scholarly journals SOSIALISASI PENGGUNAAN ANTIBIOTIK CEFTRIAXONE PADA PASIEN DEMAM TYFOID ANAK DI INSTALASI RAWAT INAP RSUD DELI SERDANG

2021 ◽  
Vol 1 (1) ◽  
pp. 64-69
Author(s):  
Yayuk Suyudi Rahayu ◽  
Suci Wulandari ◽  
Titi Anjar Pangetsu
Keyword(s):  
Typhoid Fever ◽  
Sampling Method ◽  
Systemic Infection ◽  
Antibiotic Use ◽  
Organ Function ◽  
Food And Drink ◽  
The Right ◽  
Timely Administration ◽  
Time Of Administration

Typhoid fever is a systemic infection caused by the salmonella thypi bacteria which attacks the small intestine with fever for 1 week or more accompanied by disturbances in the digestive tract. This disease is endemic and is a community disease that is transmitted through food and drink contaminated with bacteria. Typhoid fever can be treated using antibiotics, giving antibiotics especially in children and infants must consider the side effects on body systems and organ function that are still not perfect. The purpose of this study was to determine the use of ceftriaxone antibiotics based on the right indication, appropriate patient, appropriate medication, proper dosage, timely administration of the drug and the right way of giving antibiotics in the inpatient installation of the Deli Serdang Regional General Hospital in 2019.      This study used retrospective data and was analyzed descriptively by purposive sampling method. Data used by pediatric patients (2-12 years). Data according to the inclusion characteristics of 43 cases were evaluated for their quality based on the right indication, appropriate patient, appropriate medication, proper dosage, the right time of administration and the right way of administration.      The results of this study indicate that the percentage of the quality of antibiotic use includes 43 (100%) right indications, 43 (100%) right patients, 43 (100%) right drugs, 30 (73%) right doses, 42 right time of administration ( 97.67%) and the right way of giving was 43 (100%).

scholarly journals EVALUASI KUALITATIF PENGGUNAAN ANTIBIOTIK CEFTRIAXONE PADA PASIEN DEMAM TYFOID ANAK RUANGAN RAWAT INAP RSUD DELI SERDANG

2021 ◽  
Vol 3 (2) ◽  
pp. 47-52
Author(s):  
Yayuk Suyudi Rahayu ◽  
Suci Wulandari ◽  
Titi Anjar Pangestuti
Keyword(s):  
Typhoid Fever ◽  
Sampling Method ◽  
Pediatric Patients ◽  
Systemic Infection ◽  
Antibiotic Use ◽  
Organ Function ◽  
Food And Drink ◽  
The Right ◽  
Time Of Administration

Typhoid fever is a systemic infection caused by the salmonella thypi bacteria which attacks the small intestine with fever for 1 week or more accompanied by disturbances in the digestive tract. This disease is endemic and is a community disease that is transmitted through food and drink contaminated with bacteria. Typhoid fever can be treated using antibiotics, giving antibiotics especially in children and infants must consider the side effects on body systems and organ function that are still not perfect. The purpose of this study was to determine the use of ceftriaxone antibiotics based on the right indication, the right patient, the right drug, the right dose, the right time of administration and the right way of giving antibiotics in the inpatient installation of the Deli Serdang Regional General Hospital in 2019.      This study used retrospective data and was analyzed descriptively by purposive sampling method. Data used by pediatric patients (2-12 years). Data according to the inclusion characteristics of 43 cases were evaluated for their quality based on the right indication, the right patient, the right drug, the right dose, the right time of administration and the right way of administration.      The results of this study indicate that the percentage of the quality of antibiotic use includes 43 (100%) right indications, 43 (100%) right patients, 43 (100%) right drugs, 30 (73%) right doses, 42 right time of administration ( 97.67%) and the right way of giving was 43 (100%).

scholarly journals Evaluation on The Use of Antibiotics for Pneumonia Patients

2021 ◽  
Vol 15 (2) ◽  
pp. 88
Author(s):  
Nada Zavira ◽  
Abdul Kadir Jaelani ◽  
Fauna Herawati ◽  
Rika Yulia
Keyword(s):  
Fungal Infections ◽  
Control Program ◽  
Antibiotic Use ◽  
Inappropriate Use ◽  
Record Data ◽  
Acute Infectious Disease ◽  
The Right ◽  
Antibiotic Control ◽  
Time Of Administration

