scholarly journals The Rationality of Using Diclofenac in Outpatient Cases of Osteoarthritis of RSUP MH Palembang Period January-March 2018

2021 ◽  
Vol 2 (1) ◽  
pp. 67-74
Author(s):  
Dara Prameswari ◽  
M. Totong Kamaluddin ◽  
Nita Parisa

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MH Palembang in January-March 2018. Osteoarthritis (OA) is the most common disease in joints that affects people in their middle until late years. In Indonesia the prevalence of OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug of choice in treating OA. To avoid multiple side effects from Diclofenac use, the usage must be in accordance to rationality indicators which are correct dose, correct frequency, and correct length of use. This study is aimed to know the rationality of Diclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad Hoesin Palembang. This study is a descriptive observational with a cross-sectional approach to know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUP Mohammad Hoesin Palembang. Samples were medical records of OA patients in outpatient setting from January to March 2018 which fulfilled the inclusion and exclusion criteria. Sampling technique used was total sampling. The amount of samples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes low back pain (22.8%). The result of this study shows pattern of Diclofenac use with dosage of 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with other drugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%) and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases at outpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs to be maintained.

2021 ◽  
Vol 2 (1) ◽  
pp. 43-50
Author(s):  
Dara Prameswari ◽  
Nita Parisa ◽  
Muhammad Totong Kamaluddin

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MHPalembang in January-March 2018. Osteoarthritis (OA) is the most common diseasein joints that affects people in their middle until late years. In Indonesia the prevalenceof OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug ofchoice in treating OA. To avoid multiple side effects from Diclofenac use, the usagemust be in accordance to rationality indicators which are correct dose, correctfrequency, and correct length of use. This study is aimed to know the rationality ofDiclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad HoesinPalembang. This study is a descriptive observational with a cross-sectional approachto know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUPMohammad Hoesin Palembang. Samples were medical records of OA patients inoutpatient setting from January to March 2018 which fulfilled the inclusion andexclusion criteria. Sampling technique used was total sampling. The amount ofsamples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes lowback pain (22.8%). The result of this study shows pattern of Diclofenac use with dosageof 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with otherdrugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%)and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases atoutpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs tobe maintained.


2021 ◽  
Vol 2 (1) ◽  
pp. 43-50
Author(s):  
Dara Prameswari ◽  
Nita Parisa ◽  
Muhammad Totong Kamaluddin

Rationality of Diclofenac Use in Osteoarthritis Outpatient Case at RSUP MHPalembang in January-March 2018. Osteoarthritis (OA) is the most common diseasein joints that affects people in their middle until late years. In Indonesia the prevalenceof OA is relatively high and disturbs their daily activity. Diclofenac is one of the drug ofchoice in treating OA. To avoid multiple side effects from Diclofenac use, the usagemust be in accordance to rationality indicators which are correct dose, correctfrequency, and correct length of use. This study is aimed to know the rationality ofDiclofenac use in Osteoarthritis outpatient cases at RSUP Mohammad HoesinPalembang. This study is a descriptive observational with a cross-sectional approachto know the rationality of Diclofenac use in outpatient cases of osteoarthritis at RSUPMohammad Hoesin Palembang. Samples were medical records of OA patients inoutpatient setting from January to March 2018 which fulfilled the inclusion andexclusion criteria. Sampling technique used was total sampling. The amount ofsamples fulfilling the inclusion criteria were 201 patients, with the most were aged 46-65 years (60.2%), female (55.7%), and has a history of comorbidity which includes lowback pain (22.8%). The result of this study shows pattern of Diclofenac use with dosageof 2 x 25mg (73.6%), length of use about <7 days (57.2%). In combination with otherdrugs there were no interaction to be found (84.4%), or synergistic interaction (8.5%)and antagonistic interaction (7.1%). The use of diclofenac in osteoarthritis cases atoutpatient setting in RSUP Dr Mohammad Hoesin Palembang is rational and needs tobe maintained.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Robert J. Sanchez ◽  
Wenzhen Ge ◽  
Wenhui Wei ◽  
Manish P. Ponda ◽  
Robert S. Rosenson

