Authors:Ekorini Listiowati; Merita Arini, Mochamad Iqbal Nurmansyah, Emma Rachmawati, Agus Samsudin Abstract: Reporting patient safety incidents is essential in improving learning and patient safety. It is necessary to identify reporting challenges to improve the reporting process's success. This study assessed the challenges of patient incident reporting and learning systems in Indonesian private hospitals. This qualitative participatory action research is used. In October 2022, data was collected using a videoconferencing application. This study included 34 quality improvement and patient safety team members from 22 private hospitals. In this study, inductive analysis was used. The challenges of patient safety incident reporting are examined in six categories in this study: reporting environment, reporting rules and content, analysis and investigation, governance, action and learning, and patient and family engagement. The challenges mostly come from reporting environment components such as reporting difficulty and ignorance, a lack of time for analysis, the fear of making a mistake in the reporting process, and insufficient management support. Multiple challenges were encountered in different patient safety incident components. A positive environment for reporting patient safety incidents needs a multifaceted approach, including increased hospital leadership commitment and policies and procedures. PubDate: Wed, 01 May 2024 00:40:44 +080
Authors:Muhammad Cariefzi Zahdffa Kusuma; Meiyanti Meiyanti Abstract: Currently, self-medication in Indonesian adolescents has a high prevalence. The problem with self-medication is the accuracy of drug use in adolescents, resulting in irrational treatment. The purpose of this study was to analyze the relationship between the level of knowledge of self-medication and the rational use of gastritis drugs in adolescents. This observational study has a cross-sectional design and a sample size of 91 students. The research was conducted from April to June 2021 in Jakarta. The nonrandom sampling method was used for the selection of research samples. Research data were obtained through interviews and questionnaires. Calculate the sample size using the infinite and finite population formula with a prevalence of 23.8. Inclusion criteria subjects aged 15–19 years who had complaints in the upper gastrointestinal tract and signed informed consent. Exclusion criteria are students taking gastritis treatment based on prescriptions from doctors or according to doctor's recommendations. Data analysis using SPSS 23.0 and correlation test using the chi-square test with a significance value of p<0.05. The results showed that 33% of respondents had good self-medication knowledge, and as many as 60% had irrational gastritis treatment behavior. The results of bivariate analysis obtained there is a significant relationship between the level of knowledge of self-medication and the rational treatment of gastritis with a value of p=0.000 (p<0.05). This study concludes that there is a relationship between knowledge of self-medication and the rational use of drugs. PubDate: Wed, 01 May 2024 00:40:32 +080
Authors:Aaron Chen Angus; Dinesh Sirisena Abstract: This study introduces AI-SPOT, a novel artificial intelligence tool for optimizing performance and preventing injuries in elite footballers. Data were collected from four Singapore Premiere League clubs and the National Team, encompassing 68 male footballers over two seasons (2021–2022). The comprehensive dataset included diverse metrics, injury records, and automated live match data from established databases. AI-SPOT employs Python's scikit-learn for predictive analytics, using techniques like logistic regression and XGBoost, and was further developed with TensorFlow. Its effectiveness in injury prediction and performance assessment was validated with extensive local and international data sources. The system's potential for broader sports applications was underscored by user experience assessments, indicating a significant shift towards AI-driven strategies in sports management. Despite its reliance on high-quality, sport-specific data, AI-SPOT's adaptability highlights its role as a transformative tool in sports analytics, paving the way for advanced, data-driven approaches in sports management and strategy formulation. PubDate: Wed, 01 May 2024 00:40:22 +080