Pneumonia is an acute infectious disease that attacks lung tissue (alveoli) which can be caused by viral, bacterial, or fungal infections. Pneumonia is one of the diseases that have the highest death risk in Indonesia. The first line of treatment for pneumonia is antibiotic therapy. Inappropriate use of antibiotics will increase the possibility of antibiotic resistance. Antimicrobial Control Program (PPRA) is a health surveillance to control the use of antibiotics where the indicator of success is seen from the improvement in the quantity and quality of antibiotic use. Antibiotic control that can be performed is evaluating the use of antibiotics quantitatively and evaluating the suitability of antibiotics. The purpose of this study was to determine the quantity of antibiotic use with the DDD/100 patient-days unit and the suitability of the use of antibiotics based on PPAB. This study was observational, the data were taken retrospectively and analyzed descriptively. The research material used medical record data for pneumonia patients from January to June 2020 at RSUD Bangil. There were 91 research samples obtained by purposive sampling that met the inclusion and exclusion criteria. The data were analyzed quantitatively using the DDD/100 patient-days unit and 90% DU, and the suitability of antibiotics was analyzed using five indicators of the right indication, the right route, the right dose, the right interval, and the right time of administration. The results showed the use of antibiotics with a total value of DDD/100 patient-days of 78.13 DDD/100 patient-days with the highest value on moxifloxacin (39.28 DDD/100 patient-days). Antibiotics included in the 90% segment that need to be controlled are parenteral moxifloxacin (50.27%), ceftriaxone (23.34%), azithromycin (6.83%), oral moxifloxacin (4.62%), and levofloxacin (3.85%). The suitability of antibiotics based on PPAB RSUD Bangil 2019 showed the right indication (51.65%), right route (100%), right dose (87.23%), right interval (48.93%), and right time of administration (10.64). %).

scholarly journals Impact of an antimicrobial resistance control program: pre- and post-training antibiotic use in children with typhoid fever

2016 ◽  
Vol 56 (4) ◽  
pp. 205 ◽  
Author(s):  
Elfrida A. Rachmah ◽  
Maftuchah Rochmanti ◽  
Dwiyanti Puspitasari
Keyword(s):  
Antimicrobial Resistance ◽  
Typhoid Fever ◽  
Bacterial Infections ◽  
Good Condition ◽  
Antibiotic Use ◽  
Appropriate Use ◽  
Cross Sectional ◽  
Pediatric Residents ◽  
The Impact

Inappropriate use of antibiotics may lead to antimicrobial resistance. In 2012, Dr. Soetomo Hospital conducted training for pediatric residents on the proper use of antibiotics to limit antimicrobial resistance.Objective To evaluate the impact of a rational, antibiotic-use training program for pediatric residents on their antibiotic prescriptions for patients with typhoid fever.Methods A cross-sectional, analytic study was conducted. We collected data from children with typhoid fever who were hospitalized in Dr. Soetomo Hospital, pre- and post-training on antibiotic prescriptions. Children with other known bacterial infections or who were discharged on request were excluded. Antibiotic prescriptions were evaluated using Gyssens algorithm based on the local protocol. Chi-square test was used to compare the quality of antibiotic prescriptions, before (year 2012) and after (year 2013) the training.Results Forty-nine patients with 67 prescriptions in 2012 and 34 patients with 48 prescriptions in 2013 fulfilled the inclusion criteria. Patients’ ages ranged from 1-18 years. Diagnoses of uncomplicated and complicated typhoid were found in 74% and 26% of subjects, respectively. First line (chloramphenicol, thiamphenicol, ampicillin, trimetroprim and sulfametoxazol) and second line (ceftriaxone and cefixime) use were 72% and 28%, respectively. All patients were discharged in good condition. Appropriate use of antibiotics was noted in 61% of subjects in 2012 and in 81% of subjects in 2013 (P=0.036). The most common type of error in 2012 and 2013 was dosage imprecision (25% and 17%, respectively).Conclusion Training on appropriate use of antibiotics significantly improved the quality of antibiotics prescribed in children with typhoid fever in Dr. Soetomo Hospital.

