scholarly journals Evaluasi Luaran Klinis Terapi Antibiotik pada Pasien Community Acquired Pneumonia Anak Rawat Inap

Author(s):  
Sabrina Handayani Tambun ◽  
Ika Puspitasari ◽  
Ida Safitri Laksanawati

Community Acquired Pneumonia (CAP) is an infectious disease which is one of the main causes of child mortality in developing countries. The pattern of giving antibiotics at the hospital is usually still empirical. Inappropriate use of antibiotics may cause failure of therapy or bacterial resistance. This study aims to determine the empirical antibiotic rationality and the relationship of rationality to the clinical outcome of CAP-pediatric inpatients at RSUP. Dr. Sardjito Yogyakarta. The study conducted using a descriptive analytic method with a retrospective cohort design. The subjects were CAP-pediatric inpatients at RSUP. Dr. Sardjito Yogyakarta period 1 January-31 December 2018. The rationality of empirical antibiotics is evaluated using the Gyssens algorithm. The clinical outcome was either good or bad outcome according to the clinician stating in the medical record. Patient characteristics, empirical antibiotic therapy and rationality patterns were analyzed descriptively. The relationship between empirical antibiotic rationality and clinical outcome were evaluated using Chi square test. There were 73 patients who met the inclusion and exclusion criteria (132 empirical antibiotic regimens). Rational antibiotic therapy accounted 76.5% (category 0). Types of irrationality of antibiotic found were IIIB (5.3%) and IIA categories (18.2%). Chi-square analysis showed that empirical antibiotic rationality related to good clinical outcome of CAP children (p = 0.011; OR = 2.957; 95% CI = 1,263 - 6,923).

2021 ◽  
Vol 21 (3) ◽  
pp. 1123
Author(s):  
Neni Probosiwi ◽  
Tsamrotul Ilmi ◽  
Nur Fahma Laili ◽  
Henni Wati ◽  
Lintang Bismantara B.G.PS ◽  
...  

Medicaction error is an important problem in the health sector that can increase mortality, increase the duration of hospitalization, and increase the cost of treatment. Identifying the risk factors for medication errors is an important first step in preventing medication errors. This study aimed to identify the relationship between patient characteristics and medication errors in inpatients at clinic x. The study was conducted qualitatively with a cross-sectional design with recorded data. The study was conducted using clinical record data from July to December. The study sample consisted of 196 patients who met the inclusion criteria with a consecutive sampling technique. Analysis of the relationship between variables was carried out by chi-square analysis with a significance value of 5% (0.05). The results showed that inpatients at clinic x experienced medication errors of 17.86% which consisted of prescribing errors of 2.55% and administrative errors of 15.31%. Patient gender was not significantly associated with medication errors (p> 0.05). Patient age was significantly associated with medication errors (p<0.001). The number of drugs was significantly associated with medication errors (p<0.001). Length of stay was not significantly associated with medication errors (p < 0.05). Drug class was significantly related to medication error. The conclusion is that the patient's age, the number of drugs received by the patient and the class of drugs are factors related to the incidence of medication errors. The patient aspect also contributes to the risk factor for medication errors so that it can be considered in preventing medication errors in health practice by health workers.


2019 ◽  
Vol 12 (1) ◽  
pp. 42-51
Author(s):  
Dwi Indah Sulistiani ◽  
Ujang Maman ◽  
Junaidi J

Objective of this research; 1) determine the perception of ranchers against the properties and behavior of the leadership of the companion in the Society of Al-Awwaliyah 2) analyze the relationship between productivity breeder with productivity of livestock in the Society of Al-Awwaliyah 3) identify the relationship perceptions of ranchers against the leadership companion with productivity of livestock in the Society of Al-Awwaliyah , The data used in this study are primary and secondary data. Primary data were obtained from questionnaires which stem from ranchers while secondary data sourced from literature in the form of books and articles. Data processing was performed using Chi-square analysis using SPSS software version 21. One of the factors relating to the productivity of ranchers is the perception of ranchers against the leadership of their companion. Leadership companion views of the nature and behavior of which is owned by a companion. Productivity ranchers indirectly related to the productivity of the cattle business. Characteristics breeder visits of age, years of education, experience ranchers, and businesses in addition to ranchers. The results of data analysis showed that there is a significant relationship between business other than ranchers with ranchers productivity. The relationship between the perception of the nature of the companion breeder with productivity ranchers produce Pearson Chi-Square value is 9.751 and Asymp. Sig. (2-sided) of 0.002. This is due to interest ranchers against leadership qualities possessed by a companion who produce prolific ranchers. Ranchers consider that a companion of his leadership qualities are ideal as a companion.


