Manajemen Persediaan dan Layout Gudang di Teknik Perawatan Pesawat Udara Politeknik Negeri Batam dalam Tinjauan Project-Based Learning

Pencatatan persediaan menjadi sangat penting bagi perusahaan atau institusi untuk mengetahui keluar masuk barang atau persediaan. Tujuan penelitian ini adalah untuk memberikan perbaikan manajemen persediaan dan memberikan rancangan layout gudang di Teknik Perawatan Pesawat Udara (TPPU) Politeknik Negeri Batam dengan tinjauan Project-Based Learning. Penelitian ini merupakan applied research dengan pendekatan deskriptif eksploratif. Penelitian merupakan penerapan project-based learning dengan matakuliah Akuntansi Keuangan Dasar II dan Pergudangaan & Persediaan antara Program Studi Akuntansi Manajerial dan Logistik & Perdagangan Internasional. Hasil penelitian ini berisi hasil perbaikan manajemen persediaan (update stock opname dan pencatatan), rancangan material request form, issue request list, inventory stock card dan rancangan layout gudang.

757 An Audit of Post-Vasectomy Semen Analysis Adherence

Aim Following vasectomy, patients undergo post-vasectomy semen analysis (PVSA) to determine whether they can be “cleared” to safely discontinue contraception. The adherence rates to PVSA are notoriously poor in the literature. The aim of this project is to assess our patient’s adherence to PVSA and identify areas for improvement. Method All vasectomies undertaken at a large urology centre between 01/01/2019 and 31/12/2019 were included. PVSAs were scrutinised one year later to determine clearance or special clearance according to the 2016 Laboratory Guidelines for Post-vasectomy Semen Analysis endorsed by the British Andrology Society. Results 256 patients underwent bilateral vasectomy, with 132 (51.6%) undergoing PVSA, at a median of 16.4 weeks (range 7.3 – 71.6). At time of review, 71 (54.5%) of these have been cleared; 45 (63.4%) after a single PVSA and 19 (26.8%) after the second. Seven patients (9.9%) received special clearance, two patients (1.5%) were not cleared despite meeting the special clearance criteria and one patient suffered early failure (0.8%). Clearance letters were issued at a median of 2.7 weeks (range 0.1 – 28.8) following satisfactory PVSA results. Moreover, 33 patients (25%) had at least one PVSA sample rejected by the lab, mainly due to timing issues or incomplete information on the request form. Conclusions The adherence rate to PVSA in our cohort is in keeping with the literature, and the majority of patients who are cleared achieve this with just one PVSA. Interventions aimed at counselling patients about the importance of PVSA, reducing unnecessary repeats and reducing rejected samples are necessary.

Discrepancies between clinical diagnosis and hospital autopsy: A comparative retrospective analysis of 1,112 cases

Aims The aim of this study was to compare discrepancies between diagnosed and autopsied causes of death in 1,112 hospital autopsies and to determine the factors causing this discrepancies. Methods 1,112 hospital autopsies between 2010 and 2013 were retrospectively studied. Ante-mortem diagnoses were compared to causes of death as determined by autopsy. Clinical diagnoses were extracted from the autopsy request form, and post-mortem diagnoses were assessed from respective autopsy reports. Variables, such as sex, age, Body Mass Index, category of disease, duration of hospital stay and new-borns were studied in comparison to discrepancy. P-values were derived from the Mann-Whitney U test for the constant features and chi-2 test, p-values < 0,05 were considered significant. Results 73.9% (n = 822) patients showed no discrepancy between autopsy and clinical diagnosis. The duration of hospitalisation (6 vs. 9 days) and diseases of the cardiovascular system (61.7%) had a significant impact on discrepancies. Conclusion Age, cardiovascular diseases and duration of hospital stay significantly affect discrepancies in ante- and post-mortem diagnoses.

Analysis of the correctly filling in the request form for Antimicrobials in an Oncology Reference Hospital in the State of Pará

Objective: Analyze the filling in the antimicrobial request form of the Intensive Care Unit in an oncology reference hospital in the state of Pará. Methods: This was a quantitative and retrospective study by collecting data from the restricted use antimicrobials request form, developed in the Intensive Care Unit of Hospital Ophir Loyola. Forms analyzed were from August to December 2018 in the file of the Hospital Infection Control Committee. Data obtained were organized in a database in Microsoft Excel® software, for descriptive statistical application, and the results were categorized and presented in a box and tables. Results: Of the 469 forms analyzed, 125 belonged to the month of August (27%), 96 (20%) September, 79 (17%) October, 96 (20%) November (20%) and 73 (16%) December. Meropenem was the most prescribed medication in the first three months (16%, 21.90% and 20.30%), in November, vancomycin was the most dispensed (11.5%) and, in December, piperacillin-tazobactam (tazocin - 20.5%). Regarding non-conformities, there is no form with the item “pharmaceutical form”. There were missing information on indication of use, data on the isolated infectious agent and omission of information on “progress of the requested microbiological study”. The indication for use was comprised between empirical and specific therapy. Conclusion: Thus, it is necessary to adjust the antimicrobial request form, inserting complementary data for greater patient safety and better prescription, promoting their rational use.

