scholarly journals EFEKTIVITAS PERENCANAAN KEBUTUHAN OBAT DENGAN METODE MORBIDITAS TERHADAP KETERSEDIAAN OBAT KEMOTERAPI

2021 ◽  
Vol 6 (1) ◽  
pp. 133-142
Author(s):  
Nina Puspitawati ◽  
◽  
Liza Pristianty ◽  
Abdul Rahem ◽  
Widawaty Hartono ◽  
...  

One cycle of chemotherapy does not eliminate all cancer cells, therefore it takes a repeated cycle (Williams, et al, 2016), so the guarantee the availability of chemotherapy drugs is needed. An effective drug requirement planning is required to ensure the availability of chemotherapy drug. This study was intended to determine the effectiveness of planning the need for chemotherapy drugs using the morbidity method on the availability of chemotherapy drugs in Dr. Ramelan Navy Hospital. This study was an observational study with a cross sectional study design. The instrument used in this study was the data collection sheet with data sources prescription sheets and sheets of chemotherapy drug reconstitution during 2015-2017. Descriptive data analysis and to determine effective planning methods using indicators of drug availability. The results showed that the planning of drug needs with the morbidity method can better guarantee the availability of chemotherapy drugs and can minimize drug shortages compared to the consumption method that has been done so far in Dr. Ramelan Navy Hosptal. So it can be concluded that in this study, the morbidity method is effective in meeting the needs of chemotherapy drugs.

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Davide Fortin ◽  
Vincent Di Beo ◽  
Sophie Massin ◽  
Yann Bisiou ◽  
Patrizia Carrieri ◽  
...  

Abstract Background Cannabidiol and cannabidiol-based products are proliferating in many countries. This recent and rapid diffusion prompts investigating the reasons for its use. Methods We analyzed data from an online survey among cannabidiol users in the French general population (n = 1166) selected for their interest in such products. We described the reported reasons for using cannabidiol. We performed logistic regressions to identify the correlates of declaring well-being and other specific reasons for using cannabidiol. We also provided descriptive data regarding the cannabidiol patterns of use. Results Well-being was the most cited primary reason for use (27% of the sample). Declaring well-being as a primary reason for using cannabidiol was inversely associated with cigarette smoking, cannabis use, and employment. Among cannabidiol users reporting well-being as their primary reason for use, stress and sleep improvements were the most-cited specific reasons. In the whole study sample, the most common modes of use were smoking cannabidiol-rich cannabis (61%) and ingesting cannabidiol oil sublingually (19%). Conclusions In a sample of cannabidiol users from France, well-being was the most-cited primary reason for use, and smoking was the first route of administration. Further research is needed to clarify to what extent expected effects are scientifically sound and to understand country-related specificities regarding patterns of use.


Author(s):  
Anant D Patil ◽  
Madhuri Kulkarni

 Objective: The objective of this study was to understand the pattern of pre-anesthetic medication utilization in patients undergoing exploratory laparotomy.Methods: In this cross-sectional study, we reviewed the records of patients who underwent exploratory laparotomy under general anesthesia. Descriptive data of the pre-anesthetic medications used in the patients are presented.Results: A total of 49 patients with mean age of 65.85±34.15 years were included in the study. The study population was dominated by male patients (65.85%). Two major indications for exploratory laparotomy in the study population were perforation peritonitis 19 (38.77%) and intestinal obstruction 9 (18.37%). Ondansetron was used in all patients. metoclopramide and ranitidine were used in 48 (98%) patients each. Midazolam was given to 43 (87.8%) patients. A total of 41 (83.7%) patients received anticholinergic agent glycopyrrolate or atropine. Pentazocine and fentanyl were used in 39 (79.6%) and 10 (20.4%) patients, respectively.Conclusion: Ondansetron, metoclopramide, ranitidine, midazolam, glycopyrrolate, and pentazocine were the major pre-anesthetic medications in patients undergoing exploratory laparotomy. Glycopyrrolate was the most preferred anticholinergic agent.