Author(s):  
Suryanti Suryanti ◽  
Andi Ipaljri

In the current era of globalization, humans always interact with technological developments. One result of the development of technology is the use of computers. The use of computers that are not under the ergonomic position causes effects on health, one of them is tension-type headaches. In the United States, 1-4% of patients coming to the Emergency Care Unit complain of headache, 90% of them are tension-type headaches. The proportion of migraine and other headache syndromes in the hospital. Harapan Bunda in 2011 and RS. Camatha Sahidya in Batam in Batam was 5% and 0.7% respectively. Whereas the incidence of tension headaches in 5 puskesmas in Batam in 2014 ranged from 0.5% - 1.3%. The proportion of tension headaches at the BIP Clinic in the January-April 2018 period is 1.5%. Tension-type headaches that occur continuously can cause barriers to daily activities. The purpose of this study is to determine the relationship of computer use with the incidence of tension-type headaches in workers. This research uses a descriptive-analytic method with a cross-sectional approach. The sampling technique is purposive sampling. Of 97 respondents who visited the clinical BIP that met the criteria, it was found that computer user respondents experienced tension-type headaches of 18 people (42.9%) and not tension-type headaches of 24 people (57.1%). Whereas the respondents who were not computer users experienced tension-type headaches of 10 people (18.2%), and non-tension-type headaches of 45 people (81.8%). Bivariate chi-square analysis showed that p = 0.008 (p <0.05). This means that Ha is accepted and H0 is rejected.


2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.


2021 ◽  
pp. 1-9
Author(s):  
Alex S. Ha ◽  
Meghan Cerpa ◽  
Justin Mathew ◽  
Paul Park ◽  
Joseph M. Lombardi ◽  
...  

OBJECTIVE Lumbosacral fractional curves in adult spinal deformity (ASD) patients often have sharp coronal curves resulting in significant pain and imbalance. Postoperative stretch neuropraxia after fractional curve correction can lead to discomfort and unsatisfactory outcomes. The goal of this study was to use radiographic measures to increase understanding of the relationship between postoperative stretch neuropraxia and fractional curve correction. METHODS In 62 ASD patients treated from 2015 to 2018, radiographic review was performed, including measurement of the distance between the lower lumbar neural foramen (L4 and L5) in the concavity and convexity of the lumbosacral fractional curve and the ipsilateral femoral heads (FHs; L4–FH and L5–FH) in pre- and postoperative anteroposterior spine radiographs. The largest absolute preoperative to postoperative change in distance between the lower lumbar neural foramen and the ipsilateral FH (ΔL4/L5–FH) was used for analysis. Chi-square analyses, independent and paired t-tests, and logistic regression were performed to study the relationship between L4/L5–FH and stretch neuropraxia for categorical and continuous variables, respectively. RESULTS Of the 62 patients, 13 (21.0%) had postoperative stretch neuropraxia. Patients without postoperative stretch neuropraxia had an average ΔL4–FH distance of 16.2 mm compared to patients with stretch neuropraxia, who had an average ΔL4–FH distance of 31.5 mm (p < 0.01). Patients without postoperative neuropraxia had an average ΔL5–FH distance of 11.1 mm compared to those with stretch neuropraxia, who had an average ΔL5–FH distance of 23.0 mm (p < 0.01). Chi-square analysis showed that patients had a 4.78-fold risk of developing stretch neuropraxia with ΔL4–FH > 20 mm (95% CI 1.3–17.3) and a 5.17-fold risk of developing stretch neuropraxia with ΔL5–FH > 15 mm (95% CI 1.4–18.7). Logistic regression analysis indicated that the odds of developing stretch neuropraxia were 15:1 with a ΔL4–FH > 20 mm (95% CI 3–78) and 21:1 with a ΔL5–FH > 15 mm (95% CI 4–113). CONCLUSIONS The novel ΔL4/L5–FH distances are strongly associated with postoperative stretch neuropraxia in ASD patients. A ΔL4–FH > 20 mm and ΔL5–FH > 15 mm significantly increase the odds for patients to develop postoperative stretch neuropraxia.


