Perkiraan Kadar Seftazidim dalam Darah pada Pasien Pneumonia dengan Gangguan Fungsi Ginjal

Pneumonia is one of the major causes of mortality due to infection in hospitalized patients. It was frequently found in patients with renal failure. Clinical outcomes of infected patients with renal failure are worse compared to patients without renal failure. The presence of renal impairment affects the pharmacokinetics of the drug. Ceftazidime is one of the most commonly used antibiotics in patients with pneumonia. Approximately, 80-90% of ceftazidime’s total drug fraction is eliminated by kidneys so that the presence of kidney disorders will affect the concentration of ceftazidime in the blood. This study aimed to determine the estimated concentration of ceftazidime in the blood and clinical outcome of pneumonia patients with renal impairment. This study was a retrospective study with descriptive observational design. Data were obtained from patient’s medical record in a hospital in Yogyakarta between January 2013-June 2017 which fulfilled the inclusion criteria, i.e., ≥18 years old patients with complete medical record data, treated in internal medicine ward with diagnosis of pneumonia (HAP/HCAP) who had chronic renal failure, and received ceftazidime for minimum 72 hours or 3 days. The number of research samples were 40 patients. This study showed that 31 patients (77.5%) had achieved estimated ceftazidime concentration in the blood above the minimum inhibitory concentration of 8 μg/ mL. After ceftazidime therapy, 19 patients (47.5%) had improved clinical outcome and 21 patients (52.5%) had not improved clinical outcome.

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Proteinuria pada Penderita Gagal Ginjal Kronik di Rumah Sakit Martha Friska Multatuli Medan Tahun 2015-2016

Jurnal Ilmiah Biologi UMA (JIBIOMA) ◽

10.31289/jibioma.v1i2.166 ◽

2019 ◽

Vol 1 (2) ◽

pp. 77-80

Author(s):

Juliana Ruminta Sijabat ◽

Sartini Sartini ◽

Abdul Karim

Keyword(s):

Renal Failure ◽

Chronic Renal Failure ◽

General Hospital ◽

Medical Record ◽

Kidney Failure ◽

Chronic Kidney Failure ◽

Urine Samples ◽

Medical Record Data ◽

Record Data ◽

Male Patients

This study aims to determine the presence or absence of protein in urine in patients with chronic renal failure. From the results of the study it was found that patients with chronic kidney failure in Martha Friska Multatuli General Hospital Medan from the 80 most patients in positive +++. Many patients with chronic kidney failure are male patients (62.5%) compared to female patients (37.5%) and the results of the examination based on age increase with age, ie at the age of 45 years and above. This type of research is descriptive analytic. Data is taken by recording medical record data of patients with chronic kidney failure based on age, sex and year. The study was conducted from January 2015 to December 2016. The place for conducting the research was conducted at Martha Friska Multatuli General Hospital (RSU) Medan. The study sample was urine samples from all patients with chronic renal failure. It can be concluded that the picture of protein in urine in patients with chronic kidney failure increases every year.

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Evaluasi Ketepatan Antibiotik pada Pasien Sepsis

Pharmacon Jurnal Farmasi Indonesia ◽

10.23917/pharmacon.v18i2.16635 ◽

2021 ◽

Vol 18 (2) ◽

pp. 194-207

Author(s):

Ambar Yunita Nugraheni ◽

Mahyastuty Shintya Putri ◽

Adi Yusron Saputro

Keyword(s):

Medical Record ◽

Observational Data ◽

Inclusion Criteria ◽

Medical Record Data ◽

Exclusion Criteria ◽

Central Java ◽

Intravenous Antibiotics ◽

Record Data ◽

The Right ◽

Complete Medical Record

The administration of early intravenous antibiotics was one of the fundamental procedures in sepsis. Inappropriate of antibiotics in septic patients has an impact on mortality and prolongs treatment. The purpose of this study was to evaluate the appropriateness of antibiotics therapy in hospitalized sepsis patients in Central Java based on the parameters right indication, right patient, right drug, and the right dose. This study was observational. Data collected retrospectively and analyzed descriptively. Sampling was done by purposive sampling. The inclusion criteria were inpatients diagnosed with sepsis who received antibiotics therapy with complete medical record data. The exclusion criteria were patients who died of sepsis. Antibiotics analyzed using the DIH 25th edition 2016, IONI 2014, Tata Laksana Sepsis Pada Anak IDAI 2016, Neofax 2014, Kepmenkes PNPK Tata Laksana Sepsis 2017, PPK RS, and SHC Antimicrobial Dosing 2017. Based on data from 108 patients who fulfilled the inclusion criteria obtained results right indication 100%, right patient 97.22%, right drug 90.74%, and the right dose 48.15%. The most used antibiotic was a combination of ampicillin and gentamicin (41.67%), while the single antibiotic was ceftriaxone (12.96%).

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Are medical record front page data suitable for risk adjustment in hospital performance measurement? Development and validation of a risk model of in-hospital mortality after acute myocardial infarction

BMJ Open ◽

10.1136/bmjopen-2020-045053 ◽

2021 ◽

Vol 11 (4) ◽

pp. e045053

Author(s):

Chaoqun Wu ◽

Danwei Zhang ◽

Xueke Bai ◽

Tiannan Zhou ◽

Yongfei Wang ◽

...