Authors:Olih Solihin; Djuara P Lubis, Pudji Hasta Muljono, Siti Amanah Abstract: In 2020, Bandung city ranked second in West Java for tuberculosis (TB) cases. The city government and stakeholders have taken health education, early detection, free treatment, and surveillance measures to address TB. Yet, a comprehensive approach is still needed. Despite previous studies exploring TB management, the role of religious approaches still needs to be explored. Employing a qualitative approach through a case study method, this research involves data collection through observation, in-depth interviews, and literature reviews. Participants are TB healthcare workers and religious speakers in Universitas ‘Aisyiyah Bandung city. In 2020, Bandung reported 8,504 TB cases with increased detection success. ‘Aisyiyah TB Care uses a religious approach to offer emotional and spiritual support to patients facing physical challenges, emotional burdens, and stigma. Religious perspectives introduce spiritual support via Islamic teachings emphasizing hygiene and self-care. Interviews reveal changed patient perceptions due to the religious approach. ‘Aisyiyah addresses TB complexity and stigma, conducting educational efforts to reshape perceptions. The religious approach assists TB sufferers, aiming for positive influence, improved relationships, and fostering hope, gratitude, and trust in God. Collaborative efforts among health, religious, and government organizations are essential for effective TB management. The research highlights the positive impact of ‘Aisyiyah TB Care's religious approach on management, addressing stigma, and enhancing well-being. Improved information dissemination and support are vital, particularly in areas with high TB burdens. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Joice Viladelvia Kalumpiu; Elly Herwana, Yenny Yenny, Kurniasari Kurniasari Abstract: Low 25-hydroxy vitamin D is associated with many chronic diseases, such as coronary heart disease. Online motorcycle drivers spend prolonged hours on the road and may face many stressors and occupational hazards that can create the development of cardiovascular disease. This study aims to determine factors contributing to cardiovascular risk among online motorcycle drivers. This study was an observational analytic with a cross-sectional design. Data were collected in September 2022 with consecutive random sampling methods for 114 subjects at Universitas Trisakti Jakarta. The ages of the subjects ranged from 25 to 62 years. Cardiovascular risk was assessed based on the Jakarta Cardiovascular Risk Score (JAKVAS). The data collection included physical examination and blood biochemistry (lipid profile, fasting blood glucose, and 25(OH)D). The data were analyzed using a chi-square test with p<0.05. The majority of subjects were male 83 (72.8%). On blood pressure examination, mean systolic blood pressure was 128.9±16.7 mmHg, and diastolic blood pressure was 86.7±11.9 mmHg. The mean cardiovascular risk was 4.4±2.8, and 52.6% had a high-risk score. All subjects had low 25(OH)D serum levels, with mean 25(OH)D serum levels of 18±5.7 ranging between 6.9 and 29.8. Among online motorcycle drivers, there was a significant association between blood pressure, total cholesterol, and triglyceride with cardiovascular risk scores in low 25-hydroxy vitamin D levels. Blood pressure, total cholesterol, and triglyceride could affect cardiovascular health in low 25-hydroxy vitamin D levels among online motorcycle drivers. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Fitria Ratna Sari; Rika Nilapsari Abstract: Inflammation and coagulation markers play a crucial role in assessing the systemic involvement of COVID-19. Early identification of disease severity through neutrophil-lymphocyte ratio (NLR) and D-dimer levels can aid physicians in promptly identifying potentially severe cases and determining appropriate treatment strategies. This study explored the relationship between NLR, D-dimer levels, and clinical severity in COVID-19 patients. This retrospective cross-sectional study reviewed 237 medical records of adult COVID-19 patients treated at Permata Cirebon Hospital from July to October 2021. The seriousness of COVID-19 served as the outcome variable, while NLR and D-dimer values were considered independent variables. Correlation analysis examined the relationship between NLR, D-dimer, and COVID-19 severity. Receiver operating characteristic (ROC) curve analysis was employed to establish the cut-off values. The majority of COVID-19 patients exhibited moderate disease severity. Male gender, advanced age, and comorbidities such as diabetes, hypertension, CVD, and stroke were associated with a higher likelihood of severe disease. A significant positive correlation was found between NLR and disease severity, as well as between D-dimer and disease severity. Notably, the correlation between D-dimer and disease severity was more substantial than that of NLR. Furthermore, the cut-off values obtained from the ROC analysis were 3.79 for NLR (sensitivity=68.8%, specificity=68.1%) and 1,110 for D-dimer (sensitivity=79.2%, specificity=87.5%). The study revealed a significant positive correlation between the severity of NLR, D-dimer levels, and COVID-19. Therefore, NLR and D-dimer can serve as prognostic markers for COVID-19 patients. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Ida Effendi; Thomas Robertus, Jihan Samira, Arleen Devita, Widyasari Kumala, Isa Bella Abstract: Urinary tract infection (UTI) is a bacterial infection that contributes significantly to morbidity rates. UTI is a health concern due to multidrug-resistant (MDR) organisms. Therefore, the profile of bacteria and antibiotic susceptibility patterns are very important to know in order to make the best treatment choice. Working as an online motorcycle (ojol driver) carries a risk of urinary tract infections. Online drivers are assumed to often hold their urination for short or long periods. The descriptive study with a cross-sectional design was conducted to obtain the prevalence of urinary tract infections, bacteria profile, and antibiotic susceptibility in urine specimens collected from Jakarta ojol drivers in September 2022–Maret 2023. Of 98 midstream urine specimens, 17 samples are considered to have UTI (17.34%). The identification of the 17 isolates shows that the microorganisms' distribution was more likely to be caused by gram-positive than gram-negative bacteria (70.60%). The causative bacteria were coagulase-negative Staphylococcus (17.65%), Escherichia coli (11.76%), and Enterococcus faecalis (11.76%). Our results showed that the prevalence of urinary tract infections in ojol drivers is high with the distribution of the causative organisms by coagulase-negative Staphylococcus, Escherichia coli, and Enterococcus faecalis and still showed good susceptibility to narrow-spectrum antibiotics such as cotrimoxazole. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Giyawati Yulilania Okinarum; Venny Vidayanti, Sri Hasta Mulyani Abstract: Yogyakarta, a renowned tourist city in Indonesia, currently needs more lactation rooms and public facilities within tourist areas. To address this, inventors propose a portable lactation pod. This study utilized the design thinking method, emphasizing user needs. Interviews were conducted with thirty breastfeeding mothers on Malioboro Street in Yogyakarta to assess the necessity of lactation rooms in this popular tourist spot. From February to June 2022, the stages of "empathize," "define," "ideate," "prototype," and "test" were completed. The findings indicate that the "SEHATI" portable lactation room innovation meets user requirements, with feature satisfaction scores ranging from 4.2 to 4.9 out of 5.0. However, improvements are needed in the ventilation, exhaust fan, and fan sections, which received lower satisfaction scores during the "testing" stage. This innovation could serve as a pilot project, showcasing wellness tourism in Yogyakarta nationally. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Meike Rachmawati; Nuzirwan Acang, Wida Purbaningsih, Rian Robian, Adhi Nugraha, Rina Melati, Aryanti Aryanti, Aninditya Putri Anugrah, Nazmy Noor Laila Abstract: Breast cancer is the most common malignancy found in women throughout the world and is the fifth leading cause of cancer death in the world. Cibabat Regional General Hospital is one of the places for breast cancer examination and treatment in West Java. This study aims to determine the clinical and histopathological features at Cibabat Regional General Hospital. The method used in this research is descriptive-analytic with a total sampling technique using secondary data obtained from the medical records of Cibabat Regional General Hospital patients from 2022 to June 2023. The results show that most cases of breast cancer at Cibabat Regional General Hospital occur in those aged 45–54 (32.3%), left breast (52.1%), grade 3 (44.8%), histopathological type invasive carcinoma of no special type (75%), lymph node status unknown (88.5%), negative lymphovascular invasion (43.7%), and fat invasion status unknown (68.7%). The conclusion is that breast cancer cases at Cibabat Regional General Hospital mainly occur in patients of productive age with a high grade and predominantly in the left breast, with the most common type being invasive carcinoma of no particular type. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Dony Septriana Rosady; Nysa Ro Aina Zulfa, Sony Bagja Pratama Abstract: Tuberculosis (TB) is a communicable disease that is a significant cause of ill health and one of the leading causes of death worldwide. Tuberculosis remains a major global health problem. Tuberculosis infection remains one of the biggest health problems in Indonesia, which ranked second in the world on the list of countries with a high burden of TB. This is a cross-sectional study where the research displays population data, population density, and the incidence of TB in Bandung city, which is visualized in the mapping. This research analyzed the relationship between population density and the incidence of TB. The area with the highest TB incidence was the Babakan Ciparay subdistrict, with a total of 469 people and a population density of 205 people/hectare. The study has shown a strong relationship and a positive correlation between population density and the incidence of TB in Bandung city (p<0.001, r=0.603). Tuberculosis cases tend to be higher in areas with high population densities. Besides population density, other factors influence the incidence of TB in an area. House technical factors such as adequacy of windows, air ventilation, and lighting influence TB transmission. Besides that, household sanitation factors and occupancy density also impact the incidence of TB. In conclusion, subdistricts with a high population density show a high incidence of TB. There is a strong and unidirectional relationship between population density and the incidence of TB. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Nawan Nawan; Septi Handayani, Agnes Immanuela Toemon Abstract: The Dayak tribe, residing on the island of Borneo in Indonesia, continues to uphold their ancestral cultural customs involving using medicinal plants for disease treatment. To assess the efficacy of chosen Dayak traditional medicinal plants, commonly utilized for treating diverse infectious ailments, against bacteria responsible for infections. Samples of medicinal plants (Garptophyllum pictum, Eleutherine bulbosa, Oscimum sanctum, Cassia alata, Callicarpa longifolia Lam., Hibiscus rosa-sinensis, Dracaena cantleyi, Uncaria gambir Roxb., Rhodomyrtus tomentosa, Gomphrena globose) were extracted using absolute methanol and water and tested for their antimicrobial activities against stock isolates and standard strains of Staphylococcus aureus, Streptococcus pyogenes, Escherichia coli, Pseudomonas aeruginosa, Enterobacter aerogenes using agar well diffusion and micro titer plate methods. Crude extracts of Eleutherine bulbosa, Dracaena cantleyi, Oscimum sanctum, and Uncaria gambir Roxb. inhibited bacterial growth by 100%, 100%, 40%, and 25% against the test organisms, respectively. These plants inhibited the growth of bacteria from 7 mm to 16 mm in diameter. Most of the plant extracts had antibacterial activities, among which Eleutherine bulbosa and Dracaena cantleyi inhibited the growth of 100% of the test organisms, respectively. The activities of methanolic extracts were greater than those of their corresponding water extracts. Streptococcus pyogens was the organism most susceptible to the extract, while Enterobacter aerogenes demonstrated the highest resistance. PubDate: Tue, 30 Apr 2024 00:00:00 +080
Authors:Dwiwahju Dian Indahwati; Diana Krisanti Jasaputra, Arief Budiono, Julia Windi Gunadi, Ronny Lesmana, Steven Zerin Putra Kusmawan Abstract: Vitamin D has a broad impact on the human body, including affecting the bones and the immune system. Vitamin D deficiency in pregnant women is a risk factor in several circumstances, such as preeclampsia, gestational diabetes, premature birth, and low birth weight babies. This study aimed to determine the vitamin D levels and their relationship to predisposing factors and estimated fetal weight in the third trimester of pregnancy. Eighteen pregnant women in their third trimester of pregnancy who received antenatal care in the Obstetric Clinic of Immanuel Hospital Bandung from January to December 2022 were used as subjects of this study. The inclusion criteria are third-trimester pregnant women, healthy, while the exclusion criteria are currently taking drugs that have side effects in pregnancy or having pregnancy disorders. Blood was taken to measure vitamin D levels, fetal weight was estimated with obstetric ultrasound, and the subjects filled in questionnaires about predisposing factors. The results showed ten pregnant women (56%) had vitamin D deficiency below 20 ng/mL in their third-trimester pregnancy. We found non-significant relationships (p>0.05) between predisposing factors (daily consumption of vitamin D, sun exposure, maternal age), estimated fetal weight, and vitamin D levels. This study concludes that 56% of pregnant women in their third trimester of pregnancy have vitamin D deficiency with no significant relationship with its predisposing factors and estimated fetal weight. PubDate: Tue, 30 Apr 2024 00:00:00 +080
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