2018 ◽  
Vol 8 (1) ◽  
pp. 29 ◽  
Author(s):  
Azzam A. Abou-Moghli

The economic competition is increasing day by day on both local and international level; therefore, it becomes the duty of organization to balance these processes along with job security. The study aimed to use the social determination theory (SDT) to evaluate the relationship between work engagement, happiness and organizational commitment. A quantitative research design was used to conduct the study, selecting 317 individuals working in three telecommunications companies (Orange, Zain, and Umniah). Regression analysis and Chi square analysis were carried out on the data collected through the questionnaire survey. The results showed a significant relationship between organizational commitment, work engagement and happiness. The Social Determination Theory (SDT) was also found to be relevant in evaluating the factors that are responsible for affecting the behavior of employees towards the organization. The study provides significant knowledge to practitioners in evaluating factors that increase job dissatisfaction or job insecurity among employees that leads to a reduction in the level of work commitment and engagement.


2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Warsini Warsini ◽  
Kevin Anung Joseptian

Background: It is undoubted if basic immunization has benefited immensely to child for over the years. Nevertheless there aresome parents who remains reluctant to immunize their children. This condition could be proved by the achievement of UCI (Universal Child Immunization) in 2015 in Klaten which involved 401 villages. There was only 90% of the total population who participated in this program. The Purpose: To analized the relationship between education level, work satus and mother's knowledge about basic immunization with the successness of giving basic immunization to babies. The Subjects: The study was observational analytic with cross sectional design. The population were all mothers who had infants aged 9-12 months in January-February 2018 in Wonosari District taken using total sampling technique. The data was then collected by using questionnaires. The results: Most of the infants were 11 months old (50%), most of mother were 25-35 years old (66.8%), most of the mother's education level was Senior High School (46.7%), most of the mother's knowledge about immunization was high (96.7%), the majority of mothers did not work (53.3%), most infants were fully immunized (96.7%). Chi Square analysis found that the correlation between education level and the successness of immunization in infant p=0.245, work relation with success of immunization giving to infant p=0.341, and relation of mother knowledge about basic immunization with successness immunization giving to infant p=0.000. The conclusion: There was no correlation between the level of education with the successness of immunization in infants (p=0.245), there was no relationship between work status with successness immunization in infants (p=0.341), and there was a statistically significant relationship between maternal knowledge of basic immunization with successness immunization in infants (p=0.000). Keywords: basic immunization, education, employment, knowledge


2020 ◽  
Vol 2 (2) ◽  
pp. 155-160
Author(s):  
Ririn Kurniawati ◽  
Wyssie Ika Sari ◽  
Dita Islamiah

Mother's Milk (ASI) is the best food that contains all nutrients needed by infants aged 0-6 months. Breast milk can affect the growth and development of bayp. The purpose of this study was to identify the relationship between family support and mother's behavior in providing exclusive ASI in the trenyang village Sumber Pucung health center. This research was conducted with a case control approach. The variable in this study is the dependent variable family support, the independent variable exclusive breast feeding. The research was carried out in trenyang village, the working area of Sumber Pucung, sampling purposive sampling with a large sample of 96 infants aged 7-24 months. Date were then tested using chi square analysis. Chi squere test results obtained p (0.015) <0.05 then H1 is accepted and rejected by H0, which means there is a relationship between family support and maternal behavior in providing exclusive breastfeeding in trenyang village Sumber Pucung. And the value obtained OR = 2.77 means that family support gives 2.77 times the opportunity for family support. Conclusion of this research is all family give support to mother's behavior in providing exclusive ASI health officer should increase cooperation with mom family because support will increase the mom�s self supporting. Health workers are expected to increase cooperation with Posyandu cadres because family support will increase independence for mothers in exclusivebreastfeeding.


2020 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Ikawati Setyaningrum ◽  
Firman Hidayat ◽  
Ratna Widhiastuti

Preceptorship is one method of guidance with one to one relationship in the scope of nursing which is considered good enough to add skills in care, both soft skills, hard skills and attitude of the nursing profession. Many factors affect the implementation of preceptorsip in hospitals. This study aims to determine the relationship between clinical instructional motivation and the implementation of preseptorship at Dr. Soeselo Slawi. This research is a quantitative study and the type of descriptive correlation research design with cross sectional approach. The sampling technique used was a total sampling of 39 people. The research instrument uses a motivation questionnaire containing 26 statements, whereas for Preceptorship uses a questionnaire containing 10 statements. Chi square analysis results showed that the p value was 0.007 (<0.005), which means there was a significant relationship between CI motivation and the implementation of Preseptorship. The hospital is expected to be able to choose nurses who will become CIs according to certain competency and knowledge standards, as well as specializing CI assignments so that they do not overlap with patient service tasks.  Keywords: Motivation. Clinical instructure, preceptorship


2019 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Angga Mahargia yunanta Firdaus ◽  
Eni Hidayati