Audit of Radiology Request Form for Completion and Usefulness of Clinical History: Teaching Hospital Experience, Ghana

Background. The role of the “traditional” radiologist has shifted from imaging centered to patient focus, which underscores the utmost importance of the clinical radiologist in the multidisciplinary team in patient management. For the clinical radiologist to effectively play this key role, the referring clinician must provide adequate and useful patient information to assist the radiologist in making a diagnosis or provide differential diagnosis. The objectives were to assess the level of completion of the radiology request form and to determine whether the clinical history provided aided in the final impression/diagnosis. Materials and Method. We conducted a prospective review of 500 radiology request forms at the Cape Coast Teaching Hospital (CCTH) between September and October 2018. The forms were consecutively sampled and reviewed for each field/area such as patient’s name, age, and clinical history. Data were analyzed descriptively for the level of completeness and usefulness of clinical history entered by the clinician. Results. No request form was completed in full. All the request forms did not have X-ray serial number and previous examination details documented. The proportions of forms with various fields completed were as follows: more than 90% of the forms had patient’s name, investigation required, date of the request, doctor’s name, and clinical history fields filled. The patient’s age, patient’s ward/address, and doctor’s address were filled in 88%, 75%, and 18.4%, respectively. Twenty percent of the request forms were not useful to the radiologist in the final diagnosis. Conclusion. A significant proportion of radiology request forms are incompletely filled and therefore denies the radiologist, the critical information needed to make a diagnosis, or narrow differential diagnosis.

Three Years Retrospective Study of Melanocytic Lesion in Tertiary Hospital: Comparing Benign & Malignant Data

Melanocytic lesion is defined as skin symptom due to proliferation of melanocytes. It may be considered benign, commonly diagnosed as melanocytic nevus (MN), or may also be malignant as malignant melanoma (MM). Publication of epidemiologic data about melanocytic lesion in Indonesia is limited. The aim of this study was to evaluate the epidemiologic findings of melanocytic lesion based on histopathology and clinical data. This descriptive study was done by collecting retrospective pigmented lesion from histopathology database at Department of Anatomical Pathology dr. Cipto Mangunkusumo National Hospital from 2014 - 2017. Retrieved data were analyzed descriptively for MN and MM include clinical diagnosis, age, sex, location, size and clinical working diagnosis. There were 121 cases of melanocytic lesions consisting of 87.6% MN. Females were more frequent for benign lesions. MN cases were mostly seen at the age below the fourth decade, while from 12 cases of MM found above fourth decade. MN was located mostly on the head and neck, while MM mostly in the lower extremities and soles. There were 75 lesions size and 4 lesions location were unknown data missing. MM is still considered rare. Completing clinical finding in the histopathology request form by surgeons will aid in defining better characteristic of melanocytic lesion in our population. Keyword: epidemiology, melanocytic lesion, nevus melanocytic, malignant melanoma. Studi Retrospektif Lesi Melanositik dalam Tiga Tahun di RS Tersier: Perbandingan Data Jinak dan Ganas Abstrak Lesi melanositik didefinisikan sebagai lesi kulit akibat proliferasi melanosit. Lesi melanositik dapat dianggap jinak, umumnya didiagnosis sebagai nevus melanositik (NM), atau merupakan ganas yaitu melanoma maligna (MM). Publikasi data epidemiologi tentang lesi melanositik di Indonesia masih terbatas. Tujuan dari penelitian ini adalah untuk melakukan evaluasi gambaran epidemiologis lesi melanositik berdasarkan data histopatologi dan klinis. Penelitian deskriptif ini dilakukan dengan mengumpulkan data retrospektif lesi berpigmen dari basis data histopatologi di Departemen Patologi Anatomi Rumah Sakit Nasional dr. Cipto Mangunkusumo dari tahun 2014 - 2017. Data dianalisis secara deskriptif untuk NM dan MM termasuk diagnosis kerja, usia, jenis kelamin, lokasi, ukuran, dan diagnosis klinis. Terdapat 121 kasus lesi melanositik yang terdiri atas 87,6% NM. Lesi jinak lebih banyak ditemukan pada wanita. Terdapat 75 dan 4 kasus dengan data ukuran lesi dan lokasi tidak tercantum. MM masih dianggap jarang. Kasus NM sebagian besar terlihat pada usia di bawah dekade keempat, sedangkan dari 12 kasus MM di atas dekade keempat. NM sebagian besar terletak di kepala dan leher, sedangkan MM ditemukan di ekstremitas bawah dan telapak kaki. Melengkapi temuan klinis dalam formulir permintaan histopatologi oleh dokter bedah akan membantu dalam menentukan karakteristik lesi melanositik lebih baik pada populasi ini. Kata kunci: epidemiologi, lesi melanositik, nevus melanositik, melanoma maligna

Therapeutic Drug Monitoring: Fundamentals, And Optimization

Therapeutic drug monitoring (TDM) is a teamwork clinical pharmacokinetic services aimed to optimize pharmacotherapy of certain drugs such as those with a narrow therapeutic range, complicated pharmacokinetics. It involves the determination of drug level in blood samples taken at the appropriate time. Interpretation of results requires integration of pharmacokinetics, the pharmacodynamics of the drug and the patient’s clinical profile. To be cost-effective the service should be optimized. This review was written by experts from different developing countries to highlight the fundamentals of the service and provide suggestions for its optimization. These cover the rationale of requesting drug level, design of request form, optimal sampling, and analytical tools. guidelines for appropriate interpretation of drug levels; completeness of the roles of the qualified medical team; continuing education and skills development; involve the patients in improving the service, conducting relevant research; use PK software and integration of TDM with pharmacogenomics