Author(s):  
Rajesh Kumar Singh ◽  
Amandeep Kaur

Background: India is second most populous country of the world after China and is expected to surpass China by 2024. In order to balance the population growth, replacement-level fertility – total fertility rate of 2.1 – needs to be achieved and sustained even at sub-national level. Acceptance of permanent family planning methods by young couples can be an effective way of eliminating risk of future pregnancies. The objective of the present study was to assess acceptance and determinants of acceptance of permanent methods of contraception among couples with two or more living children.Methods: A community based cross-sectional study was conducted during September 2017-April 2018 in Haldwani block of Nainital District of Uttarakhand, India. The study participants were selected by multi-stage sampling and were interviewed using semi-structured and pretested questionnaire. The statistical analysis was done using the software R. Chi-square test was used to test association between variables.Results: Among 221 interviewed study subjects, only 34.39% were using permanent method of contraception and out of these, 96.05% were acceptors of tubectomy while only 3.95% preferred vasectomy. One in four couples were not using any contraceptive method and rest chose temporary contraceptive techniques. Non-acceptors were especially high in case of couples with women belonging to lower age-group, living in joint families, having only one or no male child and with formal schooling.Conclusions: Non-acceptance of permanent method of contraception for limiting the family after two children was very high in the community and desire for male child being its important determinant.


2019 ◽  
Vol 10 ◽  
pp. 215013271984785 ◽  
Author(s):  
Awol Jemal Ebrahim ◽  
Fitsum Sebsibe Teni ◽  
Dawit Kumilachew Yimenu

Background: A significant amount of potentially effective and lifesaving medications were wasted at the health facilities due to lack of a system for checking their effectiveness and returning them to the system. Objectives: To assess the prevalence of unused medications and related consequences in selected health facilities of Awi zone, Amhara regional state, Ethiopia. Methods: A facility-based cross-sectional study design supplemented by a qualitative approach was employed. Descriptive data were collected using checklists while interviews were conducted with respective personnel at the health facilities. Results: A total of 4 health facilities were included in the study. During the 1 month of study period, 56 types of medications were found unused at the health facilities. Anti-infective medications were the most commonly unused medications 36.4%. At the in-patient departments of the 4 hospitals, a total of 173 medications were found unused. Similarly, 605 medications were found wasted at the pharmacy stores of those hospitals in the 2009 fiscal year. Conclusion: A significant amount of unused medications were present at the health facilities. Health facilities need to monitor health professionals strictly follow national and international treatment guidelines and monitor the rational use of medications.


2021 ◽  
Author(s):  
Alemu Abebe Wondyfraw ◽  
Nigussie Assefa Kassaw

Abstract Background: Poor contraceptive utilization increases the risk of unintended pregnancies that could results in complications and mortalities among women and children. To circumvent these adverse health outcomes, long-acting and permanent contraceptive methods are the most effective methods. This study explored the magnitude and associated factors of long-acting and permanent family planning methods utilization among current family planning users largely on the rural women of Ethiopia. Methods: The study was a facility-based cross-sectional study design. The respondents were randomly selected in Amhara region, Ethiopia. The data were entered into EPI-INFO version 7.0, cleaned, and analyzed in SPSS version 24. Descriptive statistics were done. Bivariate and multivariable logistic regression models were used to identify the factors associated with the utilization of long-acting and permanent family planning methods. Results: The total numbers of respondents were 356. The prevalence of long-acting and permanent family planning methods among current family planning users was 32.3%. The mean age of participants was 30.1±7.67 (SD) years. Almost all (94.4%) were Orthodox Christian followers and most of the respondents (91.0%) married. Nearly half of the respondents (45.2%) were illiterate and above half of the respondents (55.3%) were housewives. The odds of long-acting and permanent family planning methods utilization were statistically significant among women aged 25-34 years [AOR=5.10; 95% CI: (1.48, 17.59)], women who completed secondary education [AOR=4.16; 95% CI: (1.32, 13.10)], women who had a positive attitude [AOR=3.05; 95% CI: (1.45, 6.43)], and women satisfied with facility care [AOR=2.08; 95% CI: (1.01, 4.31)]. Common reasons for low use of long-acting and permanent family planning methods were preference for short-acting contraceptives, fear of side effects, and method misconception. Conclusion: The utilization of long-acting and permanent family planning method was low. Factors and common reasons for low utilization of long-acting and permanent family planning methods among women who were current family planning users were identified. Therefore, we suggest the need to provide continuous education and awareness creation towards long-acting and permanent family planning methods. Unequivocally, enabling work environments, staff service deliveries and client service satisfaction are paramount important improve the coverage.