scholarly journals Quantitative Antibiotic Use Profile in Typhoid

2020 ◽  
Vol 3 (3) ◽  
pp. 113-118
Author(s):  
Hidayatul Kurniawati ◽  
Marianti
Keyword(s):  
Typhoid Fever ◽  
Medical Records ◽  
Bacterial Resistance ◽  
Antibiotic Use ◽  
Drug Side Effects ◽  
Inclusion Criteria ◽  
Adult Age ◽  
Retrospective Data Collection ◽  
The Right ◽  
Age Range

Background. Typhoid fever is a common health problem in developing countries. Antibiotics are used to treat typhoidfever which is caused by a bacterial infection. Selection and use of appropriate and rational antibiotic therapy candetermine a success in treatment to avoid bacterial resistance and minimize drug side effects. This study aims todetermine the rationality of the use of antibiotics in adult patients diagnosed with typhoid fever in the InpatientInstallation of X Hospital in Yogyakarta. Method. Non-experimental research with descriptive observational researchdesign and retrospective data collection. The sample of this study was inpatients with a diagnosis of typhoid fever andwas recorded at the X Hospital Medical Records Installation in Yogyakarta for the period January 2016 - December2017 which was included in the inclusion criteria. Result. Data taken came from 75 medical records that were includedin the inclusion criteria. Patients were dominated by female patients as many as 64% and the adult age range was 18-30 years. The single most widely used antibiotic was levofloxacin in 27 cases (36%). The use of antibiotics with theright indication was 75 patients (100%), the right type was 75 patients (100%), the exact duration of administrationwas 64 patients (85.33%), the right dose was 73 patients (97.33%), the right interval was 73 patients (97.33%) and theright route of administration were 75 patients (100%). Conclusion. The rationality of using antibiotics is good withaccuracy> 75%.

scholarly journals ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI AUDIT JUDGMENT PADA AUDITOR

2017 ◽  
Vol 12 (2) ◽  
Author(s):  
Michelle Meivina Putry Limen ◽  
Herman Karamoy ◽  
Hendrik Gamaliel
Keyword(s):  
Regression Analysis ◽  
Sampling Method ◽  
Task Complexity ◽  
Ordinal Regression ◽  
Audit Process ◽  
Accounting Firm ◽  
Ordinal Regression Analysis ◽  
Audit Judgment ◽  
The Right

Audit Judgment is auditor’s policy in giving an opinion on the information found along the audit process, which refers to an idea, a notion or an estimation about events that happened on the audit object. The outcome that is issued by an auditor has to be able to provide the right information and evidence thus the delivered audit judgment will be correct or will fit. Therefore, it’s important to know which factors are able to influence the audit judgment. This research aims to empirically test the influence of the pressure of obedience, task complexity and audit experience on the quality of audit judgment. Research was held on two objects, which were Ariesman Auly Public Accounting Firm Manado and Badan Pengawas Keuangan dan Pembangunan (BPKP) Provinsi Sulawesi Utara. Total of obtained samples were 30 auditors. The used sampling method was Ordinal Regression Analysis. The result of this research shows that the pressure of obedience influences audit judgment significantly, while task complexity and audit experience do not have significant influence on audit judgment.Keywords : pressure of obedience, task complexity, auditing experience, audit judgment, ordinal regression analysis

ANALYSIS OF REGULATIONS REGARDING THE SETTLEMENT OF ISSUES ON THE REMOVAL AND RECOVERY OF PLANTATIONS IN THE RIGHT-OF-WAY OF PUBLIC ROADS

2020 ◽  
pp. 55-60
Author(s):  
Nataliia Kharytonova ◽  
Olha Mykolaienko ◽  
Tetyana Lozova
Keyword(s):  
Traffic Safety ◽  
Climatic Factors ◽  
Visual Orientation ◽  
Right Of Way ◽  
Adverse Weather ◽  
Overhead Power Lines ◽  
The Right ◽  
Neck Diameter ◽  
Proper Operation