Keyword(s):

Myocardial Infarction ◽

Hospital Mortality ◽

Medical Record ◽

Risk Adjustment ◽

Validation Cohort ◽

Hospital Performance ◽

Front Page ◽

Medical Record Data ◽

Record Data ◽

Complete Medical Record

ObjectivesTo develop a model of in-hospital mortality using medical record front page (MRFP) data and assess its validity in case-mix standardisation by comparison with a model developed using the complete medical record data.DesignA nationally representative retrospective study.SettingRepresentative hospitals in China, covering 161 hospitals in modelling cohort and 156 hospitals in validation cohort.ParticipantsRepresentative patients admitted for acute myocardial infarction. 8370 patients in modelling cohort and 9704 patients in validation cohort.Primary outcome measuresIn-hospital mortality, which was defined explicitly as death that occurred during hospitalisation, and the hospital-level risk standardised mortality rate (RSMR).ResultsA total of 14 variables were included in the model predicting in-hospital mortality based on MRFP data, with the area under receiver operating characteristic curve of 0.78 among modelling cohort and 0.79 among validation cohort. The median of absolute difference between the hospital RSMR predicted by hierarchical generalised linear models established based on MRFP data and complete medical record data, which was built as ‘reference model’, was 0.08% (10th and 90th percentiles: −1.8% and 1.6%). In the regression model comparing the RSMR between two models, the slope and intercept of the regression equation is 0.90 and 0.007 in modelling cohort, while 0.85 and 0.010 in validation cohort, which indicated that the evaluation capability from two models were very similar.ConclusionsThe models based on MRFP data showed good discrimination and calibration capability, as well as similar risk prediction effect in comparison with the model based on complete medical record data, which proved that MRFP data could be suitable for risk adjustment in hospital performance measurement.

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RANCANG BANGUN SISTEM INFORMASI LAYANAN REKAM MEDIS PRAKTIK DOKTER GIGI BERSAMA DI TABING

Voteteknika (Vocational Teknik Elektronika dan Informatika) ◽

10.24036/voteteknika.v5i2.8472 ◽

2017 ◽

Vol 5 (2) ◽

Author(s):

Annisa Aulia Zaroh ◽

Dedy Irfan ◽

Elfi Tasrif

Keyword(s):

Information System ◽

Medical Record ◽

Medical Records ◽

Database Management System ◽

Design Data ◽

Web Based ◽

Patient Medical Record ◽

Service Information ◽

History Of ◽

Complete Medical Record

The most important thing in the medical world is entering a history of the patient’s health, and this is known as the medical records. The medical records patients are used as references to the doctor for examination of the patient’s health, as well as records of a diagnosis of a disease patients and medical services. According to with the purpose of this final task, to provide design data supporting the medical records is complete and structured to facilitate action. The design of this web based information system using the codeigniter framework, programming PHP (Hypertext Preprocessor) with XAMPP as a Database Management System (DBMS), and sublime Text 3 as editor. Medical record service information system providing data supporting a complete medical record and structured in order to facilitate doing of medical, simplify data searches of patient medical record along with its report. The design of this information systems is performed to produce an information system that can create your medical record is tored neatly and securely in a database, facilitate the search process patient medical record data when data is needed, minimize errors in data processing of patient medical record. The design of the information system displays data, patient medical record, making the reference and the doctor's license. Keywords : Medical Record, Web, PHP

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Influential Factors in The Law Enforcement Process of Sexual Violence Cases in Children in The City of Semarang

SOEPRA ◽

10.24167/shk.v6i2.2912 ◽

2020 ◽

Vol 6 (2) ◽

pp. 4

Author(s):

Liya Suwarni

Keyword(s):

Law Enforcement ◽

Sexual Violence ◽

Medical Record ◽

Child Protection ◽

Influential Factors ◽

Medical Record Data ◽

Violence Against Children ◽

Record Data ◽

The Law ◽

The City

Background. Cases of sexual violence increase every year, victims ranging from adolescents, children to toddlers. Based on data from the Indonesian Child Protection Commission, abuse and violence against children in Indonesia in 2013 were 23 cases, in 2014 there were 53 cases, in 2015 there were 133 cases, 2017 reached 1,337 cases, and as of July 2018 there were 424 cases. Purpose. Knowing the factors that influence the law enforcement process of sexy violence cases in Semarang City. Method This study uses descriptive analytical methods for cases of violence against children, based on medical record data in hospitals, documents in Mapolrestabes, the District Attorney's Office and the Semarang City Court for the period of January 2015 to December 2018. Results. Based on research results obtained 213 experimental cases section from medical record data in hospitals in the city of Semarang. Most cases of child abuse occurred in 2018 with 72 cases. Most victims are 12-14 years old age group, female. Most types of cases are cases of intercourse. The majority of violations are persons known as victims, perpetrators not working, and most of the places of occurrence are in the defendant's house. At the time of prosecution and trial, the number of cases was significantly reduced to only 8 cases. Factors related to this include lack of evidence, difficulty in obtaining information from victims, convoluted statements of coverage, lack of election, and obtaining diversion rates. Conclusion Cases of sexual violence have increased from year to year. The process of law enforcement on this problem still has many difficulties in each manufacturing process which is still difficult to overcome.

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