Abstract Background This retrospective cohort study assessed the annualized incidence rate (IR) of acute pancreatitis (AP) in a nationally representative US adult population, as well as the variation in the risk of AP events across strata of triglyceride (TG) levels. Methods Data were obtained from IQVIA’s US Ambulatory Electronic Medical Records (EMR) database linked with its LRxDx Open Claims database. Inclusion criteria included ≥1 serum TG value during the overlapping study period of the EMR and claims databases, ≥1 claim in the 12-month baseline period, and ≥ 1 claim in the 12 months post index. All TG measurements were assigned to the highest category reached: < 2.26, ≥2.26 to ≤5.65, > 5.65 to ≤9.94, > 9.94, and > 11.29 mmol/L (< 200, ≥200 to ≤500, > 500 to ≤880, > 880, and > 1000 mg/dL, respectively). The outcome of interest was AP, defined as a hospitalization event with AP as the principal diagnosis. Results In total, 7,119,195 patients met the inclusion/exclusion criteria, of whom 4158 (0.058%) had ≥1 AP events in the prior 12 months. Most patients (83%) had TGs < 2.26 mmol/L (< 200 mg/dL), while < 1% had TGs > 9.94 mmol/L (> 880 mg/dL). Overall, the IR of AP was low (0.08%; 95% confidence internal [CI], 0.08–0.08%), but increased with increasing TGs (0.08% in TGs < 2.26 mmol/L [< 200 mg/dL] to 1.21% in TGs > 11.29 mmol/L [> 1000 mg/dL]). In patients with a prior history of AP, the IR of AP increased dramatically; patients with ≥2 AP events at baseline had an IR of 29.98% (95% CI, 25.1–34.9%). Conclusion The risk of AP increases with increasing TG strata; however, the risk increases dramatically among patients with a recent history of AP.


2020 ◽  
Vol 8 (1) ◽  
pp. 1-7
Author(s):  
Amalia Rizkiannur Putri ◽  
Sukartini ◽  
Evi Fitriany

The early 28 days of life called the neonatal period is the most vulnerable period for infants. The infants face the highest risk of death in the first month after birth. The most common cause of infant death is asphyxia, prematurity, and infection. Infection in newborns is defined as a condition where the newborns have a disease caused by microorganisms. One of the risk factors causing infection in newborns includes factors from the mother, such as premature rupture of membranes, green or meconium and smelly amniotic fluid, maternal infection, and others. The main objective of this research was to describe the risk factors of incidence of infection in newborns at RSUD Abdul Wahab Sjahranie Samarinda. This research uses a retrospective descriptive method with the cross-sectional approach. Sampling was done by taking data on medical records of patients at the RSUD Abdul Wahab Sjahranie Medical Record Installation using total sampling technique. The results obtained were 99 samples that met the inclusion and exclusion criteria with details of patients who experienced premature rupture of membranes by 18 people (18,2%), poor amniotic color by 62 people (62,6%), mothers who had leukocytosis by 15 people (15,2%), and the incidence of infection in newborns by 2 people (2%). the collected data were tabulated bu frequency and percentage and displayed in tables


Author(s):  
Muhammad Nuhu Salihu ◽  
Mamman Muhammad Lawal ◽  
Abuhuraira Ado Musa ◽  
Yusuf Muhammad Abdullahi ◽  
Maryam Dahiru Umar ◽  
...  

<p class="abstract"><strong>Background:</strong> Many studies across the globe have reported the prevalence of low back pain (LBP) among office workers. This study aimed to find out the prevalence of LBP and associated factors among office workers in Kano city, Nigeria.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional type of study was conducted among the office workers in Kano metropolitan from September to December 2019. A total of 300 office workers were selected using a convenience sampling technique. The data was collected from the respondents by face-to-face interview technique using a semi-structured questionnaire and all the data collected were analyzed using statistical software (SPSS version 22.0).</p><p class="abstract"><strong>Results:</strong> In this study, the mean age of the respondents was 38.6±9.6 years and 72.7% of them were male. More than half (54.7%) of the respondents had a bachelor's degree and above. About 71.3% of the respondents had a familial history of LBP. About 68.0% of the respondents had suffered musculoskeletal disorder in the past and the majority (54.4%) mentioned they suffered hip pain. Only 33.7% of the respondents were maintaining the proper posture and 37.7% of the respondents were using an ergonomic chair.</p><p class="abstract"><strong>Conclusions:</strong> The findings of this study found a 65.3% prevalence of low back pain among the office workers in Kano metropolitan. Office workers should be encouraged to maintain proper postures at work and there is a need for more educational programs regarding the prevention measures of low back pain.</p>