Greening of roads contributes to the protection of roads and their elements from influence of adverse weather and climatic factors; it includes the measures for improvement and landscaping of roads, ensures the protection of roadside areas from transport pollution, provides visual orientation of drivers. The solution of these issues will ensure creation and maintenance of safe and comfortable conditions for travelers. Green plantings in the right-of-way road area include woody, bushy, flower and grass vegetation of natural and artificial origin. For proper operation of public roads and satisfaction of other needs of the industry, there may be the need in removing the greenery. The reason for the removal of greenery in the right-of-way road area may be due to the following factors: construction of the architectural object, widening of the motor road, repair works in the security zone of overhead power lines, water supply, drainage, heating, telecommunications facilities, cutting of hazardous, dry and fautal trees, as well as self-grown and brushwood trees with a root neck diameter not exceeding 5 cm, elimination of the consequences of natural disasters and emergencies. The removal of plantations in the right-of-way area is executed in order to ensure traffic safety conditions and to improve the quality of plantations composition and their protective properties. Nowadays, in Ukraine there is no clear procedure for issuing permits for removing of such plantations. In order to resolve this issue, there is a need in determining the list of regulations in the area of forest resources of Ukraine and, if needed, the list of regulatory acts that have to be improved; to prepare a draft of the regulatory legal act that would establish the procedure of plantations cutting, the methodology of their condition determination, recovery costs determination, the features of cutting. Keywords: plantations, cutting, right-of-way, woodcutting permit, order.

Strategies for mitigating burnout among early career doctors in Nigeria: lessons learnt from the qualitative CHARTING study

2020 ◽  
Vol 3 (1) ◽  
pp. 97-103 ◽  
Author(s):  
Oladimeji Adebayo ◽  
Kehinde Kanmodi ◽  
Olusegun Olaopa ◽  
Omotayo Francis Fagbule ◽  
Iyanu Adufe ◽  
...  
Keyword(s):  
Sampling Method ◽  
Psychosocial Problems ◽  
Early Career ◽  
Leadership Positions ◽  
Group Discussions ◽  
Psychological Review ◽  
Psychological Issues ◽  
Specific Factors ◽  
Stakeholder Dialog

AbstractBackgroundEarly career doctors (ECDs) are faced with many challenges due to their transition from undergraduate medical/dental studentship to being postgraduate doctors and being in an early phase of their career. The specific factors that affect ECDs in their careers and endeavors at the workplace range from poor remuneration, particularly in developing countries, to psychosocial problems (such as burnout [BO] syndrome). There is a dearth of information on BO among ECDs in Nigeria. This qualitative study aims to explore the opinions of ECDs in Nigeria on the causal/predisposing factors of BO, effects of BO, and strategies for mitigating BO among ECDs in Nigeria.MethodUsing purposive sampling method, two sessions of focus group discussions (FGDs) involving 14 ECDs (key informants) holding key leadership positions and who were delegates of other ECDs in Nigeria were conducted to explore their experiences on psychological issues among ECDs. Data collected were transcribed and analyzed thematically.ResultsBO is an issue of serious concern among ECDs in Nigeria. The causes of BO are diverse, some of which include low staff strength, prolonged work hours, wrong counseling, lack of job description and specification, and abuse of powers by trainers. In order to mitigate the issue of BO among ECDs, the respondents recommended that work policy review, medical workforce strengthening, stakeholder dialog on ECDs’ welfare, regular psychological review of ECDs, and provision of free yearly medicals need to be looked into. Conclusion: Our findings revealed that the participants considered BO issues among ECDs to be common, and it affected their performance and the overall quality of care in Nigeria health system. Based on our findings, there is an urgent need to mitigate the problem of emotional exhaustion among ECDs in Nigeria.

PENGARUH NILAI PELANGGAN, INOVASI PRODUK DAN KUALITAS LAYANAN TERHADAP LOYALITAS NASABAH BANK MUAMALAT INDONESIA CABANG MADIUN

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Binti Mutafarida
Keyword(s):  
Quality Of Service ◽  
Customer Loyalty ◽  
Random Sampling ◽  
Product Innovation ◽  
Customer Value ◽  
Research Method ◽  
Sampling Method ◽  
Descriptive Research ◽  
Independent Variable

The development of sharia banking in Indonesia very rapidly grow up preceded by Bank Muamalat Indonesia and in 2013 ranked as the bank with the highest loyalty and the best among other sharia banking nationally. Bank Muamalat Indonesia branch of Madiun is one of the first branch in Madiun and currently has many competitors from other sharia banking. Based on this background, in this study take what factors affect the size of customer loyalty Bank Muamalat Indonesia branch of Madiun. Based on the result of research, it is found that the level of loyalty of customer of Bank Muamalat of Madiun branch is mostly influenced by product innovation with value of t test value obtained by t-count 2,493, while second factor is influenced by service quality with result of tcount 2,268. So the least influenced factor by the value of the customer is with value of 2.217. This research is a descriptive research method and associative / relationship, this matter to know the value of independent variable. While population of this research is funding customer of Bank Muamalat Indonesia branch of Madiun with amount of 22.196 customer by taking data using random sampling method as much as 108 customer. Keyword: Customer Value, Product Innovation AND Quality Of Service

