient descriptions’, treatment pattern and therapeutic goals for tuberculosis in HIV/AIDS patients who were taking the medication in polyclinic of DOTS and polyclinic of VCT in Regional General Hospital Of Bandung City. This was nonexperimental research. Data was collected retrospectively with cross-sectional approach using secondary data which were TB-01 form and HIV Care Summary Form and Antiretroviral Therapy from 1 January 2016 to 31 December 2018.  From 668 Tuberculosis occurrence, there were 25 patients suffered HIV/AIDS. Result obtained the most risk factors was homosexual (60%), with the most ART treatment combination were Tenofovir, Lamivudine, and Evarirenz, 4% has a drug allergic, the most TB treatment history was new case (92%), with the most kind was pulmonary TB (56%), the most Anti TB treatment was category I (92%) and 60% patients done with full therapy


2021 ◽  
Vol 2 (2) ◽  
pp. 112-123
Author(s):  
Ibnu Fuqon ◽  
Asriwati Amirah ◽  
Jamaluddin Jamaluddin ◽  
Lucia Lastiur

A study conducted by the Directorate of Nursing Services, Ministry of Health of the Republic of Indonesia (2011) found that the nursing services provided by nurses to patients had not reached the set target, namely a minimum figure of 75% of the nurse's performance was said to be good.This type of research is quantitative, with adesign cross-sectional which aims to see the effect of headroom supervision on the performance of nurses in the inpatient room of the  General Hospital Hajj Medan in 2020. The sampling technique used is proportioanl stratified random. sampling. Data collection using primary data by distributing questionnaires to the nurse administrators and secondary data obtained from the hospital, namely the hospital profile. Data analysis used Chi square test (α = 0.05) and multiple linear regression.The results showed that the variables that influence the performance of nurses are planning (p = 0.000), guiding (p = 0.045), monitoring (p = 0.000), evaluation (p = 0.002), recording and reporting (p = 0.000). The variables that did not affect the nurse's performance were organizing (p = 0.382) and directing (p = 0.065). In conclusion, the most influential variable is recording and reporting with the highest coefficient value, amounting to 1.674 with a positive value. It is recommended that the head of the room carry out supervision in a programmed, scheduled manner, in accordance with the standards and principles of its implementation and optimize recording and reporting in supervision activities.


2021 ◽  
Vol 42 (2) ◽  
pp. 144-153
Author(s):  
Potchara Kanammit ◽  
◽  
Threechada Boonchan ◽  
Pokket Sirisreetreerux ◽  
Wit Viseshsindh ◽  
...  

Objective: To investigate the impact and the incidence of nocturia on the quality of life of patients in Ramathibodi Hospital. Materials and Methods: This study was a hospital-based cross-sectional study to measure the QoL of nocturia patients using a Nocturia Quality-of-Life questionnaire (N-QoL). Cronbach’s alpha coefficient was used to explore internal consistency. Pearson’s correlation coefficient (r) was used to determine the strength of the relationship between the scores for each item. Uni- and Multivariate analyses were used to explore the significant parameters. Results: One hundred and fifty-five nocturia patient were included in the study analysis. Most of the questionnaire respondents were male (80.65%) and the vast majority had at least 1 underlying disease requiring long-term follow-up by a physician (86.45%) with a median urination of 3 times per night and a 3 hour median first urination after retiring to bed. From our study questionnaire, most patients responded that they had moderate to good quality of life with a minor inconvenience from nocturia, requiring them to nap during the day on some days. An increasing frequency of urination per night and a first urination of less than 2 hours after retiring is significantly related to low levels of energy the next day, sleep deprivation, worry over treatment options, overall inconvenience and a reduction in quality of life. Conclusion: Our study demonstrated nocturia patients experience a significant reduction in quality of life, and a decrease in quality of sleep. The incidence of urination in the night and the timing of the first urination after bed had more impact on overall quality of life.


2021 ◽  
Vol 9 (2) ◽  
Author(s):  
Siti Annisa Devi Trusda ◽  
Wida Purbaningsih ◽  
Budiman Budiman ◽  
Siti Salma Nurhaliza Fitriadi

The prevalence of type 2 diabetes mellitus (T2DM) in Indonesia is high, contributing to the fourth mortality rate for non-communicable diseases in Indonesia. The population of T2DM patients spread across all provinces, including West Java, which is the most populous province in Indonesia. One of the referral hospitals in West Java is Al-Ihsan Regional General Hospital in Bandung regency. The purpose of this study was to describe the characteristics of T2DM patients who came to Al-Ihsan Regional General Hospital according to age, gender, and comorbidities parameters. It was a descriptive cross-sectional study using secondary data from medical records of T2DM patients between January 2017 and November 2020. The results were the highest prevalence and incidence of T2DM were in 2017 with as many as 5,051 and 653 respectively; the highest gender each year was female, range between 584–3,333, with the highest male: female ratio of 1:2 in 2017; the age group with the highest prevalence was 55–65 years which was 3,468 (39.53%); and top five comorbidities were hypertension (35.68%), cataracts (6.01%), osteoarthritis (3.58%), pulmonary tuberculosis (2.92%) and dyspepsia (2.91%). This study concluded that the prevalence and incidence of T2DM in Al-Ihsan Regional General Hospital were high, with the predominant female patients, elderly, and comorbid hypertension. KARAKTERISTIK PASIEN DIABETES MELITUS TIPE 2 DI RSUD AL-IHSANAngka kejadian diabetes melitus tipe 2 (DMT2) di Indonesia cukup tinggi, menyumbangkan angka kematian keempat penyakit tidak menular di Indonesia. Penderita DMT2 tersebar di seluruh provinsi, termasuk Jawa Barat yang merupakan provinsi terpadat di Indonesia. Salah satu rumah sakit rujukan di Jawa Barat adalah RSUD Al-Ihsan di Kabupaten Bandung. Tujuan penelitian ini adalah menggambarkan karakteristik pasien DMT2 yang datang ke RSUD Al-Ihsan dilihat dari usia, jenis kelamin, dan komorbid. Penelitian ini merupakan penelitian deskriptif cross-sectional menggunakan data sekunder berupa rekam medis pasien DMT2 periode Januari 2017 hingga November 2020. Didapatkan bahwa prevalensi dan insidensi DMT2 tertinggi pada tahun 2017 sebesar 5.051 dan 653 masing-masing; jenis kelamin terbanyak pada setiap tahun adalah wanita sebesar 584–3.333 dengan rasio pria:wanita tertinggi 1:2 pada tahun 2017; kelompok usia dengan prevalensi tertinggi adalah 55–65 tahun sebesar 3.468 (39,53%); dan lima komorbid tertinggi adalah hipertensi (35,68%), katarak (6,01%), osteoartritis (3,58%), tuberkulosis paru (2,92%), dan dispepsia (2,91%). Simpulan penelitian ini adalah prevalensi dan insidensi DMT2 di RSUD Al-Ihsan tinggi dengan pasien terbanyak wanita, lanjut usia, dan komorbid hipertensi.


