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Factors Associated with the Incidence of Diabetic Ulcers in Clients with Diabetes Mellitus at Labuang Baji Hospital Makassar Nusdin, Nusdin; Awaluddin, Achmad Indra
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 2 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i2.665

Abstract

Background: Diabetes Mellitus is classified into a group of metabolic diseases with specific characteristics of increased blood sugar levels or hyperglycemia. Clients with Diabetes Mellitus have the potential for 15-25% to experience diabetic foot ulcers caused by the factors of cholesterol, use of footwear, and self-management of diabetes mellitus. Objectives: This study aims to determine factors associated with the incidence of diabetic ulcers in clients with diabetes mellitus at Labuang Baji Hospital Makassar. Methods: The type of research used was quantitative with a cross-sectional design. The number of samples used was 50 respondents by using accidental sampling. The research instrument used a questionnaires and Standard Operating Procedures for cholesterol examination. Result: The study results using the Spearman Correlation Testshowed a relationship between cholesterol and the incidence of diabetic ulcers in clients with Diabetes Mellitus with the p-value = 0.001 (p <0.05). There is a relationship between footwear usage and the incidence of diabetic ulcers in clients with diabetes mellitus with the p-value = 0.001 (p < 0.05) and there is a relationship between Self Management Diabetes Mellitus (SMDM) with the incidence of diabetic ulcers in clients with diabetes mellitus with p-value = 0.001 (p<0.05). Conclusion: Cholesterol, footwear usage, and Diabetes Mellitus Self Management (SMDM) are the factors of Diabetic ulcers in clients with diabetes mellitus. Recommendation: This study could be an adjunct for further systemic review and expected for further study to research about the other factor or the effect of treatment sequacity on diabetic ulcer recovery
Pengaruh Strategi Lean Management Terhadap Efisiensi Pengelolaan Obat Di Instalasi Farmasi Rumah Sakit Pramono, Edi; Fahamsya, Arifina; Awaluddin, Achmad Indra; Surya, Sara; Pannyiwi, Rahmat
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 2 (2026): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i2.1004

Abstract

Background: Efficient medication management is a critical factor in hospital pharmacy services. Many hospitals face challenges in controlling medication inventory, service times, and operational costs. Lean Management strategies offer an approach to increasing efficiency by eliminating waste, improving workflows, and optimizing resources. Objective: This study aims to analyze the effect of implementing a Lean Management strategy on medication management efficiency in a hospital pharmacy. Methods: This study used a quasi-experimental design with a pre-test and post-test approach. The sample consisted of the pharmacy department of one hospital implementing Lean Management, with efficiency measurements taken before and after the strategy implementation. Data were analyzed using a paired t-test to compare average medication management time, dead stock levels, and operational costs. Results: The implementation of Lean Management was proven to reduce the average medication management time from 12.5 hours to 8.2 hours per batch (p < 0.05), reduce dead stock by 15%, and reduce operational costs by 10%. Conclusion: The Lean Management strategy significantly improved medication management efficiency in the hospital pharmacy. Recommendations for ongoing implementation and staff training are needed to maintain optimal results.
Prevention of Tuberculosis Transmission in Households Using Virgin Coconut Oil and Multi-Drug Treatment: A Quasi-Experimental Study Palancoi, Najamuddin Andi; Awaluddin, Achmad Indra; Ramadhan, Nur Syahrul; Safitri, A. Nurul Khaerizza; Aminuddin, St.Nurmiati
Jurnal Penelitian Pendidikan IPA Vol 11 No 11 (2025): November
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i11.12784

Abstract

The increasing prevalence and incidence of tuberculosis each year highlights the need to use Virgin Coconut Oil (VCO) in conjunction with multi-drug treatment to help suppress the transmission of tuberculosis within families. Lauric acid, the main component of VCO, transforms into monolaurin in the digestive tract. Monolaurin is a substance known to enhance the body's immune system. This study aimed to determine the effectiveness of Multi-drug Treatment and VCO treatment on Tuberculosis incidence in household contacts associated with cost effective analysis (CEA). This study employs a quasi-experimental method, a form of quantitative research akin to a true experiment but does not involve full randomisation of subjects or groups. Subjects were divided into two groups. The treatment group consisted of new tuberculosis patients who received a combination of multi-drug treatment and virgin coconut oil (VCO). Their household contacts were tested to determine whether they were positive for acid-fast bacilli at the initial stage and again at the second month of the study. The control group included new tuberculosis patients who received the Directly Observed Treatment Short Course (DOTS) or the multi-drug treatment (MDT) package only. Similar to the treatment group, their household contacts were also tested. After two months of treatment for tuberculosis among individuals in the same household, a follow-up showed significant differences between the intervention and control groups. In the intervention group, all 81 participants (100%) tested negative for acid-fast bacilli in the second month. In contrast, the control group had 3 participants (4.3%) who tested positive for acid-fast bacilli. The effectiveness of tuberculosis drug therapy is assessed by examining whether patients test negative for acid-fast bacilli during their second examination. The results indicate that patients receiving a combination of multi-drug treatment and VCO intervention have a higher rate of negative testing for acid-fast bacilli compared to those receiving only multi-drug treatment.