NAPZA merupakan singkatan dari Narkoba, Psikotropika, dan Zat Adiktif lainnya. Penggunaan NAPZA sangat membahayakan bagi kesehatan baik mental maupun fisik penggunanya. Pengguna NAPZA beresiko gangguan perkembangan otak, bunuh diri dan depresi kehilangan memori, risiko tinggi terhadap perilaku seksual, kecanduan, pengambilan keputusan terganggu, prestasi akademis yang buruk, kekerasan, dan kecelakaan kendaraan bermotor. Penggunaan NAPZA juga merusak masa depan penggunanya dan juga masa depan Bangsa. Penelitian ini bertujuan untuk menganalisis hubungan tingkat pengetahuan dan sikap terhadap penggunaan NAPZA pada remaja di sekolah mengah atas di kota Semarang. Jenis Penelitian ini merupakan penelitian kuantitatif dengan metode survei analitik. menggunakan rancangan survei cross sectional. Sampel penelitan sebanyak 150 remaja yang memenuhi kriteria menggunakan kuesioner kemudian diuji menggunakan uji chi square pada tingkat kepercayaan 95% dari program SPSS versi 19. Hasil penelitian menunjukkan bahwa  ada hubungan positif dan Signifikan antara pengetahuan dan sikap terhadap penggunaan NAPZA remaja di sekolah mengah atas di kota Semarang. Nilai p=0.000 dan nilai r=0.343 pada uji pengetahuan dan penggunaan NAPZA membuktikan bahwa pengetahuan merupakan faktor pendukung penggunaan NAPZA. Nilai p= 0.003 dan nilai r=0.236 mengindikasikan bahwa ada korelasi antara sikap dengan penggunan NAPZA, dan pengetahuan dan sikap menghasilkan nilai Chi Square signifikasi = 0,202. Berdasarkan ketentuan analisis Chi Square dimana nilai probabilitas (p) kurang dari 0,05 artinya tidak terdapat hubungan yang signifikan antara tingkat pengetahuan dengan sikap pada remaja. Pengetahuan tentang NAPZA dan penyalahgunaannya akan mengarahkan remaja untuk tidak pernah menggunakan bahkan mencoba zat berbahaya tersebut serta bersikap menolak ajakan teman maupun pengaruh lingkungan untuk menggunakannya. Dengan demikian menjadi sangat penting bagi semua pihak baik sekolah maupun orang tua untuk terus memberikan pengarahan yang baik mengenai bahayanya penyalahgunaan NAPZA bagi masa depan remaja. Kata kunci: Remaja, Kecanduan media sosial, Motivasi belajar ANALYZE THE RELATIONSHIP OF THE LEVEL OF KNOWLEDGE AND ATTITUDE TOWARDS THE USE OF DRUGS IN TEENS IN SCHOOL MENGAH TOP IN SEMARANG CITY ABSTRACTIT stands for drugs, psychotropic drugs, and other addictive substances. The use of DRUGS is very harmful for the health of both mental as well as physical users. People who use drugs are at risk of impaired brain development, suicide, depression and memory loss, against the high risk sexual behavior, addiction, impaired decision making, poor academic achievement, violence, and motor vehicle accidents. The use of DRUGS also damage future users and also the future of the nation. This research aims to analyze the relationship of the level of knowledge and attitude towards the use of DRUGS in teens in school mengah top in Semarang city. Type of this research is quantitative research with survey method is analytic. using the draft survey of cross sectional. The sample for the study as many as 150 teens who meet the criteria using keudian questionnaires were tested using the chi square test on a confidence level of 95% of the program SPSS version 19. The results showed that there is a positive and significant relationship between knowledge and attitudes towards the use of DRUGS in mengah school teen top in Semarang city. The value p = 0000 and the value of r = 0.343 on a test of knowledge and the use of DRUGS prove that knowledge is a factor supporting the use of DRUGS.The value p = 0.003 and value r = 0.236 indicates that there is a correlation between attitudes with use of DRUGS, and the knowledge and attitude to produce the value of the Chi Square = 0.202 significance. The Chi Square analysis based on where the value of the probability (p) of less than 0.05 means there is no significant relationship between the level of knowledge with attitude in teenagers. Knowledge about DRUGS and abuse will direct teenagers to never use even attempting the hazardous substances as well as being friends or refuse the influence of environment to use it. Thus it becomes very important for all parties to either the school or parents to continue to provide a good briefing about the dangers of the misuse ofDRUGS for the future of youth. Keywords: adolescent, addicted to social media, the motivation of learning


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