Modifikasi Model Pembelajaran Problem Based Learning (PBL) dengan Strategi Pembelajaran Tugas dan Paksa

2019 ◽  
Vol 2 ◽  
Author(s):  
Tita Mila Mustofani ◽  
Ita Hartinah
Keyword(s):  
Critical Thinking ◽  
Learning Strategies ◽  
Student Motivation ◽  
Problem Based Learning ◽  
Learning Model ◽  
Learning Material ◽  
Task Strategies ◽  
The Right ◽  
Increasing Student Learning

This writing aims to help teachers to increase motivation, activity, creativity, and critical thinking of students in solving problems in class. The way to increase student motivation in learning in class is to choose the right learning model with ongoing learning material. One learning model that increases students' creativity and critical thinking in problem solving is a Problem Based Learning (PBL) learning model. To improve students' insights in order to easily solve problems there is a need to do tasks, if students do not do the task then they must accept the agreed upon consequences when making learning contracts, thus modifying the Problem Based Learning (PBL) learning model with task strategies and forced. The results of the modification of learning with the Problem Based Learning (PBL) learning model through forced and forced strategies are expected to improve the learning process so that students become more disciplined and do not waste time doing assignments. The advantages of modifying the Problem Based Learning (PBL) learning model with task and forced learning strategies are increasing student learning motivation, improving the quality of learning, training students' understanding by giving assignments continuously, teaching discipline to students in order to be accountable for tasks assigned, and reducing laziness in students.

THE VALUE OF LOVE IN THE SYSTEM OF FORMATION OF THE PROFESSIONAL MATURITY OF THE EDUCATOR

2020 ◽  
Vol 1 (10(79)) ◽  
pp. 12-18
Author(s):  
G. Bubyreva
Keyword(s):  
Russian Federation ◽  
The State ◽  
Educational Process ◽  
Wide Range ◽  
The Family ◽  
The Russian Federation ◽  
The Government ◽  
The Individual ◽  
The Right

The existing legislation determines the education as "an integral and focused process of teaching and upbringing, which represents a socially important value and shall be implemented so as to meet the interests of the individual, the family, the society and the state". However, even in this part, the meaning of the notion ‘socially significant benefit is not specified and allows for a wide range of interpretation [2]. Yet the more inconcrete is the answer to the question – "who and how should determine the interests of the individual, the family and even the state?" The national doctrine of education in the Russian Federation, which determined the goals of teaching and upbringing, the ways to attain them by means of the state policy regulating the field of education, the target achievements of the development of the educational system for the period up to 2025, approved by the Decree of the Government of the Russian Federation of October 4, 2000 #751, was abrogated by the Decree of the Government of the Russian Federation of March 29, 2014 #245 [7]. The new doctrine has not been developed so far. The RAE Academician A.B. Khutorsky believes that the absence of the national doctrine of education presents a threat to national security and a violation of the right of citizens to quality education. Accordingly, the teacher has to solve the problem of achieving the harmony of interests of the individual, the family, the society and the government on their own, which, however, judging by the officially published results, is the task that exceeds the abilities of the participants of the educational process.  The particular concern about the results of the patriotic upbringing served as a basis for the legislative initiative of the RF President V. V. Putin, who introduced the project of an amendment to the Law of RF "About Education of the Russian Federation" to the State Duma in 2020, regarding the quality of patriotic upbringing [3]. Patriotism, considered by the President of RF V. V. Putin as the only possible idea to unite the nation is "THE FEELING OF LOVE OF THE MOTHERLAND" and the readiness for every sacrifice and heroic deed for the sake of the interests of your Motherland. However, the practicing educators experience shortfalls in efficient methodologies of patriotic upbringing, which should let them bring up citizens, loving their Motherland more than themselves. The article is dedicated to solution to this problem based on the Value-sense paradigm of upbringing educational dynasty of the Kurbatovs [15].

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