Author(s):  
Pavan Kumar Gollapalli ◽  
Jyothi Conjeevaram ◽  
Chandrasekhar Veluri

Background: As per the census 2011, the provisional population of India is about population of 1.21 billion. It is now estimated that by 2030, India will most likely overtake China to become the most populous country on the earth. India was the first country in the world to officially launch a national family planning programme (NFPP) in 1952 to reduce birth rate and to stabilize the population at a level consistent with the requirement of national economy.  Protecting the young couple from unwanted fertility and educating them to adopt their desired family through informed choice, are among the prerequisites to achieve a TFR of 2.1. To study the prevalence of contraceptive methods among rural population and to study the reasons for not using family planning methods among eligible couples.Methods: A community based cross-sectional study was done among 600 married women in reproductive age, in the three randomly selected Primary health centre areas, one each from the three revenue divisions of Nellore, dated from June 2011 to May 2012.Results: The contraception prevalence rate was 56.3% among whom 91.4% adopted permanent family planning methods.Conclusions: The contraceptive prevalence rate in the study subjects was 56% which was lower than that reported in NFHS-III (67%). Majority of the women opted for permanent sterilization when compared to spacing methods.


2021 ◽  
Author(s):  
Joakim HENRICSON ◽  
Ulf EKELUND ◽  
Jens HARTMAN ◽  
Bruno ZIEGLER ◽  
Lisa KURLAND ◽  
...  

Abstract Background: Swedish Emergency Departments (EDs) see 2.6 million visits annually. Sweden has a strong tradition of health care databases, but mode of arrival to the ED is not documented in any registry. The situation is similar in most of Europe.The aim of the study was to provide a national overview of the mode of arrival, medical acuity according to triage, chief complaints, and hospital admission rates for adult patients (≥18 years) visiting Swedish EDs during 24h.Methods: A national cross-sectional study including all patients at 43 of Sweden’s 72 EDs during 24 hours on April 25th, 2018. Mode of arrival, medical acuity at triage, admission and basic demographics were registered by dedicated assessors present at every ED for the duration of the study. Descriptive data are reported.Results: A total of 3875 adult patients (median age 59; range 18 to 107; 50% men) were included in the study. Complete data for mode of arrival was reported for 3693 patients (98%). The most common mode of arrival was self-referred walk-in (n=1310; 34%), followed by ambulance (n=920; 24%), referral from a general practitioner (n=497; 13%), and telephone triage referral by the national healthcare guide service “Healthcare Guide 1177” (n=409; 10%). In patients 18 to 64 years, self-referred walk-in was most common, whereas transport by ambulance dominated in patients >64 years.Of the 3365 patients that received an acuity level at triage, 4% were classified as Red (Immediate), 18% as Orange (very urgent), 47% as Yellow (Urgent), 26% as Green (Standard), and 5% as Blue (Non-Urgent).Patients presented with very diverse complaints but about a quarter had abdominal or chest pain. Overall, the admission rate was 27%. Arrival by ambulance was associated with the highest rate of admission (486 of 920; 53%), self-referred walk-in and telephone triage referrals were less often admitted. Conclusion: Self-referred walk-in was the overall most common mode of arrival followed by ambulance. Patients arriving by ambulance were often elderly, critically ill and were often admitted to in-patient care, whereas arrival by self-referred walk-in was more common in younger patients.


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