2019 ◽  
Vol 7 (2) ◽  
pp. 94
Author(s):  
Dominicus Husada ◽  
Kristina Marbun ◽  
Desy Primayani ◽  
Leny Kartina ◽  
Dwiyanti Puspitasari ◽  
...  

Background: An increase in diphtheria cases has occurred in East Java Province since 2011. The resistance level to diphtheria is considered as the most important cause. Purpose: The study aims analyzed the immunity level immunity to diphtheria in adolescents aged 16-18 years old in Bangkalan and Kediri Districts. Methods: This study was a cross-sectional study, conducted on students in eleven grade of senior high schools (SMAN) from both districts. The inclusion criteria included being 16-18 years old and students in eleven grades of senior high schools in Bangkalan and Kediri. This study was approved by their parents/guardians. The exclusion criteria included immunocompromised students and those who have a history of diphtheria infection. The data were obtained from 204 samples, 89 samples in Bangkalan, and 115 samples in Kediri. The antidiphtheria antibodies examination was carried out by the Vero cell method. The antibodies levels were grouped according to WHO standard, consist of vulnerable, basic, full, and long-term. Further analysis was done with 2 tiers of immunity, consist of immune and vulnerable. Results: The immunization coverage for basic and booster diphtheria vaccine is better in Kediri than in Bangkalan. In contrast, levels of antibodies samples in Bangkalan District is better. The participants who were immune in Bangkalan were higher than those in Kediri (91% vs. 44.3%). Conclusion: The immunity adolescents of Bangkalan is higher than in adolescent Kediri District. The adolescents in Kediri have a greater risk to get infected by the disease


2019 ◽  
Vol 2 (1) ◽  
pp. 8-11
Author(s):  
Ni Made Hita Husmarika ◽  
Muliani Muliani ◽  
Yuliana Yuliana

Background: The incidence of neck pain abroad and in Indonesia is relatively high. The incidence of neck pain is caused by physical influence, one of them is the use of a backpack which is especially experienced by elementary school students. Aim: This study aimed to determine the prevalence of neck pain in students of SD Negeri 3 Mas, Mas, Ubud who using backpacks. Method: This study was descriptive cross-sectional study. The sampling technique use total sampling. The subjects were 79 students of SD Negeri 3 Mas, Mas, Ubud who met the inclusion and exclusion criteria. Inclusion criteria included students were willing and using backpacks while the exclusion criteria were students with infectious diseases or traumatic bone or muscle. Research data are primary data obtained from questionnaires and direct measurements by researchers. Results: Prevalence of neck pain in students of SD Negeri 3 Mas, Mas, Ubud using backpacks was 45.6%. The proportion of neck pain is more frequent in students with bag weight <10% body weight (47.0%), students who use backpacks >30 minutes (high duration) with any transportation (100%), non-obese students (46.6%) and female students (50.0%).


2021 ◽  
Vol 17 (1) ◽  
pp. 23
Author(s):  
Noorsyifa Safitri Tahir ◽  
Eka Yudha Rahman ◽  
Dewi Indah Noviana Pratiwi ◽  
Heru Prasetya ◽  
Siti Kaidah