2019 ◽  
Vol 47 (2) ◽  
pp. 135-142
Author(s):  
Indirawati Tjahja ◽  
Olwin Nainggolan

Abstract Mental health is the state of the individual to understand the abilities he has. Mental health is often associated with stress.Stress is a normal response to a variety of circumstances that must be faced in life .Stress causes a decrease in blood flow to the heart , increasing the need for oxygen and has a bad effect on the immune response , there by causing susceptible to infections , including dental on periodontal tissue. Sports health has a role in improving the quality of life by moving dynamically. Objective: to determine whether mental health affects dental-oral health (dental periodontal tissue) in Indonesia. In addition, to find out whether exercise health has an effect on dental-mouth health This study aims to determine the relationship between the stress experienced by the individual in oral and dental care in Indonesia. In addition, to find out whether exercise health has an effect on dental-mouth health. Method: The sample was all household members aged 15 years and over and numbered 722,329 people. The research design is cross sectional. Data was taken from Riskesdas secondary data in 2013 in 33 (thirty three) provinces and 497 districts / cities in Indonesia.  It was found that stress affects the individual teeth including periodontal tissue, with a p-value: 0.000. Likewise Sports health affects dental health = mouth, with a p value: 0,000. Conclusion: there is a significant relationship between mental health and the health of dental periodontal tissue, with a p value: 0,000. And there is a significant relationship between health exercise and the health of dental periodontal tissue. Suggestion : The need to maintain dental and oral health for respondents who experience mental health disorders. by controlling the dentist at least once every 3-6 months, this is needed, if it is found in the respondent who has a disorder TFO (Trauma From Oclusiin) can be treated immediately. So that there is no disruption in the health of the dental periodontal tissue. In addition, sports are needed, at least 30 minutes, a minimum of 3-5 days / per week keywords : mental health, sports health health of dental periodontal tissue  Kesehatan jiwa adalah keadaan individu dalam memahami kemampuan yang dimilikinya. Kesehatan jiwa sering dikaitkan dengan stres. Stres merupakan respon normal terhadap berbagai keadaan yang harus dihadapi dalam hidup. Stres menyebabkan penurunan aliran darah ke jantung, meningkatkan  kebutuhan oksigen dan memiliki efek buruk terhadap reaksi imun,yangmenyebabkan rentan terhadap infeksi pada gigi,akibatnya kesehatan gigi dan mulut terganggu.Aktivitas fisik memiliki peran dalam meningktkan kualitas hidup dengan cara bergerak secara dinamis. Tujuan :untuk mengetahui apakah kesehatan jiwa berpengaruh terhadap kesehatan gigi dan mulut.Selain itu untuk mengetahui apakah aktivitas fisik berpengaruh terhadap kesehatan gigi dan mulut. Metode :Sampel adalah seluruh anggota rumah tangga yang berusia 15 tahun keatas berjumlah 722.329 orang. Disain penelitian adalah potong lintang. Data diambil dari data Riskesdas tahun 2013 di 33 (tiga puluh tiga) propinsi dan 497 kabupaten/kota di Indonesia. Hasil :kesehatan jiwa berpengaruh terhadap kesehatan gigi dan mulut. Demikian juga aktivitas fisik berpengaruh terhadap kesehatan gigi dan mulut, dengan nilai p:0,000. Kesimpulan : terdapat pengaruh yang bermakna antara kesehatan jiwa dengan kesehatangigi dan mulut, dengan nilai p :0,000.Dan terdapat pengaruh yang bermakna antara aktivitas fisik dengan kesehatan gigi. dan mulut. Saran: Perlunya pemeliharaan kesehatan gigi dan mulut bagi individu yang mengalami gangguan kesehatan jiwa,dengan melakukan kontrol ke dokter gigi minimal 3-6 bulan sekali, Perlunya pemeliharaan kesehatan gigi dan mulut dengan melakukan kontrol ke dokter gigi minimal 3-6 bulan sekali.Selain itu, perlu melakukan aktivitas fisikminimal 30 menit, perhari dilakukan3-5 hari/ per minggu.


Sign in / Sign up

Export Citation Format

Share Document