Abstract: Nephrolithiasis (Kidney Stone) is a condition where there is stone in the kidney that are formed due to disturbance of the balance between solubility and deposition of salt in urine. This study was aim to determine the correlation between stone size and urine leukocytes in nephrolithiasis patients. This study was conducted at the Ulin General Hospital in Banjarmasin by taking data on medical records for the 2017-2018 period. This study used a cross-sectional retrospective approach with an analytic method. Samples were obtained using total sampling technique based on inclusion and exclusion criteria. A total of 34 nephrolithiasis patients were obtained that met the inclusion and exclusion criteria. The highest proportion of stone size was >20 mm (47.07%). The highest proportion of urine leukocytes was +3 (38.23%). Data were analyzed using the Spearman correlation test and showed p = 0.774 and r = 0.051. There was no significant correlation between stone size and urine leukocytes in nephrolithiasis patients at Ulin General Hospital Banjarmasin. Keywords: Nephrolithiasis, kidney stone size, urine leukocytes.


2018 ◽  
Vol 6 (08) ◽  
pp. 31-37
Author(s):  
Abdullah Sappe Ampin Maja

The research of this research to analysis dietary compliance of low purine diet in uric acid patients in Wara Health Clinic Year 2016. Type of this research that was used cross sectional approach and use a sampling technique was purposive sampling. The sample of the research was a portion of gout patients enrolled in Wara Health Clinic that fulfilled the inclusion criteria were 42 people.Based on the analysis by using statistical test Fisher's exact test, the value p = 0468 (p> 0.05%), it can be concluded that the hypothesis "there is no correlation between dietary compliance low purine with uric acid in Puskesmas Wara Palopo".Based on the result of research purpose recommendations were provide clearly information about the low purine diet and provide support in the form of motivation for pay attention of type food consumed so as to prevent the increasing of uric acid. Keywords : Compliance, Diet Low Purin, Uric Acid


2018 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Ni Wayan Noviani ◽  
Ni Komang Sari Suindani

<p><strong><em>Abstract: Knowledge of Pregnant Women About Sexual Relations Position During Pregnancy</em></strong><em>. The purpose of this study was to determine the knowledge of pregnant women about the position of sexual relations during pregnancy in BPM Wahidah, S.ST Year 2017. This research type is descriptive research with cross sectional approach by using accidental sampling technique. The population of this study were pregnant women who did the examination in BPM Wahidah, S.ST. The number of samples is 50 respondents who meet the inclusion criteria. This research started from 6-21 february 2017. The result showed that pregnant woman's knowledge about the position of sexual relationship during pregnancy was mostly (54%) knowledgeable enough. A small percentage of respondents aged 20-35 years ie 11 people (22%) have enough knowledge, from the work showed that almost half of respondents ie 23 people (46%) who do not work have enough knowledge, from education showed that almost half of respondents or 16 people (32%) who have medium education have enough knowledge, and from parity shows that almost half of respondents are 14 people (28%) who are multiparous have enough knowledge.</em></p><p><strong> </strong></p><p><strong>Abstrak : Pengetahuan Ibu Hamil Tentang Posisi Hubungan Seksual Pada Masa Kehamilan. </strong>Tujuan penelitian ini adalah untuk mengetahui pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan di BPM Wahidah, S.ST Tahun 2017. Jenis penelitian ini adalah penelitian deskriptif dengan pendekatan <em>cross sectional </em>dengan menggunakan teknik <em>accidental sampling. </em>Populasi penelitian ini adalah ibu hamil yang melakukan pemeriksaan di BPM Wahidah, S.ST.Jumlah sampel sebanyak 50 responden yang memenuhi criteria inklusi.Penelitian ini dimulai dari tanggal 6-21 februari 2017. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil tentang posisi hubungan seksual pada masa kehamilan sebagian besar (54%) berpengetahuan cukup. sebagian kecil responden umur 20-35 tahun yaitu 11 orang (22%) memiliki pengetahuan cukup, dari pekerjaan menunjukkan bahwa hampir setengahnya responden yaitu 23 orang (46%) yang tidak bekerja memiliki pengetahuan cukup, dari pendidikan menunjukkan bahwa hampir setengahnya responden atau 16 orang (32%) yang berpendidikan menengah mempunyai pengetahuan cukup, dan dari paritas menunjukkan bahwa hampir setengahnya responden yaitu 14 orang (28%) yang multipara memiliki pengetahuan cukup.</p>


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